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The relative importance of genetics and phenotypic plasticity in dictating bone morphology and mechanics in aged mice: evidence from an artificial selection experiment aDepartment of Ecology and Evolutionary Biology, Brown University, Providence, RI 02912, USA bBioengineering Laboratory, Rhode Island Hospital, Providence, RI 02903, USA cSchool of Biological Sciences, Washington State University, Pullman, WA 99164, USA dDepartment of Biology, University of California, Riverside, Riverside, CA 92521, USA *Corresponding author. Present address: Department of Biology, California State University San Bernardino, 5500 University Parkway, San Bernardino, CA 92407, USA E-mail address: Email: kmm/at/csusb.edu (K.M. Middleton) The publisher's final edited version of this article is available at Zoology (Jena).Abstract Both genetic and environmental factors are known to influence the structure of bone, contributing to its mechanical behavior during, and adaptive response to, loading. We introduce a novel approach to simultaneously address the genetically mediated, exercise-related effects on bone morphometrics and strength, using mice that had been selectively bred for high levels of voluntary wheel running (16 generations). Female mice from high-running and control lines were either allowed (n = 12, 12; respectively) or denied (n = 11, 12; respectively) access to wheels for 20 months. Femoral shaft, neck, and head were measured with calipers and via micro-computed tomography. Fracture characteristics of the femoral head were assessed in cantilever bending. After adjusting for variation in body mass by two-way analysis of covariance, distal width of the femur increased as a result of selective breeding, and mediolateral femoral diameter was reduced by wheel access. Cross-sectional area of the femoral mid-shaft showed a significant linetype × activity effect, increasing with wheel access in high-running lines but decreasing in control lines. Body mass was significantly positively correlated with many of the morphometric traits studied. Fracture load of the femoral neck was strongly positively predicted by morphometric traits of the femoral neck (r2 > 0.30), but no significant effects of selective breeding or wheel access were found. The significant correlations of body mass with femoral morphometric traits underscore the importance of controlling for body size when analyzing the response of bone size and shape to experimental treatments. After controlling for body mass, measures of the femoral neck remain significant predictors of femoral neck strength. Keywords: Artificial selection, Body mass, Bone morphometrics, Exercise, Mechanical loading Introduction Genetics and exercise are foremost among many factors that act individually and in concert to determine the geometry and material properties of a bone. The shape and constituent materials of the bone, in turn, determine how it will respond to a given load. In mammals, genetic factors are thought to determine 50–80 % of the variation in mineral content of adult bone, with most of the balance dictated by amount, frequency, and/or intensity of exercise (Eisman, 1999; Ferrari et al., 1999). However, the interaction between genetic and environmental factors is complex, and the effects of loading may be modulated by the physiological response of bone, which itself is genetically determined to an important extent (Robling and Turner, 2002; Koller et al., 2003; Robling et al., 2003). Although genetic factors are known to mediate exercise effects, the two are often addressed separately in experimental settings. For example, bone mineral content and activity effects have frequently been studied in rodents, without attention to possible interactions (Gordon et al., 1989; Umemura et al., 1995; Iwamoto et al., 1999; Klein et al., 2001; Turner and Burr, 2001; Bennell et al., 2002; Akhter et al., 2004a, b; Niehoff et al., 2004). Recently, however, more attention has been directed at variation among different strains of mice. Several aspects of femoral geometry and strength have been shown to vary widely among different genetic strains of mice (Koller et al., 2003; Wergedal et al., 2005), as have responses to hind limb unloading (Amblard et al., 2003; Judex et al., 2004; Squire et al., 2004) and ovariectomy (Bouxsein et al., 2005). Expanded understanding of the role of mechanotransduction in bone has resulted from comparisons of different genetic strains of mice under artificial loading regimens (e.g., Robling and Turner, 2002; Robling et al., 2003; Kesavan et al., 2005; Li et al., 2005; Kesavan et al., 2006; Lau et al., 2006; Sawakami et al., 2006). Although jump training (i.e., impact loading) has been used to study the effects of naturalistic loading on bone (Honda et al., 2001; Umemura et al., 2002; Welch et al., 2004), relatively rarely have the combined effects of genetic background and exercise been addressed under natural, musculoskeletal loading. One exception is a study by Kodama et al. (2000), who compared the response of bone to four weeks of jump training in C57BL/6J and C3H/HeJ mice. These authors found that both strains of mice responded to loading but that the relative response differed between strains and concluded that bone of the C3H/HeJ mice were less responsive to mechanical loading. In addition to the complex interaction of genetics and loading history in forming bone, these two factors play an important role in the changes that bone exhibits as an animal ages. The effects of aging on bone properties have been studied extensively in rodents (Yamamoto et al., 1995; Mosley and Lanyon, 1998; Halloran et al., 2002; Mosley and Lanyon, 2002; Hamrick et al., 2006; McNamara et al., 2006) and in humans (Smith and Walker, 1964; Mosekilde, 1989; Russo et al., 2006). Similarly, exercise effects on age-related changes to bone have received a great deal of attention, both in humans (Weinstein and Hutson, 1987; Heaney et al., 1997; Kaptoge et al., 2006) and in rodent models (Raab et al., 1990; Søgaard et al., 1994; Silva and Gibson, 1997). One way to effectively probe relations between genetics and external influences, such as exercise, is to take advantage of artificial selection experiments. Recently, a few research programs have overcome the technical challenges of applying this labor- and time-intensive approach to mammals and have successfully used rodents in selection experiments targeting exercise-related phenotypes (Hussain et al., 2001; Koch and Britton, 2001; Henderson et al., 2002; Garland, 2003; Wisløff et al., 2005). Although diverse mammalian species vary considerably in bone structure and physiology (Bagi et al., 1997), and extrapolations from rodents to humans and other species must be made only with caution, it is now possible to add artificial selection to the range of techniques used to address questions in bone biology. Furthermore, selection experiments provide a valuable tool for assessing the relative magnitudes of evolutionary and phenotypic plasticity in skeletal biology (Garland and Kelly, 2006). Here, we employ mice selectively bred for high levels of voluntary wheel running to explore the combined effects of genetic background and voluntary exercise on bone morphometrics and mechanics. We focus on whole-bone morphometrics and mechanical performance during loading, and do not consider variations in tissue-level properties such as bone mineral density and collagen fiber orientation that may affect mechanical behavior under load. For our study population we chose mice that were allowed or denied access to a running wheel for twenty months to explore whether presumptive changes in bone morphometrics and mechanical properties resulting from exercise would be retained as the animals aged. We ask: 1) Does the size, shape, and mechanical performance of the femur differ between animals from lines that have been artificially selected for high voluntary exercise in comparison with unselected control lines (genetic effect)? 2) Do the same characteristics differ between individuals allowed free access to running wheels for twenty months in comparison with mice denied wheels (exercise effect)? 3) Are there interactions between these two factors such that the effect of exercise depends on genetic background? Materials and methods Model system We employed mice (Mus domesticus) in this study because they were part of a long-term artificial selection experiment on high levels of exercise (voluntary wheel-running behavior; for additional information, see Garland, 2003; Rhodes et al., 2005). Among the goals of this selection study are understanding heritable aspects of behavior and physiology in mammals, including neurobiological and physiological processes relevant to human health. The complete experimental design is described elsewhere (Swallow et al., 1998; Garland, 2003; Morgan et al., 2003), and we provide only a brief summary here. From a base population of outbred Hsd:ICR mice, 8 closed lines were established in which the parents of each subsequent generation are those which exhibit the highest (4 selected lines) or typical (4 control lines) levels of voluntary wheel running. Mice from the ICR strain were chosen because they exhibit high levels of genetic variation and had previously been selected for large litter sizes and high weaning success (Swallow et al., 1998). Because genetic heterogeneity is a prerequisite for evolutionary change in response to selective breeding, the use of an inbred strain would have been impossible. Furthermore, we employed within-family selection to decrease the possible deleterious effects of inbreeding and potentially confounding maternal effects. Mean adjusted heritability of wheel running was 0.28 for the first 10 generations of selection (Swallow et al., 1998). Running was scored as total number of exercise wheel revolutions run on day five plus day six of a six-day exposure to wheels. Total revolutions per day in the lines selected for high running increased rapidly for the first 16 generations and then reached an apparent plateau, at which point the selected lines ran about 170–200 % more revolutions per day than controls (Swallow et al., 1998; Garland, 2003). Summed revolutions on days five and six is the sole criterion for selection, but selection for high levels of voluntary exercise has the potential to lead to evolution in many diverse features because of pleiotropic effects of alleles that affect wheel running. The selected lines have diverged genetically and phenotypically from the control lines and are distinct morphologically, physiologically, and behaviorally (Swallow et al., 1999; Garland, 2003; Garland and Kelly, 2006; Kelly et al., 2006; Malisch et al., 2007). Study population Our sample consisted of femora of 47 female mice from generation 16 of the selection experiment. Mice were weaned at 21 days of age, housed individually, and either allowed or denied access to an exercise wheel (0.73 m circumference) for 80 weeks, beginning at 28±3 days of age (for additional details see Morgan et al., 2003; Bronikowski et al., 2006). Mean age at sacrifice was 596 days (range = 590–600). Approximately half of the mice were from the selected lines (n = 23) and half from the control lines (n = 24). Within each of these groups, half were raised with access to a wheel (n = 12 and 12, from selected and control lines, respectively) to allow for voluntary wheel running and half were sedentary (no wheel; n = 11 and 12, from selected and control lines, respectively). All mouse cages were standard size, and mice were permitted food and water ad libitum. All protocols were approved by and in compliance with guidelines set by the Washington State University IACUC. Specimen preparation After sacrifice, the mice were weighed and frozen until dissection. The mice were later thawed and both hind limbs dissected; the femora were separated from the distal limb elements and defleshed. Right femora were used for morphometric measurements and mechanical testing, and left femora were scanned using microcomputed tomography (µCT). The femur was chosen for detailed study because it is subject to the most direct loading from the axial skeleton, and the proximal femur is the site of most femoral fractures (Crawford and Fretz, 1985; Embertson et al., 1986; Zhang et al., 2000; Harasen, 2003). Whole-bone morphometrics Measuring with digital calipers to the nearest 0.01 mm, eight morphometric traits of the femur were quantified: length from the superior (articular) surface of the femoral head to the distal femoral condyles, proximal width (greater trochanter to medial surface of femoral head), distal width (mediolateral distance across distal femoral condyles), anteroposterior and mediolateral mid-diaphyseal diameter, proximodistal height and anteroposterior depth of the femoral neck, and height (proximodistal) and depth (anteroposterior) of the femoral head (Fig. 1
Microcomputed tomography Left femora were scanned using a high-resolution, fan-beam microcomputed tomography scanner (µCT 20; Scanco Medical AG, Bassersdorf, Switzerland). For the mid-diaphysis, ten slices with a voxel size of 9 µm3 were acquired midway between the superior surface of the femoral head and the distal end of the femur. For the femoral neck, sixteen slices with a voxel size of 17 µm3 were acquired midway along the femoral neck. Mid-diaphyseal slices were acquired perpendicular to the long axis of the bone, and neck slices were acquired perpendicular to the long axis of the femoral neck. Cross-sectional areas, maximum and minimum second moments of inertia (Imax, Imin), and maximum section moduli (Imax/Cmin) were calculated for each slice using the scanner’s built-in software routines and averaged over all slices for the femoral diaphysis and neck for each individual. Mechanical testing To compare maximum load at failure among groups, we loaded the femoral neck to fracture in cantilever bending using an Instron 4222 materials testing machine (Instron Corporation; Norwood, MA). To approximate loading experienced by the femur during locomotion, a compressive load was applied to the femoral head with the distal end of the femur fixed in solid bismuth alloy (LMA-117; Small Parts, Inc., Miami Lakes, FL). This method of fixing the distal end of the bone facilitated later release of the entire bone specimen from the mounting medium by melting the potting material in a hot water bath (Fig. 1 Statistical analysis Traits were analyzed by two-way analysis of variance (ANOVA) and analysis of covariance (ANCOVA) using SAS Procedure Mixed (version 9.1; SAS Institute; Cary, NC) with Type 3 tests of fixed effects with or without body mass as a covariate. Using ANOVA and ANCOVA, differences between control and selected lines (effects of line type), wheel and no wheel treatments (effects of activity), and the interaction between these two main effects were tested for statistical significance (Swallow and Garland, 2005; Kelly et al., 2006). In the analyses of predictors of fracture load, we included both body mass and femoral morphometric traits as covariates. Pearson correlations were calculated between body mass and the morphometric traits to check for potential multicollinearity. Correlations were always < 0.7, indicating that multicollinearity was not a concern in these data (Slinker and Glantz, 1985). To address concerns related to performing multiple statistical tests on the same set of data, we carried out a false discovery rate (FDR) analysis using the qvalue software package (Storey, 2002) for R (version 2.4.1; R Development Core Team, 2007). The total number of hypotheses under test is 89: 60 in Table 1 (see Results), 19 in Table 2 (body mass covariate column only, as all others are redundant with Table 1), and 10 in Table 4 (only p values for the covariate correlation are included). Due to the relatively low number of p values, we used the "bootstrap" option of qvalue in estimating the proportion of true null hypotheses. Results of the FDR analysis indicate that, rather than the typical a = 0.05 for judging statistical significance, a more conservative level of a = 0.0374 (corresponding to a positive false discovery rate of 5 %; Storey, 2002) is appropriate given the number of hypotheses tested and the distribution of p values we obtained. In the tables, we present nominal p values for two-tailed tests, unless specifically noted for traits for which we had a priori predictions about the direction of main effect or covariate (e.g., smaller body mass in wheel-access and in selected-line mice).
Results Morphometrics Results of the two-way ANOVAs with activity level and line type (but not body mass as a covariate) show significant effects of activity on several traits (Table 1). Results of the two-way ANCOVAs show that activity level has a significant negative effect on body mass (p = 0.0374, one-tailed) and line type has a nearly significant effect (p = 0.0698, one-tailed), with both active and selected mice having lower body mass than sedentary or control mice, respectively (Table 2, Table 3). In ANCOVAs including body mass as a covariate, most femoral morphometric traits showed a significant positive correlation with body mass even after controlling statistically for main effects (Table 2). Mice bred for high levels of wheel running had wider distal femora than controls, regardless of wheel access (p = 0.0349), and wheel access led to mediolaterally narrower femoral shafts in both selected and control lines (p = 0.0166; Table 2, Table 3). Only one interactio was statistically significant: wheel access decreased midshaft cross-sectional area in control mice but increased it in selected mice (Table 2, Table 3). Mechanical properties When the distal femur was fixed and loads were applied to the femoral head, the femur always fractured near the base of the neck, not distally along the shaft (Fig. 1
Discussion In this study, we explored the combined effects of genetic background and voluntary exercise on bone morphology and femoral neck strength using mice from lines that had been selectively bred for high levels of voluntary wheel running. We sought to determine whether the femora of mice selected for high levels of exercise would differ from controls (genetic effect), whether those with access to a running wheel would differ from those without (exercise effect), and whether the exercise effect, if any, was mediated by genetic background (interaction effect). Wheel running and body mass The mice analyzed in this study represent a subset of the female mice for which wheel running ontogeny was previously escribed (Morgan et al., 2003). Wheel running increased rapidly during the first 8 weeks of ontogeny, peaking at means of 76 km/week in mice selected for high levels of wheel running and 52 km/week in control mice (Fig. 3
Combined effects of genetic background and of exercise on skeletal traits Of the 19 skeletal traits examined, only two (distal width of the femur, femoral head depth) showed significant effects of line type, one showed effects of exercise (mediolateral femoral diameter), and one (femoral shaft cross-sectional area) showed a line type-by-exercise interaction (Table 2, Table 4). These results suggest that neither selection over 16 generations for high levels of voluntary wheel running nor constant physical activity is associated with broad-scale modifications of the mouse femur at the whole-bone level, despite peak activity levels of 76 km/week in exercise-selected mice and 52 km/week in control mice (Fig. 3 In our study of musculoskeletal loading described here, the lack of significant differences between selected and control lines or between active and sedentary mice is potentially a consequence of the subjects’ age. At 84 weeks of age, these animals were almost certainly post-reproductive (Gosden et al., 1983) and had shown a gradual decrease in the level of exercise associated with aging in this study population (Fig. 3 Additionally, the beneficial effects to bone of repetitive loading are lost after loading ceases (i.e., detraining; Snow et al., 2001; Järvinen et al., 2003). As our study population aged, the number of wheel revolutions per day in the selected mice decreased to levels that may have been below the threshold for exercise-related benefits. Differences in bone morphometrics or strength that may have been present earlier in ontogeny could have been lost. Musculoskeletal vs. artificial loading Most studies of bone loading in rodents involve artificial loads exerted by mechanical bending apparatuses, either in axial or four-point bending (Robling and Turner, 2002; Robling et al., 2003; Kesavan et al., 2005; Li et al., 2005; Lau et al., 2006; Sawakami et al., 2006). While this technique does allow for controlled experimental conditions, loading patterns, and very high strains, the loads typically applied (often 10 N or more) are not biologically realistic. Jump-induced impact loading does provide a viable alternative to artificial loading (e.g., Honda et al., 2001; Umemura et al., 2002; Welch et al., 2004), but wheel running is perhaps the most realistic activity behaviorally. An additional drawback of three- or four-point bending is that, under natural conditions, bones are rarely loaded in pure bending but rather in a combination of axial compression and bending (Lovejoy et al., 1976; Biewener et al., 1983; Alexander, 2003; Lieberman et al., 2003, 2004). The smaller body size of mice relative to other mammals may also be a factor in the apparent absence of large-scale effects of locomotion on bone morphometrics. Whereas a large body of literature exists regarding skeletal change due to loading in large mammals and birds (e.g., Rubin and Lanyon, 1984; Burr et al., 1998; Rubin et al., 2001; Lieberman et al., 2003, 2004), relatively fewer studies address skeletal mechanics of small mammals (exceptions include Biewener, 1983; Fischer 1994; Fischer et al., 2002; Witte et al., 2002). These studies have shown that small mammals generally employ more crouched limb postures than large mammals, which have relatively more erect limb postures that limit moment arms around joints. More crouched postures in small mammals may cause higher joint moments which may be resisted by relatively more massive limb bones, muscular forces, or a combination of both. Thus, in small mammals, such as mice, bone strains resulting from muscular forces may be relatively more important than in large mammals. Morphometrics – importance of body mass Previous studies of these mice in similar experimental designs have shown that body mass is lower in exercise-selected lines and is reduced in mice that are given constant wheel access (both selected and control lines; Swallow et al., 1999; Morgan et al., 2003; Swallow and Garland, 2005; Kelly et al., 2006). Our results here are consistent, although the line type effect did not reach statistical significance (Table 2, Table 3). This discrepancy may be attributable to the greater age of the mice in this study, and/or the relatively small sample sizes. In the previous study (Morgan et al., 2003), with a larger sample of mice, weighed at multiple points across ontogeny, the line type effect is statistically significant. Body mass was the major determinant of variation in femoral size, shape, and strength in all of the mice in this study. All traits were positively correlated with body mass, even after accounting for effects of selective breeding and exercise, and 12 of 19 correlations were statistically significant (p < 0.05, not adjusted for multiple comparisons; Table 2). Of those traits that were not significantly correlated with body mass, two showed significant line type or activity effects (Table 2). Although body mass effects were included in the mixed-model ANCOVA analysis (Table 2 and Table 4), morphometric traits that are related to load-bearing, such as cross-sectional diameters or areas, are often also normalized to femoral length (Ruff et al., 1993; Trinkaus, 1997). We performed an additional ANCOVA with both body mass and femur length as covariates (results not shown). Because of the high correlation between femur length and body mass, including both yielded little additional information at the expense of a more complicated statistical model, because femur length was rarely a significant covariate. The widespread correlation of body mass with femoral morphometrics underscores the importance of accounting for body size in studies of the effects of exercise or other environmental factors on the skeleton. Without adequate control for the effects of body size, skeletal traits may appear to vary significantly among groups that experience different exercise regimens when the groups differ primarily in body size alone. Some studies on the effect of exercise or loading on bone do include body mass in statistical analyses (e.g., Gordon et al., 1989; Kannus et al., 1995; Järvinen et al., 2003; Binkley and Specker, 2004), but many do not, even when body mass differs significantly between control and treatment groups (e.g., Shaw et al., 1987; Niehoff et al., 2004; Wu et al., 2004). Fracture strength and naturalistic loading Three- or four-point bending tests are frequently employed to assess the mechanical strength of bones and can uncover differences in strength related to genetics, physiology, or experimental treatments (Kodama et al., 2000; Turner and Burr, 2001; Bennell et al., 2002; Akhter et al., 2004a; Silva et al., 2004). Although this methodology has the advantage of lending itself to calculations of the bone’s Young’s modulus, loading of the shafts of long bones in vivo is typically a combination of axial loading and a relatively small amount of bending, transmitted through the joints (Lovejoy et al., 1976; Biewener et al., 1983; Alexander, 2003; Biewener, 2003; Lieberman et al., 2003, 2004). By loading the head in compression with the distal femur fixed, we mimicked natural loading, and thereby tested the strength of the femoral neck in cantilever bending (Fig. 1 Some caution is warranted in the functional interpretation of differences in moments of inertia and section moduli. Loading in the femoral shafts and necks consists of a combination of axial and bending forces which shift the neutral axis away from the centroid of the bone (Lovejoy et al., 1976; Biewener et al., 1983; Lieberman et al., 2003, 2004). Without experimental measurement of the neural axis during loading (e.g., Judex et al., 1997; Demes et al., 1998, 2001; Lieberman et al., 2004) it is impossible to know the exact location of the neutral axis of the mouse femur at peak strain. Although some aspects of gross bone geometry that can influence fracture strength, such as mineralization and collagen fiber orientation, were not quantified in this study, we were able to assess the net effect of variations in bone geometry on load bearing in a manner that is comparable to that experienced by intact organisms. Traits related to the structural geometry of the femoral neck are significantly correlated with fracture load even after accounting for the effect of body mass (Table 4). These traits include cross-sectional area of the femoral neck, maximum and minimum second moments of inertia, and maximum section modulus. In humans, femoral neck angle is correlated with fracture strength (Gnudi et al., 1999; Ciarelli et al., 2000; Gnudi et al., 2002; Center et al., 2004); however, in the mice studied here fracture load was not correlated with neck angle. We suggest that these differences in part reflect the differences in the anatomy of human and rodent femora; the human femoral neck is far longer than that of other mammals and is more highly angled with respect to the shaft (Bagi et al., 1997). Conclusions We introduce a unique model system to investigate the combined effects of exercise and genetics on femoral structure and performance of mice that have been selectively bred for high levels of voluntary wheel running. We found that body mass was a pervasive correlate of femoral structure, underscoring the importance of statistically controlling for body mass in studies of bone morphometrics. However, we did not find wide-spread effects of long-term wheel access. This general result differs from many previous studies and may result from differences in loading patterns (natural vs. artificial; postural differences) and allometric effects of body mass in small mammals vs. large ones. Acknowledgements The authors thank Scanco USA, Inc. for loan of the µCT system. We also thank E. Mathiowitz for allowing us access to equipment in her lab and E. Edwards for technical assistance. This manuscript benefited from the helpful suggestions of two anonymous reviewers. The project described was supported by NIH grant number 1F32AR053008-01 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases to K.M. Middleton, National Science Foundation grant numbers DEB-0083638, DEB-0105079, and EF-0328594 to P.A. Carter, and IOB-0543429 to T. Garland, Jr. Additional support was provided by the Rhode Island Hospital Orthopaedic Foundation and University Orthopedics, Inc. Footnotes Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. References
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Endocr Rev. 1999 Dec; 20(6):788-804.
[Endocr Rev. 1999]Bone. 2002 Nov; 31(5):562-9.
[Bone. 2002]FASEB J. 2003 Feb; 17(2):324-6.
[FASEB J. 2003]Bone. 1989; 10(4):303-12.
[Bone. 1989]Int J Sports Med. 1995 Aug; 16(6):364-7.
[Int J Sports Med. 1995]Bone. 1999 Mar; 24(3):163-9.
[Bone. 1999]Bone. 2004 Jul; 35(1):162-9.
[Bone. 2004]Bone. 2004 Oct; 35(4):899-908.
[Bone. 2004]Bone. 2005 Jan; 36(1):111-22.
[Bone. 2005]Bone. 2004 Dec; 35(6):1353-60.
[Bone. 2004]Bone. 2002 Nov; 31(5):562-9.
[Bone. 2002]FASEB J. 2003 Feb; 17(2):324-6.
[FASEB J. 2003]J Biol Chem. 2005 Dec 30; 280(52):42952-9.
[J Biol Chem. 2005]Anat Rec. 1995 Oct; 243(2):175-85.
[Anat Rec. 1995]Bone. 1998 Oct; 23(4):313-8.
[Bone. 1998]Bone. 2002 Jan; 30(1):314-9.
[Bone. 2002]Bone. 2006 Oct; 39(4):845-53.
[Bone. 2006]Bone. 2006 Aug; 39(2):392-400.
[Bone. 2006]J Exp Biol. 1999 Sep; 202(Pt 18):2513-20.
[J Exp Biol. 1999]J Exp Biol. 2006 Jun; 209(Pt 12):2344-61.
[J Exp Biol. 2006]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]Physiol Biochem Zool. 2007 Jan-Feb; 80(1):146-56.
[Physiol Biochem Zool. 2007]Can Vet J. 2003 Jun; 44(6):503-4.
[Can Vet J. 2003]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]Bone. 2004 Jul; 35(1):162-9.
[Bone. 2004]Anat Rec. 1996 Aug; 245(4):633-44.
[Anat Rec. 1996]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]N Engl J Med. 1995 Mar 23; 332(12):767-73.
[N Engl J Med. 1995]Biol Reprod. 1983 Mar; 28(2):255-60.
[Biol Reprod. 1983]Bone. 1994 Sep-Oct; 15(5):523-32.
[Bone. 1994]Bone. 1998 Oct; 23(4):343-52.
[Bone. 1998]Bone. 2001 Mar; 28(3):327-31.
[Bone. 2001]N Engl J Med. 2003 Jul 24; 349(4):327-34.
[N Engl J Med. 2003]Bone. 2002 Nov; 31(5):562-9.
[Bone. 2002]FASEB J. 2003 Feb; 17(2):324-6.
[FASEB J. 2003]J Biol Chem. 2005 Dec 30; 280(52):42952-9.
[J Biol Chem. 2005]J Biol Chem. 2006 Apr 7; 281(14):9576-88.
[J Biol Chem. 2006]J Biol Chem. 2006 Aug 18; 281(33):23698-711.
[J Biol Chem. 2006]J Bone Joint Surg Am. 1984 Mar; 66(3):397-402.
[J Bone Joint Surg Am. 1984]J Biomech. 1998 Apr; 31(4):337-45.
[J Biomech. 1998]Nature. 2001 Aug 9; 412(6847):603-4.
[Nature. 2001]J Exp Biol. 2003 Sep; 206(Pt 18):3125-38.
[J Exp Biol. 2003]J Exp Biol. 1983 Mar; 103():131-54.
[J Exp Biol. 1983]J Exp Biol. 1999 Sep; 202(Pt 18):2513-20.
[J Exp Biol. 1999]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]Proc Natl Acad Sci U S A. 1997 Nov 25; 94(24):13367-73.
[Proc Natl Acad Sci U S A. 1997]Bone. 1989; 10(4):303-12.
[Bone. 1989]Ann Intern Med. 1995 Jul 1; 123(1):27-31.
[Ann Intern Med. 1995]Bone. 2004 Dec; 35(6):1383-8.
[Bone. 2004]J Biomech. 1987; 20(3):225-34.
[J Biomech. 1987]Bone. 2004 Oct; 35(4):899-908.
[Bone. 2004]J Biomech. 2004 Nov; 37(11):1639-46.
[J Biomech. 2004]J Biomech. 1983; 16(8):565-76.
[J Biomech. 1983]J Exp Biol. 2003 Sep; 206(Pt 18):3125-38.
[J Exp Biol. 2003]Bone. 2004 Jul; 35(1):162-9.
[Bone. 2004]J Biomech. 2003 Mar; 36(3):431-42.
[J Biomech. 2003]Can Vet J. 2003 Jun; 44(6):503-4.
[Can Vet J. 2003]J Biomech. 1983; 16(8):565-76.
[J Biomech. 1983]J Exp Biol. 2003 Sep; 206(Pt 18):3125-38.
[J Exp Biol. 2003]Br J Radiol. 1999 Aug; 72(860):729-33.
[Br J Radiol. 1999]J Clin Endocrinol Metab. 2004 Jun; 89(6):2776-82.
[J Clin Endocrinol Metab. 2004]Bone. 1997 Sep; 21(3):261-7.
[Bone. 1997]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]J Morphol. 2006 Mar; 267(3):360-74.
[J Morphol. 2006]