Matrix IGF-1 maintains bone mass by activation of mTOR in mesenchymal stem cells
Open accessAbstract
Insulin-like growth factor 1 (IGF-1), the most abundant growth factor in the bone matrix, maintains bone mass in adulthood. We now report that IGF-1 released from the bone matrix during bone remodeling stimulates osteoblastic differentiation of recruited mesenchymal stem cells (MSCs) by activation of mammalian target of rapamycin (mTOR), thus maintaining proper bone microarchitecture and mass. Mice with knockout of the IGF-1 receptor (Igf1r) in their pre-osteoblastic cells showed lower bone mass and mineral deposition rates than wild-type mice. Further, MSCs from Igf1rflox/flox mice with Igf1r deleted by a Cre adenovirus in vitro, although recruited to the bone surface after implantation, were unable to differentiate into osteoblasts. We also found that the concentrations of IGF-1 in the bone matrix and marrow of aged rats were lower than in those of young rats and directly correlated with the age-related decrease in bone mass. Likewise, in age-related osteoporosis in humans, we found that bone marrow IGF-1 concentrations were 40% lower in individuals with osteoporosis than in individuals without osteoporosis. Notably, injection of IGF-1 plus IGF binding protein 3 (IGFBP3), but not injection of IGF-1 alone, increased the concentration of IGF-1 in the bone matrix and stimulated new bone formation in aged rats. Together, these results provide mechanistic insight into how IGF-1 maintains adult bone mass, while also providing a further rationale for its therapeutic targeting to treat age-related osteoporosis.
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IGF-1, abundant in the bone matrix, creates the necessary osteogenic environment for differentiating recruited BM-MSCs into osteoblasts.
“Lastly, IGF-1, abundant in the bone matrix, creates the necessary osteogenic environment for differentiating recruited BM-MSCs into osteoblasts [39,86].”
From Mesenchymal Stem/Stromal Cells: Immunomodulatory and Bone Regeneration Potential after Tumor Excision in Osteosarcoma Patients (2023) · cites this paper as [86]
IGF-1 released from the bone matrix during bone resorption establishes an osteogenic microenvironment by activating mTOR signaling, which is critical for cellular energy metabolism and cell migration.
“Moreover, IGF-1 released from the bone matrix during bone resorption establishes an osteogenic microenvironment by activating mechanistic target of rapamycin (mTOR) signaling,217 which is critical for cellular energy metabolism and cell migration.218”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [217]
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- Authors
- Xian, L., Wu, X., Pang, L., Lou, M., Rosen, C. J., Qiu, T., Crane, J., Frassica, F., Zhang, L., Rodriguez, J. P., Jia, X., Yakar, S., Xuan, S., Efstratiadis, A., Wan, M., & Cao, X.
- Affiliations
- Shihezi University (CN)
- Johns Hopkins University (US)
- Maine Medical Center Research Institute (US)
- University of Chile (CL)
- Icahn School of Medicine at Mount Sinai (US)
- Columbia University (US)
- Corresponding author
- Cao, Xu
- ORCID
- Venue
- Nature Medicine
- Published
- 2012-06-24
- Volume
- 18
- Issue
- 7
- Pages
- 1095-1101
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC3438316
- OpenAlex
- W1971887776
- Cited by
- 631
- References
- 3
- Citations by year
- 2026: 30 · 2025: 41 · 2024: 40 · 2023: 44 · 2022: 52 · 2021: 54 · 2020: 58 · 2019: 53 · 2018: 49 · 2017: 43 · 2016: 51 · 2015: 47 · 2014: 29 · 2013: 33 · 2012: 7
- FWCI
- 14.90
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Universidad de Chile (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080898, T32DK007751, T32DK007751V, R01DK057501)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR 053973, R01AR053973, R01AR045433, K01AR060433)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- insulin-like growth factor I, IGF-1 receptor, mesenchymal stem cells, mTOR signaling, osteogenic differentiation, bone remodeling, bone mass maintenance, bone resorption, senile osteoporosis, IGF binding protein-3, bone marrow, bone matrix, bone microarchitecture
- MeSH terms
- Aging, Animals, Bone and Bones, Bone Matrix, Bone Resorption, Cell Count, Cell Differentiation, Enzyme Activation, Femur, Humans, Immunohistochemistry, Insulin-Like Growth Factor I, Organ Size, Osteoblasts, Osteogenesis, Receptor, IGF Type 1, Mice, Knockout, Insulin-Like Growth Factor Binding Protein 3, Phosphatidylinositol 3-Kinases, Proto-Oncogene Proteins c-akt, Mice, Rats, X-Ray Microtomography, Insulin Receptor Substrate Proteins, TOR Serine-Threonine Kinases, Mesenchymal Stem Cells
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