eCommons

 

CHARACTERIZATION OF MATERIAL AND COMPOSITIONAL PROPERTIES OF ILIAC BONE FROM POSTMENOPAUSAL WOMEN WITH WORSENING GLYCEMIC CONTROL

Other Titles

Abstract

Individuals with type 2 diabetes mellitus (T2DM) have a greater risk of bone fracture compared to those with normal glucose tolerance (NGT) despite normal to high bone mineral density even after accounting for confounders like falls, BMI, and comorbidities. In contrast, individuals with impaired glucose tolerance (IGT) have a lower or similar risk of fracture. Our objective was to understand how progressive glycemic derangement affects the composition and mechanical properties of iliac bone from postmenopausal women with NGT (n = 35, age = 65±7y, HbA1c = 5.8%±0.3%), IGT; n = 26, age = 64±5y, HbA1c = 6.0±0.4%), and overt T2DM on insulin (n = 23, age = 64±6y, HbA1c = 9.1%±2.2%). The samples from NGT and T2DM were imaged with confocal/second harmonic generation microscopy to spatially resolve fluorescent advanced glycation endproducts (fAGEs) and collagen alignment. A subset of samples (n = 14 NGT, n = 14 T2DM) with the lowest serum bone resorption marker, CTx was analyzed with nanoindentation and Raman microscopy. Cortical bone from the T2DM group was stiffer (+9%, p = 0.021) and harder (+8%, p = 0.039) compared to that from the NGT group, but the trabecular bone had similar material properties across groups. Fluorescent AGE content was greater in bone from the T2DM vs. the NGT group (cortical +77%, p < 0.001; trabecular +57%, p < 0.001) and modestly correlated with HbA1c (R2 = 0.33, p < 0.001), but Raman spectroscopic properties did not differ across groups. When tissue material properties were assessed by sub-region (Cortical: osteonal, interstitial; Trabecular: fluorochrome label, center, edge), the relatively older tissue had higher stiffness, hardness, fAGE content, mineral content and crystallinity, and collagen maturity compared to the younger tissue. These results demonstrate that bone tissue fAGEs, which have previously been shown to embrittle bone, increase with worsening glycemic control. This relationship suggests a potential mechanism by which bone fragility may increase despite greater tissue stiffness and hardness in individuals with T2DM.

Journal / Series

Volume & Issue

Description

111 pages

Sponsorship

Date Issued

2020-08

Publisher

Keywords

advanced glycation endproducts (AGEs); bone; compositional properties; material properties; postmenopausal women; type 2 diabetes

Location

Effective Date

Expiration Date

Sector

Employer

Union

Union Local

NAICS

Number of Workers

Committee Chair

Donnelly, Eve

Committee Co-Chair

Committee Member

Baker, Shefford P.

Degree Discipline

Materials Science and Engineering

Degree Name

M.S., Materials Science and Engineering

Degree Level

Master of Science

Related Version

Related DOI

Related To

Related Part

Based on Related Item

Has Other Format(s)

Part of Related Item

Related To

Related Publication(s)

Link(s) to Related Publication(s)

References

Link(s) to Reference(s)

Previously Published As

Government Document

ISBN

ISMN

ISSN

Other Identifiers

Rights

Rights URI

Types

dissertation or thesis

Accessibility Feature

Accessibility Hazard

Accessibility Summary

Link(s) to Catalog Record