The bone diagnostic instrument ͑BDI͒ is being developed with the long-term goal of providing a way for researchers and clinicians to measure bone material properties of human bone in vivo. Such measurements could contribute to the overall assessment of bone fragility in the future. Here, we describe an improved BDI, the Osteoprobe II™. In the Osteoprobe II™, the probe assembly, which is designed to penetrate soft tissue, consists of a reference probe ͑a 22 gauge hypodermic needle͒ and a test probe ͑a small diameter, sharpened rod͒ which slides through the inside of the reference probe. The probe assembly is inserted through the skin to rest on the bone. The distance that the test probe is indented into the bone can be measured relative to the position of the reference probe. At this stage of development, the indentation distance increase ͑IDI͒ with repeated cycling to a fixed force appears to best distinguish bone that is more easily fractured from bone that is less easily fractured. Specifically, in three model systems, in which previous mechanical testing and/or tests reported here found degraded mechanical properties such as toughness and postyield strain, the BDI found increased IDI. However, it must be emphasized that, at this time, neither the IDI nor any other mechanical measurement by any technique has been shown clinically to correlate with fracture risk. Further, we do not yet understand the mechanism responsible for determining IDI beyond noting that it is a measure of the continuing damage that results from repeated loading. As such, it is more a measure of plasticity than elasticity in the bone.

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Contrary to conventional wisdom, mineralization is not the only strategy evolved for the formation of hard, stiff materials. Indeed, the sclerotized mouthparts of marine invertebrates exhibit Young's modulus and hardness approaching 10 and 1 GPa, respectively, with little to no help from mineralization. Based on biochemical analyses, three of these mouthparts, the jaws of glycerid and nereid polychaetes and a squid beak, reveal a largely organic composition dominated by glycine- and histidine-rich proteins. Despite the well-known metal ion binding by the imidazole side-chain of histidine and the suggestion that this interaction provides mechanical support in nereid jaws, there is at present no universal molecular explanation for the relationship of histidine to mechanical properties in these sclerotized structures.

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