2014
DOI: 10.1038/nm.3583
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Asfotase-α improves bone growth, mineralization and strength in mouse models of neurofibromatosis type-1

Abstract: Mineralization of the skeleton depends on the balance between levels of pyrophosphate (PPi), an inhibitor of hydroxyapatite formation, and phosphate generated from PPi breakdown by alkaline phosphatase (ALP). We report here that ablation of Nf1, encoding the RAS/GTPase–activating protein neurofibromin, in bone–forming cells leads to supraphysiologic PPi accumulation, caused by a chronic ERK–dependent increase in genes promoting PPi synthesis and extracellular transport, namely Enpp1 and Ank. It also prevents B… Show more

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Cited by 56 publications
(62 citation statements)
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“…However, the origin of these proliferative cells is still unknown. These results are also consistent with the defect of differentiation observed in Nf1 deficient osteoprogenitors,15 which may explain why the mutation is found in proliferative cells and not within cortical bone tissue, as the latter by definition contains mostly mature differentiated osteoblasts and osteocytes.…”
Section: Discussionsupporting
confidence: 84%
See 1 more Smart Citation
“…However, the origin of these proliferative cells is still unknown. These results are also consistent with the defect of differentiation observed in Nf1 deficient osteoprogenitors,15 which may explain why the mutation is found in proliferative cells and not within cortical bone tissue, as the latter by definition contains mostly mature differentiated osteoblasts and osteocytes.…”
Section: Discussionsupporting
confidence: 84%
“…It is postulated that bi-allelic inactivation of the NF1 locus is necessary for the development of pseudarthrosis in NF1 and this has been documented in several instances in human biopsies,9 10 12–14 and further supported by the phenotype of mouse models characterised by biallelic Nf1 loss of function in osteoprogenitors 15. However, the tissue or cell of origin of the ‘second hit’ mutation in human individuals remains unclear.…”
Section: Introductionmentioning
confidence: 99%
“…BMCs were differentiated to osteoblasts using 50 μg/mL ascorbic acid and 5 mmol β-glycerophosphate (Sigma-Aldrich, St. Louis, MO) (11). Osteoblasts were cultured with 100 ng/mL recombinant murine granulocyte colony-stimulating factor (G-CSF) (R&D Systems), 50 μg/mL anti-CD45RB (BioXCell, West Lebanon, NH), or media alone (control) for 24 h. Cells were analyzed by flow cytometry or RT-PCR (primers described in Supplementary Fig.…”
Section: Methodsmentioning
confidence: 99%
“…He also presented preliminary results revealing reduced speed of sound utilizing quantitative ultrasound (QUS) in non-fractured bowed tibia compared to the contralateral side in 23 NF1 patients. As preclinical studies suggest the possibility to prevent changes in bone quality via enzyme therapy against pyrophosphate accumulation in children with NF1 (de la Croix Ndong et al, 2014), QUS may be an appropriate outcome measure to predict bone quality and identify patients to recruit in future clinical trials.…”
Section: Musculoskeletal Abnormalities In Nf1mentioning
confidence: 99%