ing in a decrease in whole bone and tissue biomechanical properties [ 5-9 ]. Interestingly, although osteoporosis reduces bone mass and structural strength, a recent study found that the remaining bone tissue is signifi cantly stronger and stiff er [ 10 ]. This unexpected fi nding has been corroborated to some extent by micro-CT studies which demonstrated an increase in the tissuelevel mineral content which was counter to the overall reduction in bone mineral density owing to a loss of bone mass [ 10 ]. More recent studies have provided further evidence of an increase in tissue mineral during osteoporosis [ 11 , 12 ]. Such changes may occur to compensate for bone loss, or alternatively these changes may occur prior to bone resorption and be causative. However, although it is intriguing to speculate on such events, it remains that the mechanisms by which an increase in mineralisation is initiated are unknown.