Diseases such as osteoporosis are associated with reduced bone mass. Therapies to prevent bone loss exist, but there are few that stimulate bone formation and restore bone mass. Bone morphogenetic proteins (BMPs) are members of the TGFβ superfamily, which act as pleiotropic regulators of skeletal organogenesis and bone homeostasis. Ablation of the BMPR1A receptor in osteoblasts increases bone mass, suggesting that inhibition of BMPR1A signaling may have therapeutic benefit. The aim of this study was to determine the skeletal effects of systemic administration of a soluble BMPR1A fusion protein (mBMPR1A-mFc) in vivo. mBMPR1A-mFc was shown to bind BMP2/4 specifically and with high affinity and prevent downstream signaling. mBMPR1A-mFc treatment of immature and mature mice increased bone mineral density, cortical thickness, trabecular bone volume, thickness and number, and decreased trabecular separation. The increase in bone mass was due to an early increase in osteoblast number and bone formation rate, mediated by a suppression of Dickkopf-1 expression. This was followed by a decrease in osteoclast number and eroded surface, which was associated with a decrease in receptor activator of NF-κB ligand (RANKL) production, an increase in osteoprotegerin expression, and a decrease in serum tartrate-resistant acid phosphatase (TRAP5b) concentration. mBMPR1A treatment also increased bone mass and strength in mice with bone loss due to estrogen deficiency. In conclusion, mBMPR1A-mFc stimulates osteoblastic bone formation and decreases bone resorption, which leads to an increase in bone mass, and offers a promising unique alternative for the treatment of bone-related disorders.anabolic | therapy B one morphogenetic proteins (BMPs) are members of the TGF-β superfamily that were originally identified by their potent ectopic bone formation activity (1). BMPs regulate cell growth, differentiation, and function (2), and play an important role in regulating normal physiologic functions, although their precise role in bone remodeling remains unclear.BMP signaling is mediated by activation of type I and type II serine-threonine kinase receptors. BMP ligands bind with high affinity to type I receptors followed by heterodimerization with type II receptors, allowing the type II receptor to phosphorylate a short stretch of amino acids in the type I receptor and activate a kinase activity. Activated BMP type I receptor phosphorylates immediate downstream targets, Smad1, Smad5, and Smad8 proteins, which interact with Smad4 and translocate to the nucleus to regulate target gene expression. BMPR1A (or ALK3) is a type I receptor that is known to have high affinity for BMP2 (3) and BMP4 (4), which are expressed in bone; however, the role of BMPR1A in the regulation of BMP2/4 function in the skeleton is unclear.