Numerous studies have linked low bone mass with an increased rate of
fracture in patients with osteoporosis. Although low bone mass appears to
be fracture permissive, the loss of bone mass alone has proven an
inadequate predictor of fracture risk. Additional indicators and
mechanisms of fragility must be identified as some individuals with a high
bone mass fracture while others with low bone mass do not. In preliminary
studies, the significance of bone's morphologic, chemical and physical
properties for predicting fracture toughness to cadaver bone from older
individuals (> 50 years) was identified. The important features were found
to be those associated with bone remodeling: osteon morphology, porosity
(density) and microdamage. In the current application, it is proposed to
examine bone histomorphology, microdamage and bone mineral content (BMC)
of human cortical bone from the proximal femur obtained post-mortem from
age groups under-represented in preliminary studies (> 50 years) and from
age groups not represented in preliminary studies (young males and females
in pre-menopausal females, (<50 years). Using multiple regression
analysis, the most important properties for predicting fracture toughness
will be identified. An assessment of age related differences in bone
toughness and bone properties will be made to determine how these bone
features changes over a lifetime and if the relationships among them is
the same for each gender. A proposed mechanistic model to predict the
influence of bone remodeling parameters on bone toughness will be
evaluated using experimental measurements. In addition, fatigue
experiments will be used to determine the influence of microdamage
accumulation on fracture toughness and whether a damage threshold exists,
after which additional damage accumulation is detrimental to the
resistance of bone to fracture. A continuum damage model that explains the
influence of microdamage on fracture toughness will be developed. These
studies will contribute to a fundamental understanding of how bone
remodeling features (osteon morphology, porosity (density) and
microdamage) contribute to non-traumatic osteoporotic fracture. The
identification of specific correlates with a high, or low, resistance to
fracture may suggest new clinical approaches for treatments of patients at
risk.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
agingbone densitybone fractureclinical researchgender differencehuman middle age (35-64)human tissuemechanical stressnormal ossificationosteocytesosteonectinosteopeniaosteoporosisphysiologic bone resorptionpostmortemprotein structurestatistics /biometry
No Sub Projects information available for 1R01AG014682-01A1
Publications
Publications are associated with projects, but cannot be identified with any particular year of the project or fiscal year of funding. This is due to the continuous and cumulative nature of knowledge generation across the life of a project and the sometimes long and variable publishing timeline. Similarly, for multi-component projects, publications are associated with the parent core project and not with individual sub-projects.
No Publications available for 1R01AG014682-01A1
Patents
No Patents information available for 1R01AG014682-01A1
Outcomes
The Project Outcomes shown here are displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed are those of the PI and do not necessarily reflect the views of the National Institutes of Health. NIH has not endorsed the content below.
No Outcomes available for 1R01AG014682-01A1
Clinical Studies
No Clinical Studies information available for 1R01AG014682-01A1
News and More
Related News Releases
No news release information available for 1R01AG014682-01A1
History
No Historical information available for 1R01AG014682-01A1
Similar Projects
No Similar Projects information available for 1R01AG014682-01A1