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Image Search Results
Journal: Nature medicine
Article Title: Serotonin reuptake inhibitors act centrally to cause bone loss in mice by counteracting a local antiresorptive effect
doi: 10.1038/nm.4166
Figure Lengend Snippet: WT females treated for 6 w with vehicle (veh), Flx, Prop or a combination of both drugs (Flx/Prop). ( a ) Vertebrae analysis, with representative images ( n = 4 images/mouse; scale bars, 400 μm) and quantification of BV/TV (veh n = 8, Flx, Prop and Flx/Prop n = 9) (top) and bone histomorphometric analyses ( n = 6 or 8) (bottom). Scale bars, 400 μm. ( b ) Plasma concentration of OCN. ( c ) Urine concentration of Dpd crosslinks. Cr, creatinine. ( d ) Analysis of femurs by microcomputed tomography. Tb.N, trabecular number. Tb.Sp, trabecular spacing. BMD, bone mineral density (veh and Prop n = 10, Flx and Flx/Prop n = 9). Scale bars, 400 μm. ( e ) Tnfrsf11b and Tnfsf11 expression and Tnfrsf11b / Tnfsf11 ratio in long bones. ( f ) Urine E and ( g ) NE concentration. ( h ) Marble burying test. Values are mean ± SEM. In all panels, ( † ) represents Flx vs. Flx/Prop groups, (*) represents veh vs. Flx groups. † /* P ≤ 0.05, †† /** P ≤ 0.01, †††† /**** P ≤ 0.0001 using Student’s tests. ( i ) Schematic diagram of Flx mechanism of action on bone remodeling. Flx directly acts on osteoclasts to limit the Ca2+/calmodulin-dependent activation of the c-Fos-Nfatc1 cascade causing a decrease in bone resorption ➀, independently of 5HTT. Also, through its inhibition of serotonin reuptake by 5HTT, Flx increases brain serotonin post-synaptic signaling causing the desensitization of Htr2c ➁. As a result, sympathetic output increases, bone resorption increases and bone formation decreases. Upon a short exposure to fluoxetine the direct effect ➀ is predominant causing an increase in bone mass by decreasing bone resorption. Following a longer treatment, direct ➀ and central ➁ effects counteract each other in term of bone resorption while bone formation decreases, causing bone loss. The deleterious central effect of fluoxetine ➁ on bone remodeling can be prevented by a co-treatment with propranolol, which blocks the increase in Adrb2 signaling in osteoblasts caused by the higher sympathetic tone.
Article Snippet: We added
Techniques: Clinical Proteomics, Concentration Assay, Tomography, Expressing, Activation Assay, Inhibition