Primer on the Metabolic Bone Diseases and Disorders of ... · All brand names and product names...

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Transcript of Primer on the Metabolic Bone Diseases and Disorders of ... · All brand names and product names...

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Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism

Eighth Edition

An Official Publication of the American Society for Bone and Mineral Research

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Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism

Eighth Edition

Editor-in-Chief

Clifford J. Rosen, MD

Senior Associate EditorsRoger Bouillon, MD, PhD, FRCPJuliet E. Compston, MD, FRCP, FRCPath, FMedSciVicki Rosen, PhD

Associate EditorsDouglas C. Bauer, MDMarie Demay, MDTheresa A. Guise, MDSuzanne M. Jan de Beur, MDRichard W. Keen, MD, PhDKaren M. Lyons, PhDLaurie K. McCauley, DDS, MS, PhDPaul D. Miller, MD, FACPSocrates E. Papapoulos, MD, PhDEgo Seeman, BSc, MBBS, FRACP, MDRajesh V. Thakker, MD, ScD, FRCP, FRCPath, FMedSciMone Zaidi, MBBS, PhD

A John Wiley & Sons, Inc., Publication

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This edition first published 2013 by John Wiley & Sons, Inc. © 2013 by American Society for Bone and Mineral Research First Edition published by American Society for Bone and Mineral Research © 1990 American Society for Bone and Mineral Research Second Edition published by Raven Press, Ltd. © 1993 American Society for Bone and Mineral ResearchThird Edition published by Lippincott-Raven Publishers © 1996 American Society for Bone and Mineral ResearchFourth Edition published by Lippincott Williams & Wilkins © 1999 American Society for Bone and Mineral ResearchFifth Edition published by American Society for Bone and Mineral Research © 2003 American Society for Bone and Mineral ResearchSixth Edition published by American Society for Bone and Mineral Research © 2006 American Society for Bone and Mineral ResearchSeventh Edition published by American Society for Bone and Mineral Research © 2008 American Society for Bone and Mineral Research

Editorial offices: 1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50010, USA The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 9600 Garsington Road, Oxford, OX4 2DQ, UK

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The American Society for Bone and Mineral Research, the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, the author, editors, and John Wiley & Sons, Inc. make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. The advice and strategies contained herein may not be suitable for every situation. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. No warranty may be created or extended by any promotional statements for this work. Neither the American Society for Bone and Mineral Research, the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, the author, editors, nor John Wiley & Sons, Inc. shall be liable for any damages arising herefrom.

Library of Congress Cataloging-in-Publication Data

Primer on the metabolic bone diseases and disorders of mineral metabolism. – 8th ed. / editor-in-chief, Clifford J. Rosen; senior associate editors, Roger Bouillon, Juliet E. Compston, Vicki Rosen; associate editors, Douglas C. Bauer . . . [et al.]. p. ; cm. Previous editions published by American Society for Bone and Mineral Research. Includes bibliographical references and index. ISBN 978-1-118-45388-9 (softback : alk. paper) – ISBN 978-1-118-45389-6 (eMobi) – ISBN 978-1-118-45390-2 (ePDF) – ISBN 978-1-118-45391-9 (ePub) – ISBN 978-1-118-45392-6 I. Rosen, Clifford J. II. American Society for Bone and Mineral Research. [DNLM: 1. Bone Diseases, Metabolic. 2. Bone and Bones–metabolism. 3. Minerals–metabolism. WE 250] RC931.M45 616.7'16–dc23

2013002831

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Cover image: Copyright Tobi Kahn, NEBILA, 1990, Acrylic on canvas over wood, 70 × 24 inches.Cover design by Nicole Teut

Set in 9.5/11 pt Trump Mediaeval by Toppan Best-set Premedia Limited

1 2013

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Contents

Contributors  xPrimer Corporate Sponsors  xxiiPreface to the Eighth Edition of the Primer: Clifford J. Rosen  xxiiiAbout ASBMR  xxivPresident’s Preface: Lynda F. Bonewald  xxvAbout the Companion Website  xxvi

Section I: Molecular, Cellular, and Genetic Determinants of Bone Structure and Formation 1Section Editor Karen M. Lyons

1  Skeletal Morphogenesis and Embryonic Development  3Yingzi Yang

2  Signal Transduction Cascades Controlling Osteoblast Differentiation  15David J.J. de Gorter and Peter ten Dijke

3  Osteoclast Biology and Bone Resorption  25F. Patrick Ross

4  Osteocytes  34Lynda F. Bonewald

5  Connective Tissue Pathways That Regulate Growth Factors  42Gerhard Sengle and Lynn Y. Sakai

6  The Composition of Bone  49Adele L. Boskey and Pamela Gehron Robey

7  Assessment of Bone Mass and Microarchitecture in Rodents  59Blaine A. Christiansen

8  Animal Models: Genetic Manipulation  69Karen M. Lyons

9  Animal Models: Allelic Determinants for BMD  76Robert D. Blank

10  Neuronal Regulation of Bone Remodeling  82Florent Elefteriou and Gerard Karsenty

11  Skeletal Healing  90Michael J. Zuscik

12  Biomechanics of Fracture Healing  99Elise F. Morgan and Thomas A. Einhorn

13  Human Genome-Wide Association (GWA) Studies  106Douglas P. Kiel

14  Circulating Osteogenic Cells  111Robert J. Pignolo and Moustapha Kassem

Section II: Skeletal Physiology 119Section Editor Ego Seeman

15  Human Fetal and Neonatal Bone Development  121Tao Yang, Monica Grover, Kyu Sang Joeng, and Brendan Lee

16  Skeletal Growth and Peak Bone Strength  127Qingju Wang and Ego Seeman

17  Ethnic Differences in Bone Acquisition  135Shane A. Norris, Lisa K. Micklesfield, and John M. Pettifor

18  Calcium and Other Nutrients During Growth  142Tania Winzenberg and Graeme Jones

19  Growing a Healthy Skeleton: The Importance of Mechanical Loading  149Mark R. Forwood

20  Pregnancy and Lactation  156Christopher S. Kovacs and Henry M. Kronenberg

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21  Menopause  165Ian R. Reid

Section III: Mineral Homeostasis 171Section Editor Ego Seeman

22  Regulation of Calcium and Magnesium  173Murray J. Favus and David Goltzman

23  Fetal Calcium Metabolism  180Christopher S. Kovacs

24  Fibroblast Growth Factor-23 (FGF23)  188Kenneth E. White and Michael J. Econs

25  Gonadal Steroids  195Stavros C. Manolagas, Maria Almeida, and Robert L. Jilka

26  Parathyroid Hormone  208Robert A. Nissenson and Harald Jüppner

27  Parathyroid Hormone-Related Protein  215John J. Wysolmerski

28  Ca2+-Sensing Receptor  224Edward M. Brown

29  Vitamin D: Production, Metabolism, Mechanism of Action, and Clinical Requirements  235Daniel Bikle, John S. Adams, and Sylvia Christakos

Section IV: Investigation of Metabolic Bone Diseases  249Section Editor Douglas C. Bauer

30  DXA in Adults and Children  251Glen Blake, Judith E. Adams, and Nick Bishop

31  Quantitative Computed Tomography in Children and Adults  264C.C. Glüer

32  Magnetic Resonance Imaging of Bone  277Sharmila Majumdar

33  Radionuclide Scintigraphy in Metabolic Bone Disease  283Gary J.R. Cook, Gopinath Gnanasegaran, and Ignac Fogelman

34  FRAX®: Assessment of Fracture Risk  289John A Kanis

35  Biochemical Markers of Bone Turnover in Osteoporosis  297Pawel Szulc, Douglas C. Bauer, and Richard Eastell

36  Bone Biopsy and Histomorphometry in Clinical Practice  307Robert R. Recker

37  Diagnosis and Classification of Vertebral Fracture  317James F. Griffith, Judith E. Adams, and Harry K. Genant

38  Approaches to Genetic Testing  336Christina Jacobsen, Yiping Shen, and Ingrid A. Holm

Section V: Osteoporosis 343Section Editors Paul D. Miller and Socrates E. Papapoulos

39  Osteoporosis Overview  345Michael Kleerekoper

40  The Epidemiology of Osteoporotic Fractures  348Nicholas Harvey, Elaine Dennison, and Cyrus Cooper

41  Overview of Pathogenesis  357Ian R. Reid

42  Nutrition and Osteoporosis  361Connie M. Weaver and Robert P. Heaney

43  The Role of Sex Steroids in the Pathogenesis of Osteoporosis  367Matthew T. Drake and Sundeep Khosla

44  Translational Genetics of Osteoporosis: From Population Association to Individualized Prognosis  376Bich H. Tran, Jacqueline R. Center, and Tuan V. Nguyen

45  Prevention of Falls  389Heike A. Bischoff-Ferrari

46  Exercise and the Prevention of Osteoporosis  396Clinton T. Rubin, Janet Rubin, and Stefan Judex

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47  Calcium and Vitamin D  403Bess Dawson-Hughes

48  Estrogens, Estrogen Agonists/Antagonists, and Calcitonin  408Nelson B. Watts

49  Bisphosphonates for Postmenopausal Osteoporosis  412Socrates E. Papapoulos

50  Denosumab  420Michael R. McClung

51  Parathyroid Hormone Treatment for Osteoporosis  428Felicia Cosman and Susan L. Greenspan

52  Strontium Ranelate in the Prevention of Osteoporotic Fractures  437René Rizzoli

53  Combination Anabolic and Antiresorptive Therapy for Osteoporosis  444John P. Bilezikian and Natalie E. Cusano

54  Compliance and Persistence with Osteoporosis Medications  448Deborah T. Gold

55  Cost-Effectiveness of Osteoporosis Treatment  455Anna N.A. Tosteson

56  Future Therapies of Osteoporosis  461Kong Wah Ng and T. John Martin

57  Juvenile Osteoporosis  468Nick Bishop and Francis H. Glorieux

58  Glucocorticoid-Induced Bone Disease  473Robert S. Weinstein

59  Inflammation-Induced Bone Loss in the Rheumatic Diseases  482Steven R. Goldring

60  Secondary Osteoporosis: Other Causes  489Neveen A.T. Hamdy

61  Transplantation Osteoporosis  495Peter R. Ebeling

62  Osteoporosis in Men  508Eric S. Orwoll

63  Premenopausal Osteoporosis  514Adi Cohen and Elizabeth Shane

64  Skeletal Effects of Drugs  520Juliet Compston

65  Orthopedic Surgical Principles of Fracture Management  527Manoj Ramachandran and David G. Little

66  Abnormalities in Bone and Calcium Metabolism After Burns  531Gordon L. Klein

Section VI: Disorders of Mineral Homeostasis 535Section Editors Marie Demay and Suzanne M. Jan de Beur

67  Approach to Parathyroid Disorders  537John P. Bilezikian

68  Primary Hyperparathyroidism  543Shonni J. Silverberg

69  Familial Primary Hyperparathyroidism (Including MEN, FHH, and HPT-JT)  553Andrew Arnold and Stephen J. Marx

70  Non-Parathyroid Hypercalcemia  562Mara J. Horwitz, Steven P. Hodak, and Andrew F. Stewart

71  Hypocalcemia: Definition, Etiology, Pathogenesis, Diagnosis, and Management  572Anne L. Schafer and Dolores Shoback

72  Hypoparathyroidism and Pseudohypoparathyroidism  579Mishaela R. Rubin and Michael A. Levine

73  Pseudohypoparathyroidism  590Harald Jüppner and Murat Bastepe

74  Disorders of Phosphate Homeostasis  601Mary D. Ruppe and Suzanne M. Jan de Beur

75  Vitamin D–Related Disorders  613Paul Lips, Natasja M. van Schoor, and Nathalie Bravenboer

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76  Vitamin D Insufficiency and Deficiency  624J. Christopher Gallagher

77  Pathophysiology of Chronic Kidney Disease Mineral Bone Disorder (CKD–MBD)  632Keith A. Hruska and Michael Seifert

78  Treatment of Chronic Kidney Disease Mineral Bone Disorder (CKD–MBD)  640Hala M. Alshayeb and L. Darryl Quarles

79  Disorders of Mineral Metabolism in Childhood  651Thomas O. Carpenter

80  Paget’s Disease of Bone  659Ethel S. Siris and G. David Roodman

Section VII: Cancer and Bone 669Section Editor Theresa A. Guise

81  Overview of Mechanisms in Cancer Metastases to Bone  671Gregory A. Clines

82  Clinical and Preclinical Imaging in Osseous Metastatic Disease  677Geertje van der Horst and Gabri van der Pluijm

83  Metastatic Solid Tumors to Bone  686Rachelle W. Johnson and Julie A. Sterling

84  Hematologic Malignancies and Bone  694Rebecca Silbermann and G. David Roodman

85  Osteogenic Osteosarcoma  702Jianning Tao, Yangjin Bae, Lisa L. Wang, and Brendan Lee

86  Skeletal Complications of Breast and Prostate Cancer Therapies  711Catherine Van Poznak and Pamela Taxel

87  Bone Cancer and Pain  720Patrick W. O’Donnell and Denis R. Clohisy

88  Radiation Therapy-Induced Osteoporosis  728Jeffrey S. Willey, Shane A.J. Lloyd, and Ted A. Bateman

89  Skeletal Complications of Childhood Cancer  734Ingrid A. Holm

90  Treatment and Prevention of Bone Metastases and Myeloma Bone Disease  741Jean-Jacques Body

91  Radiotherapy of Skeletal Metastases  754Edward Chow, Luluel M. Khan, and Øyvind S. Bruland

92  Concepts and Surgical Treatment of Metastatic Bone Disease  760Kristy Weber and Scott L. Kominsky

Section VIII: Sclerosing and Dysplastic Bone Diseases 767Section Editor Richard W. Keen

93  Sclerosing Bone Disorders  769Michael P. Whyte

94  Fibrous Dysplasia  786Michael T. Collins, Mara Riminucci, and Paolo Bianco

95  Osteochondrodysplasias  794Yasemin Alanay and David L. Rimoin

96  Ischemic and Infiltrative Disorders  805Richard W. Keen

97  Tumoral Calcinosis—Dermatomyositis  810Nicholas Shaw

98  Fibrodysplasia Ossificans Progressiva  815Frederick S. Kaplan, Robert J. Pignolo, and Eileen M. Shore

99  Osteogenesis Imperfecta  822Joan C. Marini

100  Skeletal Manifestations in Marfan Syndrome and Related Disorders of the Connective Tissue  830Emilio Arteaga-Solis and Francesco Ramirez

101  Enzyme Defects and the Skeleton  838Michael P. Whyte

Section IX: Approach to Nephrolithiasis 843Section Editor Rajesh V. Thakker

102  Renal Tubular Physiology of Calcium Excretion  845Peter A. Friedman and David A. Bushinsky

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103  Epidemiology of Nephrolithiasis  856Murray J. Favus

104  Diagnosis and Evaluation of Nephrolithiasis  860Stephen J. Knohl and Steven J. Scheinman

105  Kidney Stones in the Pediatric Patient  869Amy E. Bobrowski and Craig B. Langman

106  Treatment of Renal Stones  878John R. Asplin

107  Genetic Basis of Renal Stones  884Rajesh V. Thakker

Section X: Oral and Maxillofacial Biology and Pathology 893Section Editor Laurie K. McCauley

108  Development of the Craniofacial Skeleton  895Maiko Matsui and John Klingensmith

109  Development and Structure of Teeth and Periodontal Tissues  904Petros Papagerakis and Thimios Mitsiadis

110  Craniofacial Disorders Affecting the Dentition: Genetic  914Yong-Hee P. Chun, Paul H. Krebsbach, and James P. Simmer

111  Pathology of the Hard Tissues of the Jaws  922Paul C. Edwards

112  Bisphosphonate-Associated Osteonecrosis of the Jaws  929Hani H. Mawardi, Nathaniel S. Treister, and Sook-Bin Woo

113  Periodontal Diseases and Oral Bone Loss  941Mary G. Lee and Keith L. Kirkwood

114  Oral Manifestations of Metabolic Bone Diseases  948Roberto Civitelli and Charles Hildebolt

Section XI: The Skeleton and Its Integration with Other Tissues 959Section Editor Mone Zaidi

115  Central Neuronal Control of Bone Remodeling  961Shu Takeda and Paul Baldock

116  The Pituitary–Bone Connection  969Mone Zaidi, Tony Yuen, Li Sun, Terry F. Davies, Alberta Zallone, and Harry C. Blair

117  Skeletal Muscle Effects on the Skeleton  978William J. Evans

118  Glucose Control and Integration by the Skeleton  986Patricia Ducy and Gerard Karsenty

119 Obesity and Skeletal Mass  993Sue Shapses and Deeptha Sukumar

120  Neuropsychiatric Disorders and the Skeleton  1002Itai Bab and Raz Yirmiya

121  Vascular Disease and the Skeleton  1012Dwight A. Towler

122  Spinal Cord Injury: Skeletal Pathophysiology and Clinical Issues  1018William A. Bauman and Christopher P. Cardozo

123  Hematopoiesis and Bone  1028Benjamin J. Frisch and Laura M. Calvi

124  Bone and Immune Cell Interactions  1036Brendan F. Boyce

Index  1043

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John S. Adams, MDDepartments of Orthopaedic Surgery, Medicine and

Molecular Cell and Developmental BiologyUniversity of California-Los AngelesLos Angeles, California, USA

Judith E. Adams, MDDepartment of Clinical RadiologyManchester Academic Health Science CentreCentral Manchester University Hospitals NHS

Foundation TrustThe Royal InfirmaryManchester, UK

Yasemin Alanay, MD, PhDPediatric Genetics UnitDepartment of PediatricsAcibadem University School of MedicineIstanbul, Turkey

Maria AlmeidaDivision of Endocrinology and MetabolismCenter for Osteoporosis and Metabolic Bone DiseasesUniversity of Arkansas for Medical Sciencesand the Central Arkansas Veterans Healthcare SystemLittle Rock, Arkansas, USA

Hala M. Alshayeb, MD Division of Nephrology Department of MedicineHashemite University Zarqa, Jordan

Andrew Arnold, MDCenter for Molecular Medicine and Division of

Endocrinology and MetabolismUniversity of Connecticut School of MedicineFarmington, Connecticut, USA

Emilio Arteaga-Solis, MD, PhDPediatrics Pulmonary DivisionDepartment of PediatricsColumbia University College of Physician and SurgeonsNew York, New York, USA

John R. Asplin, MD, FASNLitholink Corporationand Department of MedicineUniversity of Chicago Pritzker School of MedicineChicago, Illinois, USA

Itai BabBone LaboratoryThe Hebrew University of JerusalemJerusalem, Israel

Yangjin BaeDepartments of Molecular and Human GeneticsBaylor College of MedicineTexas Children’s HospitalHouston, Texas, USA

Paul Baldock, PhDBone and Mineral Research ProgramGarvan Institute of Medical ResearchSt. Vincent’s HospitalSydney, Australia

Murat Bastepe, MD, PhDEndocrine UnitDepartment of MedicineMassachusetts General HospitalHarvard Medical SchoolBoston, Massachusetts, USA

Ted A. BatemanDepartments of Biomedical Engineering and Radiation

OncologyUniversity of North CarolinaChapel Hill, North Carolina, USA

Douglas C. Bauer, MDDepartments of Medicine and Epidemiology and

BiostatisticsUniversity of California, San FranciscoSan Francisco, California, USA

Contributors

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Contributors  xi

William A. Bauman, MDDepartment of Veterans Affairs Rehabilitation Research

and Development ServiceNational Center of Excellence for the Medical

Consequences of Spinal Cord Injuryand Medical ServiceJames J. Peters Veterans Affairs Medical CenterBronx, New York, USADepartments of Medicine and Rehabilitation MedicineThe Mount Sinai School of MedicineNew York, New York, USA

Paolo BiancoDipartimento di Medicina MolecolareUniversita’ La SapienzaRome, Italy

Daniel Bikle, MD, PhDDepartment of MedicineDivision of EndocrinologyVA Medical Center andUniversity of California, San FranciscoSan Francisco, California, USA

John P. BilezikianDivision of EndocrinologyDepartment of MedicineCollege of Physicians and SurgeonsColumbia UniversityNew York, New York, USA

Heike A. Bischoff-Ferrari, MD, DrPHCentre on Aging and MobilityUniversity of Zurich, SwitzerlandJean Mayer USDA Human NutritionResearch Center on AgingTufts UniversityBoston, Massachusetts, USA

Nick Bishop, MB, ChB, MRCP, MD, FRCPCHAcademic Unit of Child HealthDepartment of Human MetabolismUniversity of SheffieldSheffield Children’s HospitalSheffield, UK

Harry C. BlairThe Pittsburgh VA Medical Centerand Departments of Pathology and of Cell BiologyUniversity of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

Glen Blake, PhDOsteoporosis Research UnitKing’s College LondonGuy’s CampusLondon, UK

Robert D. Blank, MD, PhD Division of Endocrinology Department of Medicine Medical College of Wisconsin Milwaukee, Wisconsin, USA

Amy E. Bobrowski, MD, MSCIFeinberg School of MedicineNorthwestern UniversityChicago, Illinois, USA

Jean-Jacques Body, MD, PhDUniversity Hospital BrugmannUniversité Libre de Bruxelles (U.L.B.) Internal MedicineBrussels, Belgium

Lynda F. Bonewald, PhDDepartment of Oral BiologyUniversity of Missouri at Kansas City School of

DentistryKansas City, Missouri, USA

Adele L. Boskey, PhDResearch DivisionHospital for Special Surgeryand Department of Biochemistry and Graduate Field of

Physiology, Biophysics, and Systems BiologyCornell University Medical and Graduate Medical

SchoolsNew York, New York, USA

Roger Bouillon, MD, PhD, FRCPDepartment of EndocrinologyKU LeuvenGasthuisberg, Belgium

Brendan F. Boyce, MBChBDepartment of Pathology and Laboratory Medicine andThe Center for Musculoskeletal ResearchUniversity of Rochester Medical CenterRochester, New York, USA

Nathalie Bravenboer, PhDDepartment of Clinical ChemistryVU University Medical CenterAmsterdam, The Netherlands

Edward M. Brown, MDDivision of Endocrinology, Diabetes and HypertensionBrigham and Women’s Hospital and Harvard Medical

SchoolBoston, Massachusetts, USA

Øyvind S. Bruland, MD, PhDInstitute of Clinical Medicine, University of OsloDepartment of Oncology, The Norwegian Radium

HospitalOslo University HospitalOslo, Norway

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xii Contributors

David A. Bushinsky, MDNephrology DivisionUniversity of Rochester School of Medicine and

DentistryRochester, New York, USA

Laura M. Calvi, MDEndocrine Metabolism DivisionDepartment of MedicineUniversity of Rochester School of Medicine and

DentistryRochester, New York, USA

Christopher P. Cardozo, MDDepartment of Veterans Affairs Rehabilitation Research

and Development ServiceNational Center of Excellence for the Medical

Consequences of Spinal Cord Injury,and Medical ServiceJames J. Peters Veterans Affairs Medical CenterBronx, New York, USADepartments of Medicine and Rehabilitation MedicineThe Mount Sinai School of MedicineNew York, New York, USA

Thomas O. Carpenter, MDYale University School of MedicineNew Haven, Connecticut, USA

Jacqueline R. Center, MBBS, MS (epi), PhD, FRACPOsteoporosis and Bone BiologyGarvan Institute of Medical ResearchSt. Vincent’s Hospital Clinical SchoolDepartment of MedicineUniversity of NSWSydney, Australia

Edward Chow, MBBS, MSc, PhD, FRCPCDepartment of Radiation OncologyUniversity of TorontoSunnybrook Research InstituteOdette Cancer CentreSunnybrook Health Sciences CentreToronto, Ontario, Canada

Sylvia Christakos, PhDDepartment of Biochemistry and Molecular BiologyUMDNJ–New Jersey Medical SchoolNewark, New Jersey, USA

Blaine A. Christiansen, PhDDepartment of Orthopaedic SurgeryUniversity of CaliforniaDavis Medical CenterSacramento, California, USA

Yong-Hee P. Chun, DDS, MS, PhDDepartment of PeriodonticsUniversity of Texas Health Science Center at San

AntonioSan Antonio, Texas, USA

Roberto Civitelli, MDDivision of Bone and Mineral DiseasesDepartment of Internal MedicineMusculoskeletal Research CenterWashington University in St. LouisSt. Louis, Missouri, USA

Gregory A. Clines, MD, PhDDepartment of MedicineDivision of Endocrinology, Diabetes, and MetabolismUniversity of Alabama at Birminghamand Veterans Affairs Medical CenterBirmingham, Alabama, USA

Denis R. ClohisyDepartment of Orthopaedic Surgery and Masonic

Cancer CenterUniversity of Minnesota School of MedicineMinneapolis, Minnesota, USA

Adi Cohen, MD, MHScDivision of EndocrinologyDepartment of MedicineCollege of Physicians and SurgeonsColumbia UniversityNew York, New York, USA

Michael T. Collins, MDSkeletal Clinical Studies UnitCraniofacial and Skeletal Diseases BranchNational Institute of Dental and Craniofacial ResearchNational Institutes of HealthDepartment of Health and Human ServicesBethesda, Maryland, USA

Juliet E. Compston, MD, FRCP, FRCPath, FMedSciDepartment of MedicineUniversity of CambridgeCambridge, UK

Gary J.R. Cook, MBBS, MSc, MD, FRCR, FRCPDivision of Imaging Sciences and Biomedical

EngineeringKings College LondonLondon, UK

Cyrus Cooper, MA, DM, FRCP, FFPH, FMedSciThe MRC Lifecourse Epidemiology UnitUniversity of SouthamptonSouthampton General HospitalSouthampton, UK

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Contributors  xiii

Felicia CosmanColumbia College of Physicians and SurgeonsColumbia UniversityClinical Research CenterHelen Hayes HospitalWest HaverstrawNew York, New York, USA

Natalie E. CusanoDivision of EndocrinologyDepartment of MedicineCollege of Physicians and SurgeonsColumbia UniversityNew York, New York, USA

Terry F. Davies, MBBS, MD, FRCP, FACEThe Mount Sinai Bone ProgramDepartment of MedicineMount Sinai School of MedicineNew York, New York, USA

Bess Dawson-Hughes, MDJean Mayer USDA Human Nutrition

Research Center on AgingTufts UniversityBoston, Massachusetts, USA

David J.J. de Gorter, PhDInstitute for Molecular Cell BiologyUniversity of MünsterMünster, Germany

Marie Demay, MD Endocrine UnitMassachusetts General Hospital and Harvard Medical

School Boston, Massachusetts, USA

Elaine Dennison, MA, MB, BChir, MSc, PhDThe MRC Lifecourse Epidemiology UnitUniversity of SouthamptonSouthampton General HospitalSouthampton, UK

Matthew T. Drake, MD, PhDDepartment of Internal MedicineDivision of EndocrinologyCollege of MedicineMayo ClinicRochester, Minnesota, USA

Patricia Ducy, PhDDepartment of Pathology and Cell BiologyColumbia University Medical CenterNew York, New York, USA

Richard Eastell, MD, FRCP, FRCPath, FMedSciDepartment of Human MetabolismUniversity of SheffieldSheffield, UK

Peter R. Ebeling, MD, FRACPAustralian Institute for Musculoskeletal ScienceNorthWest Academic CentreThe University of MelbourneWestern HealthSt. Albans, Victoria, Australia

Michael J. Econs, MD, FACP, FACEEndocrinology and MetabolismMedicine and Medical and Molecular GeneticsIndiana University School of MedicineIndianapolis, Indiana, USA

Paul C. Edwards, MSc, DDS, FRCD(C)Department of Periodontics and Oral MedicineSchool of DentistryUniversity of MichiganAnn Arbor, Michigan, USA

Thomas A. Einhorn, MDDepartment of Orthopaedic SurgeryBoston University Medical CenterBoston, Massachusetts, USA

Florent Elefteriou, PhDVanderbilt Center for Bone BiologyVanderbilt University Medical CenterNashville, Tennessee, USA

William J. Evans, PhDMuscle Metabolism DPUGlaxoSmithKlineResearch Triangle Park, North Carolina, USA

Murray J. Favus, MDSection of Endocrinology, Diabetes, and MetabolismThe University of ChicagoChicago, Illinois, USA

Ignac FogelmanDivision of Imaging Sciences and Biomedical

EngineeringKings College LondonLondon, UK

Mark R. Forwood, PhDSchool of Medical Science and Griffith Health InstituteGriffith UniversityGold Coast, Australia

Peter A. FriedmanUniversity of PittsburghPittsburgh, Pennsylvania, USA

Benjamin J. Frisch, PhDWilmot Cancer CenterUniversity of Rochester School of Medicine and

DentistryRochester, New York, USA

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xiv Contributors

J. Christopher Gallagher, MD, MRCPCreighton University Medical SchoolOmaha, Nebraska, USA

Harry K. Genant, MD, FACR, FRCRRadiology, Medicine and Orthopedic SurgeryUniversity of CaliforniaSan Francisco, California, USA

Francis H. Glorieux, OC, MD, PhDGenetics UnitShriners Hospital for Children–Canada and McGill

UniversityMontreal, Quebec, Canada

C.C. GlüerSektion Biomedizinische BildgebungKlinik für Diagnostische RadiologieUniversitätsklinikum Schleswig-HolsteinCampus KielKiel, Germany

Gopinath GnanasegaranDepartment of Nuclear MedicineGuy’s and St. Thomas’ NHS Foundation TrustLondon, UK

Deborah T. Gold, PhDDepartments of Psychiatry and Behavioral Sciences,

Sociology, and Psychology and NeuroscienceDuke University Medical CenterDurham, North Carolina, USA

Steven R. Goldring, MDHospital for Special SurgeryWeill Medical College of Cornell UniversityNew York, New York, USA

David Goltzman, MDDepartments of Medicine and PhysiologyMcGill UniversityMontreal, Canada

Susan L. Greenspan, MD, FACPDivisions of Geriatrics, Endocrinology and MetabolismDepartment of MedicineUniversity of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

James F. Griffith, MB, BCh, BAO, MD, MRCP (UK), FRCR

Department of Imaging and Interventional RadiologyThe Chinese University of Hong KongHong Kong, China

Monica Grover, MDDepartment of Molecular and Human GeneticsBaylor College of MedicineHouston, Texas, USA

Theresa A. Guise, MDDepartment of MedicineDivision of EndocrinologyIndiana University School of MedicineIndianapolis, Indiana, USA

Neveen A.T. HamdyDepartment of Endocrinology and Metabolic DiseasesLeiden University Medical CenterLeiden, The Netherlands

Nicholas Harvey, MA, MB, BChir, MRCP, PhDThe MRC Lifecourse Epidemiology UnitUniversity of SouthamptonSouthampton General HospitalSouthampton, UK

Robert P. Heaney, MDCreighton University Omaha, Nebraska, USA

Charles Hildebolt, DDS, PhDMallinckrodt Institute of RadiologyWashington University in St. LouisSt. Louis, Missouri, USA

Steven P. Hodak, MDDivision of Endocrinology and MetabolismThe University of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

Ingrid A. Holm, MD, MPHChildren’s Hospital BostonManton Center for Orphan Disease ResearchHarvard Medical SchoolBoston, Massachusetts, USA

Mara J. Horwitz, MDDivision of Endocrinology and MetabolismThe University of Pittsburgh School of MedicinePittsburgh, Pennsylvania, USA

Keith A. Hruska, MDDivision of Pediatric NephrologyDepartment of Pediatrics, Medicine and Cell BiologyWashington UniversitySt. Louis, Missouri, USA

Christina Jacobsen, MD, PhD Divisions of Endocrinology and Genetics Boston Children’s Hospital Harvard Medical School Boston, Massachusetts, USA

Suzanne M. Jan de Beur, MDDivision of Endocrinology and MetabolismDepartment of MedicineThe Johns Hopkins School of MedicineBaltimore, Maryland, USA

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Contributors  xv

Robert L. Jilka, PhDDivision of Endocrinology and MetabolismCenter for Osteoporosis and Metabolic Bone DiseasesUniversity of Arkansas for Medical SciencesCentral Arkansas Veterans Healthcare SystemLittle Rock, Arkansas, USA

Rachelle W. JohnsonDepartment of Veterans AffairsTennessee Valley Healthcare Systemand Vanderbilt Center for Bone Biologyand Department of Cancer BiologyVanderbilt UniversityNashville, Tennessee, USA

Graeme Jones, MBBS, FRACP, MDMenzies Research Institute TasmaniaUniversity of TasmaniaHobart, Tasmania, Australia

Stefan Judex, PhDDepartment of Biomedical EngineeringStony Brook University Stony Brook, New York, USA

Harald Jüppner, MDEndocrine Unit and Pediatric Nephrology UnitDepartments of Medicine and PediatricsHarvard Medical SchoolMassachusetts General HospitalBoston, Massachusetts, USA

John A KanisWHO Collaborating Centre for Metabolic Bone

DiseasesUniversity of Sheffield Medical SchoolSheffield, UK

Frederick S. Kaplan, MDDepartments of Orthopaedic Surgery and MedicineCenter for Research in FOP and Related DisordersPerelman School of Medicine at The University of

PennsylvaniaPhiladelphia, Pennsylvania, USA

Gerard Karsenty, MD, PhDDepartment of Genetics and DevelopmentColumbia UniversityNew York, New York, USA

Moustapha Kassem, MD, PhD, DSc Department of Endocrinology University Hospital of Odense Odense, Denmark

Richard W. Keen, MD, PhDInstitute of Orthopaedics and Musculoskeletal SciencesRoyal National Orthopaedic HospitalBrockley HillStanmoreMiddlesex, UK

Luluel M. KhanUniversity of TorontoDepartment of Radiation OncologyOdette Cancer CentreSunnybrook Health Sciences CentreToronto, Ontario, Canada

Sundeep Khosla, MDDepartment of Internal MedicineDivision of EndocrinologyCollege of MedicineMayo ClinicRochester, Minnesota, USA

Douglas P. Kiel, MD, MPHInstitute for Aging ResearchHebrew SeniorLifeDepartment of MedicineHarvard Medical SchoolBoston, Massachusetts, USA

Keith L. Kirkwood, DDS, PhDDepartment of Craniofacial BiologyThe Center for Oral Health ResearchMedical University of South CarolinaCharleston, South Carolina, USA

Michael Kleerekoper, MBBS, FACB, FACP, MACEDepartment of Medicine, Division of EndocrinologyUniversity of Toledo Medical CollegeToledo, Ohio, USA

Gordon L. Klein, MD, MPHDepartment of Orthopaedic SurgeryUniversity of Texas Medical BranchGalveston, Texas, USA

John Klingensmith, PhDDepartment of Cell BiologyDuke University Medical CenterDurham, North Carolina, USA

Stephen J. Knohl, MDDepartment of Medicine Division of NephrologyState University of New York Upstate Medical

UniversitySyracuse, New York, USA

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xvi Contributors

Scott L. Kominsky, PhDDepartments of Orthopaedic Surgery and OncologyJohns Hopkins University School of MedicineBaltimore, Maryland, USA

Christopher S. Kovacs, MD, FRCPC, FACP, FACE Faculty of Medicine–Endocrinology Health Sciences CentreMemorial University of NewfoundlandSt. John’s, Newfoundland, Canada

Paul H. Krebsbach, DDS, PhDDepartment of Biologic and Materials SciencesSchool of DentistryThe University of MichiganAnn Arbor, Michigan, USA

Henry M. Kronenberg, MDEndocrine UnitMassachusetts General Hospitaland Harvard Medical SchoolBoston, Massachusetts, USA

Craig B. Langman, MDFeinberg School of MedicineNorthwestern UniversityChicago, Illinois, USA

Brendan Lee, MD, PhDHoward Hughes Medical InstituteDepartment of Molecular and Human GeneticsBaylor College of MedicineHouston, Texas, USA

Mary G. Lee, DMD, MSDDepartment of Craniofacial Biologyand the Center for Oral Health ResearchMedical University of South CarolinaCharleston, South Carolina, USA

Michael A. Levine, MD, FAAP, FACP, FACEDivision of Endocrinology and DiabetesThe Children’s Hospital of Philadelphia and

Department of PediatricsUniversity of Pennsylvania Perelman School of

MedicinePhiladelphia, Pennsylvania, USA

Paul Lips, MD, PhDDepartment of Internal Medicine/EndocrinologyVU University Medical CenterAmsterdam, The Netherlands

David G. Little, MBBS, FRACS(Orth), PhDPaediatrics and Child HealthUniversity of SydneyOrthopaedic Research and BiotechnologyThe Children’s Hospital at WestmeadWestmead, Australia

Shane A.J. LloydDepartment of Orthopaedics and RehabilitationDivision of Musculoskeletal SciencesThe Pennsylvania State University College of MedicineHershey, Pennsylvania, USA

Karen M. Lyons, PhDUCLA Orthopaedic HospitalDepartment of Orthopaedic SurgeryDepartment of Molecular, Cell & Developmental

BiologyUniversity of CaliforniaLos Angeles, California, USA

Sharmila Majumdar, PhDDepartment of Radiology and Biomedical Imagingand Orthopedic Surgery UCSFand Department of Bioengineering UC BerkeleySan Francisco, California, USA

Stavros C. Manolagas, MD, PhDDivision of Endocrinology and MetabolismCenter for Osteoporosis and Metabolic Bone DiseasesUniversity of Arkansas for Medical Sciencesand the Central Arkansas Veterans Healthcare SystemLittle Rock, Arkansas, USA

Joan C. Marini, MD, PhDNational Institute of Child Health and Human

DevelopmentBone and Extracellular Matrix BranchNational Institutes of HealthBethesda, Maryland, USA

T. John Martin, MD, DScSt. Vincent’s Institute of Medical ResearchUniversity of Melbourne Department of MedicineMelbourne, Australia

Stephen J. Marx, MDGenetics and Endocrinology SectionMetabolic Diseases BranchNational Institute of Diabetes and Digestive and

Kidney DiseasesNational Institutes of HealthBethesda, Maryland, USA

Maiko Matsui, BScDepartment of Cell BiologyDuke University Medical CenterDurham, North Carolina, USA

Hani H. Mawardi, BDS, DMScDivision of Oral MedicineKing Abdulaziz UniversityFaculty of DentistryJeddah, Saudi Arabia

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Contributors  xvii

Laurie K. McCauley, DDS, MS, PhD University of Michigan School of Dentistry Ann Arbor, Michigan, USA

Michael R. McClungOregon Osteoporosis CenterPortland, Oregon, USA

Lisa K. Micklesfield, PhDMRC/Wits Developmental Pathways for Health

Research UnitDepartment of PaediatricsFaculty of Health SciencesUniversity of the WitwatersrandJohannesburg, South Africa

Paul D. Miller, MD, FACPUniversity of Colorado Health Sciences Center Colorado Center for Bone Research Lakewood, Colorado, USA

Thimios Mitsiadis, DDS, MS, PhDInstitute of Oral BiologyDepartment of Orofacial Development & Regeneration,

ZZMDepartment of MedicineUniversity of ZurichZurich, Switzerland

Elise F. Morgan, PhDDepartment of Mechanical EngineeringBoston UniversityBoston, Massachusetts, USA

Tuan V. NguyenOsteoporosis and Bone Biology Research ProgramGarvan Institute of Medical ResearchSydney, Australia

Robert A. Nissenson, PhD Endocrine Research UnitVA Medical CenterDepartments of Medicine and PhysiologyUniversity of CaliforniaSan Francisco, California, USA

Shane A. Norris, PhDMRC/Wits Developmental Pathways for Health

Research UnitDepartment of PaediatricsFaculty of Health SciencesUniversity of the WitwatersrandJohannesburg, South Africa

Patrick W. O’Donnell, MD, PhD Center for Musculoskeletal Oncology Department of Orthopaedic Surgery Markey Cancer Center University of Kentucky Lexington, Kentucky, USA

Eric S. OrwollOregon Health and Science UniversityPortland, Oregon, USA

Petros Papagerakis, DDS, MS, PhDDepartment of Orthodontics and Pediatric DentistryCenter for OrganogenesisCenter for Computational Medicine and BioinformaticsSchools of Dentistry and MedicineUniversity of MichiganAnn Arbor, Michigan, USA

Socrates E. Papapoulos, MD, PhDDepartment of Endocrinology and Metabolic DiseasesLeiden University Medical CenterLeiden, The Netherlands

John M. Pettifor, MBBCh, PhDMRC/Wits Developmental Pathways for Health

Research UnitDepartment of PaediatricsFaculty of Health SciencesUniversity of the WitwatersrandJohannesburg, South Africa

Robert J. Pignolo, MD, PhDCenter for Research in FOP and Related DisordersDepartment of Orthopaedic SurgeryThe University of Pennsylvania School of MedicinePhiladelphia, Pennsylvania, USA

L. Darryl QuarlesDivision of NephrologyDepartment of MedicineUniversity of Tennessee Health Science CenterMemphis, Tennessee, USA

Manoj Ramachandran, BSc, MBBS, MRCS, FRCSThe Royal London and St. Bartholomew’s HospitalsBarts Health NHS TrustBarts and The London School of Medicine and

DentistryQueen MaryUniversity of LondonLondon, England

Francesco Ramirez, PhDDepartment of Pharmacology and Systems

TherapeuticsMount Sinai School of MedicineNew York, New York, USA

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xviii Contributors

Robert R. Recker, MD, MACP, FACEDepartment of MedicineSection of EndocrinologyOsteoporosis Research CenterCreighton University Medical CenterOmaha, Nebraska, USA

Ian R. Reid, MBChB, MD, FRACPDepartment of MedicineUniversity of AucklandAuckland, New Zealand

Mara RiminucciDipartimento di Medicina MolecolareUniversita’ La SapienzaRome, Italy

David L. Rimoin, MD, PhD*Medical Genetics InstituteCedars-Sinai Medical CenterLos Angeles, California, USA

René Rizzoli, MDDivision of Bone DiseasesDepartment of Internal Medicine SpecialtiesGeneva University Hospital and Faculty of MedicineGeneva, Switzerland

Pamela Gehron RobeyCraniofacial and Skeletal Diseases BranchNational Institute of Dental and Craniofacial ResearchNational Institutes of HealthDepartment of Health and Human ServicesBethesda, Maryland, USA

G. David RoodmanDivision of Hematology/OncologyIndiana University School of MedicineIndianapolis, Indiana, USA

Clifford J. Rosen, MD Tufts University School of Medicine Maine Medical Center Research Institute Scarborough, Maine, USA

Vicki Rosen, PhDDepartment of Developmental BiologyHarvard School of Dental MedicineBoston, Massachusetts, USA

F. Patrick RossDepartment of Pathology and ImmunologyWashington University School of MedicineSt. Louis, Missouri, USA

Clinton T. Rubin, PhDDepartment of Biomedical EngineeringStony Brook UniversityStony Brook, New York, USA

Janet Rubin, MDDepartment of MedicineUniversity of North Carolina School of MedicineChapel Hill, North Carolina, USA

Mishaela R. Rubin, MDDivision of EndocrinologyDepartment of MedicineColumbia University College of PhysiciansNew York, New York, USA

Mary D. Ruppe, MDDepartment of MedicineDivision of EndocrinologyThe Methodist HospitalHouston, Texas, USA

Lynn Y. SakaiDepartment of Biochemistry and Molecular BiologyOregon Health and Science UniversityShriners Hospital for ChildrenPortland, Oregon, USA

Kyu Sang Joeng, PhDDepartment of Molecular and Human GeneticsBaylor College of MedicineHouston, Texas, USA

Anne L. Schafer, MDDepartment of MedicineUniversity of California, San FranciscoSan Francisco, California, USA

Steven J. Scheinman, MDThe Commonwealth Medical CollegeScranton, Pennsylvania, USA

Ego Seeman, BSc, MBBS, FRACP, MDDepartment of Endocrinology and MedicineRepatriation CampusAustin HealthUniversity of MelbourneMelbourne, Australia

Michael Seifert, MDDivision of Pediatric NephrologyDepartment of PediatricsWashington University and Southern Illinois

UniversitySt. Louis, Missouri, USA

*Deceased.

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Contributors  xix

Gerhard SengleDepartment of Biochemistry and Molecular BiologyOregon Health and Science Universityand Shriners Hospital for ChildrenPortland, Oregon, USA

Elizabeth ShaneDivision of EndocrinologyDepartment of MedicineCollege of Physicians and SurgeonsColumbia UniversityNew York, New York, USA

Sue Shapses, PhDDepartment of Nutritional SciencesRutgers UniversityNewark, New Jersey, USA

Nicholas Shaw, MBChB, FRCPCHDepartment of EndocrinologyBirmingham Children’s HospitalBirmingham, West Midlands, UK

Yiping Shen, PhD Boston Children’s Hospital Harvard Medical SchoolBoston, Massachusetts, USA Shanghai Jiaotong University School of MedicineShanghai, China

Dolores Shoback, MDUniversity of California, San FranciscoEndocrine Research UnitSan Francisco VA Medical CenterSan Francisco, California, USA

Eileen M. Shore, PhD Departments of Orthopaedic Surgery and Genetics Center for Research in FOP and Related DisordersPerelman School of Medicine at the University of

Pennsylvania Philadelphia, Pennsylvania, USA

Rebecca Silbermann, MDIndiana University School of MedicineIndianapolis, Indiana, USA

Shonni J. Silverberg, MDDivision of EndocrinologyDepartment of MedicineCollege of Physicians and Surgeons Columbia UniversityNew York, New York, USA

James P. Simmer, DDS, PhDDepartment of Biological and Materials SciencesUniversity of Michigan School of DentistryAnn Arbor, Michigan, USA

Ethel S. Siris, MDColumbia University Medical CenterNew York Presbyterian HospitalNew York, New York, USA

Julie A. Sterling, PhDDepartment of Veterans AffairsTennessee Valley Healthcare Systemand Vanderbilt Center for Bone BiologyDepartment of Medicine/Clinical PharmacologyVanderbilt UniversityNashville, Tennessee, USA

Andrew F. Stewart, MD Diabetes Obesity and Metabolism Institute Icahn School of Medicine at Mount Sinai New York, New York, USA

Deeptha Sukumar, PhDDepartment of Nutritional SciencesRutgers UniversityNewark, New Jersey, USA

Li SunThe Mount Sinai Bone ProgramDepartment of MedicineMount Sinai School of MedicineNew York, New York, USA

Pawel Szulc, MD, PhDINSERMUniversité de LyonLyon, France

Shu Takeda, MD, PhDSection of Nephrology, Endocrinology and MetabolismDepartment of Internal MedicineSchool of MedicineKeio UniversityTokyo, Japan

Jianning Tao, PhDDepartments of Molecular and Human GeneticsBaylor College of MedicineTexas Children’s HospitalHouston, Texas, USA

Pamela Taxel, MDDivision of Endocrinology and MetabolismUniversity of Connecticut Health CenterFarmington, Connecticut, USA

Peter ten Dijke, PhDDepartment of Molecular Cell Biologyand Centre for Biomedical Genetics Leiden University Medical CentreLeiden, The Netherlands

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xx Contributors

Rajesh V. Thakker, MD, ScD, FRCP, FRCPath, FMedSci

Academic Endocrine UnitNuffield Department of Clinical MedicineOxford Centre for DiabetesEndocrinology and Metabolism (OCDEM)Churchill HospitalHeadington, Oxford, UK

Anna N.A. Tosteson, ScDMultidisciplinary Clinical Research Center in

Musculoskeletal DiseasesGeisel School of Medicine at DartmouthLebanon, New Hampshire, USA

Dwight A. Towler, MD, PhD Diabetes and Obesity Research Center Sanford-Burnham Medical Research Institute at Lake

Nona Orlando, Florida, USA

Bich H. TranOsteoporosis and Bone Biology Research ProgramGarvan Institute of Medical ResearchSydney, Australia

Nathaniel S. Treister, DMD, DMScDivision of Oral Medicine and DentistryBrigham and Women’s HospitalBoston, Massachusetts, USA

Geertje van der Horst, PhDDepartment of UrologyLeiden University Medical CentreLeiden, The Netherlands

Gabri van der Pluijm, PhDDepartment of UrologyLeiden University Medical CentreLeiden, The Netherlands

Catherine Van Poznak, MDDepartment of Internal MedicineUniversity of MichiganAnn Arbor, Michigan, USA

Natasja M. van Schoor, PhDDepartment of Epidemiology and BiostatisticsEMGO Institute for Health and Care ResearchVU University Medical CenterAmsterdam, The Netherlands

Kong Wah Ng, MBBS, MD, FRACP, FRCPDepartment of Endocrinology and DiabetesSt. Vincent’s HealthSt. Vincent’s InstituteUniversity of Melbourne Department of MedicineFitzroy, Victoria, Australia

Lisa L. Wang, MDTexas Children’s Cancer CenterBaylor College of MedicineHouston, Texas, USA

Qingju WangDepartment Endocrinology and MedicineRepatriation CampusAustin HealthUniversity of MelbourneMelbourne, Australia

Nelson B. Watts, MDMercy Health Osteoporosis and Bone Health ServicesCincinnati, Ohio, USA

Connie M. Weaver, PhDPurdue UniversityNutrition ScienceWest Lafayette, Indiana, USA

Kristy Weber, MDDepartments of Orthopaedic Surgery and OncologyJohns Hopkins School of MedicineBaltimore, Maryland, USA

Robert S. Weinstein, MDDivision of Endocrinology and MetabolismCenter for Osteoporosis and Metabolic Bone DiseasesDepartment of Internal Medicineand the Central Arkansas Veterans Healthcare SystemUniversity of Arkansas for Medical SciencesLittle Rock, Arkansas, USA

Kenneth E. White, PhDMedical and Molecular GeneticsIndiana University School of MedicineIndianapolis, Indiana, USA

Michael P. Whyte, MDDivision of Bone and Mineral DiseasesWashington University School of MedicineBarnes-Jewish Hospitaland Center for Metabolic Bone Disease and Molecular

ResearchShriners Hospital for ChildrenSt. Louis, Missouri, USA

Jeffrey S. Willey, PhDDepartment of Radiation OncologyWake Forest School of MedicineWinston-Salem, North Carolina, USA

Tania Winzenberg, MBBS, FRACGP, MMedSc, PhDMenzies Research Institute TasmaniaUniversity of TasmaniaHobart, Tasmania, Australia

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Contributors  xxi

Sook-Bin Woo, DMD, MMScDivision of Oral Medicine and DentistryBrigham and Women’s HospitalBoston, Massachusetts, USA

John J. WysolmerskiSection of Endocrinology and MetabolismDepartment of Internal MedicineYale University School of MedicineNew Haven, Connecticut, USA

Tao Yang, PhDCenter for Skeletal Disease ResearchLaboratory of Skeletal BiologyVan Andel Research Institute,Grand Rapids, Michigan, USA

Yingzi YangDevelopmental Genetics SectionGenetic Disease Research BranchNational Human Genome Research InstituteBethesda, Maryland, USA

Raz YirmiyaDepartment of PsychologyThe Hebrew University of JerusalemJerusalem, Israel

Tony Yuen, PhDThe Mount Sinai Bone ProgramDepartment of MedicineMount Sinai School of MedicineNew York, New York, USA

Mone Zaidi, MBBS, PhDThe Mount Sinai Bone ProgramDepartment of MedicineMount Sinai School of MedicineNew York, New York, USA

Alberta ZalloneDepartment of HistologyUniversity of BariBari, Italy

Michael J. Zuscik, PhDDepartment of Orthopaedics & RehabilitationCenter for Musculoskeletal ResearchUniversity of Rochester Medical CenterRochester, New York, USA

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Primer Corporate Sponsors

Distribution to the ASBMR membership of the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, Eighth Edition, is supported by unrestricted educational grants from the following companies:

Silver: Warner Chilcott

Bronze: Alexion

Partner: OsteoMetrics

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Welcome to the eighth edition of the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism! Loyal readers of previous editions will find the same up-to-date summaries of clinical diseases of the skeleton as well as overviews of skeletal growth, remod-eling, and pathophysiological disorders that they have seen in the past. As always, calcium, phosphorus, and vitamin D are reviewed extensively and updated. New visitors to the Primer will find a potpourri of informa-tion that can assist readers at the bench and at the bedside. The many tables, references, figures, and illus-trations are certain to be helpful. In fact, many figures and illustrations appear in full color for the first time in this edition.

Importantly, the eighth edition has expanded by one-third, adding new chapters principally related to how the skeleton interacts with other systems and tissues, including hematopoietic, muscular, metabolic, and neu-ropsychiatric. A basic, but comprehensive, overview on

Preface to the Eighth Edition of the Primer

bone as an organ system is updated. As with previous editions, it is the contributing authors, who are at the top in their respective fields, who make the Primer so valuable.

And as a real treat, our cover is an artistic image of bone painted by Mr. Toby Kahn. His creation reminds us that, since the last edition, the osteocyte has emerged as a major regulator of skeletal remodeling as well as mineral homeostasis.

The eighth edition is dedicated to the memory of Dr. Larry Raisz, a giant in our field who led and inspired all of us, and who particularly found the Primer to be the premier textbook of bone.

Clifford J. Rosen, MD

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The American Society for Bone and Mineral Research (ASBMR) is home to the world’s foremost bone and mineral researchers and clinicians. Our 4,000 members work in more than 60 countries and are experts in a diverse range of specialties, including endocrinology, cell biology, orthopedics, rheumatology, internal medicine, physiology, epidemiology, biomechanics and more.

ASBMR’s mission is to promote excellence in bone and mineral research, to foster integration of basic and clinical science and to facilitate the translation of that science into clinical practice. For more than 30 years, our Society has remained true to its innovative and inclusive founding principles, fostering an encouraging environment for researchers and clinicians to develop and discuss the latest findings.

ASBMR’s work is guided by the following key strategic objectives:

• GENERATING AWARENESS about bone diseases and the importance of bone research by serving as the leading authority on bone health and disease for health professionals and the public

• PROMOTING CUTTING-EDGE RESEARCH by fostering multidisciplinary connections among our investiga-tors, awarding grants and advocating for funding for bone and mineral research

• COMMUNICATING WITH THE NATIONAL INSTITUTES OF HEALTH to both discover and influence the latest directions in basic, clinical and translational research

• SUPPORTING YOUNG INVESTIGATORS through continuing education, grant funding, professional net-working and mentoring opportunities

Learn more about ASBMR and the vast learning and networking opportunities it offers by visiting www.asbmr.org today.

We Make the DiscoveriesThat Keep Bones Healthy for a Lifetime

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The American Society for Bone and Mineral Research is pleased and excited to present this fully revised, updated and expanded eighth edition of the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism. Dr. Clifford Rosen returns as Editor-in-Chief, overseeing even greater coverage of the field to include the addition of a completely new section on “The Skeleton and Its Integration with Other Tissues.” In addition to new content, many new reader-friendly fea-tures have been incorporated into the design of the book.

This eighth edition presents numerous full-color figures for the first time, and the layout has been updated to make accessing information easier. Dr. Rosen and the editorial team have maintained the rigorous high stan-dards of scientific content that have long been the trade-mark feature of the book, ensuring the Primer maintains its reputation as an essential reference in the field of bone health.

President’s Preface

Along with these changes, a new companion site has been developed at www.asbmrprimer.com to provide researchers, instructors, clinicians, and students with valuable supplementary materials that support and expand the content of the book.

The eighth edition of our Primer maintains the strong tradition developed by its predecessors while continuing to evolve to serve the changing needs of the communities it serves. We thank and commend all those involved in making this new edition a reality.

Lynda F. Bonewald, PhDPresident, ASBMR

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This book is accompanied by a companion website:www.asbmrprimer.com

The website includes:

• Videos• Editors’ biographies• PowerPoints of all figures from the book for downloading • Useful website links

About the Companion Website

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Section IMolecular, Cellular, and Genetic Determinants of Bone Structure

and FormationSection Editor Karen M. Lyons

Chapter 1. Skeletal Morphogenesis and Embryonic Development 3Yingzi Yang

Chapter 2. Signal Transduction Cascades Controlling Osteoblast Differentiation 15David J.J. de Gorter and Peter ten Dijke

Chapter 3. Osteoclast Biology and Bone Resorption 25F. Patrick Ross

Chapter 4. Osteocytes 34Lynda F. Bonewald

Chapter 5. Connective Tissue Pathways That Regulate Growth Factors 42Gerhard Sengle and Lynn Y. Sakai

Chapter 6. The Composition of Bone 49Adele L. Boskey and Pamela Gehron Robey

Chapter 7. Assessment of Bone Mass and Microarchitecture in Rodents 59Blaine A. Christiansen

Chapter 8. Animal Models: Genetic Manipulation 69Karen M. Lyons

Chapter 9. Animal Models: Allelic Determinants for BMD 76Robert D. Blank

Chapter 10. Neuronal Regulation of Bone Remodeling 82Florent Elefteriou and Gerard Karsenty

Chapter 11. Skeletal Healing 90Michael J. Zuscik

Chapter 12. Biomechanics of Fracture Healing 99Elise F. Morgan and Thomas A. Einhorn

Chapter 13. Human Genome-Wide Association (GWA) Studies 106Douglas P. Kiel

Chapter 14. Circulating Osteogenic Cells 111Robert J. Pignolo and Moustapha Kassem

Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, Eighth Edition. Edited by Clifford J. Rosen.© 2013 American Society for Bone and Mineral Research. Published 2013 by John Wiley & Sons, Inc.

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