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Tag: osteoclast

Can astronauts prevent bone loss by eating genetically engineered lettuce?

TeachableMedicalNews article 11272022

Teachable moment in classrooms:

  1. cellular basis of life chapter – concept of one gene, one protein
  2. skeletal system chapter – actions of osteoblasts and osteoclasts in living bones
  3. skeletal system chapter – osteons and trabeculae provide structural strength to bones
  4. endocrine system chapter – actions of PTH made by parathyroid gland
  5. digestive system chapter – ingested proteins are degraded by several digestive enzymes

 

The news item:  Recently the following report appeared:

Humans on Mars may feast on gene-edited salad to stop bones breaking

Genetically modified salad could be crucial to keeping the bones of humans on Mars healthy.

 

 

The article states that a human gene was added to lettuce, and that the human protein, parathyroid hormone (PTH), will fight the osteoporosis that astronauts develop in space. Astronauts lose 1.5% of bone mass from weight-bearing bones, and the expectation is the PTH made by the lettuce will prevent bone loss on a trip to Mars that may last for over a year.

So, Why Do I Care??  Osteoporosis, as stated in the article, weakens bones, but not only in astronauts. Over 10 million people in the US alone has osteoporosis that makes fractures more likely. PTH is currently administered through injections, so, if we could demonstrate that eating PTH-enriched lettuce, then treatment of osteoporosis may become easier.

Plain English, Please!!! First, let’s talk about what osteoporosis is. In our bones we need structural reinforcement to keep bones from fracturing when we walk, run, jump or fall. The microscopic building units called osteons and trabeculae are the structural elements that provide such reinforcement.  Imagine a tall building or a bridge; columns or pillars are the elements of structural reinforcement in them. A corrosion of those pillars and columns weakens the building, and may cause their collapse. In our bones the cells called osteoclasts erode the osteons and trabeculae, but the cells called osteoblasts repair, and, thus, reverse that erosion. In old age, or with hormonal changes, such as menopause, the osteoblasts slow down, and the osteoclasts erode osteons and trabeculae. Osteoporosis is the condition where the erosion weakens the entire bone, and fractures are more likely.

Second, let’s talk about why weightlessness leads to osteoporosis. When we move around in regular gravity, our bone cells are under pressure caused by the weight of the body. That pressure makes

Why does the antiviral treatment of AIDS patients lead to bone fractures?

TeachableMedicalNews article 06262020

Teachable moment in classrooms:

  1. cellular basis of life chapter – transcription
  2. skeletal system chapter – actions of osteoblasts and osteoclasts
  3. skeletal system chapter– osteoclast form from monocyte
  4. microbiology – reverse transcriptase of HIV
  5. microbiology – lifecycle of retroviruses like HIV

The news item:  A recent news article reminded us the bone fractures suffered by  AIDS (acquired immunodeficiency syndrome) patients as the result of the side effect of their treatment:

https://www.washingtonblade.com/2019/07/18/gilead-hit-with-more-lawsuits-over-harmful-side-effects-of-aids-drug/

While the report is about lawsuits against the maker of one antiviral drug, the article is a reminder of the substantial bone loss in treated AIDS patients.

So, Why Do I Care??  In the USA there are over 500,000 AIDS patients who receive antiviral treatment to manage the disease. Most of them are in the 20-40 age range, so their bone health will affect them for decades of their lives. In addition, this surprise side effect may become the motivation for new research into osteoporosis, and that knowledge may improve the living conditions of all patients with osteoporosis.

Plain English, Please!!! First, let’s talk about what is in that antiviral pill. One component stops the reproduction of the virus; this called a reverse transcriptase inhibitor, and chemically it is a nucleotide type of chemical.  The other component stops the release of new virus particles; that is called a protease inhibitor, and chemically it is a small organic molecule.  Neither of these components target bones, so bone loss is an unexpected side effect.

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