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Bone and Intestinal Disease May Have Common Cause

Thursday December 28, 2006 (0045 PST)


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ISLAMABAD: In studies with mice, scientists have found evidence that osteoporosis-like bone disorders and inflammatory intestinal disorders are both caused by the abnormal regulation of a common protein.

Dr. Simon R. Carding from the University of Leeds in England and colleagues report their study in the December issue of the journal Immunity.

Autoimmune-related bone disease and intestinal inflammation are closely linked with the deregulation and the hyperactivation CD4 T cells, which are involved in the body`s defense system, or immune response, they report. "How these T cells are activated and mediate disease is not clear."

Mice that were genetically engineered to lack a key regulator of CD4 T cells have overactive T cells and spontaneously develop ulcerative colitis and the loss of bone cells, the scientists explain. Carding and colleagues` experiments indicate that this is caused by increased production of a protein called RANKL.

"We find that the hyperactive CD4 T cells produce too much of this protein, which then contributes to bone breakdown and bowel inflammation," Carding said.

Treating mice with osteoprotegerin, a protein that prevents RANKL from binding to its receptor, reversed this bone loss and improved colitis. "This study shows that some bone diseases and intestinal problems may share a common cause," Carding told.

"If similar mechanisms occur in humans, then osteoprotegerin might prove a useful treatment for intestinal disorders such as ulcerative colitis and Crohn`s disease," he said, which are both often accompanied by bone loss.

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