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Courtesy of R. K. Nalla and R. O. Ritchie |
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| PRAXIS: Research we can use |
| Mending old bones |
| New hope for victims of osteoporosis? |
| BY MEGHAN LASLOCKY |
ROBERT RITCHIE STARTS WITH A basic question: "What
does aging do to the structure of bone?" We know that the amount of
bone diminishes with age, what he calls the quantity issue. But aging
also degrades the inherent properties of bone, making it less tough and
less resistant to fracture—a quality issue. A materials science and engineering
professor, Ritchie wanted to find out what the quality, or structural,
changes are that lead to bone degradation.
The answer is important. One in two women and one in four men
over the age of 50 will suffer a fracture caused by osteoporosis, the
leading bone degenerative disease. And falls are the leading cause
of fatal injuries to older people in the U.S. "When I was working with
ceramics and metals, maybe 300 people in the world were interested.
But with bone, the whole world is interested," Ritchie says.
Ironically, Ritchie thinks that older bones may work too hard to
repair themselves. This zealousness may diminish the bone’s toughness—
and lead to injury. He has focused on the "bridges" between
micro-cracks in bone. When a crack expands, it forms smaller microcracks
ahead of the main crack tip, what he calls the "mother" and
"daughter" cracks. The bits of material in between these micro-cracks
act as "bridges" across the main crack—they are points of strength in
bone that help keep the main crack from growing.
Teenage girls who drink soda, smoke cigaretts, and keep themselves too thin can develop osteoporosis
and brittle bones, studies show. These conditions are usualy asociated with postmenopausal
women and the elderly. |
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But Ritchie and his team of researchers have shown that the size
and quantity of the
bridges diminish with
age. That’s because
micro-cracks are
formed at the boundaries
of osteons, which
are channels in bone
filled with nerves and
blood vessels. He theorizes
that as bone ages,
it tends to become overambitious
in trying to
repair damage. Such
excessive remodeling
results in a higher density
of osteons, which
in turn leads to more
closely spaced microcracks,
smaller bridges,
and hence reduced
toughness.
"I think the key is to understand the interaction of cracks with the
evolving structure of bone," Ritchie says. "If one can understand that,
one could perhaps develop drugs that could help offset the age-related
changes."
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