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J. Biol. Chem., Vol. 277, Issue 22, 19247-19250, May 31, 2002
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From the Department of Metabolic Diseases, GlaxoSmithKline Inc.,
Research Triangle Park, North Carolina 27709
Human immunodeficiency virus (HIV) therapies have
been associated with alterations in fat metabolism and bone mineral
density. This study examined the effects of HIV protease inhibitors
(PIs) on bone resorption, bone formation, and adipocyte
differentiation using ex vivo cultured osteoclasts,
osteoblasts, and adipocytes, respectively. Osteoclast activity,
measured using a rat neonatal calvaria assay, increased in the presence
of nelfinavir (NFV; 47.2%, p = 0.001), indinavir
(34.6%, p = 0.001), saquinavir (24.3%, p = 0.001), or ritonavir (18%, p < 0.01). In contrast, lopinavir (LPV) and amprenavir did not increase
osteoclast activity. In human mesenchymal stem cells (hMSCs), the PIs
LPV and NFV decreased osteoblast alkaline phosphatase enzyme activity
and gene expression significantly (p < 0.05). LPV and
NFV diminished calcium deposition and osteoprotegrin expression
(p < 0.05), whereas the other PIs investigated did
not. Adipogenesis of hMSCs was strongly inhibited by saquinavir and NFV
(>50%, p < 0.001) and moderately inhibited by
ritonavir and LPV (>40%, p < 0.01). Expression of
diacylglycerol transferase, a marker of adipocyte differentiation,
decreased in hMSCs treated with NFV. Amprenavir and indinavir did not
affect adipogenesis or lipolysis. These results suggest that bone and fat formation in hMSCs of bone marrow may be coordinately
down-regulated by some but not all PIs.
ACCELERATED PUBLICATION
Select HIV Protease Inhibitors Alter Bone and Fat Metabolism
ex Vivo*
*
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
To whom correspondence should be addressed: Dept. of Metabolic
Diseases, GlaxoSmithKline Inc., 5 Moore Dr., Research Triangle Park, NC
27709. Tel.: 919-483-3022; Fax: 919-483-5691; E-mail: jml29514@gsk.com.
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