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Originally published In Press as doi:10.1074/jbc.C200069200 on April 5, 2002

J. Biol. Chem., Vol. 277, Issue 22, 19247-19250, May 31, 2002
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ACCELERATED PUBLICATION
Select HIV Protease Inhibitors Alter Bone and Fat Metabolism ex Vivo*

Renu G. Jain and James M. LenhardDagger

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.


* 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.

Dagger 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.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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