Abstract Advanced glycation end products (AGEs) accumulate in various tissues, including bone, due to aging and conditions like diabetes mellitus. To investigate the effects of AGEs on bone material quality and biomechanical properties, an in vitro study utilized human tibia, sectioned into 90 beams, and randomly assigned to three mechanical test groups. Each test group included ribose (c=0.6 M) treatment at 7-, 14-, and 21-day, alongside control groups (n=5 per group). Fluorescent AGE (fAGE) and carboxymethyl-lysine (CML) levels were assessed through fluorometric analysis and mass spectrometry, while bone matrix composition was characterized using Fourier-transform infrared and Raman spectroscopy. Mechanical properties were determined through nanoindentation and three-point bending tests on non-notched and notched specimens. The results showed significant increases in fAGEs levels at 7-, 14-, and 21-day compared to controls (119%, 311%, 404%; p=0.008, p<0.0001, p<0.0001; respectively), CML levels also rose substantially compared to controls (383%, 503%, 647%, p<0.0001, p<0.0001, p<0.0001; respectively). Analysis of bone matrix composition showed greater sugars/Amide I ratio at 21-day glycation compared to controls, 7-day, and 14-day (p=0.001, 0.011, 0.006; respectively); and higher carbonate-to-phosphate ratios in the ribose treatment group compared to controls (p<0.05) in the interstitial bone area. Mechanical testing of notched specimens exhibited a higher yield force, pre-yield toughness, and growth toughness at 14-day glycation compared to controls and to both 7-day and 21-day glycation (p<0.05). Nanoindentation showed that the hardness was lower at 7-day glycation compared to the controls and 21-day glycation (p<0.05). In conclusion, the study found altered mechanical properties at 7 and 14 days of glycation, which then returned to control levels at 21 days, indicating a dynamic relationship between glycation duration and mechanical characteristics that deserves further exploration.
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