Nucleotide pyrophosphatase phosphodiesterase 1 (NPP1) is required for the conversion of extracellular ATP into inorganic pyrophosphate (PPi), a recognised inhibitor of hydroxyapatite (HA) crystal formation. A detailed phenotypic assessment of a mouse model lacking NPP1 (Enpp1) was completed to determine the role of NPP1 in skeletal and soft tissue mineralization in juvenile and adult mice. Histopathological assessment of Enpp1 mice at 22 weeks of age revealed calcification in the aorta and kidney and ectopic cartilage formation in the joints and spine. Radiographic assessment of the hind-limb showed hyper-mineralization in the talocrural joint and hypo-mineralization in the femur and tibia. MicroCT analysis of the tibia and femur disclosed altered trabecular architecture and bone geometry at 6 and 22 weeks of age in Enpp1 mice. Trabecular number, trabecular bone volume, structure model index, trabecular and cortical thickness were all significantly reduced in tibiae and femurs from Enpp1 mice (P,0.05). Bone stiffness as determined by 3-point bending was significantly reduced in Enpp1 tibiae and femurs from 22-week-old mice (P,0.05). Circulating phosphate and calcium levels were reduced (P,0.05) in the Enpp1 null mice. Plasma levels of osteocalcin were significantly decreased at 6 weeks of age (P,0.05) in Enpp1 mice, with no differences noted at 22 weeks of age. Plasma levels of CTx (Ratlaps) and the phosphaturic hormone FGF-23 were significantly increased in the Enpp1 mice at 22 weeks of age (P,0.05). Fgf23 messenger RNA expression in cavarial osteoblasts was increased 12-fold in Enpp1 mice compared to controls. These results indicate that Enpp1 mice are characterized by severe disruption to the architecture and mineralization of longbones, dysregulation of calcium/phosphate homeostasis and changes in Fgf-23 expression. We conclude that NPP1 is essential for normal bone development and control of physiological bone mineralization. Citation: Mackenzie NCW, Zhu D, Milne EM, van ’t Hof R, Martin A, et al. (2012) Altered Bone Development and an Increase in FGF-23 Expression in Enpp1 Mice. PLoS ONE 7(2): e32177. doi:10.1371/journal.pone.0032177 Editor: Marlon R. Schneider, University of Munich, Germany Received October 11, 2011; Accepted January 22, 2012; Published February 16, 2012 Copyright: 2012 Mackenzie et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: This work was supported by an Institute Strategic Programme Grant and Institute Career Path Fellowship funding from the Biotechnology and Biological Sciences Research Council (BBSRC; www.bbsrc.ac.uk). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. No additional external funding received for this study. Competing Interests: The authors have declared that no competing interests exist. * E-mail: vicky.macrae@roslin.ed.ac.uk
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