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High resolution 3D structures of mineralized tissues in health and disease

Abstract

A thorough knowledge of the structures of healthy mineralized tissues, such as bone or cartilage, is key to understanding the pathological changes occurring during disease. Such knowledge enables the underlying mechanisms that are responsible for pathology to be pinpointed. One high-resolution 3D method in particular — focused ion beam-scanning electron microscopy (FIB-SEM) — has fundamentally changed our understanding of healthy vertebrate mineralized tissues. FIB-SEM can be used to study demineralized matrix, the hydrated components of tissue (including cells) using cryo-fixation and even untreated mineralized tissue. The latter requires minimal sample preparation, making it possible to study enough samples to carry out studies capable of detecting statistically significant differences — a pre-requisite for the study of pathological tissues. Here, we present an imaging and characterization strategy for tissue structures at different length scales, describe new insights obtained on healthy mineralized tissues using FIB-SEM, and suggest future research directions for both healthy and diseased mineralized tissues.

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Fig. 1: 3D and 2D images of bone organs at different length scales.
Fig. 2: FIB-SEM as a tool to study bone material.
Fig. 3: FIB-SEM images of unprocessed mineralized osteonal cortical bone from a 7-month-old pig femur.
Fig. 4: Scheme showing the sequential steps for the proposed imaging and characterization strategy.
Fig. 5: FIB-SEM applied to a demineralized, fixed and stained sample of human lamellar bone.

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References

  1. Martin, R. B. & Burr, D. B. Structure, Function and Adaptation of Compact Bone (Raven, 1989).

  2. Georgiadis, M., Muller, R. & Schneider, P. Techniques to assess bone ultrastructure organization: orientation and arrangement of mineralized collagen fibrils. J. R. Soc. Interface 13, 20160088 (2017).

    Article  Google Scholar 

  3. Reznikov, N., Shahar, R. & Weiner, S. Bone hierarchical structure in three dimensions. Acta Biomater. 10, 3815–3826 (2014).

    Article  PubMed  Google Scholar 

  4. Seeman, E. & Delmas, P. D. Bone quality - the material and structural basis of bone strength and fragility. N. Engl. J. Med. 354, 2250–2261 (2006).

    Article  CAS  PubMed  Google Scholar 

  5. O’Sullivan, L. M., Allison, H., Parle, E. E., Schiavi, J. & McNamara, L. M. Secondary alterations in bone mineralisation and trabecular thickening occur after long-term estrogen deficiency in ovariectomised rat tibiae, which do not coincide with initial rapid bone loss. Osteoporos. Int. 31, 587–599 (2020).

    Article  PubMed  CAS  Google Scholar 

  6. Blouin, S. et al. Cortical bone properties in the Brtl/+ mouse model of osteogenesis imperfecta as evidenced by acoustic transmission microscopy. J. Mech. Behav. Biomed. Mat. 90, 125–132 (2019).

    Article  CAS  Google Scholar 

  7. Nijhuis, W. H. et al. Current concepts in osteogenesis imperfecta: bone structure, biomechanics and medical management. J. Child. Orthop. 13, 180190 (2019).

    Article  Google Scholar 

  8. Zimmermann, E. A. et al. Modifications to nano- and microstructural quality and the effects on mechanical integrity in Paget’s disease of bone. J. Bone Miner. Res. 30, 264–273 (2015).

    Article  CAS  PubMed  Google Scholar 

  9. Kirsch, T. Determinants of pathological mineralization. Rheumatology 18, 174–180 (2006).

    CAS  Google Scholar 

  10. Mebarek, S. et al. Ankylosing spondylitis, late osteoarthritis, vascular calcification, chondrocalcinosis and pseudo gout: toward a possible drug therapy. Curr. Med. Chem. 18, 2196–2203 (2011).

    Article  CAS  PubMed  Google Scholar 

  11. Taylor, J. C. et al. Factors influencing success of clinical genome sequencing across a broad spectrum of disorders. Nat. Genet. 47, 717–726 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Heaney, R. P. Is the paradigm shifting? Bone 33, 457–465 (2003).

    Article  PubMed  Google Scholar 

  13. Bousson, V. et al. Volumetric quantitative computed tomography of the proximal femur: relationships linking geometric and densitometric variables to bone strength. Role for compact bone. Osteoporos. Int. 17, 855–864 (2006).

    Article  CAS  PubMed  Google Scholar 

  14. Ascenzi, M.-G., Zonca, A. & Keyak, J. H. Effect of cortical bone micro-structure in fragility fracture patients on lamellar stress. J. Biomech. 100, 109596 (2020).

    Article  PubMed  Google Scholar 

  15. Lekkala, S., Taylor, E. A., Hunt, H. B. & Donnelly, E. Effects of diabetes on bone material properties. Curr. Osteoporos. Rep. 17, 455–464 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  16. Sharma, D. et al. The effects of estrogen deficiency on cortical bone microporosity and mineralization. Bone 110, 1–10 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Weiner, S. & Wagner, H. D. The material bone: structure- mechanical function relations. Ann. Rev. Mat. Sci. 28, 271–298 (1998).

    Article  CAS  Google Scholar 

  18. Hodge, A. J. & Petruska, J. A. in Aspects of Protein Structure (ed. Ramachandran, G. N.) 289–300 (Academic, 1963).

  19. Vidavsky, N. et al. Cryo-FIB-SEM serial milling and block face imaging: Large volume structural analysis of biological tissues preserved close to their native state. J. Struct. Biol. 184, 487–495 (2016).

    Article  CAS  Google Scholar 

  20. Schertel, A. et al. Cryo FIB-SEM: volume imaging of cellular ultrastructure in native frozen specimens. J. Struct. Biol. 184, 355–360 (2013).

    Article  CAS  PubMed  Google Scholar 

  21. Stokes, D., Morrissey, F. & Lich, B. A new approach to studying biological and soft materials using focused ion beam scanning electron microscopy (FIB SEM). J. Phys. Conf. Ser. 26, 50 (2006).

    Article  CAS  Google Scholar 

  22. Schneider, P., Meier, M., Wepf, R. & Müller, R. Towards quantitative 3D imaging of the osteocyte lacuno-canalicular network. Bone 47, 848–858 (2010).

    Article  PubMed  Google Scholar 

  23. Schneider, P., Meier, M., Wepf, R. & Müller, R. Serial FIB/SEM imaging for quantitative 3D assessment of the osteocyte lacuno-canalicular network. Bone 49, 304–311 (2011).

    Article  PubMed  Google Scholar 

  24. Reznikov, N., Almany-Magal, R., Shahar, R. & Weiner, S. Three-dimensional imaging of collagen fibril organization in rat circumferential lamellar bone using a dual beam electron microscope reveals ordered and disordered sub-lamellar structures. Bone 52, 676–683 (2013).

    Article  CAS  PubMed  Google Scholar 

  25. Kanazawa, T. et al. Histomorphometric and ultrastructural analysis of the tendon-bone interface after rotator cuff repair in a rat model. Sci. Rep. 6, 33800 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Hirashima, S. et al. Three-dimensional ultrastructural analysis of cells in the periodontal ligament using focused ion beam/scanning electron microscope tomography. Sci. Rep. 6, 39435 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Hashimoto, M. et al. Three-dimensional morphometry of collagen fibrils in membranous bone. Integr. Biol. 9, 868–875 (2017).

    Article  CAS  Google Scholar 

  28. Raguin, E., Rechav, K., Brumfeld, V., Shahar, R. & Weiner, S. Unique three-dimensional structure of a fish mandible bone subjected to unusually high mechanical loads. J. Struct. Biol. 211, 107530 (2020).

    Article  CAS  PubMed  Google Scholar 

  29. Zou, Z. et al. Three-dimensional structural interrelations between cells, extracellular matrix and mineral in vertebrate mineralization. Proc. Natl Acad. Sci. USA 117, 14102–14109 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Gebhardt, W. Ueber funktionell wichtige Anordnungsweisen der eineren und groberen Bauelemente des Wirbeltierknochens.II. Spezieller Teil Der Bau der Haversschen Lamellensysteme und seine funktionelle Bedeutung. Arch. Entwickl. Mech. Org. 20, 187–322 (1905).

    Article  Google Scholar 

  31. Giraud-Guille, M. M. Twisted plywood architecture of collagen fibrils in human compact bone osteons. Calcif. Tissue Int. 42, 167–180 (1988).

    Article  CAS  PubMed  Google Scholar 

  32. Weiner, S., Arad, T., Sabanay, I. & Traub, W. Rotated plywood structure of primary lamellar bone in the rat: orientations of the collagen fibril arrays. Bone 20, 271–298 (1997).

    Article  Google Scholar 

  33. Currey, J. D. Bones: Structure and Mechanics (Princeton Univ. press, 2002).

  34. Reznikov, N., Shahar, R. & Weiner, S. Three-dimensional structure of human lamellar bone: the presence of two different materials and new insights into the hierarchical organization. Bone 59, 93–104 (2014).

    Article  CAS  PubMed  Google Scholar 

  35. Faingold, A., Cohen, S. R., Reznikov, N. & Wagner, H. D. Osteonal lamellae elementary units: lamellar microstructure, curvature and mechanical properties. Acta Biomater. 9, 5956–5962 (2013).

    Article  CAS  PubMed  Google Scholar 

  36. Atkins, A. et al. The three-dimensional structure of anosteocytic lamellated bone of fish. Acta Biomater. 13, 311–323 (2015).

    Article  CAS  PubMed  Google Scholar 

  37. Silvent, J. et al. Zebrafish skeleton development: high resolution micro-CT imaging and FIB-SEM block surface serial imaging for phenotype identification. PLoS ONE 12, e0177731 (2017).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  38. Maria, R. et al. An unusual disordered alveolar bone material in the upper furcation region of minipig mandibles: a 3D hierarchical structural study. J. Struct. Biol. 206, 128–137 (2019).

    Article  PubMed  Google Scholar 

  39. Grubich, J. R. Disparity between feeding performance and predicted muscle strength in the pharyngeal musculature of black drum, Pogonias cromis (Sciaenidae). Environ. Biol. Fishes 74, 261–272 (2005).

    Article  Google Scholar 

  40. Shapiro, F. & Wu, J. Y. Woven bone overview: structural classification based on its integral role in developmental, repair and pathological bone formation throughout vertebrate groups. Eur. Cell Mater. 38, 137–167 (2019).

    Article  CAS  PubMed  Google Scholar 

  41. Su, X., Sun, K., Cui, F. Z. & Landis, W. J. Organization of apatite crystals in human woven bone. Bone 32, 150–162 (2003).

    Article  CAS  PubMed  Google Scholar 

  42. Benjamin, M. & Ralphs, J. R. Fibrocartilage in tendons and ligaments - an adaptation to compressive load. J. Anat. 193, 481–494 (1998).

    Article  PubMed  PubMed Central  Google Scholar 

  43. Jing, Y. et al. Chondrogenesis and osteogenesis are one continuous developmental and lineage defined biological process. Sci. Rep. 7, 10020 (2017).

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  44. Haimov, H. et al. Mineralization pathways in the active murine epiphyseal growth plate. Bone 130, 115086 (2020).

    Article  CAS  PubMed  Google Scholar 

  45. Lowenstam, H. A. & Weiner, S. On Biomineralization (Oxford Univ. Press, 1989).

  46. Hunziker, E. B. Mechanism of longitudinal bone growth and its regulation by growth plate chondrocytes. Microsc. Res. Tech. 28, 505–519 (1994).

    Article  CAS  PubMed  Google Scholar 

  47. Glenn, D. A. & Denburg, M. R. Bone health in glomerular kidney disease. Curr. Osteoporos. Rep. 17, 570–579 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  48. Starup-Linde, J., Hygum, K., Harsløf, T. & Langdahl, B. Type 1 diabetes and bone fragility: links and risks. Diabetes Metab. Syndr. Obes. 12, 2539–2547 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Farlay, D. et al. Bone remodeling and bone matrix quality before and after menopause in healthy women. Bone 128, 115030 (2019).

    Article  CAS  PubMed  Google Scholar 

  50. Xi, L. et al. Bone matrix development in steroid-induced osteoporosis is associated with a consistently reduced fibrillar stiffness linked to altered bone mineral quality. Acta Biomater. 76, 295–307 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Buss, D. J., Reznikov, N. & McKee, M. D. Crossfibrillar mineral tessellation in normal and Hyp mouse bone as revealed by 3D FIB-SEM microscopy. J. Struct. Biol. 212, 107603 (2020).

    Article  CAS  PubMed  Google Scholar 

  52. Kivirikko, K. I. Collagens and their abnormalities in a wide spectrum of diseases. Ann. Med. 25, 113–126 (1993).

    Article  CAS  PubMed  Google Scholar 

  53. Byers, P. H. & Steiner, R. D. Osteogenesis imperfecta. Annu. Rev. Med. 43, 269–282 (1992).

    Article  CAS  PubMed  Google Scholar 

  54. Prockop, D. J. Mutations that alter the primary structure of type I collagen. The perils of a system for generating large structures by the principle of nucleated growth. J. Biol. Chem. 265, 15349–15352 (1990).

    Article  CAS  PubMed  Google Scholar 

  55. Romagnani, P. et al. Chronic kidney disease. Nat. Rev. Dis. Primers 23, 17088 (2017).

    Article  Google Scholar 

  56. Evenepoel, P., Behets, G. J. S., Laurent, M. R. & D’Haese, P. C. Update on the role of bone biopsy in the management of patients with CKD–MBD. J. Nephrol. 30, 645–652 (2017).

    Article  CAS  PubMed  Google Scholar 

  57. Leonard, M. B. et al. A multi-imaging modality study of bone density, bone structure and the muscle - bone unit in end-stage renal disease. Bone 127, 271–279 (2019).

    Article  PubMed  Google Scholar 

  58. Choksi, P., Jepsen, K. J. & Clines, G. A. The challenges of diagnosing osteoporosis and the limitations of currently available tools. Clin. Diabetes Endocrinol 4, 12 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  59. Mussawy, H. et al. Changes in cortical microarchitecture are independent of areal bone mineral density in patients with fragility fractures. Injury 48, 12461–2465 (2017).

    Article  Google Scholar 

  60. Kim, G. J., Yoo, H. S., Lee, K. J., Choi, J. W. & Hee An, J. Image of the micro-computed tomography and atomic-force microscopy of bone in osteoporosis animal model. J. Nanosci. Nanotechnol. 18, 6726–6731 (2018).

    Article  CAS  PubMed  Google Scholar 

  61. Brasileiro, C. B. et al. Use of cone beam computed tomography in identifying postmenopausal women with osteoporosis. Arch. Osteoporos. 12, 26 (2017).

    Article  CAS  PubMed  Google Scholar 

  62. Anderson, P. A., Polly, D. W., Binkley, N. C. & Pickhardt, P. J. Clinical use of opportunistic computed tomography screening for osteoporosis. J. Bone Joint Surg. Am. 100, 2073–2081 (2018).

    Article  PubMed  Google Scholar 

  63. Palermo, A. et al. BMI and BMD: the potential interplay between obesity and bone fragility. Int. J. Environ. Res. Public Health 13, 544 (2016).

    Article  PubMed Central  CAS  Google Scholar 

  64. Azetsu, Y. et al. Treatment with synthetic glucocorticoid impairs bone metabolism, as revealed by in vivo imaging of osteoblasts and osteoclasts in medaka fish. Biomed. Pharmacother. 118, 109101 (2019).

    Article  CAS  PubMed  Google Scholar 

  65. Burke, M. et al. The impact of metastasis on the mineral phase of vertebral bone tissue. J. Mech. Behav. Biomed. Mat. 69, 75–84 (2017).

    Article  CAS  Google Scholar 

  66. Bailey, S., Hackney, D., Vashishth, D. & Alkalay, R. N. The effects of metastatic lesion on the structural determinants of bone: Current clinical and experimental approaches. Bone 138, 115159 (2020).

    Article  CAS  PubMed  Google Scholar 

  67. Shah, F. A., Thomsen, P. & Palmquist, A. Osseointegration and current interpretations of the bone-implant interface. Acta Biomater. 84, 1–15 (2019).

    Article  CAS  PubMed  Google Scholar 

  68. Reznikov, N., Buss, D. J., Provencher, B., McKee, M. & Piché, N. Deep learning and 3D imaging in structural biology. J. Struct. Biol. 212, 107598 (2020).

    Article  CAS  PubMed  Google Scholar 

  69. Bouxsein, M. L. et al. Guidelines for assessment of bone microstructure in rodents using micro-computed tomography. J. Bone Miner. Res. 25, 1468–1486 (2010).

    Article  PubMed  Google Scholar 

  70. Riggs, C. M., Vaughan, L. C., Evans, G. P., Lanyon, L. E. & Boyde, A. Mechanical inplications of collagen fibre orientation in cortical bone of the equine radius. Anat. Embryol. 187, 239–248 (1993).

    CAS  Google Scholar 

  71. Spehner, D. et al. Cryo-FIB-SEM as a promising tool for localizing proteins in 3D. J. Struct. Biol. 211, 107528 (2020).

    Article  CAS  PubMed  Google Scholar 

  72. Morris, M. D. & Mandair, G. S. Raman assessment of bone quality. Clin. Orthop. Relat. Res. 469, 2160–2169 (2011).

    Article  PubMed  Google Scholar 

  73. Akiva, A. et al. Intercellular pathways from the vasculature to the forming bone in the zebrafish larval caudal fin: possible role in bone formation. J. Struct. Biol. 206, 139–148 (2019).

    Article  CAS  PubMed  Google Scholar 

  74. Naveh, G., Brumfeld, V., Dean, M., Shahar, R. & Weiner, S. Direct MicroCT imaging of non-mineralized connective tissues at high resolution. Connect. Tissue Res. 55, 52–60 (2014).

    Article  PubMed  Google Scholar 

  75. Blouin, S. et al. Confocal laser scanning microscopy — a powerful tool in bone research. Wien. Med. Wochenschr. 168, 314–321 (2018).

    Article  PubMed  Google Scholar 

  76. Reid, S. A. & Boyde, A. Changes in the mineral density distribution in human bone with age: image analysis using backscattered electrons in the SEM. J. Bone Miner. Res. 2, 13–22 (1987).

    Article  CAS  PubMed  Google Scholar 

  77. Loveridge, N., Power, J., Reeve, J. & Boyde, A. Bone mineralization density and femoral neck fragility. Bone 35, 929–941 (2004).

    Article  PubMed  Google Scholar 

  78. Bennet, M. et al. Simultaneous Raman microspectroscopy and fluorescence imaging of bone mineralization in living zebrafish larvae. Biophys. J. 106, L17–L19 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  79. Nyman, J. S. et al. Measuring differences in compositional properties of bone tissue by confocal Raman spectroscopy. Calcif. Tissue Int. 89, 111–122 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. Kourkoumelis, N., Zhang, X., Lin, Z. & Wang, J. Fourier transform infrared spectroscopy of bone tissue: bone quality assessment in preclinical and clinical applications of osteoporosis and fragility fracture. Clin. Rev. Bone Miner. Metab. 17, 24–39 (2019).

    Article  CAS  Google Scholar 

  81. Wittig, N. K. et al. Bone biomineral properties vary across human osteonal bone. ACS Nano 13, 12949–12956 (2019).

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

S.W. acknowledges the support of the Israel Science Foundation (grant No. 875/15). R.S. acknowledges the support of the Israel Science Foundation (grant No. 700/16) and the support of the Deutsche Forschungsgemeinschaft (grant No. ZA 557/5-1). The Menarini Foundation (Fondazione Internazionale Menarini) supported the Symposium Biomineralization in Health and Disease in Florence, Italy, which served as impetus and inspiration for this article.

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Weiner, S., Raguin, E. & Shahar, R. High resolution 3D structures of mineralized tissues in health and disease. Nat Rev Endocrinol 17, 307–316 (2021). https://doi.org/10.1038/s41574-021-00479-0

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