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Ivo Kalajzic, MD, PhDProfessor, Department of Regenerative Medicine and Skeletal DevelopmentProfessor, Genetics and Genome Sciences
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| Degree | Institution | Major |
|---|---|---|
| MD | Zagreb University School of Medicine | Medicine |
| PhD | Split University School of Medicine | Basic Medical Sciences - Genetics |
Awards
| Name of Award/Honor | Awarding Organization |
|---|---|
| Outstanding research accomplishment award, team academia | Military Health Research Symposium (MHSRS) |
| Faculty mentoring Award | School of Dental Medicine, UConn Health. |
| Supplement to advance research (STAR award) NIAMS/NIH | ASBMR |
| Outstanding Researcher Award | School of Dental Medicine, UConn |
| Career Enhancement Award | American Society of Bone and Mineral Research |
| Harold Frost Young Investigator Award | American Society of Bone and Mineral Research |
| Young Investigator Award, Annual Meeting | American Society of Bone and Mineral Research |
| Fellowship Award | Children Brittle Bone Foundation |
| John Haddad Young Investigator Award | American Society of Bone and Mineral Research |
| Outstanding Presentation Award, Washington, DC | East Coast Connective Tissue Society Meeting |
| Michael Geisman Fellowship Award | Osteogenesis Imperfecta Foundation |
| Name & Description | Category | Role | Type | Scope | Start Year | End Year |
|---|---|---|---|---|---|---|
| Health Research Council of New Zealand | Professional/Scientific Organization | Reviewer | External | International | 2024 | 2024 |
| Veterans Health Administration RRDS | Professional/Scientific Organization | Reviewer | External | National | 2024 | 2024 |
| FASEB conference advisory committee | Advisory Committee | Reviewer | External | National | 2021 | 2024 |
| Research Excellence program | Research Committee | Reviewer | UConn-Storrs | State | 2021 | 2024 |
| Osteogenesis imperfecta foundation | Professional/Scientific Organization | Reviewer | External | National | 2020 | 2020 |
| SBSR-NIH study section | Professional/Scientific Organization | Reviewer | External | National | 2020 | 2025 |
| ASBMR STAR award grants | Professional/Scientific Organization | Reviewer | External | National | 2020 | 2020 |
| Mitacs accelerate proposal review | Professional/Scientific Organization | Reviewer | External | International | 2019 | 2019 |
| Telethon | Professional/Scientific Organization | Reviewer | External | International | 2019 | 2019 |
| Swiss National Science Foundation | Professional/Scientific Organization | Reviewer | External | International | 2019 | 2021 |
| Fonds National Suisse | Professional/Scientific Organization | Reviewer | External | International | 2019 | 2021 |
| Loan Repayment Pediatric study section | Professional/Scientific Organization | Reviewer | External | National | 2018 | 2018 |
| Czech Science Foundation | Professional/Scientific Organization | Reviewer | External | International | 2018 | 2018 |
| NIH BMBI study section | Professional/Scientific Organization | Reviewer | External | National | 2017 | 2017 |
| NIH Fellowship Review Meeting | Professional/Scientific Organization | Reviewer | External | National | 2013 | 2015 |
| Orthopedic Research Society | Professional/Scientific Organization | Member | External | National | 2012 | |
| Endocrinology-B ENDB, VA | Professional/Scientific Organization | Reviewer | External | National | 2012 | 2016 |
| Peer Review Medical Program | Research Committee | Reviewer | External | National | 2010 | 2010 |
| ZRG1 MOSS-C04 special emphasis panel, NIH | Professional/Scientific Organization | Reviewer | External | National | 2010 | 2010 |
| American Society of Bone and Mineral Research | Professional/Scientific Organization | Member | External | National | 2006 | |
| International Chinese Hard Tissue Society | Professional/Scientific Organization | Member | External | International | 2006 |
Isolation and characterization of different stages of cells within skeletal lineage.
My initial studies in the late 90’s have defined stages of osteoprogenitor differentiation into preosteoblast and osteoblast using visual marker- green fluorescent proteins. Based on this work we gained experience in using in vivo and in vitro animal models and various approaches including lineage tracing that will be important for the proposed studies.
Using alpha-smooth muscle actin (aSMA) GFP to identify mesenchymal progenitor cells (MPCs), and CreERT2/reporter system as an in vivo lineage tracing approach we defined MPCs in vivo as a perivascular population of cells within the bone marrow and fibroblastic MPC within periosteum. The main progress of this work was in defining population of mesenchymal stem/progenitor cells and characterizing gene expression of isolated cell populations.
1. Kalajzic I., Kalajzic Z, Kaliterna M, Gronowicz G, Clark SH, Lichtler AC and Rowe DW. Use of Col1a1GFP transgenes to identify subpopulations of cells at different stages of the osteoblast lineage. J Bone Miner Res. 2002,17:15-25.PMID: 11771662.
2.Matthews BG, Novak S, Sbrana FV, Funnell JL, Cao Y, Buckels EJ, Grcevic D, Kalajzic I. Heterogeneity of murine periosteum progenitors involved in fracture healing. Elife. 2021 Feb 9;10:e58534 PMID: 33560227.
3. Matic I, Matthews BG, Wang X, Dyment NA, Worthley DL, Rowe DW, Grcevic D, Kalajzic I. Quiescent Bone Lining Cells Are a Major Source of Osteoblasts During Adulthood. Stem Cells. 2016 Dec;34(12):2930-2942. PMID: 27507737
Mechanisms regulating commitment of mesenchymal progenitor cells (MPCs).
Using state of the art techniques of bulk seq, singe cell RNA sequencing position us to be successful in completing proposed studies. We extended cell lineage tracing work to understanding the mechanisms that regulate commitment and osteogenic differentiation of these cells using models of bone repair. We have identified changes in Notch signaling as a critical regulator of the commitment of MPCs towards chondrogenic and osteogenic lineages.
4.Novak S, Tanigawa H, Singh V, Root SH, Schmidt TA, Hankenson KD, Kalajzic I. Endothelial to mesenchymal Notch signaling regulates skeletal repair. JCI Insight. 2024 May 23;9(12):e181073. PMID: 38781018
5. Novak S, Madunic J, Shum L, Vucetic M, Wang X, Tanigawa H, Ghosh M, Sanjay A, Kalajzic I. PDGF inhibits BMP2-induced bone healing. NPJ Regen Med. 2023 Jan 11;8(1):3. PMID: 36631491
6. Matthews BG, Grcevic D, Wang L, Hagiwara Y, Roguljic H, Joshi P, Shin D-G, Adams DJ, and Kalajzic I. Analysis of αSMA-labeled progenitor cell commitment identifies Notch signaling as an important pathway in fracture healing. J Bone Miner Res. 2014;29(5):1283-944 PMID: 24190076.
Understanding pathophysiology of Osteogenesis imperfecta (OI).
Experience in bone biology and evaluating bone formation and resorption is important part of the proposed work. Additionally proposed translational approaches require knowledge on evaluation of bone physiology and pathophysiology. Evaluating treatment of OI using pharmacological compounds evaluation of success of cellular therapy will benefit our proposed work.
We have utilized the OI model (OIM) to study the pathophysiology of OI, defining a high turnover state and identifying potential mechanisms of this increase in bone remodeling. Based on our previous work indicating the importance of inflammatory cytokines in osteoclast induction in the OIM mice, we evaluated treatment of the OIM mice with anti-TNFa compound. In addition, we also, evaluated bone directed transplantation as to treat OI, that provides a novel translational approach.
7. Matthews BG, Roeder E, Wang X, Aguila HL, Lee SK, Grcevic D, Kalajzic I. Splenomegaly, myeloid lineage expansion and increased osteoclastogenesis in osteogenesis imperfecta murine. Bone. 2017 Oct;103:1-11. PMID: 28600151.
8. Sinder BP, Novak S, Wee NKY, Basile M, Maye P, Matthews BG, Kalajzic I. Engraftment of Skeletal Progenitor Cells by Bone Directed Transplantation Improves Osteogenesis Imperfecta Murine Bone Phenotype. Stem Cells. 2020 Apr;38(4):530-541. PMID: 31859429.
Defining “neuronal regulation” of bone formation.
Our current work is on understanding neuronal regulation of bone healing. We are currently funded to evaluate the role of CGRP-CLR on fracture as an effector of sensory signaling. We also, developed NPY overexpression mice and a conditional knockout mouse for Neuropeptide Y, a sympathetic signaling component. These models will serve as basis of the current proposal.
We developed studies into how osteocytes use neuronal-type molecules in regulation of bone formation. We have identified neuropeptide Y (NPY) as an osteocyte factor that can modulate osteogenic lineage activity. The proposed studies are focused of deciphering the role of NPY as a local (bone microenvironment) regulator of bone mass during normal bone homeostasis and fracture healing and evaluating theraputi9c approach using modulation of this signaling pathway.
9. Wee NKY, Sinder BP, Novak S, Wang X, Stoddard C, Matthews BG, Kalajzic I. Skeletal phenotype of the neuropeptide Y knockout mouse. Neuropeptides. Neuropeptides. 2019 Feb;73:78-88. PMID: 30522780.
10. Wee NKY, Vrhovac Madunic I, Ivanisevic T, Sinder PB, Kalajzic I. Divergent effects of peripheral and global neuropeptide Y deletion. J Musculoskelet Neuronal Interact. 2020 Dec 1;20(4):579-590. PMID: 33265087.
Accepting Lab Rotation Students: Spring 1 block 2026
Journal Articles
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Jagged ligand expression by alpha-SMA progenitors is required for normal fracture healing.
Bone 2026 Jul;208117877
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Effects of aging on the immune and periosteal response to fracture injury.
Bone 2025 Sep;198117524
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Alpha-smooth muscle actin-expressing dermal sheath cells are a major cellular contributor to heterotopic subcutaneous ossifications in a mouse model of Albright hereditary osteodystrophy.
JBMR plus 2025 May;9(5):ziaf038
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Notch signaling in osteoblast progenitor cells is required for BMP-induced bone formation.
Bone 2025 Feb;194117425
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Signaling pathways associated with Lgr6 to regulate osteogenesis.
Bone 2024 Oct;187117207
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Losartan alters osteoblast differentiation and increases bone mass through inhibition of TGFB signalling in vitro and in an OIM mouse model.
Bone reports 2024 Sep;22101795
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Endothelial to mesenchymal Notch signaling regulates skeletal repair.
JCI insight 2024 May;
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Hematopoietic and stromal DMP1-Cre labeled cells form a unique niche in the bone marrow.
Scientific reports 2023 Dec;13(1):22403
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Nanofiber matrix formulations for the delivery of Exendin-4 for tendon regeneration: In vitro and in vivo assessment.
Bioactive materials 2023 Jul;2542-60
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Lineage tracing of RGS5-CreER labeled cells in long bones during homeostasis and injury.
Stem cells (Dayton, Ohio) 2023 Mar;
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Wnt-associated adult stem cell marker Lgr6 is required for osteogenesis and fracture healing.
Bone 2023 Jan;169116681
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PDGF inhibits BMP2-induced bone healing.
NPJ Regenerative medicine 2023 Jan;8(1):3
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AcanCreER lacks specificity to chondrocytes and targets periosteal progenitors in the fractured callus.
Bone 2023 Jan;166116599
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CD51 labels periosteal injury-responsive osteoprogenitors.
Frontiers in physiology 2023 Jan;141231352
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Inhibition of CGRP signaling impairs fracture healing in mice.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society 2022 Oct;
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Vitamin C epigenetically controls osteogenesis and bone mineralization.
Nature communications 2022 Oct;13(1):5883
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Natural Polymer-Based Micronanostructured Scaffolds for Bone Tissue Engineering.
Methods in molecular biology (Clifton, N.J.) 2022 Jan;2394669-691
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CD13 is a critical regulator of cell-cell fusion in osteoclastogenesis.
Scientific reports 2021 May;11(1):10736
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Heterogeneity of murine periosteum progenitors involved in fracture healing.
eLife 2021 Feb;10
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Tmem100- and Acta2-Lineage Cells Contribute to Implant Osseointegration in a Mouse Model.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2021 Feb;
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Divergent effects of peripheral and global neuropeptide Y deletion.
Journal of musculoskeletal & neuronal interactions 2020 Dec;20(4):579-590
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Diabetes impairs periosteal progenitor regenerative potential.
Bone 2020 Nov;115764
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What do we know about bone morphogenetic proteins and osteochondroprogenitors in inflammatory conditions?
Bone 2020 Aug;137115403
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CD13 is a critical regulator of cell-cell fusion in osteoclastogenesis.
BioRxiv 2020 Jun;
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Origin and Lineage Plasticity of Endogenous Lacrimal Gland Epithelial Stem/Progenitor Cells.
iScience 2020 Jun;23(6):101230
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Modulation of Notch1 signaling regulates bone fracture healing.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society 2020 Mar;
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Perivascular osteoprogenitors are associated with transcortical channels of long bones.
Stem cells (Dayton, Ohio) 2020 Feb;
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Osteoclasts Derive Predominantly from Bone Marrow-Resident CX3CR1+ Precursor Cells in Homeostasis, whereas Circulating CX3CR1+ Cells Contribute to Osteoclast Development during Fracture Repair.
Journal of immunology (Baltimore, Md. : 1950) 2020 Jan;
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Engraftment of skeletal progenitor cells by bone directed transplantation improves osteogenesis imperfecta murine bone phenotype.
Stem cells (Dayton, Ohio) 2019 Dec;
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CTRP3 regulates endochondral ossification and bone remodeling during fracture healing
Journal of Orthopaedic Research 2019 Dec;
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αSMA Osteoprogenitor Cells Contribute to the Increase in Osteoblast Numbers in Response to Mechanical Loading.
Calcified tissue international 2019 Oct;
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Human amniotic fluid stem cells attract osteoprogenitor cells in bone healing.
Journal of cellular physiology 2019 Oct;
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A New Osteocytic Cell Line, Raising New Questions and Opportunities.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2019 Jun;
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PDGF Modulates BMP2-Induced Osteogenesis in Periosteal Progenitor Cells.
JBMR plus 2019 May;3(5):e10127
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Aligned microchannel polymer-nanotube composites for peripheral nerve regeneration: Small molecule drug delivery.
Journal of controlled release : official journal of the Controlled Release Society 2019 Jan;29654-67
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A PDGFRβ-PI3K signaling axis mediates periosteal cell activation during fracture healing.
PloS one 2019 Jan;14(10):e0223846
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Skeletal phenotype of the neuropeptide Y knockout mouse.
Neuropeptides 2018 Nov;7378-88
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Responses to spaceflight of mouse mandibular bone and teeth.
Archives of oral biology 2018 Jun;93163-176
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FGF2 Enhances Odontoblast Differentiation by αSMA+ Progenitors In Vivo.
Journal of dental research 2018 Apr;971170-1177
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The Long Pentraxin 3 Plays a Role in Bone Turnover and Repair.
Frontiers in immunology 2018 Jan;9417
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Micro-Nanostructures of Cellulose-Collagen for Critical Sized Bone Defect Healing.
Macromolecular bioscience 2017 Nov;18
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Mineral trioxide aggregate improves healing response of periodontal tissue to injury in mice.
Journal of periodontal research 2017 Jul;521058-1067
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Splenomegaly, myeloid lineage expansion and increased osteoclastogenesis in osteogenesis imperfecta murine.
Bone 2017 Jun;1031-11
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FGF Signaling Prevents the Terminal Differentiation of Odontoblasts.
Journal of dental research 2017 Feb;96663-670
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αSMA-Expressing Perivascular Cells Represent Dental Pulp Progenitors In Vivo.
Journal of dental research 2016 Nov;96323-330
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Exploiting endogenous fibrocartilage stem cells to regenerate cartilage and repair joint injury.
Nature communications 2016 Oct;713073
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Instructive Role of the Microenvironment in Preventing Renal Fibrosis.
Stem cells translational medicine 2016 Oct;
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Quiescent Bone Lining Cells Are a Major Source of Osteoblasts During Adulthood.
Stem cells (Dayton, Ohio) 2016 Aug;342930-2942
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Murine supraspinatus tendon injury model to identify the cellular origins of rotator cuff healing.
Connective tissue research 2016 May;57507-515
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Osteogenic potential of alpha smooth muscle actin expressing muscle resident progenitor cells.
Bone 2015 Dec;8469-77
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Enhanced Dentinogenesis of Pulp Progenitors by Early Exposure to FGF2.
Journal of dental research 2015 Aug;94(11):1582-90
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Gene-expression analysis of cementoblasts and osteoblasts.
Journal of periodontal research 2015 Jul;51304-12
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Lineage tracking of mesenchymal and endothelial progenitors in BMP-induced bone formation.
Bone 2015 Jul;8153-9
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Mammary stem cells have myoepithelial cell properties.
Nature cell biology 2014 Aug;16(10):942-50, 1-7
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Inhibition of leukemia cell engraftment and disease progression in mice by osteoblasts.
Blood 2014 Aug;124(18):2834-46
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Sex and genetic factors determine osteoblastic differentiation potential of murine bone marrow stromal cells.
PloS one 2014 Jan;9(1):e86757
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Local transplantation is an effective method for cell delivery in the osteogenesis imperfecta murine model.
International orthopaedics 2014 Jan;38(9):1955-62
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Analysis of αSMA-labeled progenitor cell commitment identifies notch signaling as an important pathway in fracture healing.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2013 Nov;29(5):1283-94
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Utilization of transgenic models in the evaluation of osteogenic differentiation of embryonic stem cells.
Connective tissue research 2013 Aug;54(4-5):296-304
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In vivo identification of periodontal progenitor cells.
Journal of dental research 2013 Aug;92(8):709-15
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In vitro and in vivo approaches to study osteocyte biology.
Bone 2013 Jun;54(2):296-306
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Changes in bone sclerostin levels in mice after ovariectomy vary independently of changes in serum sclerostin levels.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2013 Mar;28(3):618-26
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Preosteocytes/osteocytes have the potential to dedifferentiate becoming a source of osteoblasts.
PloS one 2013 Jan;8(9):e75204
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Bone-specific overexpression of NPY modulates osteogenesis.
Journal of musculoskeletal & neuronal interactions 2012 Dec;12(4):209-18
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In vivo fate mapping identifies mesenchymal progenitor cells.
Stem cells (Dayton, Ohio) 2012 Feb;30(2):187-96
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Cell line IDG-SW3 replicates osteoblast-to-late-osteocyte differentiation in vitro and accelerates bone formation in vivo.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2011 Nov;26(11):2634-46
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Keratocan is expressed by osteoblasts and can modulate osteogenic differentiation.
Connective tissue research 2011 Oct;52(5):401-7
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Isolation of murine bone marrow derived mesenchymal stem cells using Twist2 Cre transgenic mice.
Bone 2010 Nov;47(5):916-25
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Calcitonin impairs the anabolic effect of PTH in young rats and stimulates expression of sclerostin by osteocytes.
Bone 2010 Jun;46(6):1486-97
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Immature osteoblast lineage cells increase osteoclastogenesis in osteogenesis imperfecta murine.
The American journal of pathology 2010 May;176(5):2405-13
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Defining a visual marker of osteoprogenitor cells within the periodontium.
Journal of periodontal research 2010 Feb;45(1):60-70
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Neuropeptide Y is expressed by osteocytes and can inhibit osteoblastic activity.
Journal of cellular biochemistry 2009 Oct;108(3):621-30
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Identification of differentially expressed genes between osteoblasts and osteocytes.
Bone 2009 Oct;45(4):682-92
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A rapid, nonradioactive in situ hybridization technique for use on cryosectioned adult mouse bone.
Calcified tissue international 2008 Sep;83(3):212-21
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Use of an alpha-smooth muscle actin GFP reporter to identify an osteoprogenitor population.
Bone 2008 Sep;43(3):501-10
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Expression and function of Dlx genes in the osteoblast lineage.
Developmental biology 2008 Apr;316(2):458-70
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Pericyte/myofibroblast phenotype of osteoprogenitor cell.
Journal of musculoskeletal & neuronal interactions 2007 Jan;7(4):320-2
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Second harmonic generation imaging microscopy studies of osteogenesis imperfecta.
Journal of biomedical optics 2007 Jan;12(5):051805
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In vivo and in vitro comparison of the effects of FGF-2 null and haplo-insufficiency on bone formation in mice.
Biochemical and biophysical research communications 2006 Jan;339(2):490-8
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Expression profile of osteoblast lineage at defined stages of differentiation.
The Journal of biological chemistry 2005 Jul;280(26):24618-26
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Dentin matrix protein 1 gene cis-regulation: use in osteocytes to characterize local responses to mechanical loading in vitro and in vivo.
The Journal of biological chemistry 2005 May;280(21):20680-90
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Alteration of newly induced endochondral bone formation in adult mice without tumour necrosis factor receptor 1.
Clinical and experimental immunology 2005 Feb;139(2):236-44
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In vitro and in vivo study on osteocyte-specific mechanical signaling pathways.
Journal of musculoskeletal & neuronal interactions 2004 Dec;4(4):386-7
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Dentin matrix protein 1 expression during osteoblastic differentiation, generation of an osteocyte GFP-transgene.
Bone 2004 Jul;35(1):74-82
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Non-functional Fas ligand increases the formation of cartilage early in the endochondral bone induction by rhBMP-2.
Life sciences 2003 Nov;74(1):13-28
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Ascorbic acid is a requirement for the morphogenesis of the human filarial parasite Brugia malayi.
The Journal of parasitology 2003 Aug;89(4):868-70
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Stage specific inhibition of osteoblast lineage differentiation by FGF2 and noggin.
Journal of cellular biochemistry 2003 Apr;88(6):1168-76
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Osteoblastic response to the defective matrix in the osteogenesis imperfecta murine (oim) mouse.
Endocrinology 2002 May;143(5):1594-601
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Col1a1-GFP transgene expression in developing incisors.
Connective tissue research 2002 Jan;43(2-3):216-9
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Use of type I collagen green fluorescent protein transgenes to identify subpopulations of cells at different stages of the osteoblast lineage.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2002 Jan;17(1):15-25
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Conditional ablation of the osteoblast lineage in Col2.3deltatk transgenic mice.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2001 Dec;16(12):2222-31
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Human bone marrow stromal cells are efficiently transduced by vesicular stomatitis virus-pseudotyped retrovectors without affecting subsequent osteoblastic differentiation.
Bone 2001 Oct;29(4):331-5
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Osteogenesis imperfecta at the beginning of bone and joint decade.
Croatian medical journal 2001 Aug;42(4):393-415
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Col1a1-driven transgenic markers of osteoblast lineage progression.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research 2001 Jul;16(7):1228-36
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Use of VSV-G pseudotyped retroviral vectors to target murine osteoprogenitor cells.
Virology 2001 May;284(1):37-45
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Bone-directed expression of Col1a1 promoter-driven self-inactivating retroviral vector in bone marrow cells and transgenic mice.
Molecular therapy : the journal of the American Society of Gene Therapy 2001 Apr;3(4):543-50
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Role of B lymphocytes in new bone formation.
Laboratory investigation; a journal of technical methods and pathology 2000 Nov;80(11):1761-74
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[Dynamic aggregation of thrombocytes in acute myocardial infarct].
Lijec?nic?ki vjesnik 1996 Sep;118(9):198-201
Conference Papers
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A systems biology approach to the identification and analysis of transcriptional regulatory networks in osteocytes.
BMC bioinformatics 2009 Jan;10 Suppl 9(SUPPL. 9):S5
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PBC: A software framework facilitating pattern-based clustering for microarray data analysis
Proceedings - 2009 International Joint Conference on Bioinformatics, Systems Biology and Intelligent Computing, IJCBS 2009 2009 Jan;30-36
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Time lapse imaging techniques for comparison of mineralization dynamics in primary murine osteoblasts and the late osteoblast/early osteocyte-like cell line MLO-A5.
Cells, tissues, organs 2009 Jan;189(1-4):6-11
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Osteonectin-null mutation compromises osteoblast formation, maturation, and survival.
Endocrinology 2003 Jun;144(6):2588-96
Editorials
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Animal models for musculoskeletal research.
Bone 2023 Aug;173116813
Reviews
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Increased chemotaxis and activity of circulatory myeloid progenitor cells may contribute to enhanced osteoclastogenesis and bone loss in C57BL/6 mouse model of collagen-induced arthritis.
Clinical and experimental immunology 2016 Sep;186321-335
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Visual reporters for study of the osteoblast lineage.
Bone 2016 Sep;92189-195