ErmannoBonucci Biological Calcification Ermanno Bonucci Biological Calcification Normal and Pathological Processes in the Early Stages With48Figures 123 ProfessorDr.ErmannoBonucci DipartimentodiMedicinaSperimentaleePatologia UniversitàLaSapienza–PoliclinicoUmbertoI VialeReginaElena,324 00161Roma Italia e-mail:[email protected] LibraryofCongressControlNumber:2006928438 ISBN-103-540-36012-3Springer-VerlagBerlinHeidelbergNewYork ISBN-13978-3-540-36012-4Springer-VerlagBerlinHeidelbergNewYork Thisworkissubjecttocopyright.Allrightsarereserved,whetherthewholeorpartofthe materialisconcerned,specificallytherightsoftranslation,reprinting,reuseofillustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks.Duplicationofthispublicationorparts thereofispermitted onlyunderthe provisionsoftheGermanCopyrightLawofSeptember9,1965,initscurrentversion,and permissionsforusemustalwaysbeobtainedfromSpringer-Verlag.Violationsareliablefor prosecutionundertheGermanCopyrightLaw. SpringerisapartofSpringerScience+BusinessMedia springer.com ©Springer-VerlagBerlinHeidelberg2007 Theuseofgeneraldescriptivenames,registerednames,trademarks,etc.inthispublication doesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexempt fromtherelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Editor:Dr.SabineSchreck,Heidelberg,Germany DeskEditor:Dr.JuttaLindenborn,Heidelberg,Germany Coverdesign:WMXDesignGmhH,Heidelberg,Germany Typesettingandproduction:LE-TEXJelonek,Schmidt&VöcklerGbR,Leipzig,Germany 39/3100YL543210-Printedonacid-freepaper WennGottinseinerRechtenalleWahrheitundinseinerLinkendeneinzigen immerregenTriebnachWahrheit,obschonmitdemZusatze,michimmerund ewigzuirren,verschlossenhielteundsprächezumir:wähle!Ichfieleihmmit DemutinseineLinkeundsagte:Vatergib!DiereineWahrheitistjadochnur fürdichallein. (GottholdEphraimLessing,EineDuplik,VIII,26-27,1778) IfGodclaspedalltruthsinhisrighthand,andinhisleftheldonlytheever- livingquestfortruth–thoughIaddthatIwillalways,eternally,err–andif hesaidtome:“Chose”,thenIwouldhumblygrasphislefthandandanswer: “Father,givemethis!Thepuretruthisreservedforyoualone”. (translatedbyAnthonyJohnson, DepartmentofEnglishStudies,UniversityofPisa) Preface This book follows a precursor volume devoted to biological calcification, is- sued by the CRC Press, Boca Raton (Florida) in 1992. Several basic aspects of the calcification process were analyzed in it by outstanding authors who hadunquestionedcompetenceintheirrespectiveresearchareas.Itsmainaim was that of giving readers access to a series of papers which, even though they discussed divergent aspects of biological calcifications drawn from the study of systems as different as vertebrate skeletons and mollusks, in vitro cultures and unicellular organisms, ectopic calcification and urinary stones, provided elements permitting a coherent approach to a comprehensive view ofthecalcificationprocessinbiologicaltissues. Now, almost 15 years after the publication of that book, a great variety of new data from a wide spectrum of biological organisms and systems has enriched our knowledge of the normal and pathological mechanisms which canleadtocalcification.Evenso,thiswholeprocessisstillproblematic:thenew knowledge,conceptsandideashaveoftensuggestedthatadefinitivesolution was close at hand, but the local mechanism through which the inorganic substanceislaiddowninorganicmatricescontinuestobeanelusive,largely enigmatictopic. Thistantalizingsituationiscertainlygroundedintheintrinsicdifficulties of the problem, but persisting doubts appear to derive from at least two ex- trinsic issues: first, the topics falling under the general heading ‘Biological Calcifications’areexceedinglynumerousandvarious;second,theyareneces- sarilyfacedbyinvestigatorswhopossessdistinctkindsofspecializationand competence, and apply different, often highly sophisticatedmethodsto very dissimilarcalcifiedtissues.Thispotentiallyproductivesituationispartlyun- derminedbythefactthattheresultsproducedbysomanystudiesarescattered throughadauntingnumberofpublicationswhicharequiteoftenrepetitive,or expressconflictingstandpoints,mayonlybeavailabletoarestrictednumber of those who are interested, are often written in technical language that is extremelyspecialized,andlessthantransparenttoallreaders,andtendtoset uppalisadesroundspecificscientificdomains. Thisvolumeaimstoofferacriticalrevisionoftheoldandrecentliterature onthevariousaspectsofthecalcificationprocess,withspecialreferencetoits earliest phases as seen in different tissues and organisms. Its scope extends beyondanupdatingofpreviouslyavailabledata;itschaptershavetheoverall purpose of collectingresults from as many different sources as possible and VIII Preface attempting, on the basis of personal experience, to achieve integration in definitiveconclusionsthatinallcasesaimtomakethewholerangeofresults cohereintoacomprehensivetheoryofcalcificationmechanismsinbiological systems.Agreatdealofefforthasbeenputintothetaskofselecting–while avoiding arbitrary or subjective exclusions – the results that have withstood criticalattitudesandthetestofexperience,thatarecommontodifferenttissues and/or organisms, and/or that appear to be typical of one or many of them, andtoreportthemassimplyaspossiblesothattheybecomefullyintelligible toallreaders. Toensureaunifiedtreatmentofthevarioustopicsasfarasthisisattainable, Ihavechosentobetheonlyauthorofthebook,inspiteoftheriskofappearing presumptuousandthelikelihoodofincurringblameforinadvertentomissions andmistakes.Thatchoicehasthejustification,broughtbypersonaleditorial experience,thatanundulylargenumberofauthorswouldotherwisehavebeen needed to cover all the topics to be included, and that the final result would probablyhavebeenanoversizedvolume(ifnotseveralvolumes)comprising amultiplicityofcomplete,exhaustivechaptersbutinevitablylackingasingle focusorconclusion,whichare,conversely,theoverridingaimofthisbook. Asthiswriterhasbeeninvolvedforover40yearsinstudiesonthebiological calcificationprocess,mostlycarriedoutusingmorphologicalmethods,acer- tainprevalenceofmorphologicaldatacouldhavefounditswayintodiscussions on the various aspects of the problem. Moreover, such a long application to thesametopichasmeantthatsomeideashavealreadytakenshape,especially thoseaboutthenatureoftheearliestinorganicparticles,theorganic-inorganic relationshipsthatunderliecrystaldevelopment,andthepossibilitythatbiolog- icalcalcificationsoccurthroughthesamebasicmechanism(s)inallorganisms. Thesepersonalideashave,however,notbeenallowedundueprominence;the theories,proposals,opinions,suggestionsandconclusionscurrentlyavailable intheliteraturehavebeenviewedasimpersonallyaspossible.Forthisreason, alargenumberofreferencesappearattheendofeachchapter.Tosomeread- erstheymayappearredundant,buttheydoofferthoseinterested–especially younginvestigators–thechancetopersonallyverifythepointsmadeinthis bookandbuildupanindependentview.Inthiscontext,oldreferenceshavenot beenomitted.Besidestheirhistoricalvalue,theyallowthehard-wonprogress ofscientificknowledgetobesurveyed,andforestalltherisk–lessrare than isusuallythought–ofreplicatingresearchthathasalreadybeencarriedout. In line with these concepts, the concluding remarks at the end of chapters havethefunctionoffocusingthereader’sattentiononasetofmaintopicsand problems,notofadvancingpreconstitutedsolutionsorpersonalopinions. Inspiteofhiswishtobeinclusive,theauthoriswellawarethatomissions and mistakes are a constant hazard; in this sense, I apologize in advance. Thisbookhasbeenwrittenintheconvictionthatallresults–eventhosethat currentlyappeartobeobsolete,incongruousorinconsistent–mayplayapart inthesearchfortruth,providedtheyarerootedinseriousstudiesandopen Preface IX minds. Perfection is hard, if not impossible, to attain and – at least in the biologicalfield–whatappearstodaytobeanincontrovertibletruthmayturn outtomorrowtobeamistake.Readerswhosharethisconceptwillperhapsbe kindenoughtoallowforoccasionalimperfections. This book could not have been produced without the help of a number of people, too many to be listed one by one. Yet the author wishes to recall with gratitude the memory of Antonio Ascenzi and Vittorio Marinozzi, the two scientists who introduced him to the study of normal and pathological calcifiedtissues.Inaddition,heissoindebtedtohisdirectco-workersfortheir continuous scientific advice and support and for their technical assistance that he cannot avoid mentioning them and expressing his warmest thanks to Paola Ballanti, Silvia Berni, Carlo Della Rocca, Renato Di Grezia, Martina Leopizi,PatriziaMocetti,GiulianaSilvestriniandLucioVirgilii.Theinvaluable assistanceofAnthonyJohnson,DepartmentofEnglishStudies,Universityof Pisa,inimprovinglanguagestyleandcorrectinggrammarmistakes,andthe friendlysuggestionsofDrMarianninaFailla,aregratefullyacknowledged.The electronicfacilitiesofthelibraryofthe“LaSapienza”University,Rome,have greatly facilitated the writing of this book. The more personal studies have beensupportedbygrantsfromthe“LaSapienza”University,Rome,theItalian NationalResearchCouncilandtheItalianMinistryofEducation.Theconstant supportoftheauthor’swife,AnnadeMatteis,andtheencouragementofhis children Francesca and Alessandro, have been indispensable in overcoming severaldifficultmomentsalongtheroad. Rome,Spring2006 ErmannoBonucci Contents 1 Introduction 1 References.................................................................................. 2 2 HistoricalNotes 5 2.1 Introduction....................................................................... 5 2.2 Before1960........................................................................ 7 2.3 After1960.......................................................................... 11 2.4 CalcificationorMineralization?............................................. 13 References.................................................................................. 13 3 Methodology 23 3.1 Introduction....................................................................... 23 3.2 BiophysicalMethods............................................................ 23 3.2.1 X-rayDiffraction...................................................... 24 3.2.2 NeutronDiffraction.................................................. 27 3.2.3 Selected-areaElectronDiffraction(SAED)................... 27 3.2.4 EnergyDispersiveX-rayElementalAnalysis(EDX)....... 28 3.2.5 NuclearMagneticResonance(NMR)Spectroscopy....... 28 3.2.6 ProtonNuclearMagneticResonanceMicroscopy.......... 29 3.2.7 ElectronSpinResonance(ESR).................................. 30 3.2.8 EnergyFilteringElectronMicroscopy(EFEM).............. 30 3.2.9 InfraredSpectroscopy(IRS)....................................... 31 3.2.10 RamanMicrospectroscopy........................................ 31 3.2.11 AtomicForceMicroscopy(AFM)................................ 32 3.2.12 OtherBiophysicalTechniques.................................... 33 3.3 BiochemicalMethods .......................................................... 33 3.3.1 Electrophoresis........................................................ 33 3.3.2 Chromatography...................................................... 34 3.3.3 Enzyme-linkedAssay................................................ 36 3.3.4 DensityGradientFractionation.................................. 36 3.3.5 SequentialDissociativeExtraction.............................. 38 3.3.6 InVitroSystems....................................................... 38 3.4 MorphologicalMethods....................................................... 39 3.4.1 PreparativeProcedures............................................. 40 3.4.2 Fixation.................................................................. 40 XII Contents 3.4.3 Embedding ............................................................. 42 3.4.4 Decalcification......................................................... 43 3.4.5 HistochemistryandImmunohistochemistry................ 49 3.5 ConcludingRemarks........................................................... 50 References.................................................................................. 51 4 TheNatureandCompositionoftheInorganicPhase 67 4.1 Introduction....................................................................... 67 4.2 Vertebrates......................................................................... 68 4.2.1 Bone ...................................................................... 68 4.2.2 Cartilage,Dentin,Cementum,Tendon ........................ 73 4.2.3 Enamel................................................................... 74 4.3 LowerVertebrates ............................................................... 77 4.3.1 Enameloid .............................................................. 78 4.3.2 Isopedine................................................................ 79 4.4 Invertebrates...................................................................... 79 4.5 UnicellularOrganisms......................................................... 81 4.6 PathologicalCalcifications.................................................... 83 4.6.1 Mitochondria.......................................................... 84 4.6.2 VascularCalcification............................................... 85 4.7 CongenitalorAcquiredDiseases; GeneticallyEngineeredAnimals............................................ 86 4.8 ConcludingRemarks........................................................... 88 References.................................................................................. 89 5 TheShapeofInorganicParticles 105 5.1 Introduction.......................................................................105 5.2 Vertebrates.........................................................................105 5.2.1 Bone ......................................................................105 5.2.2 Tendons..................................................................116 5.2.3 Dentin....................................................................118 5.2.4 Cementum..............................................................118 5.2.5 Cartilage.................................................................119 5.2.6 Enamel...................................................................120 5.3 LowerVertebrates ...............................................................121 5.3.1 Enameloid ..............................................................121 5.3.2 Isopedine................................................................122 5.4 Invertebrates......................................................................122 5.5 UnicellularOrganisms.........................................................125 5.6 PathologicalCalcifications....................................................126 5.6.1 CalcifiedMitochondria.............................................127 5.6.2 VascularCalcification...............................................127 5.7 CongenitalorAcquiredDiseases; GeneticallyEngineeredAnimals............................................128 Contents XIII 5.8 ConcludingRemarks...........................................................129 References..................................................................................130 6 TheSizeofInorganicParticles 145 6.1 Introduction.......................................................................145 6.2 Vertebrates.........................................................................146 6.2.1 Bone ......................................................................146 6.2.2 Tendon...................................................................149 6.2.3 Dentin....................................................................150 6.2.4 Cementum..............................................................151 6.2.5 EpiphysealCartilage.................................................151 6.2.6 Enamel...................................................................152 6.3 LowerVertebrates ...............................................................155 6.4 Invertebrates......................................................................155 6.5 UnicellularOrganisms.........................................................157 6.6 PathologicalCalcification.....................................................157 6.7 CongenitalorAcquiredDiseases;GeneticallyModifiedAnimals 158 6.8 ConcludingRemarks...........................................................159 References..................................................................................160 7 CalcifyingMatrices:BoneandTendons 167 7.1 Introduction.......................................................................167 7.2 TheOrganicMatrixofBone:Collagen....................................168 7.3 TheOrganicMatrixofBone:Non-collagenousComponents......175 7.3.1 Proteoglycans..........................................................176 7.3.2 Gla-proteins............................................................180 7.3.3 Glycoproteins(Phosphoproteins)...............................184 7.3.4 Lipids.....................................................................197 7.3.5 MatrixVesicles ........................................................199 7.4 TheOrganicMatrixofTendons.............................................200 7.5 ConcludingRemarks...........................................................202 References..................................................................................204 8 CalcifyingMatrices:DentinandCementum 231 8.1 Introduction.......................................................................231 8.2 CollagenofDentin..............................................................231 8.3 DentinNon-collagenousProteins:Proteoglycans.....................233 8.4 DentinNon-collagenousProteins:Gla-proteins.......................236 8.4.1 Osteocalcin.............................................................236 8.4.2 DentinMatrixGla-protein.........................................237 8.5 DentinNon-collagenousProteins:Phosphoproteins.................237 8.5.1 Phosphophoryn.......................................................238 8.5.2 Osteonectin.............................................................240 8.5.3 Osteopontin............................................................240