Perrien DS, Akel NS, Dupont-Versteegden EE, Skinner RA, Siegel ER, Suva LJ, Gaddy D. Aging alters the skeletal response to disuse in the rat. Am J Physiol Regul Integr Comp Physiol 292: R988 -R996, 2007. First published October 26, 2006; doi:10.1152/ajpregu.00302.2006.-Disuse has been shown to cause a rapid and dramatic loss of skeletal mass and strength in the loadbearing bones of young and mature animals and humans. However, little is known about the skeletal effects of disuse in aged mammals. The present study was designed to determine whether the skeletal effects of disuse are maintained with extreme age. Fischer 344/Brown Norway male rats (6 and 32 mo old) were hindlimb suspended (HS) or housed individually for 2 wk. Trabecular volume and microarchitecture in the proximal tibia were significantly decreased by HS only in young rats. HS significantly reduced cortical bone mineral density and increased cortical porosity only in old rats by inducing new pore formation. Cortical pore diameter was also increased in old rats, regardless of loading condition. Ex vivo osteogenic and adipogenic cultures established from each group demonstrated that age and HS decreased osteoblastogenesis. Age, but not HS, decreased sensitivity to endogenous bone morphogenetic protein stimulation, as measured by treatment with exogenous Noggin. Adipocyte development increased with age, whereas HS suppressed sensitivity to peroxisome proliferator-activated receptor-␥-induced differentiation. Serum insulin-like growth factor I levels were reduced with HS in young rats and with age in control and HS rats. These results suggest that the site of bone loss due to disuse is altered with age and that the loss of osteogenic potential with disuse in the old rats may be due to the combined effects of decreased insulin-like growth factor I levels and sensitivity, as well as diminished bone morphogenetic protein production. hindlimb suspension; osteopenia; osteoblast; bone morphogenetic protein; insulin-like growth factor I AGING IS ASSOCIATED WITH FUNCTIONAL changes in many tissues, such as a decline in muscle mass and strength and reduced bone density (8,16,30,38,42,59). With aging, bone and muscle mass regress in a parallel fashion (51). The osteopenia has far-reaching consequences on the ability of the elderly to perform tasks of daily living and to be functionally independent. Indeed, one of the major concerns of aging is the loss of bone mass and strength, which is associated with an increased risk of fractures (1,9,18,51). Moreover, the elderly are often subjected to periods of inactivity, such as bed rest, due to diseases or surgeries. The association of inactivity with decreases in muscle mass and bone density in young people and animals is well documented, and the mechanisms responsible for these losses have been the subject of intense investigation (2,20,23,39,40,49,51).Recent evidence suggests that the increased bone fragility that occurs with aging is multifactorial: decreased bone mineral density (BMD), as well as changes in bone m...