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editor’s letter<br />

When my brother was small, he jumped off the<br />

back of our living room sofa, in some superhero-​<br />

inspired game, and fractured his leg. Broken bones<br />

are a right of passage for many kids, but he stands<br />

out in the history of our family—the only one of<br />

four siblings to ever wear a cast. His junior by three<br />

years, I was so impressed by the event that I have<br />

always steered clear of ski slopes. The thrill of<br />

shushing downhill never outweighed the prospect<br />

of hobbling on crutches.<br />

Most of the time, we take our bones for granted—<br />

until something goes wrong. Our cover story highlights<br />

the work of researchers trying to understand<br />

the mechanisms behind normal bone buildup and<br />

breakdown and what happens when that process<br />

goes awry. What they are learning about bone<br />

repair, genetic bone disease, and cancers of the<br />

bone tells us that the pathways involved are much<br />

more complicated than once thought.<br />

These days my family is keenly aware of the<br />

effects of aging on bones. My mother, now 89, was<br />

diagnosed with osteoporosis several years ago.<br />

Initial treatment with the drug Fosamax proved<br />

disappointing, due to side effects. After careful<br />

assessment of other available options by her doctor<br />

and my sister, a bone genetics researcher, my<br />

mother is now facing her second treatment with<br />

the once-a-year drug Reclast. Time—and her next<br />

bone density test—will tell if the drug is doing its<br />

intended job of slowing bone loss.<br />

My father is not exempt. At 92, he’s dealing with<br />

weakening and compression of his spinal vertebrae.<br />

Two of his sisters have experienced the same fates,<br />

both of them developing noticeable “dowager’s<br />

humps”—a forward curvature of the upper back<br />

due to osteoporosis—in their later years.<br />

Genetic odds say that I will face a similar destiny.<br />

My first bone density test, which I had last year,<br />

showed mild bone loss. Ever since, with almost<br />

religious zeal, I’ve taken a calcium plus vitamin D<br />

supplement at breakfast, chased by a bowl of<br />

yogurt. I’m hoping this daily routine will at least<br />

postpone further bone loss. Like missing out on<br />

the thrill of skiing, it’s a small concession I’m happy<br />

to make for the health of my bones.<br />

Meanwhile, I will count on researchers like my<br />

sister and the ones described in this issue to continue<br />

making headway in understanding bone<br />

biology, which will no doubt lead to better treatments<br />

for all types of skeletal flaws. I hope you<br />

find the work as fascinating as I do. And for those<br />

of you with iPads, be sure to download the free<br />

Bulletin app for a deeper dive into the topic as well<br />

as a fun twist on the story’s design.<br />

HHMI TRUSTEES<br />

James A. Baker, III, Esq.<br />

Senior Partner / Baker Botts LLP<br />

Ambassador Charlene Barshefsky<br />

Senior International Partner<br />

WilmerHale<br />

Joseph L. Goldstein, M.D.<br />

Regental Professor & Chairman, Department of Molecular Genetics<br />

University of Texas Southwestern <strong>Medical</strong> Center at Dallas<br />

Hanna H. Gray, Ph.D.<br />

President Emeritus & Harry Pratt Judson<br />

Distinguished Service Professor of History<br />

The University of Chicago<br />

Garnett L. Keith<br />

Chairman / SeaBridge Investment Advisors, LLC<br />

Former Vice Chairman & Chief Investment Officer<br />

The Prudential Insurance Company of America<br />

Fred R. Lummis<br />

Chairman & CEO<br />

Platform Partners LLC<br />

Paul Nurse, F.R.S.<br />

President / The Royal Society of London<br />

Dame Alison Richard<br />

Professor / The University of Cambridge<br />

Clayton S. Rose, Ph.D.<br />

Professor of Management Practice, Harvard University<br />

Former Head of Global Investment Banking, J.P. Morgan & Co.<br />

Kurt L. Schmoke, Esq., Chairman<br />

Dean / <strong>Howard</strong> University School of Law<br />

Anne M. Tatlock<br />

Director, Retired Chairman & CEO<br />

Fiduciary Trust Company International<br />

HHMI OFFICERS<br />

Robert Tjian, Ph.D. / President<br />

Craig A. Alexander / V.P. & General Counsel<br />

Sean B. Carroll, Ph.D. / V.P. for Science Education<br />

Jack E. Dixon, Ph.D. / V.P. & Chief Scientific Officer<br />

Mohamoud Jibrell / V.P. for Information Technology<br />

Nitin Kotak / V.P. for Finance & Chief Financial Officer<br />

Avice A. Meehan / V.P. for Communications & Public Affairs<br />

Cheryl A. Moore / Executive V.P. & Chief Operating Officer<br />

Gerald M. Rubin, Ph.D. / V.P. & Director, Janelia Farm Research Campus<br />

Landis Zimmerman / V.P. & Chief Investment Officer<br />

HHMI BULLETIN STAFF<br />

Mary Beth Gardiner / Editor<br />

Cori Vanchieri / Story Editor<br />

Jim Keeley / Science Editor<br />

Andrea Widener / Science Education Editor<br />

Sarah C.P. Williams / Assistant Editor<br />

Maya Pines / Contributing Editor<br />

Additional ContrIButors<br />

Cay Butler, Michelle Cissell,<br />

Nicole Kresge, Heather McDonald<br />

VSA Partners, NYC / Concept & Design<br />

Finlay Printing / Printing & Binding<br />

Telephone (301) 215.8855 • Fax (301) 215.8863 • www.hhmi.org<br />

©2011 <strong>Howard</strong> <strong>Hughes</strong> <strong>Medical</strong> <strong>Institute</strong><br />

The opinions, beliefs, and viewpoints expressed by authors in the HHMI Bulletin<br />

do not necessarily reflect the opinions, beliefs, viewpoints, or official policies of<br />

the <strong>Howard</strong> <strong>Hughes</strong> <strong>Medical</strong> <strong>Institute</strong>.<br />

Paul Fetters<br />

2 h h m i b u l l e t i n | May 2o11

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