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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