Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States; Department of Biomedical Engineering, Washington University, Saint Louis, United States
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States
Kristann L Magee
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States
Madelyn R Lorenz
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States
Zhaohua Wang
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States; Department of Orthopaedic Surgery, Washington University, Saint Louis, United States
Charles A Harris
Division of Endocrinology, Metabolism & Lipid Research, Department of Medicine, Washington University, Saint Louis, United States
Clarissa S Craft
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States
Division of Bone and Mineral Diseases, Department of Medicine, Washington University, Saint Louis, United States; Department of Biomedical Engineering, Washington University, Saint Louis, United States
Bone marrow adipocytes accumulate with age and in diverse disease states. However, their origins and adaptations in these conditions remain unclear, impairing our understanding of their context-specific endocrine functions and relationship with surrounding tissues. In this study, by analyzing bone and adipose tissues in the lipodystrophic ‘fat-free’ mouse, we define a novel, secondary adipogenesis pathway that relies on the recruitment of adiponectin-negative stromal progenitors. This pathway is unique to the bone marrow and is activated with age and in states of metabolic stress in the fat-free mouse model, resulting in the expansion of bone marrow adipocytes specialized for lipid storage with compromised lipid mobilization and cytokine expression within regions traditionally devoted to hematopoiesis. This finding further distinguishes bone marrow from peripheral adipocytes and contributes to our understanding of bone marrow adipocyte origins, adaptations, and relationships with surrounding tissues with age and disease.