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At least 73 records · Page 4
All sourcesNASA NTRSDOE OSTI
DOE OSTI2018

Ambient monitoring to inform the protection of beneficial uses and achieve water quality goals in Sinclair and Dyes Inlets, Puget Sound, WA

Currently discharge limits enforced under the Clean Water Act are focused on meeting water quality standards at the end of the pipe and environmental performance is measured based on meeting the discharge limits; but meeting discharge limits has very little to do with achieving water quality goals for coastal and estuarine ecosystems. Therefore, an effective monitoring and assessment program is needed to assess continuous process improvement, evaluate the ecological conditions, and provide metrics that can inform effective management of coastal and estuarine water quality. As part of an integrated Environmental Investment (ENVVEST) project for Sinclair and Dyes Inlets (ENVVEST 2006; Johnston et al. 2009) a network of monitoring stations was established to characterize environmental conditions, assess potential impacts, and establish environmental quality trends within the Inlets. Water, sediment, and biota monitoring locations were selected that were co-located near suspected sources (industrial, waste water, and stormwater outfalls; marinas, stream mouths, and other sources) or were representative of ambient marine and nearshore conditions. Water column stations and effluents from industrial outfalls were sampled seasonally for trace metals (Cd, Cr, Cu, Hg, Pb, and Zn) using analytical procedures appropriate for seawater (Strivens, Brandenberger and Johnston, 2018), conventional parameters (salinity, dissolved and total organic carbon, total and suspended solids, dissolved O2, pH, turbidity, NO2+NO3, NH4, N, and P), and toxicity. Effluent and water column toxicity tests included mysid shrimp (Americamysis bahia) 96 hr survival, sand dollar (Dendraster excentricus) or purple sea urchin (Strongylocentrotus purpuratus) 96 hr embryo development, QwikLite – dinoflagellate (Pyrocystis lunula) 24 hr bioluminescence response, mussel larvae (Mytilus sp.) 48 hr larvae survival and development, and kelp (Macrocystis pyrifera) 48 hr growth and germination. Additionally, indigenous mussels (Mytilis spp.) were sampled biennially for contaminant residues of metals, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), lipid content, and stable isotopes of C and N. The mussel data were compared to benchmarks of ecological effects (Johnston et al. 2007, Applied Biomonitoring 2009), samples obtained from a local seafood market harvested from Penn Cove on Whidbey Island (PKPLPC), and data from the national mussel watch status and trends monitoring program (Kimbrough et al. 2008). Results from 2009-2016 showed that dissolved metals nearly always met water quality standards and that water quality in Navy nearshore areas appeared to improve after best management practices (BMPs) for industrial process improvements (US Navy 2012) were completed in Sept. 2013 (Figure 1). In general, toxicity from exposure to whole effluent samples was not observed and ambient water samples were not toxic to test organisms, except that ambient toxicity was only observed during the presence of algal blooms which showed that toxicity was highly correlated with the abundance of the toxic algae Gymnodinium splendens (Rosen et al. 2009). Overall, mussel tissue residues were below benchmarks at most locations (Figure 2), however there were locations that had elevated levels of PAHs, PCBs, Hg, and Cu. Results from the monitoring provide metrics that are being used to assess progress toward meeting environmental quality goals for the watershed.

ENVVEST, PSEMP↗
DOE OSTI2020

DOE Zero Energy Ready Home Case Study HIA 2020: TC Legend Homes, Everson Net Positive, Everson, WA

Case study of a DOE 2020 Housing Innovation Award winning custom home in a cold climate that got a HERS -19 with PV, with 2,538 square feet and a large south-facing roof, which is designed to hold over 80 solar panels, and the large south-facing windows, bringing in sunlight to warm the concrete floors and provide passive solar heating.

Building America, residential construction, home b↗
DOE OSTI2021

DOE Zero Energy Ready Home Case Study HIA 2021: Martha Rose Construction, Abbot’s Alley Net Zero, Sedro Wooley, WA

Case study of a DOE 2021 Housing Innovation Award winning custom home in a marine climate that got a HERS -13 with PV, with 1,804 square feet, highly efficient construction; high-efficiency ductless minisplit heat pumps, appliances, and lighting; triple-pane windows; and 9.9 kW of solar panels on each of the monoplane roofs.

Building America, residential construction, home b↗
DOE OSTI2015

Thiol dependent NF-κB suppression and inhibition of T-cell mediated adaptive immune responses by a naturally occurring steroidal lactone Withaferin A

Withaferin A (WA), a steroidal lactone isolated from ayurvedic medicinal plant Withania somnifera, was shown to inhibit tumor growth by inducing oxidative stress and suppressing NF-κB pathway. However, its effect on T-cell mediated adaptive immune responses and the underlying mechanism has not been investigated. Since both T-cell responses and NF-κB pathway are known to be redox sensitive, the present study was undertaken to elucidate the effect of WA on adaptive immune responses in vitro and in vivo. WA inhibited mitogen induced T-cell and B-cell proliferation in vitro without inducing any cell death. It inhibited upregulation of T-cell (CD25, CD69, CD71 and CD54) and B-cell (CD80, CD86 and MHC-II) activation markers and secretion of Th1 and Th2 cytokines. WA induced oxidative stress by increasing the basal ROS levels and the immunosuppressive effects of WA were abrogated only by thiol anti-oxidants. The redox modulatory effects of WA in T-cells were attributed to its ability to directly interact with free thiols. WA inhibited NF-κB nuclear translocation in lymphocytes and prevented the direct binding of nuclear NF-κB to its consensus sequence. MALDI-TOF analysis using a synthetic NF-κB-p50 peptide containing Cys-62 residue suggested that WA can modify the cysteine residue of NF-κB. The pharmacokinetic studies for WA were also carried out and in vivo efficacy of WA was studied using mouse model of Graft-versus-host disease. In conclusion, WA is a potent inhibitor of T-cell responses and acts via a novel thiol dependent mechanism and inhibition of NF-κB pathway. - Highlights:: • Withaferin A (WA) inhibited T-cell and B-cell mediated immune responses. • WA increased basal ROS levels in lymphocytes. • WA directly interacted with GSH as studied using spectrophotometry and HPLC. • WA inhibited NF-κB nuclear translocation and binding of nuclear NF-κB to DNA. • WA inhibited induction of the graft-versus-host disease in mice.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2018

Withaferin A induces apoptosis by ROS-dependent mitochondrial dysfunction in human colorectal cancer cells

Withaferin A (WA) is an active steroidal lactone derived from the herbal plant Withania somnifera, which exhibits antitumor activity with reactive oxygen species (ROS) modulating in a variety of cancer models, such as breast cancer, lung cancer and pancreatic cancer. However, to the best of our knowledge, the direct effect and mechanism of WA on CRC cells has not been previously determined. The present study investigated the anti-tumor effects of WA on CRC cells in vitro, and explored the mechanisms of action. The flow cytometry was applied for detecting the accumulation of ROS with the treatment of withaferin A. We performed the flow cytometry and western blot to evaluate the withaferin A induced apoptosis and cell cycle arrest in human colon cancer cells. And to verify the ROS accumulation induced mitochondrial dysfunction after the treatment of withaferin A, fluorescence microscope and western blot were applied. WA exerted a dose-dependent cytotoxic effect on HCT-116 and RKO cells. The effect was associated with ROS-mediated cell cycle arrest and the expression of apoptotic proteins. In addition, WA promoted ROS production and decreased mitochondrial membrane potential accompanying with mitochondrial dysfunction. Taken together, these results strongly indicated that WA directly inhibits cell growth and induces apoptosis in CRC cells through ROS-mediated mitochondrial dysfunction and JNKs pathway, and WA may be a promising potential candidate for therapeutic application of CRC.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2019

Withaferin A Protects Against High-Fat Diet–Induced Obesity Via Attenuation of Oxidative Stress, Inflammation, and Insulin Resistance

Withaferin A (WA), a bioactive constituent derived from Withania somnifera plant, has been shown to exhibit many qualifying properties in attenuating several metabolic diseases. The current investigation sought to elucidate the protective mechanisms of WA (1.25 mg/kg/day) on pre-existing obese mice mediated by high-fat diet (HFD) for 12 weeks. Following dietary administration of WA, significant metabolic improvements in hepatic insulin sensitivity, adipocytokines with enhanced glucose tolerance were observed. The hepatic oxidative functions of obese mice treated with WA were improved via augmented antioxidant enzyme activities. The levels of serum pro-inflammatory cytokines and hepatic mRNA expressions of toll-like receptor (TLR4), nuclear factor κB (NF-κB), tumor necrosis factor-α (TNF-α), chemokine (C-C motif) ligand-receptor, and cyclooxygenase 2 (COX2) in HFD-induced obese mice were reduced. Mechanistically, WA increased hepatic mRNA expression of peroxisome proliferator-activated receptors (PPARs), cluster of differentiation 36 (CD36), fatty acid synthase (FAS), carnitine palmitoyltransferase 1 (CPT1), glucokinase (GCK), phosphofructokinase (PFK), and phosphoenolpyruvate carboxykinase (PCK1) that were associated with enhanced lipid and glucose metabolism. Taken together, these results indicate that WA exhibits protective effects against HFD-induced obesity through attenuation of hepatic inflammation, oxidative stress, and insulin resistance in mice.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2018

Withaferin A and sulforaphane regulate breast cancer cell cycle progression through epigenetic mechanisms

Highlights: • Tumor suppressor p21protein is reactivated via withaferin A (WA) and sulforaphane (SFN). • Combinatorial nutritive compounds have the ability to impede cell cycle progression. • Mutant p53 is down-regulated via the studied compounds where wild type p53 is not. • Epigenetic mechanisms are regulated by WA and SFN. • The H3K4Me3 marker is increased at the p21 promoter after WA and SFN treatment. Little is known about the effects of combinatorial dietary compounds on the regulation of epigenetic mechanisms involved in breast cancer prevention. The human diet consists of a multitude of components, and there is a need to elucidate how certain compounds interact in collaboration. Withaferin A (WA), found in the Indian winter cherry and documented as a DNA methyltransferase (DNMT) inhibitor, and sulforaphane (SFN), a well-known histone deacetylase (HDAC) inhibitor found in cruciferous vegetables, are two epigenetic modifying compounds that have only recently been studied in conjunction. The use of DNMT and HDAC inhibitors to reverse the malignant expression of certain genes in breast cancer has shown considerable promise. Previously, we found that SFN + WA synergistically promote breast cancer cell death. Herein, we determined that these compounds inhibit cell cycle progression from S to G2 phase in MDA-MB-231 and MCF-7 breast cancer. Furthermore, we demonstrate that this unique combination of epigenetic modifying compounds down-regulates the levels of Cyclin D1 and CDK4, and pRB; conversely, the levels of E2F mRNA and tumor suppressor p21 are increased independently of p53. We find these events coincide with an increase in unrestricted histone methylation. We propose SFN + WA-induced breast cancer cell death is attributed, in part, to epigenetic modifications that result in the modulated expression of key genes responsible for the regulation of cancer cell senescence.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2025

Near-term heatwave risk in HighResMIP models across different temperature zones of West Africa

This study projects near-future (2031–2050) changes in heatwave (HW) risk across West Africa (WA) using an ensemble of eight high-resolution global climate models from the High-Resolution Model Intercomparison Project under a high-emission scenario. Using K-means clustering, we divided WA into four unique temperature zones and examined projected changes in extreme temperatures, HW occurrence and magnitude. Our results indicate a statistically significant increase in future HW events across most parts of WA, although considerable spread exists over the region and among individual models. The most pronounced increases are evident in the Sahel/Sahara and the Guinea Highlands subregions, with an ensemble mean increase of ∼10 HW events per year. In contrast, the lowest increase in HW events is projected in central WA, with increases ranging between 1 and 5 events per year. Similarly, the magnitude of HW events is projected to increase in most models, with Sahel/Sahara exhibiting the largest increases. Additionally, projections suggest that the strongest HWs will become more frequent, particularly in northern and southwestern WA. These findings highlight significant spatial heterogeneity in future HW risk across WA, emphasizing the need for targeted adaptation strategies.

HighResMIP↗
DOE OSTI2023

Wettability Alteration with Weak Acid-Assisted Surfactant Flood

Oil-wetness and heterogeneity are two key reasons for low oil recovery by waterflooding in carbonate reservoirs. Surfactants have been effective in altering the oil-wet matrix to a more water-wet condition and initiating spontaneous imbibition. Because it takes time for the surfactant to alter wettability, oil recovery from the tight matrix is slow and sometimes not economically feasible. Acids have the potential of dissolving minerals, which may alter wettability. In this study, the enhanced oil recovery (EOR) performance of an acid-assisted surfactant solution, a novel technique, was evaluated for low-temperature applications. A set of acids and their acetates were tested. Bulk rock-acid reaction, wettability alteration (WA) tests, and spontaneous imbibition measurements were conducted at reservoir temperature (35°C) to identify effective candidates. Coreflood tests were then performed to evaluate the selected acid-surfactant formulations. Before and after a coreflood test, the core was scanned using micro-computed tomography (CT) to investigate pore structure alteration. Bulk reaction measurements showed that weak acids, especially acetic acid (AA), have the desired low reaction rates at 35°C. WA tests showed that AA can remove the crude oil off the rock surface and alter wettability through mineral dissolution. The surfactant can reduce contact angles from 160° to 58°; adding acid into the surfactant can further reduce it to 52°. Spontaneous imbibition experiments showed the synergy between the acid and the surfactant; the AA-surfactant solution had the highest oil recovery (62.6%) among acid-surfactant formulations. The acid improves the WA efficiency by the surfactant through surface mineral dissolution and lower ζ-potential. The imbibition transports the acid-surfactant solutions into the matrix, which minimizes face dissolution. Coreflood tests show that the AA-surfactant flood can increase the oil recovery rate and recover about 8% more oil compared to the surfactant flood. Micro-CT showed that a few mineral particles were transported along the core and partially plugged pore throats, which reduced permeability and diverted flow leading to improved oil recovery. Here, the transport of the acid in reservoirs and the potential plugging issues have to be carefully evaluated in future studies.

58 GEOSCIENCES↗
NASA NTRS2021

Mass Balance of the Antarctic Ice Sheet 1992–2016: Reconciling Results from GRACE Gravimetry With ICESat, ERS1/2 and Envisat Altimetry

GRACE and ICESat Antarctic mass-balance differences are resolved utilizing their dependencies on corrections for changes in mass and volume of the same underlying mantle material forced by ice-loading changes. Modeled gravimetry corrections are 5.22 times altimetry corrections over East Antarctica (EA) and 4.51 times over West Antarctica (WA), with inferred mantle densities 4.75 and 4.11 g/cu. cm. Derived sensitivities (Sg, Sa) to bedrock motion enable calculation of motion (δB0) needed to equalize GRACE and ICESat mass changes during 2003–08. For EA, δB0 is −2.2 mm/a subsidence with mass matching at 150 Gt/a, inland WA is −3.5 mm/a at 66 Gt/a, and coastal WA is only −0.35 mm/a at −95 Gt/a. WA subsidence is attributed to low mantle viscosity with faster responses to post-LGM deglaciation and to ice growth during Holocene grounding-line readvance. EA subsidence is attributed to Holocene dynamic thickening. With Antarctic Peninsula loss of −26 Gt/a, the Antarctic total gain is 95 ± 25 Gt/a during 2003–08, compared to 144 ± 61 Gt/a from ERS1/2 during 1992–2001. Beginning in 2009, large increases in coastal WA dynamic losses overcame long-term EA and inland WA gains bringing Antarctica close to balance at −12 ± 64 Gt/a by 2012–16.

Antarctic glaciology↗
DOE OSTI2024

Considering interplay between multiple physical phenomena to elucidate single crystal-like texture, phase transformations, and mechanical behavior of directed energy deposited SS316L

A widespread implementation of large scale additive manufacturing (AM) processes, such as wire arc-directed energy deposition (WA-DED) AM can transform the current manufacturing supply chain networks. Naturally, such implementation requires control of the microstructural attributes, such as texture and phase evolution in the processed alloys. Currently, the texture evolution in fusion-based AM (F-BAM) processes is majorly rationalized by the phenomena occurring only during solidification. However, such rationalization is insufficient for understanding the evolution of primary and secondary crystallographic orientations, and consequently, fails to offer a comprehensive understanding and control of overall texture in F-BAM processed alloys. To this end, we report a single crystal (SX)-like texture in WA-DED processed SS316L for the first time. Furthermore, we assess the physical phenomena that may lead to such unique microstructural evolution during WA-DED AM. Subsequently, using microstructural characterization spanning the build height and thermomechanical simulations we investigate the effect of competitive growth and epitaxial growth occurring during solidification and thermally induced plastic deformation occurring post solidification on the overall texture of WA-DED processed SS316L. A spatial variation in solidification pathway is also established and correlated with variation in undercoolings across the build. Tensile tests revealed a strong orientation dependence of deformation mechanisms with over 110% elongation to failure of specimens deformed along <011>. Such anisotropy is rationalized using Schmid's analysis of dislocation slip and deformation twinning. Importantly, overall, the mechanisms outlined in this work will facilitate an enhanced understanding and subsequent control of texture evolution, solidification behavior and mechanical behavior of WA-DED processed steels.

36 MATERIALS SCIENCE↗
DOE OSTI2022

Effectiveness of supervised exercise, home-based exercise, or walk advice strategies on walking performance and muscle endurance in patients with intermittent claudication (SUNFIT trial): a randomized clinical trial

Abstract Aims Supervised exercise is a guideline-recommended treatment in intermittent claudication (IC). Hospital-based supervised exercise programmes (SEPs) are underutilized, while home-based structured exercise programmes (HSEPs) have attracted interest. The results from HSEP in IC are inconsistent and may confer no benefit over walk advice (WA) and be less effective than SEP. The aim of the study was to compare the effectiveness of best medical treatment, including Nordic pole WA alone, or WA + SEP or WA + HSEP for patients with IC. Methods and results This three-armed, multicentre randomized clinical trial enrolled patients with IC; all patients received best medical treatment including walking poles and the advice of regular Nordic pole walking (WA). For HSEP and SEP, additional exercise programmes were provided. The primarily investigated hypothesis was a non-inferiority analysis of SEP vs. HSEP regarding the 6-min walk test (6MWT) maximum distance, with a pre-defined non-inferiority margin of 50 m. Supporting outcomes included muscle endurance tests and the walking impairment questionnaire. Outcomes were assessed at baseline, 3, 6, and 12 months by a blinded evaluator. Altogether 166 patients (mean age 72 years; 59% males) were randomized. In HSEP and SEP, 24 and 26% patients, respectively, were fully exercise adherent. All three groups improved pain-free walking distance over time, but there were no significant intergroup differences. The intergroup 6MWT difference between SEP and HSEP from 0 to 12 months was –11.6 m, 95% confidence interval: –36.4 to 13.0 m (i.e. within the pre-specified non-inferiority margin). Conclusion The HSEP was non-inferior to SEP in patients with IC. There were no significant differences observed between the three groups at 1 year. Registration ClinicialTrials.gov: NCT02341716.

Sandberg, Anna (ORCID:0000000258432784)↗
DOE OSTI2018

Crystal structure of WA352 provides insight into cytoplasmic male sterility in rice

Highlights: • Identification of a C-terminal structural and functional core domain of WA352. • The crystal structure of C-terminus of WA352 was determined at 1.3 Å resolution. • Molecular mechanism whereby WA352 perturbs COX11 function to cause CMS is proposed. Plant cytoplasmic male sterility (CMS) is an important phenomenon and is widely utilized in hybrid crop breeding. The Wild Abortive CMS (CMS-WA), a well-known CMS type, has been successfully applied in the commercial production of hybrid rice seeds for more than 40 years. The CMS-WA causal gene WA352 encodes a novel transmenbrane protein and the interacts with the mitochondrial copper chaperone COX11, triggering reactive oxygen species production and resulting in male sterility in CMS-WA lines. However, the structure of WA352 is currently unknown, and the structural mechanism whereby WA352 perturbs COX11 function to cause CMS remains largely unknown. Here, we report the crystal structure of the C-terminal functional domain of WA352 at 1.3 Å resolution. This functional domain, consisting of five α helices, is spindle-shaped with a length of 42 Å, and a diameter of 28 Å. Notably, the absence of any structural similarity to a known protein structure suggests that the WA352 functional domain is a novel fold. In addition, surface conservation analysis and structural modeling of the WA352-COX11 complex revealed details about the WA352-COX11 interaction. Further structural analysis suggested that the WA352-COX11 interaction blocks the copper ion transportation activity of COX11, which is essential for the assembly of cytochrome c oxidase, resulting in male sterility in CMS-WA lines. Our study paves the way toward structural determination of the WA352-COX11 complex and provides new insight into the mechanism of plant CMS.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2026

Process control-enabled mitigation of microstructural and plastic heterogeneities in additively manufactured Grade 91 steel

Synergizing wire arc-directed energy deposition (WA-DED) additive manufacturing (AM) with particle-strengthened creep strength-enhanced ferritic (CSEF) steels enables fabrication and repair of critical power-plant components. Investigations focused on fusion-welded particle-strengthened CSEF steels, such as Grade 91 steel, have linked microstructurally heterogeneous regions—forming due to heat affected zones (HAZ)—with premature failure during elevated temperature service. Fusion-based AM, including WA-DED, likewise generates microstructurally and plastically heterogeneous regions due to spatiotemporally varying thermokinetics during deposition. However, works investigating such microstructural heterogeneities, their implications for mechanical behavior, and strategies to mitigate their formation remain scarce. This work identifies microstructurally and plastically heterogeneous regions within the WA-DED-processed Grade 91 steel. Spatial microhardness variations in the as-fabricated specimen correlate with the variation in the attributes of grain, martensitic microstructure, and precipitates across the fusion zone and HAZ. Digital image correlation-enabled tensile tests performed at 500 °C revealed pronounced deformation localization and a wave-like strain distribution, with wavelength close to the melt pool depth, indicating susceptibility of the as-fabricated components to premature creep failure. Such heterogeneity in microstructural and mechanical behavior was attributed to recurring solid-state phase transformations. Subsequently, an interlayer temperature control strategy was implemented, wherein maintaining interlayer temperature above the martensitic start temperature mitigated the heterogeneous microstructural and plastic response in the as-fabricated condition. Findings open pathways to achieving deformation-localization- and creep-resistant microstructures in WA-DED fabricated particle-strengthened CSEF steel components, reducing reliance on post-welding heat treatments—conventionally required to enhance creep resistance—and enabling on-demand, short lead-time fabrication of next-generation power-plant components.

Heat affected zones↗
DOE OSTI2021

DNA Viral Diversity, Abundance, and Functional Potential Vary across Grassland Soils with a Range of Historical Moisture Regimes

Soil viruses are abundant, but the influence of the environment and climate on soil viruses remains poorly understood. Here, we addressed this gap by comparing the diversity, abundance, lifestyle, and metabolic potential of DNA viruses in three grassland soils with historical differences in average annual precipitation, low in eastern Washington (WA), high in Iowa (IA), and intermediate in Kansas (KS). Bioinformatics analyses were applied to identify a total of 2,631 viral contigs, including 14 complete viral genomes from three deep metagenomes (1 terabase [Tb] each) that were sequenced from bulk soil DNA. An additional three replicate metagenomes (~0.5 Tb each) were obtained from each location for statistical comparisons. Identified viruses were primarily bacteriophages targeting dominant bacterial taxa. Both viral and host diversity were higher in soil with lower precipitation. Viral abundance was also significantly higher in the arid WA location than in IA and KS. More lysogenic markers and fewer clustered regularly interspaced short palindromic repeats (CRISPR) spacer hits were found in WA, reflecting more lysogeny in historically drier soil. More putative auxiliary metabolic genes (AMGs) were also detected in WA than in the historically wetter locations. The AMGs occurring in 18 pathways could potentially contribute to carbon metabolism and energy acquisition in their hosts. Structural equation modeling (SEM) suggested that historical precipitation influenced viral life cycle and selection of AMGs. The observed and predicted relationships between soil viruses and various biotic and abiotic variables have value for predicting viral responses to environmental change.

59 BASIC BIOLOGICAL SCIENCES↗
NASA NTRS1995

Estimates of volumetric bone density from projectional measurements improve the discriminatory capability of dual X-ray absorptiometry

To determine whether estimates of volumetric bone density from projectional scans of the lumbar spine have weaker associations with height and weight and stronger associations with prevalent vertebral fractures than standard projectional bone mineral density (BMD) and bone mineral content (BMC), we obtained posteroanterior (PA) dual X-ray absorptiometry (DXA), lateral supine DXA (Hologic QDR 2000), and quantitative computed tomography (QCT, GE 9800 scanner) in 260 postmenopausal women enrolled in two trials of treatment for osteoporosis. In 223 women, all vertebral levels, i.e., L2-L4 in the DXA scan and L1-L3 in the QCT scan, could be evaluated. Fifty-five women were diagnosed as having at least one mild fracture (age 67.9 +/- 6.5 years) and 168 women did not have any fractures (age 62.3 +/- 6.9 years). We derived three estimates of "volumetric bone density" from PA DXA (BMAD, BMAD*, and BMD*) and three from paired PA and lateral DXA (WA BMD, WA BMDHol, and eVBMD). While PA BMC and PA BMD were significantly correlated with height (r = 0.49 and r = 0.28) or weight (r = 0.38 and r = 0.37), QCT and the volumetric bone density estimates from paired PA and lateral scans were not (r = -0.083 to r = 0.050). BMAD, BMAD*, and BMD* correlated with weight but not height. The associations with vertebral fracture were stronger for QCT (odds ratio [QR] = 3.17; 95% confidence interval [CI] = 1.90-5.27), eVBMD (OR = 2.87; CI 1.80-4.57), WA BMDHol (OR = 2.86; CI 1.80-4.55) and WA-BMD (OR = 2.77; CI 1.75-4.39) than for BMAD*/BMD* (OR = 2.03; CI 1.32-3.12), BMAD (OR = 1.68; CI 1.14-2.48), lateral BMD (OR = 1.88; CI 1.28-2.77), standard PA BMD (OR = 1.47; CI 1.02-2.13) or PA BMC (OR = 1.22; CI 0.86-1.74). The areas under the receiver operating characteristic (ROC) curves for QCT and all estimates of volumetric BMD were significantly higher compared with standard PA BMD and PA BMC. We conclude that, like QCT, estimates of volumetric bone density from paired PA and lateral scans are unaffected by height and weight and are more strongly associated with vertebral fracture than standard PA BMD or BMC, or estimates of volumetric density that are solely based on PA DXA scans.

Non-NASA Center↗