Research Note Effect of daily lithium chloride administration on bone mass and strength in growing broiler chickens,1 B. M. Harvey,∗ 2 M. Eschbach,† E. A. Glynn,∗ S. Kotha,† 3 M. Darre,∗ D. J. Adams,§ R. Ramanathan,∗ 4 R. Mancini,∗ and K. E. Govoni∗ 5 ∗ Department of Animal Science, University of Connecticut, Storrs, CT; † Department of Mechanical Engineering, University of Connecticut, Storrs, CT; and § Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT ABSTRACT The objective was to determine the effects of oral lithium chloride supplementation on bone strength and mass in broiler chickens. Ninety-six broilers were assigned to 1 of 2 treatment groups (lithium chloride or control; n = 48/treatment). Beginning at 1 or 3 wk of age, chickens were administered lithium chloride (20 mg/kg body weight) or water daily by oral gavage. At 6 wk of age, chickens were euthanized and bone and muscle samples were collected. A 24 h lithium chloride (20 mg/kg body weight) challenge determined that serum lithium chloride increased within 2 h and cleared the system within 24 h, demonstrating the effective delivery of lithium chloride. Treatment did not influence body weight (P ≥ 0.20) or feed intake (P ≥ 0.81), demonstrating that lithium chloride did not negatively affect broiler growth. To determine bone strength, 3point bending was performed on the femora and tibiae obtained from control and lithium chloride-treated birds in the 1 wk group. Lithium chloride-treated birds had a 22% reduction in stiffness compared with control in the femora (P = 0.02) without a corresponding reduction in elastic modulus. No differences were observed in yield or ultimate load and in the corresponding calculations of stresses (P ≥ 0.26). The toughness of tibiae was not altered in lithium chloride compared with control (P = 0.11). Bone length and micro-CT imaging were performed on the tibiae of control and lithium chloride groups. No differences (P ≥ 0.52) in bone length, cortical or trabecular bone volume, trabecular thickness, number, or spacing were observed. Lithium chloride treatment did not affect pectoralis muscle color or lipid oxidation (P > 0.05). In conclusion, lithium chloride treatment in broilers did not negatively affect growth or meat quality. A reduction in bone stiffness of the femur with lithium chloride treatment was observed, however unlike the mouse model, the dosages of lithium chloride used in the current study did not result in anabolic effects on broiler long bones. Key words: bone, broiler, lithium chloride, meat quality 2015 Poultry Science 94:296–301 http://dx.doi.org/10.3382/ps/peu079 INTRODUCTION Skeletal problems affect several agricultural species and are responsible for increased costs of production as well as negatively impacting the welfare of the animals. Skeletal disease costs the broiler industry up to $120 million per year (Sullivan, 1994; Fleming, 2008). It is estimated that 13 to 41% of layers suffer from fractures related to osteoporosis and ultimately result in death (Webster, 2004). These skeletal disorders are a serious concern for both efficiency of production and the welfare of birds. Therefore, identification of novel methods to improve bone quality and strength can be used to increase efficiency in poultry production, as well as improve animal welfare. Skeletal development is a complex and tightly regulated process. In growing animals, adequate bone formation is dependent on several processes including cartilage and bone matrix formation. Chondrocytes, osteoblasts and osteoclasts are key cell types involved in forming new bone and providing proper structure of the skeleton. During this complex process, several C 2015 Poultry Science Association Inc. Received May 17, 2014. Accepted October 9, 2014. 1 This work was supported by the Storrs Agricultural Experiment Station (KEG) and Summer Undergraduate Research Fund Grant from the University of Connecticut (BMH and KEG). 2 Current Address: Department of Biochemistry & Cell Biology, Stony Brook University, Stony Brook, NY. 3 Current Address: Department of Biomedical Engineering, Rensselaer Polytechnic Institute, Troy, NY. 4 Current Address: Department of Animal Science, Oklahoma State University, Stillwater, OK. 5 Corresponding author: [email protected] 296 RESEARCH NOTE factors including hormones, growth factors, and signaling pathways are involved in regulating these cell types. One key signaling pathway that has received attention is the Wnt/β -catenin signaling pathway (Canalis, 2010; Tamura et al., 2010). The Wnt/β -catenin pathway is critical in bone formation and can affect the ability of osteoblasts to create bone matrices (Boyce et al., 2005; Piters et al., 2008). In the Wnt/β -catenin signaling pathway, Wnt glycoproteins bind with lipoprotein receptor-related protein (LRP5) or LRP6 and a 7-transmembrane serpentine Frizzled (Fz) receptor, which causes accumulation of hypophosphorylated β catenin in the cytosol of the cell (Piters et al., 2008). The β -catenin is then translocated into the nucleus where it reacts with a lymphoid-enhancer binding factor and a T-cell specific transcription factor, resulting in transcription of target genes whose products stimulate bone growth (Piters et al., 2008). The amount of β -catenin accumulation in the cytosol is controlled by glycogen synthase kinase-3β (GSK-3β ), which phosphorylates β -catenin and essentially tags it for degradation (Clement-Lacroix et al., 2005; Piters et al., 2008). Lithium (Li) is an inhibitor of the activity of GSK-3β , thereby increasing the number of β -catenin molecules in the cell, and, thus, increases transcription in Wnt target genes (Hedgepeth et al., 1997; ClementLacroix et al., 2005). Lithium chloride (LiCl) has anabolic effects on bone (Clement-Lacroix et al., 2005; Vestergaard, 2008; Loiselle et al., 2013; Satija et al., 2013). Specifically, in mice, oral LiCl supplementation resulted in a 35% increase in trabecular bone volume to total bone volume fraction (BV/TV) as well as a 130% increase in mineral apposition rate via the Wnt/β catenin pathway (Clement-Lacroix et al., 2005). In addition, Li administered to humans as a psychotropic drug has been shown to reduce the risk of bone fractures (Vestergaard, 2008). These studies indicate that LiCl supplementation has a positive impact on bone quality and strength. Based on the previous findings that LiCl treatment alters the Wnt signaling pathway to improve bone quality and strength, we hypothesized that LiCl supplementation would improve bone mass, architecture, and bone strength in growing broilers. To test our hypothesis, we supplemented growing broilers with LiCl beginning at 1 wk and 3 wk of age and determined growth, bone mass, bone strength and muscle quality at 6 wk of age. MATERIALS AND METHODS Animals Animal protocols were approved by the University of Connecticut Institutional Animal Care and Use Committee. Ninety-six 1 d male broiler chicks (Cobb500) were obtained from Burr Farm (Danielson, CT). At 5 d of age, birds were organized into LiCl or control (CON) groups, and then further organized into subgroups with treatment starting at 1 or 3 wk of age. Overall, birds 297 were separated into 16 pens (6 birds/pen) with 4 pens per group at each time point (1 wk or 3 wk). Birds were housed on littered floors (pine shavings) at a density of 16 square feet per bird with 16L:8D. Birds were fed a commercial broiler starter crumble (Blue Seal; ME = 1,430 kcal; CP = 20 to 21%; methionine = 0.45%; lysine = 1.26%; calcium = 1.0%; phosphorus = 0.73%) upon arrival and transitioned to a commercial broiler grower/finisher crumble (Blue Seal; ME = 1,425 kcal; CP = 18 to 19%; methionine = 0.38%; lysine = 1.03%; calcium = 1.0%; total P = 0.66%) at 1.5 to 2 wk of age. Birds were provided water ad libitum throughout the experiment. Body weights and feed intake were measured every 3 to 4 d for all treatment groups. Feed was provided ad libitum for the duration of the experiment. LiCl Treatment Beginning at 1 or 3 wk of age, LiCl birds were administered 1 mL of a LiCl solution (20 mg/kg of body weight (BW) dissolved in water) while CON birds were administered 1 mL of water daily by oral gavage. Body weight was measured twice per wk and used to prepare daily LiCl concentrations. The concentration of LiCl was chosen based on previous studies in mice and poultry in which the dose was not lethal or toxic to the animals, but a treatment effect was observed (Scott et al., 1973; Clement-Lacroix et al., 2005). Sample Collection At 6 wk of age, 16 birds from each group (1 wk LiCl, 1 wk CON, 3 wk LiCl, and 3 wk CON) were euthanized by CO2 inhalation and decapitation. Following euthanasia and decapitation, muscle, femora, and tibiae (left and right legs) were collected. Tibiae and femora were stripped of muscle tissue and stored in 70% ethanol solution at 4◦ C for strength and μCT analysis. The right leg was used for μCT analysis for 1 and 3 wk samples. The left leg was used for 3-point bending for 1 wk samples. The breast muscle was removed, placed on polystyrene trays (Cryovac foam tray, 21 × 14.6 × 2.54 cm3 , Cryovac Food Packaging Inc., Duncan, SC), overwrapped with oxygen-permeable film (E-Z Wrap Crystal Clear Polyvinyl Chloride Wrapping Film, Koch Supplies, Kansas City, MO) and stored at 4◦ C for 7 d until analysis was performed. Li Assay To test the effectiveness of the oral administration of the LiCl dose, 9 birds were administered a single oral dose of LiCl (20 mg/kg BW) and 6 birds were administered water (CON) at 5 wk of age. These were extra birds that arrived with the experimental animals and were kept in similar conditions, but not used for the experiment. At 2, 8, and 24 h after treatment, birds were euthanized by CO2 inhalation and decapitation. Following euthanasia and decapitation, blood was collected 298 HARVEY ET AL. into a tube immediately following decapitation, serum harvested as previously described (Govoni et al., 2003) and stored at −20◦ C until analysis was performed. A Lithium Enzymatic Assay Kit (Diazyme Laboratories, Poway, CA) was used to determine serum concentrations of Li according to the manufacturer’s protocol. Strength Testing Chicken femora and tibiae from the right legs (n = 5 to 6 per treatment) were subjected to a 3-point bend test to failure to obtain differences in mechanical properties (using the Tinius Olsen testing device) between the 2 treatments (CON vs. LiCl). Based on the limited differences observed in the μCT analysis, only the 1 wk samples were analyzed since this group had the longest length of treatment. The 3-point bend tests were performed with a span of 50 mm and a displacement rate of 5 mm/min. Samples were kept wet throughout the entire experiment. The displacements were measured using the Tinius Olsen, which had a resolution of ±0.01%. The loads were measured using a force transducer with a maximum capacity of 1,000 N and a resolution of ± 0.5% accuracy. The data were recorded using National Instrument’s LabView and the load displacement curves were analyzed using Mathworks’ MATLAB software to determine ultimate load (N), stiffness (N/mm), 0.002 yield load (N), and energy (N·mm). The bones were sectioned, after testing, close to failure, to obtain their area moment of inertia values. This allowed the data to be normalized into stress and strain. Photographs were taken of the cross sections and analyzed using The MathWorks MATLAB. Strain was calculated from the recorded deflection using Equation 1. Stress was calculated from the recorded load using Equation 2. Flexural modulus was calculated from the recorded stiffness using Equation 3. 6Dd , Strain Equation L2 F LD , Stress Equation Equation 2. σ = 8I SL3 , Flexural Modulus Equation Equation 3. E = 48I Equation 1. ε = In these equations, deflection is d, vertical span (distance from the application of force on the top of the bone to the bottom of the chicken bone directly below it) of the testing specimen is D, the testing span is L, the load is F, the stiffness is S, and the moment of inertia is I. Micro-Computed Tomography Imaging (μCT) Bone length and bone morphometry were measured in the tibiae of the left legs (n = 6 per treatment) using cone beam micro-focus X-ray computed tomography (VivaCT40, Scanco Medical AG, Brüttisellen, Switzerland). Scanning was performed at 55 kV and 145 mA, collecting 1,000 projections per rotation at 300 msec integration time. Three-dimensional images were reconstructed using standard convolution and backprojection algorithms with Shepp and Logan filtering, and rendered within a 35.8 mm field of view at a discrete density of 23,324 voxels/mm3 (isometric 36 mm voxels). Segmentation of mineralized tissue from marrow and soft tissue was performed in conjunction with a constrained Gaussian filter to reduce noise, applying hydroxyapatite-equivalent density thresholds of 140 and 280 mg/cm3 for trabecular and cortical bone, respectively (bone tissue density is ∼1,000 mg/cm3 ). Trabecular morphometry was measured within a 3.5 mm longitudinal span (100 serial virtual sections) of the proximal metaphysis. Standard algorithms describing three-dimensional trabecular morphometry were applied to obtain direct measures of trabecular architecture and mineral density, including bone volume fraction (BV/TV), trabecular thickness, spacing, and trabecular number. Cortical morphometry was quantified through a 28 mm span (800 serial virtual sections) at mid-diaphysis to obtain measures of bone volume and mineral density. Color Measurements The surface color of chicken breasts was measured through the overwrap film using a HunterLab MiniScan XE Plus Spectrophotometer (45/0 LAV, 2.54-cmdiameter aperture, Illuminant A, 10◦ standard observer; Hunter Associates Laboratory, Inc., Reston, VA). Three scans from each breast muscle were obtained and averaged for statistical analysis. The CIE L∗ , a∗ , and b∗ values were used to estimate muscle darkening, redness, and yellowness, respectively. Lipid Oxidation Thiobarbituric acid reactive substances (TBARS) were measured as an indicator of lipid oxidation according to Witte et al., 1970. Five grams of breast muscle were blended with 25 mL of trichloracetic acid solution (20%) and 20 mL distilled water. The mixture was homogenized using a Waring table-top blender (Dynamics Corp. of America, New Hartford, CT) for 1 min and filtered through Whatman (#1) filter paper. One mL of filtrate was mixed with 1 mL of TBA solution (20 mM) and incubated at 25◦ C for 20 h. After incubation, absorbance was measured using a Shimadzu UV-2101 PC spectrophotometer (Shimadzu Inc., Columbia, MD) at 532 nm against a blank consisting of 2 mL acid/water mix (TCA/water 1:1 vol/vol) and 2 mL TBA solution. RESEARCH NOTE 299 Statistical Analysis Birds were randomly assigned to treatment (LiCl or CON) and age at the start of treatment (1 wk and 3 wk). Fixed effects tested were treatment and age. Body weight and feed intake data were analyzed using mixed model procedure (PROC MIXED). For feed intake, the pen was used as the experimental unit (n = 4/group). For BW, animal was used as the experimental unit (n = 24/group) with pen included in the random statement. Strength testing data were analyzed using the Student t test. All other variables were analyzed using ANOVA (PROC ANOVA) with SAS Version 9.3 software. One pen of LiCl treated birds in the 1 wk group was removed due to improper dosing during the experiment. A significant difference was determined at P ≤ 0.05. RESULTS Lithium Chloride In a subset of broilers, a single oral administration of LiCl successfully increased circulating concentrations of LiCl 334% in the blood within 2 h compared with CON (P = 0.02). Therefore, our dose was effective in elevating LiCl in the blood. However, by 8 and 24 h following the single dose, serum concentrations of LiCl returned to those of CON bird (data not shown). Feed Intake and Body Weight Daily administration of LiCl did not affect feed intake between CON and LiCl groups beginning treatment at 1 and 3 wk of age (P ≥ 0.81; Figure 1A). In addition, we did not observe an effect of LiCl treatment on BW in the 1 or 3 wk groups (P ≥ 0.20; Figure 1B). Bone Strength and Mass Consistent with BW, femur and tibia bone lengths were not different between CON and LiCl broilers (P ≥ 0.63; Table 1). Femur stiffness was reduced by 22% in birds given LiCl (P = 0.02), but no difference was observed in tibia (P = 0.25). There was no effect of LiCl treatment on yield load and ultimate load in tibia or femur bones (P ≥ 0.26). The energy to fracture (area under the load-deformation curve) of the LiCl tibia was reduced by 32.6% over CON (P = 0.01), but no differences were observed in femurs (P = 0.44). Material parameters, such as elastic modulus, yield and ultimate stress were not different between groups in both the tibiae and the femora (P ≥ 0.27). Toughness (as determined by energy) of the tibiae treated with LiCl tended to be 34% lower in comparison with CON (P = 0.11). Micro-CT analysis showed that LiCl treatment did not alter the tibial BV/TV in the metaphysis or diaphysis (P ≥ 0.52) or the trabecular thickness, spacing Figure 1. Lithium chloride (LiCl) treatment did not affect feed intake (A) or BW (B) in growing broilers. Broilers were given oral LiCl (20 mg per kg BW) supplement daily beginning at 1 or 3 wk of age (6 birds per pen; 4 pens per treatment). Data are presented as mean. Feed intake SEM = 0.0168 (Control-1 week), 0.0168 (Control-3 week), 0.0168 (LiCl-1 week), 0.0195 (LiCl-3 week). Body weight SEM = 0.0164 (Control-1 week), 0.0164 (Control-3 week), 0.0165 (LiCl-1 week), 0.0190 (LiCl-3 week). and number in the metaphysis region (P ≥ 0.56; data not shown). Meat Quality Lithium Cl did not influence darkening (L), redness (a) or yellowness (b) of the breast meat (P ≥ 0.17; data not shown). In addition, lipid oxidation was not altered by daily LiCl treatment (P ≥ 0.75; data not shown). 300 HARVEY ET AL. Table 1. Three-point bending analysis of femur and tibia bones in broilers supplemented with lithium chloride (LiCl) at 1 wk of age. Femur1 Variable Length (mm) Stiffness (N/mm) Energy (N mm) Yield Stress (MPa) Ultimate Stress (MPa) Modulus (GPa) Energy (MJ/m3 ) Yield Load (N) Ultimate Stress (N) Tibia Control LiCl Control LiCl 85.9 ± 1.0 171.6 ± 7.1 437.4 ± 38.6 45.4 ± 2.5 54.7 ± 2.6 1.10 ± 0.08 2.06 ± 0.91 245.6 ± 12.8 301.3 ± 10.4 86.7 ± 1.1 133.3 ± 12.3∗ 472.5 ± 20.6 55.7 ± 12.1 65.1 ± 15.7 1.19 ± 0.34 2.85 ± 0.82 254.9 ± 19.2 291.0 ± 15.8 120.0 ± 2.4 253.4 ± 22.4 614.4 ± 47.1 42.1 ± 2.6 58.4 ± 4.5 1.99 ± 0.16 2.38 ± 0.36 250.3 ± 24.6 343.4 ± 28.8 118.8 ± 1.7 203.3 ± 34.2 414.0 ± 47.8∗ 54.5 ± 10.3 68.8 ± 7.6 2.05 ± 0.30 1.57 ± 0.28† 295.6 ± 28.7 357.1 ± 28.4 Data are presented as mean ± SE. indicates a significant difference between LiCl (n = 5 to 6 per treatment) and Control (n = 6 per treatment) at P ≤ 0.05. † indicates P = 0.11. 1 ∗ DISCUSSION Skeletal disorders have been a concern in the poultry industry for many years. In broilers, the rapid growth rate and increased muscle production make these birds susceptible to leg disorders leading to lameness, poor health, and reduced growth rates (Fleming, 2008). Although proper management, breeding, and nutrition can reduce bone-related issues, osteoporosis and legdisorders are still a concern in the layer and broiler industries, respectively (Whitehead and Fleming, 2000; Fleming, 2008). Therefore, identification of key targets for improving bone quality or treating skeletal disorders is necessary. Lithium chloride is used in treatment of humans with manic-depression states and increases bone mineral density in patients treated with LiCl (Cohen et al., 1998). Additionally, LiCl improves bone formation and mechanical properties in rodent models (Loiselle et al., 2013) and stimulates osteoblastogenesis in vitro (Satija et al., 2013) through the Wnt-β -catenin pathway. Therefore, this supplement has the potential to be used to improve bone formation and quality in poultry. Although the acceptance of LiCl use in commercial production is far reaching, this model has the potential to identify novel mechanisms to improve bone development in poultry. Similar to previous reports (Scott et al., 1973), daily administration of LiCl (20 mg/kg BW) was not toxic or lethal to birds during the 6 wk period. However, in a time course analysis over 24 h, LiCl was cleared from the blood within 8 h. This finding suggests that either more frequent administration of LiCl or a larger dose is needed to keep LiCl concentrations sustained in broilers. Additionally, although the current dose was chosen to prevent lethality or side effects as previously reported (Scott et al., 1973), it was less than previously used in mice (Clement-Lacroix et al., 2005). Therefore, additional studies with increased doses are warranted. Importantly, the dose of LiCl in the current study did not affect feed intake or BW in the growing broilers. These findings are important to demonstrate that, if LiCl was used to improve bone formation and quality, it would not have a negative impact on production or feed costs. Additionally, LiCl treatment did not affect muscle quality as determined by color and lipid oxidation analysis. This suggests that LiCl can be used as a supplement to target bone health without having a negative impact on meat quality. In the event that LiCl was used in a production setting, further studies are needed to determine if LiCl is detected in the muscle. However, based on the rapid clearance from the blood, it is unlikely that there will be accumulation of LiCl in the muscle. Bone strength is an important indicator of the ability of the bone to carry weight and withstand force. Adequate bone strength is important in broilers, which grow rapidly and produce large amounts of muscle. A common method to determine bone strength is the use of 3-point bending of whole long bones. In the current study, treatment with LiCl reduced bending stiffness in the femurs of broilers, but did not affect the load applied during 3-point bending strength tests. Reduced bending stiffness could suggest a potential positive effect by reduced risk of fracture; however, growing birds need to be evaluated at later time points. Less energy was needed to bend the tibiae of LiCl broilers as compared with controls implying a reduction in mineralization. However, this is one point in time, so it is unclear if these differences could be due to a delay in mineralization in the LiCl group. Importantly, these findings demonstrate that LiCl supplementation appears to affect femur stiffness in 6 wk old broilers after 5 wk of LiCl treatment. Further studies with samples taken at multiple time points during growth, including in ovo treatment, are needed to determine if the reduced bone stiffness at this time point would have positive or negative outcome on bone strength and quality over time. Previous reports using a similar dose of LiCl improved bone formation and mass in mice (ClementLacroix et al., 2005); therefore, it was surprising that LiCl did not affect bone volume or trabecular thickness RESEARCH NOTE and number in the current study. The lack of effect of LiCl in the current study could be due to many factors including the dose and/or frequency of LiCl treatment, that these were healthy, fast growing birds from a flock with limited bone abnormalities (abnormalities were not observed during necropsy in the current experiment), the number of animals, or that the previous studies evaluating the effects of LiCl on bone were conducted in human and rodent models. Overall, LiCl, a known stimulator of the Wnt-β catenin signaling pathway, is not lethal to broilers and does not negatively impact growth, feed intake, or muscle quality using the current dose reported. Although the current dose and treatment duration did not impact bone volume and trabecular number or thickness as previously observed in mice, it did have an apparent effect on bone stiffness in femur and energy in 3-point bending of tibiae. It is not clear at this time if these effects have positive or negative impacts on bone integrity. Future studies using multiple time points, a greater dose of LiCl similar to rodent models, a bone development impaired model and a laying hen model are warranted to evaluate the potential of LiCl to improve bone mass and quality in poultry. ACKNOWLEDGMENTS We thank the University of Connecticut Poultry Farm for assistance with care of the birds and David Schreiber and Karen More for technical assistance. REFERENCES Boyce, B. F., L. Xing, and D. Chen. 2005. Osteoprotegerin, the bone protector, is a surprising target for beta-catenin signaling. Cell. Metab. 2:344–345. 301 Canalis, E. 2010. Update in new anabolic therapies for osteoporosis. J. Clin. Endocrinol. Metab. 95:1496–1504. Clement-Lacroix, P., M. Ai, F. Morvan, S. Roman-Roman, B. Vayssiere, C. Belleville, K. Estrera, M. L. Warman, R. Baron, and G. Rawadi. 2005. Lrp5-independent activation of Wnt signaling by lithium chloride increases bone formation and bone mass in mice. Proc. Natl. Acad. Sci. U. S. A. 102:17406–17411. Cohen, O., T. Rais, E. Lepkifker, and I. Vered. 1998. Lithium carbonate therapy is not a risk factor for osteoporosis. Horm. Metab. Res. 30:594–597. Fleming, R. H. 2008. Nutritional factors affecting poultry bone health. Proc. Nutr. Soc. 67:177–183. Govoni, K. E., T. A. Hoagland, and S. A. Zinn. 2003. The ontogeny of the somatotropic axis in male and female Hereford calves from birth to one year of age. J. Anim. Sci. 81:2811–2817. Hedgepeth, C. M., L. J. Conrad, J. Zhang, H. C. Huang, V. M. Lee, and P. S. Klein. 1997. Activation of the Wnt signaling pathway: a molecular mechanism for lithium action. Dev. Biol. 185:82–91. Loiselle, A. E., S. A. Lloyd, E. M. Paul, G. S. Lewis, and H. J. Donahue. 2013. Inhibition of GSK-3beta rescues the impairments in bone formation and mechanical properties associated with fracture healing in osteoblast selective connexin 43 deficient mice. PLoS One 8:e81399. Piters, E., E. Boudin, and W. Van Hul. 2008. Wnt signaling: a win for bone. Arch. Biochem. Biophys. 473:112–116. Satija, N. K., D. Sharma, F. Afrin, R. P. Tripathi, and G. Gangenahalli. 2013. High throughput transcriptome profiling of lithium stimulated human mesenchymal stem cells reveals priming towards osteoblastic lineage. PLoS One 8:e55769. Scott, J. T., T. M. Ferguson, J. W. Bradley, and C. R. Creger. 1973. The effect of low levels of lithium chloride in the diet of the laying hen. Poult. Sci. 52:2336–2337. Sullivan, T. W. 1994. Skeletal problems in poultry: estimated annual cost and descriptions. Poult. Sci. 73:879–882. Tamura, M., E. Nemoto, M. M. Sato, A. Nakashima, and H. Shimauchi. 2010. Role of the Wnt signaling pathway in bone and tooth. Front. Biosci. (Elite Ed) 2:1405–1413. Vestergaard, P. 2008. Skeletal effects of central nervous system active drugs: anxiolytics, sedatives, antidepressants, lithium and neuroleptics. Curr. Drug Saf. 3:185–189. Webster, A. B. 2004. Welfare implications of avian osteoporosis. Poult. Sci. 83:184–192. Whitehead, C. C., and R. H. Fleming. 2000. Osteoporosis in cage layers. Poult. Sci. 79:1033–1041. Witte, V. C., G. F. Krause, and M. E. Baily. 1970. A new extraction method for determiniy 2- thiobarbiturie acid values of pork and beef during storage. J. Food Sci. 35:582–585.
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