注射甲状旁腺激素48h与24h对改善雄性大鼠骨质减少性脊柱性能的影响

M. Komrakova, E. Stuermer, A. Sturm, U. Schmelz, M. Tezval, K. Stuermer, S. Sehmisch
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引用次数: 6

摘要

每日应用甲状旁腺激素(PTH 1-34)用于治疗骨质疏松症。研究老龄雄性大鼠每48h给予甲状旁腺素是否能改善睾丸切除引起的脊柱骨质疏松性改变。8月龄雄性Sprague-Dawley大鼠假手术(n=24)或切除睾丸(Orx, n=36),维持治疗12周以上。此后,双胫骨行横向干骺端截骨术(Komrakova et al. 2011, J Endocrinol;209:9-19),大鼠分为5组:1)假药;2)每24h假甲状旁腺(PTH/24h);3) Orx车辆;4) Orx PTH/24h;5)每48小时测一次PTH (PTH/48h)。甲状旁腺素用量为40 μ g/kg BW。5周后,腰椎椎体进行计算机断层扫描、生物力学、组织形态学、灰化和基因表达分析。各组(屈服负荷,假手术:232+17N,假手术PTH/24h: 376+12N,假手术:239+16N,假手术PTH/24h: 324+31N,假手术PTH/48h: 297+17N)治疗后骨皮质和骨小梁密度、生物力学性能、血清骨钙素水平均显著升高。Orx大鼠每日应用甲状旁腺激素后骨无机重量增加。各组骨基因表达量差异无统计学意义(P < 0.05)。两种PTH给药方案(24h和48h)均可改善骨质减少大鼠的受损骨结构。每48小时应用一次效果较差,然而,它将骨性能改善到健康(假)大鼠的水平。考虑到人类日常治疗的局限性,这些结果可能对进一步的临床研究有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficiency of 48h vs. 24h Injection of Parathyroid Hormone forAmelioration of Osteopenic Spine Properties in Male Rats
Daily application of parathyroid hormone (PTH 1-34) is used for treatment of osteoporosis. It was investigated whether orchiectomy-induced osteoporotic changes in spine can be ameliorated by every 48h administration of PTH in aged male rats. Eight-month-old male Sprague-Dawley rats were sham operated (n=24) or orchiectomized (Orx, n=36) and maintained untreated over 12 weeks. Thereafter, both tibia underwent transverse metaphyseal osteotomy (Komrakova et al. 2011, J Endocrinol; 209:9-19) and rats were divided into 5 groups treated s.c. as follows: 1) sham vehicle; 2) sham PTH every 24h (PTH/24h); 3) Orx vehicle; 4) Orx PTH/24h; 5) Orx PTH every 48h (PTH/48h). PTH dosage was 40 �g/kg BW per injection. After 5 weeks, lumbar vertebral bodies were used in computed tomographical, biomechanical, histomorphological, ashing and gene expression analyses. Cortical and trabecular densities, biomechanical properties, serum osteocalcin level increased significantly after PTH treatments in all groups (yield load, sham: 232+17N, sham PTH/24h: 376+12N, Orx: 239+16N, Orx PTH/24h: 324+31N, Orx PTH/48h: 297+17N). Bone inorganic weight enhanced after daily PTH application in Orx rats. Bone gene expression did not differ (P>0.05) among the groups. Both PTH administration regimes (24h and 48h) improved impaired bone structure in osteopenic rats. Every 48h application was less effective, however, it improved bone properties to the level observed in healthy (sham) rats. Considering limitation of daily treatments known in humans, these results may be useful for further clinical studies.
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