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模拟失重引起的睾酮分泌减少可能是骨质流失的原因。

Simulated weightlessness-induced attenuation of testosterone production may be responsible for bone loss.

作者信息

Wimalawansa S M, Wimalawansa S J

机构信息

Department of Internal Medicine, The University of Texas Medical Branch, Galveston 77555-1065, USA.

出版信息

Endocrine. 1999 Jun;10(3):253-60. doi: 10.1007/BF02738624.

Abstract

This study examined the effects of simulated weightlessness on serum hormone levels and their relationship to bone mineral density (BMD). The tail-suspended (i.e., hindlimb suspended, HLS) rat model was used to simulate weightless conditions through hindlimb unloading to assess changes in hormonal profile and the associated bone loss. In the first study, 24 adult male rats were assigned to two groups with 12 rats being HLS for 12 d, and the remaining 12 rats serving as ground controls. On d 0, 6, and 12, blood samples were taken to estimate circulating hormone levels. HLS rats had significant reductions in testosterone, 1,25 (OH)2 vitamin D, and thyroxine levels by d 6 (p<0.01); their testosterone levels were almost undetectable by d 12 (p<0.001). Serum cortisol levels in these rats were elevated on d 6 (p<0.02), but returned to normal levels by d 12. No changes were observed with serum ionized calcium and other hormones examined, as well as the body weights, and weights of thymus, heart, and brain. In the second study, eight rats were ground controls, while an additional eight rats were HLS for 12 d before being removed from tail-suspension and maintained for a further 30 d. Blood samples were collected every 6th d for 42 d. This study showed that both serum thyroxine and 1,25(OH)2 vitamin D levels returned to normal levels soon after hind limb unweighting, while serum testosterone levels matched normal levels only after a further 3-4 wk. These studies showed a significant decrease of femur weights, but not weights of humeri in HLS rats suggesting that this is a specific effect on unloaded bones. On d 12 in both studies, a significant reduction in the lumbar spine (p<0.05) and the femoral neck (p<0.01) BMD appeared in HLS rats. This was confirmed in the second study, where HLS led to a significant decrease in BMD even extending to d 42. Previous studies have shown that space flight and tail-suspension lead to marked reductions in bone formation with little effect on bone resorption. Recently, we reported that androgen replacement can indeed prevent bone losses in this animal model. Therefore, it seems logical to propose that the significant decreases of serum testosterone observed in these tail-suspended animals are, at least in part, responsible for the losses of BMD seen in their affected weight-bearing bones (i.e., lumbar spine and the femur). Considering that 1. testosterone is anabolic to osteoblasts and also decreases the rate of bone turnover 2. serum testosterone levels are markedly suppressed in simulated weightlessness, and 3. testosterone replacement therapy prevented the bone loss in HLS rats, we propose that the testosterone deficiency in this animal model is related to their bone loss.

摘要

本研究考察了模拟失重对血清激素水平的影响及其与骨密度(BMD)的关系。采用尾部悬吊(即后肢悬吊,HLS)大鼠模型,通过后肢卸载模拟失重状态,以评估激素谱的变化及相关的骨质流失。在第一项研究中,将24只成年雄性大鼠分为两组,12只大鼠进行12天的HLS处理,其余12只大鼠作为地面对照组。在第0、6和12天采集血样以估计循环激素水平。到第6天时,HLS大鼠的睾酮、1,25(OH)₂维生素D和甲状腺素水平显著降低(p<0.01);到第12天时,其睾酮水平几乎检测不到(p<0.001)。这些大鼠的血清皮质醇水平在第6天时升高(p<0.02),但到第12天时恢复到正常水平。血清离子钙和其他检测的激素以及体重、胸腺、心脏和大脑的重量均未观察到变化。在第二项研究中,8只大鼠为地面对照组,另外8只大鼠进行12天的HLS处理,然后解除尾部悬吊并再维持30天。在42天内每6天采集一次血样。该研究表明,后肢卸载后血清甲状腺素和1,25(OH)₂维生素D水平很快恢复到正常水平,而血清睾酮水平仅在再过3 - 4周后才与正常水平相符。这些研究表明,HLS大鼠的股骨重量显著降低,但肱骨重量未降低,提示这是对卸载骨骼的特定影响。在两项研究的第12天,HLS大鼠的腰椎(p<0.05)和股骨颈(p<0.01)骨密度显著降低。在第二项研究中得到证实,HLS导致骨密度显著降低,甚至持续到第42天。先前的研究表明,太空飞行和尾部悬吊导致骨形成显著减少,而对骨吸收影响很小。最近,我们报道雄激素替代确实可以预防该动物模型中的骨质流失。因此,可以合理推测,在这些尾部悬吊动物中观察到的血清睾酮显著降低至少部分是其受累承重骨(即腰椎和股骨)骨密度降低的原因。考虑到1. 睾酮对成骨细胞具有合成代谢作用,还能降低骨转换率;2. 在模拟失重状态下血清睾酮水平明显受到抑制;3. 睾酮替代疗法可预防HLS大鼠的骨质流失,我们推测该动物模型中的睾酮缺乏与其骨质流失有关。

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