Brzóska M M, Majewska K, Moniuszko-Jakoniuk J
Department of Toxicology, Medical University of Białystok, Mickiewicza 2C, Białystok, 15-222, Poland.
Calcif Tissue Int. 2005 Apr;76(4):287-98. doi: 10.1007/s00223-004-0089-x. Epub 2005 Mar 8.
The effect of chronic exposure to cadmium (Cd) on the mechanical properties of femoral diaphysis and femoral neck was investigated on a rat model of human exposure. Three-week-old female Wistar rats were exposed to Cd in drinking water at concentrations of 1, 5, 50, or 100 mg/L for 12 months. Biomechanical properties of the femoral diaphysis were evaluated in a three-point bending test and those of the femoral neck in a bending test with vertical loading of the head. Bone mineral content (BMC) and bone mineral density (BMD) at the whole femur, and BMD at the diaphysis and proximal femur (head and neck region) of the Cd-treated rats decreased in a dose-dependent manner, except for the diaphyseal BMD at a Cd concentration of 1 mg/L. Exposure to Cd concentrations of 1 and 5 mg/L had only little effect on the diaphyseal mechanical properties (decreased yield load with unchanged bending strength, stiffness, yield stress, ultimate stress, and Young modulus), whereas the bending strength and stiffness of the neck decreased and the yield load clearly tended to decline or declined. The effect of Cd at the two locations was more marked in the 50 and 100 mg/L groups, and changes in the bone geometry were observed in these animals. The results clearly revealed that chronic, even low-level, exposure to Cd results in demineralization and weakening of the femur. The femoral neck seems to be more vulnerable than the diaphysis to failure from Cd. We conclude that environmental exposure to Cd may be an important risk factor for femoral neck fracture.
在人类暴露的大鼠模型上,研究了长期接触镉(Cd)对股骨干和股骨颈力学性能的影响。将三周龄雌性Wistar大鼠暴露于浓度为1、5、50或100mg/L的含镉饮用水中12个月。在三点弯曲试验中评估股骨干的生物力学性能,在股骨头垂直加载的弯曲试验中评估股骨颈的生物力学性能。镉处理大鼠全股骨的骨矿物质含量(BMC)和骨矿物质密度(BMD),以及骨干和股骨近端(头部和颈部区域)的BMD均呈剂量依赖性下降,但镉浓度为1mg/L时骨干BMD除外。暴露于1和5mg/L的镉浓度对骨干力学性能影响较小(屈服载荷降低,弯曲强度、刚度、屈服应力、极限应力和杨氏模量不变),而颈部弯曲强度和刚度降低,屈服载荷明显呈下降趋势或下降。在50和100mg/L组中,镉在两个部位的影响更为明显,且在这些动物中观察到骨几何形状的变化。结果清楚地表明,长期甚至低水平接触镉会导致股骨脱矿质和变弱。股骨颈似乎比股骨干更容易因镉而发生骨折。我们得出结论,环境接触镉可能是股骨颈骨折的一个重要危险因素。