Liu Jianghua, Xu Kang, Wen Gebo, Guo Hui, Li San, Wu Xianping, Dai Ruchun, Sheng Zhifeng, Liao Eryuan
Institute of Metabolism and Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, PR China.
Bone. 2008 May;42(5):950-9. doi: 10.1016/j.bone.2008.01.010. Epub 2008 Feb 8.
Using osteoprotegerin (OPG)-knockout mice, we demonstrated that in vivo the effects of both genistein and 17beta-estradiol (E2) on bone metabolism were completely abolished. In contrast, zoledronic acid could effectively suppress bone resorption and prevent bone loss.
The anti-resorptive effects of E2 on bone metabolism are considered to be mediated via modulation of the osteoblast-derived paracrine factor OPG. Recently, the phytoestrogen genistein was found to suppress bone resorption by enhancing osteoblastic production of OPG. However, the mechanism underlying the in vivo effects of E2 and genistein on bone is not entirely understood, and a central question in this regard is whether E2 regulates bone metabolism via an OPG-dependent pathway.
After mating heterozygous (OPG+/-) mice, homozygous (OPG-/-) and wild-type (WT) with a mixed C57BL/6J x 129/SV background were obtained. The study involved 6-week-old female OPG-/- (n=40) and WT mice (n=8). The OPG-/- mice were randomly divided into 5 groups (n=8 per group) as follows: (1) genistein-treated mice (Gen) that were subcutaneously injected with genistein at a maximal dose (0.8 mg/day); (2) E2-treated mice (E2) that were subcutaneously injected with E2 at a dose (0.03 microg/day); (3) DMSO control mice (DMSO) that were subcutaneously injected with a mixture of dimethylsulfoxide (DMSO) and polyethyleneglycol-300; (4) zoledronic acid-treated mice (Zol) that were subcutaneously injected with zoledronic acid at a dose of (150 microg/kg) twice per week; and (5) H2O control mice that were subcutaneously injected with sterilized water twice per week. The doses of genistein, estrogen and zoledronic acid were selected based on the results of dose-response effect of agents on bone versus uterus in OPG-/- mice. The mice were sacrificed 6 weeks after this intervention. The microarchitecture of the trabecular and cortical bone was assessed by performing microcomputed tomography (micro-CT) for the right proximal tibia. The bone mineral density (BMD) of the left femur was measured by dual-energy X-ray absorptiometry (DXA). The biomechanical parameters of the right femur were determined by a three-point bend testing. Serum levels of bone alkaline phosphatase (B-ALP), tartarate-resistant acid phosphatase-5b (TRACP-5b), and receptor activator of nuclear factor kappaB ligand (RANKL) were determined by performing ELISA.
DXA analysis revealed that the total BMD of the femur was not significantly altered in the Gen, E2, H2O, and DMSO groups. The three-point bending test revealed no significant differences in the biomechanical parameters, including ultimate loading, ultimate stress, stiff index, and elastic modulus, and micro-CT analysis revealed that the microarchitectural parameters of the trabecular bone (vBMD, tBMD, BVF, BSF, SMI, Tb.N, Conn.D, Tb.Sp, and Tb.Th) and cortical bone (Ct.Th, Mm, In.Pm, Ot.Pm, Ma.Ar, Ct.Ar, Tt.Ar, Ct.BMD, and Ct.BMC) did not differ among the groups. Genistein and E2 treatment did not alter the serum TRACP-5b, B-ALP, or RANKL levels. However, in addition to increasing the bone mass, zoledronic acid could effectively improve biomechanical parameters and could completely prevent deterioration of the bone architecture in the OPG-/- mice.
The effects of genistein and E2 on bone metabolism in vivo were lost completely in OPG-deficient mice, suggesting that the effect of these agents on bone metabolism seems to be entirely dependent on OPG. In contrast, zoledronic acid could effectively suppress bone resorption and completely prevent the bone loss in the OPG-/- mice--an effect that is likely to be independent of the OPG pathway.
利用骨保护素(OPG)基因敲除小鼠,我们证明在体内染料木黄酮和17β-雌二醇(E2)对骨代谢的作用完全消失。相比之下,唑来膦酸可有效抑制骨吸收并预防骨质流失。
E2对骨代谢的抗吸收作用被认为是通过调节成骨细胞衍生的旁分泌因子OPG介导的。最近,发现植物雌激素染料木黄酮通过增强成骨细胞产生OPG来抑制骨吸收。然而,E2和染料木黄酮在体内对骨作用的机制尚未完全了解,在这方面的一个核心问题是E2是否通过OPG依赖性途径调节骨代谢。
将杂合子(OPG+/-)小鼠交配后,获得具有混合C57BL/6J×129/SV背景的纯合子(OPG-/-)和野生型(WT)小鼠。该研究涉及6周龄雌性OPG-/-小鼠(n = 40)和WT小鼠(n = 8)。将OPG-/-小鼠随机分为5组(每组n = 8),如下:(1)染料木黄酮处理组(Gen),皮下注射最大剂量(0.8mg/天)的染料木黄酮;(2)E2处理组(E2),皮下注射剂量为(0.03μg/天)的E2;(3)二甲基亚砜对照组(DMSO),皮下注射二甲基亚砜(DMSO)和聚乙二醇-300的混合物;(4)唑来膦酸处理组(Zol),皮下注射剂量为(150μg/kg)的唑来膦酸,每周两次;(5)H2O对照组,皮下注射灭菌水,每周两次。根据药物对OPG-/-小鼠骨与子宫的剂量反应效应结果选择染料木黄酮、雌激素和唑来膦酸的剂量。干预6周后处死小鼠。通过对右胫骨近端进行微型计算机断层扫描(micro-CT)评估小梁骨和皮质骨的微观结构。通过双能X线吸收法(DXA)测量左股骨的骨密度(BMD)。通过三点弯曲试验测定右股骨的生物力学参数。通过酶联免疫吸附测定(ELISA)测定血清骨碱性磷酸酶(B-ALP)、抗酒石酸酸性磷酸酶-5b(TRACP-5b)和核因子κB受体激活剂配体(RANKL)水平。
DXA分析显示,Gen、E2、H2O和DMSO组的股骨总BMD无明显改变。三点弯曲试验显示生物力学参数(包括极限负荷、极限应力、刚度指数和弹性模量)无显著差异,micro-CT分析显示小梁骨(vBMD、tBMD、BVF、BSF、SMI、Tb.N、Conn.D、Tb.Sp和Tb.Th)和皮质骨(Ct.Th、Mm、In.Pm、Ot.Pm、Ma.Ar、Ct.Ar、Tt.Ar、Ct.BMD和Ct.BMC)的微观结构参数在各组之间无差异。染料木黄酮和E2处理未改变血清TRACP-5b、B-ALP或RANKL水平。然而,除了增加骨量外,唑来膦酸可有效改善生物力学参数,并可完全防止OPG-/-小鼠的骨结构恶化。
在OPG缺陷小鼠中,染料木黄酮和E2对体内骨代谢的作用完全丧失,表明这些药物对骨代谢的作用似乎完全依赖于OPG。相比之下,唑来膦酸可有效抑制骨吸收,并完全防止OPG-/-小鼠的骨质流失——这种作用可能独立于OPG途径。