Caverzasio Joseph, Higgins Linda, Ammann Patrick
Department of Rehabilitation and Geriatrics, Service of Bone Diseases, University Hospital of Geneva, Geneva, Switzerland.
J Bone Miner Res. 2008 Sep;23(9):1389-97. doi: 10.1359/jbmr.080410.
Increased bone remodeling with estrogen deficiency is mediated by the production of cytokines such as TNFalpha and interleukin (IL)-1. Recent data have indicated that the p38 pathway mediates cytokines effects on enhanced bone turnover in postmenopausal osteoporosis. Thus, in this study, we investigated the effect of a selective p38alpha inhibitor, SD-282, on the prevention of bone loss induced by estrogen deficiency in an adult ovariectomized (OVX) rat model. Results indicate that oral administration of SD-282 for 8 wk dose-dependently blunted the increase in the bone resorption marker DPD/Cr induced by OVX in adult rats. Associated with this effect, SD-282 did not reduce but significantly enhanced by 2-fold the rise in the bone formation marker serum osteocalcin observed in OVX animals. In addition, SD-282 completely blocked vertebral bone loss associated with estrogen deficiency. Furthermore, a partial preventive effect was observed in long bones with reduction of trabecular bone loss and enhancement of cross-sectional area of the diaphysis. Prevention of trabecular bone loss and increased in cortical bone area were associated with improvement of biomechanical resistances. In conclusion, chronic administration of a selective p38alpha inhibitor effectively prevented trabecular bone loss and alteration of bone microarchitecture induced by estrogen deficiency. Prevention of bone loss was associated with inhibition of bone resorption with uncoupled changes in bone formation. These data strongly suggest that the p38 pathway is important for regulation of bone resorption induced by estrogen deficiency, and selective inhibitors of this pathway have potential for prevention of bone loss in postmenopausal osteoporosis.
雌激素缺乏导致的骨重塑增加是由细胞因子如肿瘤坏死因子α(TNFα)和白细胞介素(IL)-1的产生介导的。最近的数据表明,p38信号通路介导细胞因子对绝经后骨质疏松症中骨转换增强的影响。因此,在本研究中,我们研究了选择性p38α抑制剂SD-282对成年去卵巢(OVX)大鼠模型中雌激素缺乏诱导的骨质流失的预防作用。结果表明,成年大鼠口服SD-282 8周,剂量依赖性地抑制了OVX诱导的骨吸收标志物DPD/Cr的增加。与此效应相关的是,SD-282并未降低而是显著增强了OVX动物中观察到的骨形成标志物血清骨钙素的升高2倍。此外,SD-282完全阻止了与雌激素缺乏相关的椎体骨质流失。此外,在长骨中观察到部分预防作用,小梁骨丢失减少,骨干横截面积增加。小梁骨丢失的预防和皮质骨面积的增加与生物力学抵抗力的改善有关。总之,长期给予选择性p38α抑制剂可有效预防雌激素缺乏诱导的小梁骨丢失和骨微结构改变。骨质流失的预防与骨吸收的抑制以及骨形成的解偶联变化有关。这些数据强烈表明,p38信号通路对于调节雌激素缺乏诱导的骨吸收很重要,并且该信号通路的选择性抑制剂具有预防绝经后骨质疏松症骨质流失的潜力。
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