Stevenson A E, Evans B A J, Gevers E F, Elford C, McLeod R W J, Perry M J, El-Kasti M M, Coschigano K T, Kopchick J J, Evans S L, Wells T
School of Biosciences, Cardiff University, Museum Ave., Cardiff, CF10 3AX, UK.
Am J Physiol Endocrinol Metab. 2009 Jan;296(1):E147-56. doi: 10.1152/ajpendo.90689.2008. Epub 2008 Nov 11.
Growth hormone (GH)-deficiency is usually associated with elevated adiposity, hyperleptinemia, and increased fracture risk. Since leptin is thought to enhance cortical bone formation, we have investigated the contribution of elevated adiposity and hyperleptinemia on femoral strength in rodent models of GH deficiency. Quantification of the transpubertal development of femoral strength in the moderately GH-deficient/hyperleptinemic Tgr rat and the profoundly GH-deficient/hypoleptinemic dw/dw rat revealed that the mechanical properties of cortical bone in these two models were similarly compromised, a 25-30% reduction in failure load being entirely due to impairment of geometric variables. In contrast, murine models of partial (GH antagonist transgenic) and complete (GH receptor-null) loss of GH signaling and elevated adiposity showed an impairment of femoral cortical strength proportionate to the reduction of GH signaling. To determine whether impaired femoral strength is exacerbated by obesity/hyperleptinemia, femoral strength was assessed in dw/dw rats following two developmental manipulations that elevate abdominal adiposity and circulating leptin, neonatal monosodium glutamate (MSG) treatment, and maintenance on an elevated fat diet. The additional impairment of femoral strength following MSG treatment is likely to have resulted from a reduction in residual activity of the hypothalamo-pituitary-GH-IGF-I axis, but consumption of elevated dietary fat, which did not reduce circulating IGF-I, failed to exacerbate the compromised femoral strength in dw/dw rats. Taken together, our data indicate that the obesity and hyperleptinemia usually associated with GH deficiency do not exert a significant influence over the strength of cortical bone.
生长激素(GH)缺乏通常与肥胖增加、高瘦素血症以及骨折风险增加有关。由于瘦素被认为可增强皮质骨形成,我们研究了肥胖增加和高瘦素血症对GH缺乏啮齿动物模型股骨强度的影响。对中度GH缺乏/高瘦素血症的Tgr大鼠和严重GH缺乏/低瘦素血症的dw/dw大鼠青春期后股骨强度发育进行量化分析,结果显示这两种模型中皮质骨的力学性能同样受损,破坏载荷降低25% - 30%完全是由于几何变量受损所致。相比之下,部分(GH拮抗剂转基因)和完全(GH受体缺失)丧失GH信号且肥胖增加的小鼠模型显示,股骨皮质强度受损程度与GH信号减少程度成正比。为确定肥胖/高瘦素血症是否会加剧股骨强度受损,在对dw/dw大鼠进行两种可增加腹部脂肪和循环瘦素水平的发育操作后,即新生期谷氨酸单钠(MSG)处理和维持高脂饮食,评估其股骨强度。MSG处理后股骨强度的额外受损可能是由于下丘脑 - 垂体 - GH - IGF - I轴残余活性降低所致,但食用高脂饮食(并未降低循环IGF - I水平)并未加剧dw/dw大鼠已受损的股骨强度。综上所述,我们的数据表明,通常与GH缺乏相关的肥胖和高瘦素血症对皮质骨强度并无显著影响。