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[糖皮质激素对骨密度和微观结构的动态影响:大鼠实验]

[Dynamic effects of glucocorticoid on bone mineral density and microarchitecture: experiment with rats].

作者信息

Liu Shi-ping, Chen Jing, Yang Shu-min, Wu Xian-ping, Liao Er-yuan, Sheng Zhi-feng, Mo Hui, Ma Yu-lin, Zhang Yu-hai, Liu Wei, Jin Yan, Dai Ru-chun

机构信息

Institute of Metabolism and Endocrinology, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2008 Aug 19;88(32):2281-4.

Abstract

OBJECTIVE

To investigate the Dynamic effects of glucocorticoid (GC) on bone mineral density and microarchitecture time-related changes of trabecular bone in bone mineral density (BMD) and microarchitecture in glucocorticoid-treated rats.

METHODS

Fifty-two 3.5-month-old female SD rats were randomly divided into 3 groups. Ten rats were killed at the beginning of experiment with their right tibiae taken out as the baseline group; 22 rats underwent subcutaneous injection of methylprednisolone once daily (GC-treated group), and the other 20 rats underwent subcutaneous injection of normal saline once daily as control group. One and 9 weeks after the beginning of experiment 11 and 10 rats from GCT Group and control group each were killed with their right tibiae taken out. High resolution micro-CT was used to identify the densitometric and microarchitectural properties of the trabecula in the proximal metaphysic of tibia.

RESULTS

Compared with the control group the values of volumetric BMD (vBMD), tissue BMD (tBMD), bone volume fraction (BVF), trabecular number (Tb.N), degree of anisotropy (DA), and trabecular connectivity (Conn.D) in the trabecular bone at different time-points, of the GCT group all decreased; and the values in the ninth week were the lowest (all P < 0.05). The values of trabecular thickness (Tb.Th), trabecular separation (Tb.Sp), and structure model index (SMI) at different time-points of the GCT group were higher than those of the control group. A time-related analysis within the GCT group showed there was a declination in BVF, Conn.D, Tb.N, and DA with administration time, but Tb.Th and Tb.Sp were increased significantly (all P < 0.05). The mean values of Tb.Th in the first week and the ninth week of GCT Group were (0.076 +/- 0.020) mm and (0.086 +/- 0.026) mm respectively, both higher than the baseline value [(0.067 +/- 0.014) mm] and the values of the control group in the first and ninth weeks [(0.075 +/- 0.022) mm and (0.072 +/- 0.009) mm respectively].

CONCLUSION

Administration of GC time dependently decreases the BMD and causes deterioration in microarchitecture of trabecular bone; and the remaining trabeculae seem thicken to increase their strength as compensation.

摘要

目的

探讨糖皮质激素(GC)对糖皮质激素处理大鼠骨密度和小梁骨微结构随时间变化的动态影响。

方法

将52只3.5月龄雌性SD大鼠随机分为3组。实验开始时处死10只大鼠,取出其右胫骨作为基线组;22只大鼠每日皮下注射甲泼尼龙(GC处理组),另外20只大鼠每日皮下注射生理盐水作为对照组。实验开始后1周和9周,分别处死GC处理组和对照组的11只和10只大鼠,并取出其右胫骨。采用高分辨率微型计算机断层扫描(micro-CT)检测胫骨近端干骺端小梁骨的密度和微结构特性。

结果

与对照组相比,GC处理组不同时间点小梁骨的体积骨密度(vBMD)、组织骨密度(tBMD)、骨体积分数(BVF)、小梁数量(Tb.N)、各向异性程度(DA)和小梁连接性(Conn.D)均降低;第9周时各指标值最低(均P<0.05)。GC处理组不同时间点的小梁厚度(Tb.Th)、小梁间距(Tb.Sp)和结构模型指数(SMI)均高于对照组。GC处理组内的时间相关分析显示,随着给药时间的延长,BVF、Conn.D、Tb.N和DA下降,但Tb.Th和Tb.Sp显著增加(均P<0.05)。GC处理组第1周和第9周的Tb.Th平均值分别为(0.076±0.020)mm和(0.086±0.026)mm,均高于基线值[(0.067±0.014)mm]以及对照组第1周和第9周的值[分别为(0.075±0.022)mm和(0.072±0.009)mm]。

结论

GC给药随时间依赖性降低骨密度并导致小梁骨微结构恶化;剩余的小梁似乎增厚以增强其强度作为补偿。

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