Department of Veterans Affairs Medical Center, Portland, OR 97239, USA.
Bone. 2012 Nov;51(5):835-46. doi: 10.1016/j.bone.2012.08.111. Epub 2012 Aug 14.
Androgen receptor (AR) is expressed throughout the osteoblast lineage. Two different AR transgenic families (AR2.3-tg and AR3.6-tg mice) demonstrating overlapping and distinct expression profiles were employed to assess the effects of enhanced androgen sensitivity to ameliorate hypogonadal loss. Two different paradigms of steroid replacement following orchidectomy (ORX) were used as either preventative or therapeutic therapy. ORX was performed in male wild-type (WT), AR2.3-tg and AR3.6-tg mice at 5 months with immediate DHT replacement (prevention, higher turnover) or at 3 months with DHT treatment delayed for 2 months (therapeutic, lower turnover), both with treatment for the last 6 weeks. Dual energy X-ray absorptiometry (DXA), micro-computed tomography (μCT), and histomorphometry were performed. In the prevention model, ORX significantly reduced BMD and BMC in all genotypes compared to sham and DHT was effective at prevention of osteopenia. In the therapeutic model, all genotypes became osteopenic compared to sham, but after a prolonged hypogonadal period, delayed DHT treatment provided little benefit. μCT analysis of mid-shaft total bone in all genotypes generally showed reductions after ORX. Delayed DHT was ineffective at restoring bone volume in any genotype whereas immediate treatment prevented loss only in AR transgenic mice. Cortical thickness also decreased with ORX but immediate DHT treatment was effective to increase thickness only in WT mice, likely due to expansion of marrow volume in both AR-tg lines. In metabolically highly active cancellous bone, ORX resulted in lower bone volume/tissue volume (BV/TV) in all genotypes, consistent among 3 sites measured. Again with delayed treatment, there was little effect of DHT to restore BV/TV, but when administered at the time of ORX, DHT completely prevented the decrease in cancellous bone in all genotypes. Improvement in cancellous bone architecture was seen with immediate DHT replacement that was enhanced in AR transgenic lines compared to WT. In contrast, there were only modest changes in all genotypes using the delayed treatment paradigm. With ORX in both paradigms, trabecular number was decreased while spacing increased. Thus, androgen therapy is effective for the prevention of endosteal and cancellous osteopenia primarily through its anti-resorptive properties, but shows little anabolic action as a therapeutic strategy to restore bone. Given the similarity in response to androgen treatment in both AR transgenic lines, overlapping expression profiles suggest that the target cells mediating androgen action in vivo are mature osteoblast/osteocytes. Combined, these results demonstrate that in the adult mouse, androgen treatment can reduce bone resorption but has little overall anabolic activity.
雄激素受体(AR)在成骨细胞谱系中表达。两种不同的 AR 转基因家族(AR2.3-tg 和 AR3.6-tg 小鼠)表现出重叠和不同的表达谱,用于评估增强雄激素敏感性以改善去势后低雄激素血症引起的骨丢失的效果。在去势(ORX)后使用两种不同的类固醇替代方案(ORX)作为预防或治疗治疗。在 5 个月大时,雄性野生型(WT)、AR2.3-tg 和 AR3.6-tg 小鼠进行了 ORX,并立即用 DHT 替代(预防,更高的周转率)或在 3 个月时用 DHT 治疗延迟 2 个月(治疗,较低的周转率),最后 6 周都进行治疗。进行了双能 X 射线吸收法(DXA)、微计算机断层扫描(μCT)和组织形态计量学检查。在预防模型中,与假手术相比,所有基因型的 BMD 和 BMC 均显著降低,DHT 可有效预防骨质疏松症。在治疗模型中,与假手术相比,所有基因型均出现骨质疏松症,但在长期去势后,延迟的 DHT 治疗几乎没有益处。所有基因型的 ORX 后中轴总骨的 μCT 分析通常显示骨量减少。延迟的 DHT 治疗对任何基因型的骨量恢复均无效,而立即治疗仅能预防 AR 转基因小鼠的骨丢失。皮质厚度也随 ORX 而降低,但立即 DHT 治疗仅能有效增加 WT 小鼠的厚度,这可能是由于 AR-tg 系的骨髓体积扩张所致。在代谢活跃的松质骨中,与假手术相比,所有基因型的骨量/组织量(BV/TV)均降低,在 3 个测量部位均一致。再次延迟治疗,DHT 对恢复 BV/TV 几乎没有影响,但在 ORX 时给予 DHT,则可完全防止所有基因型的松质骨减少。与 WT 相比,立即 DHT 替代可改善松质骨结构,在 AR 转基因系中增强。相比之下,延迟治疗在所有基因型中只有适度的变化。在两种方案中,ORX 后小梁数量减少,间距增加。因此,雄激素治疗对于预防骨内和松质骨骨质疏松症是有效的,主要是通过其抗吸收作用,但是作为恢复骨的治疗策略,几乎没有合成代谢作用。鉴于两种 AR 转基因系对雄激素治疗的反应相似,重叠的表达谱表明,体内介导雄激素作用的靶细胞是成熟的成骨细胞/成骨细胞。综上所述,这些结果表明,在成年小鼠中,雄激素治疗可减少骨吸收,但总体上没有合成代谢活性。