Goulding A, Gold E, Fisher L
Medicine Department, University of Otago Medical School, Dunedin, New Zealand.
Bone Miner. 1990 Mar;8(3):185-93. doi: 10.1016/0169-6009(90)90104-n.
Two experiments were undertaken to study the abilities of clomiphene citrate (20 mg/kg body wt/wk s.c.) and tamoxifen citrate (20 mg/kg body wt/wk s.c.) to slow bone resorption mediated by (a) endogenous parathyroid hormone (PTH) and (b) exogenous calcitriol (1,25(OH)2D3) in vivo in rats with intact ovarian function. Groups of rats with 45Ca-labelled bones were fed a low-calcium (0.01% Ca) diet to stimulate secretion of PTH. Neither clomiphene nor tamoxifen showed the mobilization of 45Ca from femoral bone or prevented the reduction in bone calcium induced by feeding this diet. Moreover these drugs did not depress the urinary excretion of 45Ca or hydroxyproline. These observations indicated that clomiphene and tamoxifen did not inhibit PTH-mediated bone resorption. Administering calcitriol (50 ng/day) orally for 14 days raised plasma calcium, increased urinary 45Ca and its specific activity and decreased femur 45Ca: all these responses were similar in animals receiving calcitriol alone and calcitriol with clomiphene or tamoxifen. The femur 45Ca values (dpm X 10(-3) were: (mean +/- SD, n = 8) placebo, 1901 +/- 127; 1,25(OH)2D3, 1727 +/- 96**; clomiphene + 1,25(OH)2D3, 1694 +/- 93**; tamoxifen + 1,25(OH)2D3, 1664 +/- 61**. (** = P less than 0.01). Thus neither clomiphene nor tamoxifen prevented calcitriol-mediated bone resorption in vivo in the rat.
进行了两项实验,以研究枸橼酸氯米芬(20毫克/千克体重/周,皮下注射)和枸橼酸他莫昔芬(20毫克/千克体重/周,皮下注射)在具有完整卵巢功能的大鼠体内减缓由(a)内源性甲状旁腺激素(PTH)和(b)外源性骨化三醇(1,25(OH)₂D₃)介导的骨吸收的能力。给几组带有⁴⁵Ca标记骨骼的大鼠喂食低钙(0.01%钙)饮食,以刺激PTH分泌。氯米芬和他莫昔芬均未显示出股骨中⁴⁵Ca的动员,也未阻止喂食该饮食引起的骨钙减少。此外,这些药物并未降低⁴⁵Ca或羟脯氨酸的尿排泄。这些观察结果表明,氯米芬和他莫昔芬并未抑制PTH介导的骨吸收。口服骨化三醇(50纳克/天)14天可提高血浆钙水平,增加尿⁴⁵Ca及其比活性,并降低股骨⁴⁵Ca:在单独接受骨化三醇以及接受骨化三醇与氯米芬或他莫昔芬联合治疗的动物中,所有这些反应均相似。股骨⁴⁵Ca值(每分钟衰变数×10⁻³)为:(平均值±标准差,n = 8)安慰剂组,1901±127;1,25(OH)₂D₃组,1727±96**;氯米芬 + 1,25(OH)₂D₃组,1694±93**;他莫昔芬 + 1,25(OH)₂D₃组,1664±61**。(** = P<0.01)。因此,氯米芬和他莫昔芬在大鼠体内均未阻止骨化三醇介导的骨吸收。