Department of Biomedical Engineering, Texas A&M University, College Station, TX 77843, USA.
Bone. 2013 Oct;56(2):461-73. doi: 10.1016/j.bone.2013.07.004. Epub 2013 Jul 17.
Extended periods of inactivity cause severe bone loss and concomitant deterioration of the musculoskeletal system. Considerable research has been aimed at better understanding the mechanisms and consequences of bone loss due to unloading and the associated effects on strength and fracture risk. One factor that has not been studied extensively but is of great interest, particularly for human spaceflight, is how multiple or repeated exposures to unloading and reloading affect the skeleton. Space agencies worldwide anticipate increased usage of repeat-flier crewmembers, and major thrust of research has focused on better understanding of microgravity effects on loss of bone density at weightbearing skeletal sites; however there is limited data available on repeat microgravity exposure. The adult hindlimb unloaded (HU) rat model was used to determine how an initial unloading cycle will affect a subsequent exposure to disuse and recovery thereafter. Animals underwent 28 days of HU starting at 6 months of age followed by 56 days of recovery, and then another 28 days of HU with 56 days of recovery. In vivo longitudinal pQCT was used to quantify bone morphological changes, and ex vivo μCT was used to quantify trabecular microarchitecture and cortical shell geometry at the proximal tibia metaphysis (PTM). The mechanical properties of trabecular bone were examined by the reduced platen compression mechanical test. The hypothesis that the initial HU exposure will mitigate decrements in bone mass and density for the second HU exposure was supported as pre- to post-HU declines in total BMC, total vBMD, and cortical area by in vivo pQCT at the proximal tibia metaphysis were milder for the second HU (and not significant) compared to an age-matched single HU (3% vs. 6%, 2% vs. 6%, and 2% vs. 6%, respectively). In contrast, the hypothesis was not supported at the microarchitectural level as losses in BV/TV and Tb.Th. were similar during 2nd HU exposure and age-matched single HU. Recovery with respect to post-HU values and compared to aging controls for total BMC, vBMD and cortical area were slower in older animals exposed to single or double HU cycles compared to recovery of younger animals exposed to a single HU bout. Despite milder recovery at the older age, there was no difference between unloaded animals and controls at the end of second recovery period. Therefore, the data did not support the hypothesis that two cycles of HU exposure with recovery would have a net negative effect. Mechanical properties of trabecular bone were affected more severely than densitometric measures (35% loss in trabecular bone ultimate stress vs. 9% loss in trabecular vBMD), which can be attributed most prominently to reductions in trabecular bone density and tissue mineral density. Together, our data demonstrate that initial exposure to mechanical unloading does not exacerbate bone loss during a subsequent unloading period and two cycles of unloading followed by recovery do not have a cumulative net negative effect on total bone mineral content and density as measured by pQCT at the proximal tibia metaphysis.
长时间不活动会导致严重的骨质流失和骨骼肌肉系统的相应恶化。人们已经进行了大量研究,旨在更好地了解因卸载而导致的骨质流失的机制和后果,以及对强度和骨折风险的相关影响。有一个因素尚未得到广泛研究,但非常有趣,特别是对于人类太空飞行来说,那就是多次或重复暴露于卸载和再加载对骨骼的影响。全球航天机构都预计会增加重复飞行机组人员的使用,研究的主要重点是更好地了解微重力对承重骨骼部位骨密度丧失的影响;然而,关于重复微重力暴露的可用数据有限。成年后肢去负荷(HU)大鼠模型被用来确定初始去负荷周期将如何影响随后的失用暴露和随后的恢复。动物从 6 个月大开始接受 28 天的 HU,然后进行 56 天的恢复,然后再进行 28 天的 HU 和 56 天的恢复。体内纵向 pQCT 用于定量骨形态变化,体外 μCT 用于定量近端胫骨干骺端(PTM)的小梁微结构和皮质壳几何形状。通过降低的平板压缩力学测试检查小梁骨的力学性能。初始 HU 暴露将减轻第二次 HU 暴露时骨量和密度下降的假设得到了支持,因为与年龄匹配的单次 HU 相比,第二次 HU 时(不显著)近端胫骨干骺端体内 pQCT 测量的总 BMC、总 vBMD 和皮质面积的预到 HU 下降幅度较小(分别为 3%对 6%、2%对 6%和 2%对 6%)。相比之下,在微观结构水平上,该假设没有得到支持,因为在第二次 HU 暴露期间和年龄匹配的单次 HU 期间,BV/TV 和 Tb.Th. 的损失相似。与年轻动物单次 HU 暴露的恢复相比,老年动物在单次或双 HU 循环暴露后的恢复中,恢复到 HU 后值和与年龄匹配的对照组相比,恢复速度较慢。尽管在老年动物中恢复情况较轻,但在第二次恢复期末,未负荷动物与对照组之间没有差异。因此,数据不支持两次 HU 暴露和恢复会产生净负面影响的假设。与骨密度测量相比,小梁骨的力学性能受到更严重的影响(小梁骨最终应力损失 35%,小梁骨 vBMD 损失 9%),这主要归因于小梁骨密度和组织矿物质密度的降低。综上所述,我们的数据表明,初始暴露于机械去负荷不会加重随后的去负荷期间的骨质流失,并且两次去负荷后恢复不会对近端胫骨干骺端 pQCT 测量的总骨矿物质含量和密度产生累积的净负面影响。
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