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雄激素剥夺所致骨质疏松症模型中 PTH(1-84)对骨质量的影响。

Effects of PTH (1-84) on bone quality in a validated model of osteoporosis due to androgenic deprivation.

机构信息

Department of Biochemical Research, Instituto de Investigación Sanitaria Fundación Jiménez Díaz , Madrid , Spain .

出版信息

Aging Male. 2014 Mar;17(1):42-50. doi: 10.3109/13685538.2013.821697. Epub 2013 Aug 5.

Abstract

AIM

The purpose of this study was to evaluate the effect of parathyroid hormone (PTH) (1-84) in a model of male osteoporosis induced by orchidectomy in rats.

METHODS

Six-month-old Wistar rats were used as follows: SHAM (simulated orchidectomy), orchidectomized (ORX), ORX + PTH1 (ORX and treated with 10 µg/Kg/d of PTH 1-84) and ORX + PTH2 (ORX and treated with 50 µg/Kg/d of PTH 1-84) over 3 months, with treatment beginning three months after orchidectomy.

RESULTS

Orchidectomy resulted in a decreased of femoral and lumbar bone mineral density (BMD), a worsening of trabecular and cortical microarchitecture and a decrease in biomechanical properties. Both doses of PTH (1-84) partially (low dose) or totally (high dose) restored the ORX-induced changes. Serum C-telopeptide of type I collagen/5b isoenzyme of tartrate-resistant acid phosphatase (CTX/TRAP) resorption index increased after orchidectomy. Osteocalcin (bone Gla protein; BGP) levels were not affected by orchidectomy. PTH (1-84) treatment did not produce any changes in the levels of CTX/TRAP with respect to the ORX group. BGP levels increased with PTH treatment.

CONCLUSION

PTH (1-84) is able to restore the adverse effects of orchidectomy on bone as measured by BMD, microstructural and biomechanical properties and bone remodeling markers.

摘要

目的

本研究旨在评估甲状旁腺激素(PTH)(1-84)在去势诱导的雄性骨质疏松大鼠模型中的作用。

方法

使用 6 月龄 Wistar 大鼠,分为以下几组:假手术(SHAM)组(模拟去势)、去势组(ORX)、去势+PTH1 组(ORX 并给予 10μg/Kg/d 的 PTH 1-84)和去势+PTH2 组(ORX 并给予 50μg/Kg/d 的 PTH 1-84),治疗从去势后 3 个月开始。

结果

去势导致股骨和腰椎骨密度(BMD)降低,骨小梁和皮质微结构恶化,生物力学性能下降。两种剂量的 PTH(1-84)部分(低剂量)或完全(高剂量)恢复了 ORX 引起的变化。去势后血清 I 型胶原 C 端肽/抗酒石酸酸性磷酸酶 5b 同工酶(CTX/TRAP)吸收指数增加。骨钙素(骨 Gla 蛋白;BGP)水平不受去势影响。PTH(1-84)治疗对 CTX/TRAP 水平与 ORX 组相比没有任何变化。BGP 水平随 PTH 治疗而增加。

结论

PTH(1-84)能够恢复去势对骨密度、微结构和生物力学性能以及骨重建标志物的不良影响。

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