ZDSD大鼠中随着2型糖尿病进展骨抗骨折能力的变化
Changes in the Fracture Resistance of Bone with the Progression of Type 2 Diabetes in the ZDSD Rat.
作者信息
Creecy Amy, Uppuganti Sasidhar, Merkel Alyssa R, O'Neal Dianne, Makowski Alexander J, Granke Mathilde, Voziyan Paul, Nyman Jeffry S
机构信息
Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN, 37212, USA.
Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37232, USA.
出版信息
Calcif Tissue Int. 2016 Sep;99(3):289-301. doi: 10.1007/s00223-016-0149-z. Epub 2016 May 21.
Individuals with type 2 diabetes (T2D) have a higher fracture risk compared to non-diabetics, even though their areal bone mineral density is normal to high. Identifying the mechanisms whereby diabetes lowers fracture resistance requires well-characterized rodent models of diabetic bone disease. Toward that end, we hypothesized that bone toughness, more so than bone strength, decreases with the duration of diabetes in ZDSD rats. Bones were harvested from male CD(SD) control rats and male ZDSD rats at 16 weeks (before the onset of hyperglycemia), at 22 weeks (5-6 weeks of hyperglycemia), and at 29 weeks (12-13 weeks of hyperglycemia). There were at least 12 rats per strain per age group. At 16 weeks, there was no difference in either body weight or glucose levels between the two rat groups. Within 2 weeks of switching all rats to a diet with 48 % of kcal from fat, only the ZDSD rats developed hyperglycemia (>250 mg/dL). They also began to lose body weight at 21 weeks. CD(SD) rats remained normoglycemic (<110 mg/dL) on the high-fat diet and became obese (>600 g). From micro-computed tomography (μCT) analysis of a lumbar vertebra and distal femur, trabecular bone volume did not vary with age among the non-diabetic rats but was lower at 29 weeks than at 16 weeks or at 22 weeks for the diabetic rats. Consistent with that finding, μCT-derived intra-cortical porosity (femur diaphysis) was higher for ZDSD following ~12 weeks of hyperglycemia than for age-matched CD(SD) rats. Despite an age-related increase in mineralization in both rat strains (μCT and Raman spectroscopy), material strength of cortical bone (from three-point bending tests) increased with age only in the non-diabetic CD(SD) rats. Moreover, two other material properties, toughness (radius) and fracture toughness (femur), significantly decreased with the duration of T2D in ZDSD rats. This was accompanied by the increase in the levels of the pentosidine (femur). However, pentosidine was not significantly higher in diabetic than in non-diabetic bone at any time point. The ZDSD rat, which has normal leptin signaling and becomes diabetic after skeletal maturity, provides a pre-clinical model of diabetic bone disease, but a decrease in body weight during prolonged diabetes and certain strain-related differences before the onset of hyperglycemia should be taken into consideration when interpreting diabetes-related differences.
与非糖尿病患者相比,2型糖尿病(T2D)患者的骨折风险更高,尽管他们的骨矿物质密度处于正常至高值范围。要确定糖尿病降低抗骨折能力的机制,需要具备特征明确的糖尿病性骨病啮齿动物模型。为此,我们假设,对于ZDSD大鼠,与骨强度相比,骨韧性会随着糖尿病病程的延长而降低。在16周龄(高血糖症发作前)、22周龄(高血糖症5 - 6周)和29周龄(高血糖症12 - 13周)时,从雄性CD(SD)对照大鼠和雄性ZDSD大鼠身上采集骨骼。每个年龄组每个品系至少有12只大鼠。16周龄时,两组大鼠的体重和血糖水平均无差异。在将所有大鼠转换为摄入48%千卡来自脂肪的饮食后2周内,只有ZDSD大鼠出现高血糖(>250 mg/dL)。它们在21周龄时也开始体重减轻。CD(SD)大鼠在高脂饮食下保持血糖正常(<110 mg/dL)并变得肥胖(>600 g)。通过对腰椎和股骨远端进行微计算机断层扫描(μCT)分析,非糖尿病大鼠的小梁骨体积不随年龄变化,但糖尿病大鼠在29周龄时的小梁骨体积低于16周龄或22周龄时。与该发现一致,高血糖约12周后的ZDSD大鼠的μCT衍生皮质内孔隙率(股骨干)高于年龄匹配的CD(SD)大鼠。尽管两种品系的大鼠的矿化均随年龄增加(μCT和拉曼光谱法),但仅非糖尿病的CD(SD)大鼠的皮质骨材料强度(通过三点弯曲试验)随年龄增加。此外,ZDSD大鼠的另外两种材料特性,韧性(半径)和断裂韧性(股骨),随T2D病程显著降低。这伴随着戊糖苷水平(股骨)的升高。然而,在任何时间点,糖尿病大鼠骨骼中的戊糖苷水平均未显著高于非糖尿病大鼠骨骼。ZDSD大鼠具有正常的瘦素信号传导,在骨骼成熟后发生糖尿病,它提供了一种糖尿病性骨病的临床前模型,但在解释糖尿病相关差异时,应考虑到长期糖尿病期间体重减轻以及高血糖症发作前某些品系相关差异。
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