Chen Ying-Ju, Wang Shun-Ping, Cheng Fu-Chou, Hsu Pei-Yu, Li Yu-Fen, Wu Jay, Huang Heng-Li, Tsai Ming-Tzu, Hsu Jui-Ting
Department of Food and Nutrition, Providence University, Taichung, 433, Taiwan.
Department of Orthopaedics, Taichung Veterans General Hospital, Taichung, 407, Taiwan.
BMC Musculoskelet Disord. 2017 Apr 24;18(1):171. doi: 10.1186/s12891-017-1530-4.
Intermittent parathyroid hormone (PTH) can be used to treat osteoporosis of the spine and hip. However, whether it can be used to treat osteoporosis of the mandible is unclear. The purpose of this study was to explore the influence of applying intermittent PTH to ovariectomized rats on the trabecular bone microarchitecture of the mandible and femoral head.
Eighteen female rats were divided into three groups: the healthy group, ovariectomized (OVX) group, and OVX + PTH group. The OVX group and OVX + PTH group had an OVX at 8 weeks of age. The OVX + PTH group received intermittent PTH therapy for 12 weeks. The mandibles and femurs of all rats were removed at 20 weeks and were then scanned using microcomputed tomography (micro-CT).
From the micro-CT analysis, the trabecular bone microarchitecture of the mandible and femoral head are offered as follows: (1) The bone volume fraction and trabecular thickness in the OVX group were lower than those in the healthy group. (2) The bone volume fraction and trabecular thickness in the OVX + PTH group approximated those in the healthy group.
The conclusions of this study regarding the trabecular bone microarchitecture of the mandible and femoral head are offered as follows: (1) The BV/TV and TbTh in the OVX group were lower than those in the healthy group. (2) The BV/TV and TbTh in the OVX + PTH group approximated those in the healthy group, therefore, intermittent PTH displayed high efficacy for treating femoral or mandibular deterioration of bone microstructure resulting from loss of ovarian function. Osteoporosis of the femur or mandible in the rats was ameliorated by intermittent PTH therapy.
间歇性甲状旁腺激素(PTH)可用于治疗脊柱和髋部骨质疏松症。然而,其是否可用于治疗下颌骨骨质疏松症尚不清楚。本研究的目的是探讨对去卵巢大鼠应用间歇性PTH对下颌骨和股骨头小梁骨微结构的影响。
18只雌性大鼠分为三组:健康组、去卵巢(OVX)组和OVX + PTH组。OVX组和OVX + PTH组在8周龄时进行去卵巢手术。OVX + PTH组接受12周的间歇性PTH治疗。所有大鼠在20周时取出下颌骨和股骨,然后使用微型计算机断层扫描(micro-CT)进行扫描。
通过micro-CT分析,下颌骨和股骨头的小梁骨微结构如下:(1)OVX组的骨体积分数和小梁厚度低于健康组。(2)OVX + PTH组的骨体积分数和小梁厚度接近健康组。
本研究关于下颌骨和股骨头小梁骨微结构的结论如下:(1)OVX组的骨体积分数(BV/TV)和小梁厚度(TbTh)低于健康组。(2)OVX + PTH组的BV/TV和TbTh接近健康组,因此,间歇性PTH对治疗因卵巢功能丧失导致的股骨或下颌骨骨微结构恶化显示出高效性。间歇性PTH治疗改善了大鼠股骨或下颌骨的骨质疏松症。