de Bakker Chantal M J, Tseng Wei-Ju, Li Yihan, Zhao Hongbo, Altman-Singles Allison R, Jeong Yonghoon, Robberts Juhanna, Han Lin, Kim Do-Gyoon, Sherry Liu X
McKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 e-mail: .
McKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
J Biomech Eng. 2017 Nov 1;139(11):1110061-11100610. doi: 10.1115/1.4038110.
During pregnancy and lactation, the maternal skeleton provides calcium for fetal/infant growth, resulting in substantial bone loss, which partially recovers after weaning. However, the amount of bone that is lost and the extent of post-weaning recovery are highly variable among different skeletal sites, and, despite persistent alterations in bone structure at some locations, reproductive history does not increase postmenopausal fracture risk. To explain this phenomenon, we hypothesized that the degree of reproductive bone loss/recovery at trabecular sites may vary depending on the extent to which the trabecular compartment is involved in the bone's load-bearing function. Using a rat model, we quantified the proportion of the load carried by the trabeculae, as well as the extent of reproductive bone loss and recovery, at two distinct skeletal sites: the tibia and lumbar vertebra. Both sites underwent significant bone loss during pregnancy and lactation, which was partially recovered post-weaning. However, the extent of the deterioration and the resumption of trabecular load-bearing capacity after weaning varied substantially. Tibial trabecular bone, which bore a low proportion of the total applied load, underwent dramatic and irreversible microstructural deterioration during reproduction. Meanwhile, vertebral trabecular bone bore a greater fraction of the load, underwent minimal deterioration in microarchitecture, and resumed its full load-bearing capacity after weaning. Because pregnancy and lactation are physiological processes, the distinctive responses to these natural events among different skeletal sites may help to elucidate the extent of the trabecular bone's structural versus metabolic functions.
在怀孕和哺乳期间,母体骨骼为胎儿/婴儿的生长提供钙,导致大量骨质流失,断奶后部分骨质流失会恢复。然而,不同骨骼部位骨质流失的量和断奶后恢复的程度差异很大,而且尽管某些部位的骨骼结构持续改变,但生育史并不会增加绝经后骨折风险。为了解释这一现象,我们假设小梁部位生殖性骨质流失/恢复的程度可能取决于小梁部分参与骨骼承重功能的程度。我们使用大鼠模型,在两个不同的骨骼部位——胫骨和腰椎,量化了小梁所承受负荷的比例,以及生殖性骨质流失和恢复的程度。在怀孕和哺乳期间,这两个部位都出现了明显的骨质流失,断奶后部分骨质流失得到了恢复。然而,断奶后小梁承重能力的恶化程度和恢复情况差异很大。胫骨小梁骨承受的总负荷比例较低,在生殖过程中经历了剧烈且不可逆的微观结构恶化。与此同时,椎骨小梁骨承受的负荷比例更大,微观结构恶化程度最小,断奶后恢复了全部承重能力。由于怀孕和哺乳是生理过程,不同骨骼部位对这些自然事件的独特反应可能有助于阐明小梁骨结构功能与代谢功能的程度。