Nadia Z. Shaban, Department of Biochemistry, Faculty of Science, Alexandria University, Alexandria, Egypt,
J Nutr Health Aging. 2017;21(10):1299-1306. doi: 10.1007/s12603-017-0884-5.
Postmenopausal osteoporosis is mostly caused by increased bone remodeling resulting from estrogen deficiency. Hormone replacement therapy (HRT) is used to prevent osteoporosis, but it increases the risk for breast cancer, thromboembolism, strokes, and heart attacks. Pomegranate seed oil extract (SOE) is rich in phytoestrogen and antioxidant compounds.
To evaluate the therapeutic role of SOE against bone turnover, resorption and osteoporosis induced in ovariectomized rats as a postmenopausal model and comparing the results with those from Generic CycloProgynova drug (D).
The study used western albino rats undergo bilaterally ovariectomization as a model for postmenopausal.
The study took part in a laboratory setting.
Forty female western albino rats (age: 3-4 months) weighing 150-180 gm.
Rats were divided into four groups, 10 rats each; SC-group: Sham control = untreated and unovariectomized rats; OVX-group = ovariectomized rats; (OVX-SOE) and (OVX-D) groups = OVX rats were treated with SOE and D, respectively. Bone markers (BMs) especially osteocalcin (BGP), alkaline phosphatase (ALP), tartarate resistance acid phosphatase (TRAcP), bone weight, bone calcium concentration, serum electrolytes (calcium, sodium and potassium) and serum estradiol (E2) level and histopathological examination of bones were determined. Also lipid profile, uric acid, prothrombin time (INR) and liver and kidney functions were measured to evaluate the adverse effects of SOE and D.
In OVX group the activities of ALP and TRAcP and the levels of BGP, serum calcium, sodium and body weight were significantly higher (p≤0.05) than SC-group, while bone calcium concentration, bone mass, serum E2 and potassium level as well as uterus mass were significantly lower (p≤0.05). Also histopathological results revealed that the outer cortical bone became thinner, while the cancellous bone trabeculae lost their normal architecture. Moreover in OVX group lipid profile and uric acid levels were significantly higher (p≤0.05) than SC group, but there were no significant changes (p≤0.05) in INR level, liver and kidney functions. Treatment of OVX rats with SOE or D for 12 weeks improved both the architecture of bones as shown from the histopathological results and BMs, serum electrolytes and E2 levels (p≤0.05) which approached SC-group. Moreover after treatment of OVX rats with SOE the levels of lipid profile and uric acid were improved and approached SC-group, while liver function became significant lower (p≤0.05) than SC-group. Also there were no significant changes (p≤0.05) in kidney functions and INR of (OVX-SOE), OVX and SC groups. In contrast in (OVX-D) group the levels of lipid profile, liver and kidney functions, uric acid and INR were significantly higher (p≤0.05) than those of OVX and SC groups.
The results of this study show that SOE has therapeutic effects on osteoporosis, while it has no adverse effects on lipid profile, uric acid, liver and kidney functions when compared to HRT. SOE offers a promising alternative in the design of new strategies in nutritional management of age-related bone complications.
绝经后骨质疏松症主要是由于雌激素缺乏导致骨重塑增加引起的。激素替代疗法(HRT)用于预防骨质疏松症,但会增加乳腺癌、血栓栓塞、中风和心脏病发作的风险。石榴籽油提取物(SOE)富含植物雌激素和抗氧化化合物。
评估 SOE 对去卵巢大鼠骨转换、吸收和骨质疏松症的治疗作用,作为绝经后模型,并将结果与通用 CycloProgynova 药物(D)的结果进行比较。
本研究使用双侧卵巢切除术的西方白化大鼠作为绝经后模型。
本研究在实验室环境中进行。
40 只雌性西方白化大鼠(年龄:3-4 个月),体重 150-180 克。
将大鼠分为四组,每组 10 只;SC 组:假对照=未治疗且未去卵巢的大鼠;OVX 组=去卵巢大鼠;(OVX-SOE)和(OVX-D)组=分别用 SOE 和 D 治疗的 OVX 大鼠。测定骨标志物(BMs),特别是骨钙素(BGP)、碱性磷酸酶(ALP)、抗酒石酸酸性磷酸酶(TRAcP)、骨重、骨钙浓度、血清电解质(钙、钠和钾)和血清雌二醇(E2)水平,并对骨骼进行组织病理学检查。还测定了血脂谱、尿酸、凝血酶原时间(INR)以及肝肾功能,以评估 SOE 和 D 的不良反应。
在 OVX 组中,ALP 和 TRAcP 的活性以及 BGP、血清钙、钠和体重水平明显高于 SC 组(p≤0.05),而骨钙浓度、骨量、血清 E2 和钾水平以及子宫质量明显低于 SC 组(p≤0.05)。此外,组织病理学结果显示,外皮质骨变薄,而松质骨小梁失去正常结构。此外,在 OVX 组中,血脂谱和尿酸水平明显高于 SC 组(p≤0.05),但 INR 水平、肝肾功能无明显变化(p≤0.05)。用 SOE 或 D 治疗 OVX 大鼠 12 周,改善了骨骼的组织学结果和 BMs、血清电解质和 E2 水平(p≤0.05),接近 SC 组。此外,用 SOE 治疗 OVX 大鼠后,血脂谱和尿酸水平得到改善并接近 SC 组,而肝功能显著低于 SC 组(p≤0.05)。此外,OVX-SOE、OVX 和 SC 组的 INR 肝肾功能无明显变化(p≤0.05)。相比之下,在(OVX-D)组中,血脂谱、肝肾功能、尿酸和 INR 水平明显高于 OVX 和 SC 组(p≤0.05)。
本研究结果表明,SOE 对骨质疏松症具有治疗作用,与 HRT 相比,对血脂谱、尿酸、肝肾功能无不良影响。SOE 为年龄相关性骨并发症的营养管理提供了新策略的设计提供了有前景的替代方案。