Department of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea.
J Bone Miner Metab. 2020 Mar;38(2):172-178. doi: 10.1007/s00774-019-01044-6. Epub 2019 Sep 9.
Lactation inevitably leads to a state of rapid bone loss; however, maternal bone undergoes rapid remineralization after weaning. Sclerostin, encoded by the gene SOST, is exclusively secreted from osteocytes and plays important roles in bone remodeling. However, there are few studies about the effect of sclerostin during lactation and weaning on bone microstructures. Therefore, we conducted the study to demonstrate any possible association of sclerostin with bone metabolism and skeletal changes during lactation and after weaning.
We analyzed bone mineral density (BMD) by dual-energy X-ray absorptiometry at the spine and femur, bone microstructure by micro-computed tomography (μCT) at the distal and mid-shaft of the femur and biochemical markers such as sclerostin and bone turnover markers at 1 week and 3 weeks of lactation and 2 weeks post-weaning in osteocyte-specific sclerostin-overexpressed transgenic mice, and compared them with wild type.
Lactation significantly resulted in decreased spine and femur BMD at day 7 and day 21 of breastfeeding; specifically, cortical microstructure (cross-sectional thickness and cross-sectional area) at the mid-shaft of the femur had significantly deteriorated. At day 14 after weaning, femur BMD and cortical microstructure at the mid-shaft of the femur in both the wild and DMP-SOST mice had incompletely recovered; however, spine BMD and trabecular microstructures at the distal femur recovered in wild type mice.
Sclerostin, secreted by osteocytes, played a role in bone loss during lactation and also in the recovery of trabecular bone compartment by activating bone formation after weaning.
哺乳期不可避免地会导致骨质快速流失;然而,母体骨骼在断奶后会迅速再矿化。硬骨素(SOST 基因编码)由骨细胞特异性分泌,在骨重塑中发挥重要作用。然而,关于哺乳期和断奶期间硬骨素对骨微结构的影响的研究较少。因此,我们开展了这项研究,以证明硬骨素与哺乳期和断奶后骨代谢和骨骼变化之间可能存在关联。
我们通过双能 X 射线吸收法(DXA)在脊柱和股骨处分析骨密度(BMD),通过微计算机断层扫描(μCT)在股骨远端和中段分析骨微结构,并在哺乳期第 1 周和第 3 周以及断奶后第 2 周分析骨源性硬骨素过表达转基因小鼠和野生型小鼠的骨代谢生化标志物(如硬骨素和骨转换标志物),并将其与野生型进行比较。
哺乳期导致哺乳期第 7 天和第 21 天的脊柱和股骨 BMD 显著降低;特别是股骨中段的皮质微结构(横截面厚度和横截面积)明显恶化。断奶后第 14 天,野生型和 DMP-SOST 小鼠的股骨 BMD 和股骨中段皮质微结构尚未完全恢复;然而,野生型小鼠的远端股骨 BMD 和小梁微结构恢复。
由骨细胞分泌的硬骨素在哺乳期的骨质流失中发挥作用,并且在断奶后通过激活骨形成来恢复小梁骨容积。