Kukreja S C, Rosol T J, Shevrin D H, York P A
VA West Side Medical Center, Chicago, IL.
J Bone Miner Res. 1988 Jun;3(3):341-6. doi: 10.1002/jbmr.5650030314.
We performed quantitative bone histomorphometry on lumbar vertebrae in hypercalcemic tumor-bearing athymic mice carrying a human squamous cell carcinoma. For comparison, studies were also performed in athymic mice that received bovine 1-34 parathyroid hormone (PTH) infusion at the rate of 0.167 micrograms/hr for 7 days. In both the PTH-infused and tumor-bearing animals, percent cortical and total bone areas were significantly reduced as compared to controls, whereas trabecular bone was significantly reduced only in the tumor-bearing animals. Trabecular perimeter lined by osteoclasts was significantly increased in both tumor-bearing (1.7-fold) and PTH-infused animals (2.8-fold) compared to control mice. Trabecular perimeter lined by active osteoblasts was significantly reduced in the tumor-bearing animals (to 42% of control) and unchanged in the PTH-infused animals (97% of control). Tumor-bearing animals had significantly reduced resorptive as well as formative surfaces as compared to the PTH-infused animals. Dynamic histomorphometry revealed a marked reduction in bone formation rate (23% of control) in the tumor-bearing animals. The studies therefore demonstrate a marked inhibition of bone formation associated with increased bone resorption in this model of hypercalcemia of malignancy. These observations are similar to those seen in the human syndrome.
我们对携带人类鳞状细胞癌的高钙血症荷瘤无胸腺小鼠的腰椎进行了定量骨组织形态计量学研究。为作比较,还对以0.167微克/小时的速率输注牛1-34甲状旁腺激素(PTH)7天的无胸腺小鼠进行了研究。在输注PTH的动物和荷瘤动物中,与对照组相比,皮质骨和总骨面积百分比均显著降低,而仅在荷瘤动物中骨小梁骨显著减少。与对照小鼠相比,荷瘤动物(1.7倍)和输注PTH的动物(2.8倍)中破骨细胞衬里的骨小梁周长均显著增加。荷瘤动物中活跃成骨细胞衬里的骨小梁周长显著减少(降至对照的42%),而输注PTH的动物中则无变化(为对照的97%)。与输注PTH的动物相比,荷瘤动物的吸收表面和形成表面均显著减少。动态组织形态计量学显示荷瘤动物的骨形成率显著降低(为对照的23%)。因此,这些研究表明在这种恶性肿瘤高钙血症模型中,骨形成受到显著抑制,同时骨吸收增加。这些观察结果与在人类综合征中所见相似。