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雌激素缺乏对 1 型糖尿病诱导的实验性大鼠骨骼变化发展的影响可忽略不计。

Negligible Effect of Estrogen Deficiency on Development of Skeletal Changes Induced by Type 1 Diabetes in Experimental Rat Models.

机构信息

Department of Pharmacology, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland.

Institute of Biology, Biotechnology and Environmental Protection, Faculty of Natural Sciences, University of Silesia in Katowice, Poland.

出版信息

Mediators Inflamm. 2020 Nov 6;2020:2793804. doi: 10.1155/2020/2793804. eCollection 2020.

Abstract

Although postmenopausal osteoporosis often occurs concurrently with diabetes, little is known about interactions between estrogen deficiency and hyperglycemia in the skeletal system. In the present study, the effects of estrogen deficiency on the development of biochemical, microstructural, and mechanical changes induced by streptozotocin-induced diabetes mellitus (DM) in the rat skeletal system were investigated. The experiments were carried out on nonovariectomized (NOVX) and ovariectomized (OVX) control and diabetic mature female Wistar rats. Serum levels of bone turnover markers (CTX-I and osteocalcin) and 23 cytokines, bone mass and mineralization, histomorphometric parameters, and mechanical properties of cancellous and compact bone were determined. The results were subjected to two-way ANOVA and principal component analysis (PCA). Estrogen deficiency induced osteoporotic changes, with increased bone resorption and formation, and worsening of microstructure (femoral metaphyseal BV/TV decreased by 13.0%) and mechanical properties of cancellous bone (the maximum load in the proximal tibial metaphysis decreased by 34.2%). DM in both the NOVX and OVX rats decreased bone mass, increased bone resorption and decreased bone formation, and worsened cancellous bone microarchitecture (for example, the femoral metaphyseal BV/TV decreased by 17.3% and 18.1%, respectively, in relation to the NOVX controls) and strength (the maximum load in the proximal tibial metaphysis decreased by 35.4% and 48.1%, respectively, in relation to the NOVX controls). Only in the diabetic rats, profound increases in some cytokine levels were noted. In conclusion, the changes induced by DM in female rats were only slightly intensified by estrogen deficiency. Despite similar effects on bone microstructure and strength, the influence of DM on the skeletal system was based on more profound systemic homeostasis changes than those induced by estrogen deficiency.

摘要

虽然绝经后骨质疏松症常与糖尿病同时发生,但人们对雌激素缺乏和高血糖在骨骼系统中的相互作用知之甚少。在本研究中,研究了雌激素缺乏对链脲佐菌素诱导的糖尿病(DM)大鼠骨骼系统中生化、微观结构和机械变化发展的影响。实验在未卵巢切除(NOVX)和卵巢切除(OVX)对照和糖尿病成熟雌性 Wistar 大鼠中进行。测定了血清骨转换标志物(CTX-I 和骨钙素)和 23 种细胞因子、骨量和矿化、组织形态计量学参数以及松质骨和皮质骨的力学性能。结果采用双因素方差分析和主成分分析(PCA)。雌激素缺乏导致骨质疏松变化,增加了骨吸收和形成,并使微观结构(股骨干骺端 BV/TV 减少 13.0%)和松质骨力学性能(胫骨近端干骺端最大负荷减少 34.2%)恶化。DM 使 NOVX 和 OVX 大鼠的骨量减少,骨吸收增加,骨形成减少,松质骨微观结构恶化(例如,股骨干骺端 BV/TV 分别减少 17.3%和 18.1%与 NOVX 对照相比)和强度(胫骨近端干骺端最大负荷分别减少 35.4%和 48.1%与 NOVX 对照相比)。只有在糖尿病大鼠中,一些细胞因子水平才会显著升高。总之,DM 引起的雌性大鼠变化仅被雌激素缺乏略微加剧。尽管对骨微观结构和强度有相似的影响,但 DM 对骨骼系统的影响基于更深刻的全身内稳定状态变化,而不是由雌激素缺乏引起的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f428/7665927/312a29e77fb0/MI2020-2793804.001.jpg

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