高脂饮食诱导肥胖小鼠的骨脆弱性部分独立于 2 型糖尿病。

Bone Fragility in High Fat Diet-induced Obesity is Partially Independent of Type 2 Diabetes in Mice.

机构信息

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Medical Center East, South Tower, 1215 21st Ave. S., Suite 4200, Nashville, TN, 37232, USA.

Vanderbilt Center for Bone Biology, Vanderbilt University Medical Center, 2215B Garland Ave., Nashville, TN, 37212, USA.

出版信息

Calcif Tissue Int. 2024 Sep;115(3):298-314. doi: 10.1007/s00223-024-01252-x. Epub 2024 Jul 16.

Abstract

Obesity and type 2 diabetes (T2D) are risk factors for fragility fractures. It is unknown whether this elevated risk is due to a diet favoring obesity or the diabetes that often occurs with obesity. Therefore, we hypothesized that the fracture resistance of bone is lower in mice fed with a high fat diet (45% kcal; HFD) than in mice that fed on a similar, control diet (10% kcal; LFD), regardless of whether the mice developed overt T2D. Sixteen-week-old, male NON/ShiLtJ mice (resistant to T2D) and age-matched, male NONcNZO10/LtJ (prone to T2D) received a control LFD or HFD for 21 weeks. HFD increased the bodyweight to a greater extent in the ShiLtJ mice compared to the NZO10 mice, while blood glucose levels were significantly higher in NZO10 than in ShiLtJ mice. As such, the glycated hemoglobin A1c (HbA1c) levels exceeded 10% in NZO10 mice, but it remained below 6% in ShiLtJ mice. Diet did not affect HbA1c. HFD lowered trabecular number and bone volume fraction of the distal femur metaphysis (micro-computed tomography or μCT) in both strains. For the femur mid-diaphysis, HFD significantly reduced the yield moment (mechanical testing by three-point bending) in both strains but did not affect cross-sectional bone area, cortical thickness, nor cortical tissue mineral density (μCT). Furthermore, the effect of diet on yield moment was independent of the structural resistance of the femur mid-diaphysis suggesting a negative effect of HFD on characteristics of the bone matrix. However, neither Raman spectroscopy nor assays of advanced glycation end-products identified how HFD affected the matrix. HFD also lowered the resistance of cortical bone to crack growth in only the diabetic NZO10 mice (fracture toughness testing of other femur), while HFD reduced the ultimate force of the L6 vertebra in both strains (compression testing). In conclusion, the HFD-related decrease in bone strength can occur in mice resistant and prone to diabetes indicating that a diet high in fat deleteriously affects bone without necessarily causing hyperglycemia.

摘要

肥胖和 2 型糖尿病(T2D)是脆性骨折的危险因素。目前尚不清楚这种风险的增加是由于支持肥胖的饮食,还是由于肥胖常伴有的糖尿病。因此,我们假设高脂饮食(45%热量)喂养的小鼠的骨骨折抵抗力低于喂食相似对照饮食(10%热量)的小鼠,而无论这些小鼠是否出现明显的 T2D。16 周龄的雄性 NON/ShiLtJ 小鼠(对 T2D 有抵抗力)和年龄匹配的雄性 NONcNZO10/LtJ 小鼠(易患 T2D)接受对照 LFD 或 HFD 喂养 21 周。与 NZO10 小鼠相比,HFD 使 ShiLtJ 小鼠的体重增加幅度更大,而 NZO10 小鼠的血糖水平明显高于 ShiLtJ 小鼠。因此,NZO10 小鼠的糖化血红蛋白 A1c(HbA1c)水平超过 10%,而 ShiLtJ 小鼠的 HbA1c 仍低于 6%。饮食对 HbA1c 没有影响。HFD 降低了两种品系远端股骨干骺端(微计算机断层扫描或 μCT)的小梁数量和骨体积分数。对于股骨中段,HFD 显著降低了两种品系的屈服力矩(三点弯曲力学测试),但不影响横截面骨面积、皮质厚度或皮质组织矿物质密度(μCT)。此外,饮食对屈服力矩的影响与股骨中段的结构阻力无关,这表明 HFD 对骨基质特性有负面影响。然而,拉曼光谱或晚期糖基化终产物测定均未确定 HFD 如何影响基质。HFD 还仅降低了糖尿病 NZO10 小鼠(其他股骨的裂纹扩展阻力测试)皮质骨对裂纹生长的抵抗力,而 HFD 降低了两种品系的 L6 椎骨的极限力(压缩测试)。总之,高脂饮食相关的骨强度下降可发生在对糖尿病有抵抗力和易感性的小鼠中,这表明高脂肪饮食会对骨骼造成有害影响,而不一定导致高血糖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d5/11333511/f9c0ee657081/223_2024_1252_Fig1_HTML.jpg

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