Pfeilschifter J, Laukhuf F, Müller-Beckmann B, Blum W F, Pfister T, Ziegler R
University of Heidelberg, Department of Internal Medicine, Germany.
J Clin Invest. 1995 Aug;96(2):767-74. doi: 10.1172/JCI118121.
Intermittent treatment with parathyroid hormone (PTH) increases bone mass in experimental animals and humans. In vitro studies have suggested that the anabolic effect of PTH may be mediated by local growth factors. However, the relevance of these findings to in vivo situations remains unclear. In this study, we examined a time course of daily s.c. injections of hPTH (1-34) on the skeletal concentration of insulin-like growth factor (IGF)-I, IGF-II, and transforming growth factor beta (TGF-beta) in the proximal tail vertebrae of male rats. PTH caused a time and dose-dependent increase in the bone mineral density of the lumbar spine. This anabolic effect on bone mass was accompanied by progressive increases in bone matrix-associated IGF-I and TGF-beta 1. Increases in IGF-I and TGF-beta 1 became apparent after four and eight weeks of PTH treatment respectively and persisted through week 12. PTH had no effect on circulating IGF-I, suggesting that the increase of bone matrix IGF-I was due to the local effect of PTH on bone tissue directly rather than to an increase of circulating IGF-I. These data are consistent with the hypothesis that IGF-I and TGF-beta 1 may play a role as local mediators of the anabolic effects of PTH on bone metabolism.
甲状旁腺激素(PTH)间歇性治疗可增加实验动物和人类的骨量。体外研究表明,PTH的合成代谢作用可能由局部生长因子介导。然而,这些发现与体内情况的相关性仍不清楚。在本研究中,我们检测了每日皮下注射hPTH(1-34)对雄性大鼠近端尾椎骨中胰岛素样生长因子(IGF)-I、IGF-II和转化生长因子β(TGF-β)骨骼浓度的时间进程影响。PTH导致腰椎骨矿物质密度呈时间和剂量依赖性增加。这种对骨量的合成代谢作用伴随着骨基质相关IGF-I和TGF-β1的逐渐增加。IGF-I和TGF-β1的增加分别在PTH治疗4周和8周后变得明显,并持续到第12周。PTH对循环IGF-I没有影响,这表明骨基质IGF-I的增加是由于PTH对骨组织的直接局部作用,而不是循环IGF-I的增加。这些数据与IGF-I和TGF-β1可能作为PTH对骨代谢合成代谢作用的局部介质发挥作用的假设一致。