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甲状旁腺切除术不能预防去卵巢大鼠的骨质流失。

Parathyroidectomy does not prevent bone loss in the oophorectomized rat.

作者信息

Sims N A, Morris H A, Moore R J, Durbridge T C

机构信息

Division of Clinical Biochemistry, Institute of Medical and Veterinary Science, Adelaide, Australia.

出版信息

J Bone Miner Res. 1994 Dec;9(12):1859-63. doi: 10.1002/jbmr.5650091204.

Abstract

The evidence for a role of parathyroid hormone in the bone loss after the menopause remains controversial. This study examines the effect of parathyroidectomy on femoral trabecular bone volume, thickness, and spacing and biochemical markers of bone turnover in the oophorectomized rat. Female Sprague-Dawley rats 3 months old were double sham operated (sham), oophorectomized (OPX), parathyroidectomized (PTX), or oophorectomized and parathyroidectomized (O/P) under halothane anesthesia. At 9 weeks postoperation, femoral trabecular bone volume (BV/TV) was lower in OPX and O/P rats compared with sham or PTX animals (BV/TV, %, mean +/- SEM): sham 25.9 +/- 0.5, OPX 15.1 +/- 0.9, PTX 24.1 +/- 0.9, O/P 17.3 +/- 0.5; p < 0.001). Urinary hydroxyproline excretion, serum osteocalcin, and alkaline phosphatase activity were higher in OPX and O/P rats compared with control animals at 3 weeks postoperation (OHPE microM GF, mean +/- SEM: sham 1.37 +/- 0.16, OPX 2.16 +/- 0.26, PTX 0.95 +/- 0.21, O/P 1.92 +/- 0.22, p < 0.005; osteocalcin, microgram/liter, sham 31.8 +/- 1.8, OPX 33.7 +/- 2.7, PTX 24.5 +/- 2.1, O/P 34.3 +/- 2.1, p < 0.025; alkaline phosphatase, U/liter, sham 90 +/- 3, OPX 125 +/- 9, PTX 87 +/- 9, O/P 116 +/- 11, p < 0.005). These data indicate postoophorectomy bone loss is not prevented by parathyroidectomy.

摘要

甲状旁腺激素在绝经后骨质流失中所起作用的证据仍存在争议。本研究检测了甲状旁腺切除对去卵巢大鼠股骨小梁骨体积、厚度、间距以及骨转换生化标志物的影响。3月龄雌性斯普拉格-道利大鼠在氟烷麻醉下接受双侧假手术(假手术组)、去卵巢手术(去卵巢组)、甲状旁腺切除手术(甲状旁腺切除组)或去卵巢及甲状旁腺切除手术(去卵巢/甲状旁腺切除组)。术后9周,去卵巢组和去卵巢/甲状旁腺切除组大鼠的股骨小梁骨体积(BV/TV)低于假手术组或甲状旁腺切除组动物(BV/TV,%,平均值±标准误):假手术组25.9±0.5,去卵巢组15.1±0.9,甲状旁腺切除组24.1±0.9,去卵巢/甲状旁腺切除组17.3±0.5;p<0.001。术后3周,去卵巢组和去卵巢/甲状旁腺切除组大鼠的尿羟脯氨酸排泄量、血清骨钙素以及碱性磷酸酶活性高于对照组动物(尿羟脯氨酸排泄量,μM GF,平均值±标准误:假手术组1.37±0.16,去卵巢组2.16±0.26,甲状旁腺切除组0.95±0.21,去卵巢/甲状旁腺切除组1.92±0.22,p<0.005;骨钙素,μg/升,假手术组31.8±1.8,去卵巢组33.7±2.7,甲状旁腺切除组24.5±2.1,去卵巢/甲状旁腺切除组34.3±2.1,p<0.025;碱性磷酸酶,U/升,假手术组90±3,去卵巢组125±9,甲状旁腺切除组87±9,去卵巢/甲状旁腺切除组116±11,p<0.005)。这些数据表明甲状旁腺切除并不能预防去卵巢后的骨质流失。

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