Vanderschueren D, Van Herck E, Schot P, Rush E, Einhorn T, Geusens P, Bouillon R
Laboratorium voor Experimentele Geneeskunde en Endocrinologie, Katholieke Universiteit Leuven, Belgium.
Calcif Tissue Int. 1993 Nov;53(5):342-7. doi: 10.1007/BF01351841.
Effects of androgen deficiency and androgen replacement on bone density, as measured with dual-energy X-ray absorptiometry (DXA) and single photon absorptiometry (SPA), cortical ratio (cortical thickness/outside bone diameter x 100), and biomechanical properties were evaluated in 14-month-old (1 month after orchiectomy (orch) or sham-operation) and in 17-month-old (4 months after orch or sham) male rats. Whole femoral bone mineral content (BMC) and density (BMD) measured with DXA were not significantly decreased 1 month after orch. Whole femoral BMC and BMD were 10% and 8% lower in 4 months after orch (P < 0.01 and P < 0.001, respectively). This decrease was prevented by testosterone replacement. There was an excellent correlation (R = 0.99) between whole femoral BMC and femoral ash weight. Selective scanning of cortical and cancellous sites of the femur showed that both cancellous and cortical BMC and BMD were significantly decreased 4 months after orch. SPA of the right tibia confirmed a 7% decrease in cancellous BMC and BMD 4 months after orch (preventable by testosterone) but not in cortical BMD and BMC. Femoral cortical ratio decreased with age (47 +/- 2 in 14-month-old and 40 +/- 2 in 17-month-old sham rats versus 63 +/- 1 in 6-month-old male rats) due to a continuously enlarging femoral shaft. Androgen deficiency resulted in an even greater decrease of the cortical ratio 4 months after orch (36 +/- 2 in 17-month-old orch rats) that was again prevented by testosterone (47 +/- 3).(ABSTRACT TRUNCATED AT 250 WORDS)
采用双能X线吸收法(DXA)和单光子吸收法(SPA)测量雄激素缺乏及雄激素替代对骨密度、皮质骨比率(皮质骨厚度/骨外径×100)和生物力学特性的影响,并在14月龄(睾丸切除术后1个月或假手术)和17月龄(睾丸切除术后或假手术后4个月)雄性大鼠中进行评估。睾丸切除术后1个月,用DXA测量的全股骨骨矿物质含量(BMC)和骨密度(BMD)没有显著降低。睾丸切除术后4个月,全股骨BMC和BMD分别降低了10%和8%(P<0.01和P<0.001)。睾酮替代可预防这种降低。全股骨BMC与股骨灰重之间存在极好的相关性(R=0.99)。对股骨皮质和松质部位进行选择性扫描显示,睾丸切除术后4个月,松质骨和皮质骨的BMC和BMD均显著降低。右侧胫骨的SPA证实,睾丸切除术后4个月,松质骨BMC和BMD降低了7%(睾酮可预防),但皮质骨BMD和BMC未降低。由于股骨干持续增粗,股骨皮质比率随年龄降低(14月龄假手术大鼠为47±2,17月龄假手术大鼠为40±2,而6月龄雄性大鼠为63±1)。雄激素缺乏导致睾丸切除术后4个月皮质比率进一步降低(17月龄睾丸切除大鼠为36±2),睾酮再次预防了这种降低(47±3)。(摘要截短于250字)