Gambacciani M, Spinetti A, Cappagli B, Taponeco F, Felipetto R, Parrini D, Cappelli N, Fioretti P
Istituto di Clinica Ostetrica e Ginecologica, Università di Pisa, Italy.
J Endocrinol Invest. 1993 May;16(5):333-7. doi: 10.1007/BF03348848.
The aim of the present study was to assess the effects of ipriflavone administration in the prevention of the rapid bone loss that follows ovariectomy in women. After 10-30 days from bilateral ovariectomy, patients received either the sole calcium supplementation (500 mg/day, n = 16) or ipriflavone (600 mg/day, n = 16) in addition to the same daily calcium supplement for 12 months. In calcium-treated subjects urinary hydroxyproline excretion, serum alkaline phosphatase and plasma bone Gla protein levels showed a substantial (p < 0.01) increase, while radial bone density significantly (p < 0.01) decreased 6 months after surgery. In ipriflavone treated group the patterns of biochemical markers indicated that ipriflavone can restrain the bone remodeling processes and radial bone density showed no significant modification during the 12 month study period. These results demonstrate that ipriflavone administration prevents the rapid bone loss that follows ovariectomy. Thus, ipriflavone can represent an attractive alternative for the prevention of osteoporosis in postmenopausal women who present contraindications to the estrogen replacement therapy.
本研究的目的是评估服用异黄酮对预防女性卵巢切除术后快速骨质流失的效果。双侧卵巢切除术后10 - 30天,患者接受单纯补钙(500毫克/天,n = 16)或在每日补充相同剂量钙的基础上额外服用异黄酮(600毫克/天,n = 16),持续12个月。在补钙治疗的受试者中,术后6个月尿羟脯氨酸排泄量、血清碱性磷酸酶和血浆骨钙素水平显著(p < 0.01)升高,而桡骨密度显著(p < 0.01)降低。在异黄酮治疗组中,生化指标模式表明异黄酮可抑制骨重塑过程,并且在12个月的研究期间桡骨密度无显著变化。这些结果表明,服用异黄酮可预防卵巢切除术后的快速骨质流失。因此,对于存在雌激素替代疗法禁忌证的绝经后女性,异黄酮可能是预防骨质疏松的一种有吸引力的替代方法。