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[合成鲑鱼降钙素和阿仑膦酸盐对去卵巢大鼠骨质量的影响]

[Effects of synthetic salmon calcitonin and alendronate on bone quality in ovariectomized rats].

作者信息

Giardino R, Fini M, Nicoli Aldini N, Gnudi S, Biagini G, Gandolfi M G, Mongiorgi R

机构信息

Servizio di Chirurgia Sperimentale, Istituto Ortopedico Rizzoli, Bologna.

出版信息

Minerva Med. 1997 Nov;88(11):469-77.

PMID:9454099
Abstract

BACKGROUND

The aim of this study was to assess the effect of calcitonin (CCT) and alendronate (ALN) on bone quality through histomorphometric, histological, densitometric and crystallographic evaluations in an experimental model of osteoporosis obtained in ovariectomized rats.

METHODS

The animals were randomly assigned to the treatment with CCT (2 IU/kg/day, N-12) or with ALN (6 micrograms/kg/day, N-12) given subcutaneously, starting three months after ovariectomy: treatment lasted 60 days. Six rats untreated after ovariectomy and other 6 non ovariectomized (intact) were taken as controls. At the end of treatment the animals were sacrificed and femurs explanted for laboratory examinations. Results were evaluated by an ANOVA followed by the Tukey's test when appropriate.

RESULTS

The histomorphometric analysis showed a significant increase of the trabecular bone volume and of the cortical bone thickness either with CCT and ALN in comparison with the ovariectomized untreated controls. Optic and electronic microscopy examinations suggest a higher bone remodeling after ALN than after CCT, but accompanied by areas of imperfect mineralization, and more irregular osteon and collagen fibres disposition. The densitometry carried out at the femoral head and diaphysis showed a similar bone mass increase following either CCT and ALN, but significantly higher in comparison to the untreated controls. At the diaphysis level ALN was superior in increasing the bone mass also when compared to the intact rats. The mineralogic exams showed that CCT acted on the re-elaboration of the mineral phase approaching the molar ratio Ca/PO4 to the physiological values typical of senescence, and crystallography revealed that the formation of hydroxyapatite crystals follows a physiological mineral redeposition: those phenomena were not observed for ALN.

CONCLUSIONS

In conclusion both CCT and ALN could reduce the bone loss due to osteoporosis, by increasing the bone mass and thickness. Nevertheless the submicroscopic and chemical bone structure are less similar to the physiologic ones after treatment with ALN.

摘要

背景

本研究旨在通过组织形态计量学、组织学、骨密度测定和晶体学评估,在去卵巢大鼠骨质疏松实验模型中,评估降钙素(CCT)和阿仑膦酸盐(ALN)对骨质量的影响。

方法

动物在去卵巢三个月后开始随机分组,皮下注射CCT(2 IU/kg/天,n = 12)或ALN(6微克/千克/天,n = 12),治疗持续60天。6只去卵巢后未治疗的大鼠和另外6只未去卵巢(完整)的大鼠作为对照。治疗结束时处死动物,取出股骨进行实验室检查。结果采用方差分析评估,适当情况下随后进行Tukey检验。

结果

组织形态计量学分析显示,与未治疗的去卵巢对照组相比,CCT和ALN治疗组的小梁骨体积和皮质骨厚度均显著增加。光学和电子显微镜检查表明,ALN治疗后的骨重塑高于CCT治疗后,但伴有矿化不完全区域,骨单位和胶原纤维排列更不规则。股骨头和骨干的骨密度测定显示,CCT和ALN治疗后骨量增加相似,但与未治疗的对照组相比显著更高。在骨干水平,与完整大鼠相比,ALN在增加骨量方面也更具优势。矿物学检查表明,CCT作用于矿物相的再加工,使钙/磷酸根摩尔比接近衰老典型的生理值,晶体学显示羟基磷灰石晶体的形成遵循生理性矿物再沉积:ALN未观察到这些现象。

结论

总之,CCT和ALN均可通过增加骨量和厚度来减少骨质疏松导致的骨丢失。然而,ALN治疗后亚微观和化学骨结构与生理结构的相似性较低。

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