Abstract

In preclinical mouse models, a synergistic anabolic response to PTH(1–34) and tibia loading was shown. Whether combined treatment improves bone properties with oestrogen deficiency, a cardinal feature of osteoporosis, remains unknown. This study quantified the individual and combined longitudinal effects of PTH(1–34) and loading on the bone morphometric and densitometric properties in ovariectomised mice. C57BL/6 mice were ovariectomised at 14-weeks-old and treated either with injections of PTH(1–34); compressive loading of the right tibia; both interventions concurrently; or both interventions on alternating weeks. Right tibiae were microCT-scanned from 14 until 24-weeks-old. Trabecular metaphyseal and cortical midshaft morphometric properties, and bone mineral content (BMC) in 40 different regions of the tibia were measured. Mice treated only with loading showed the highest trabecular bone volume fraction at week 22. Cortical thickness was higher with co-treatment than in the mice treated with PTH alone. In the mid-diaphysis, increases in BMC were significantly higher with loading than PTH. In ovariectomised mice, the osteogenic benefits of co-treatment on the trabecular bone were lower than loading alone. However, combined interventions had increased, albeit regionally-dependent, benefits to cortical bone. Increased benefits were largest in the mid-diaphysis and postero-laterally, regions subjected to higher strains under compressive loads.

Highlights

  • Over 9 million osteoporotic fractures occur annually that may cause permanent disability and increased mortality[1,2]

  • Peak cortical bone mass was reported in the appendicular skeleton of female C57BL/6 mice at 3–4 months of age[37], the mice were considered to be skeletally mature at the onset of this study (14 weeks of age)

  • One mouse in the ML + PTHalt group was removed from densitometric analysis as reconstruction of the image data in the distal tibia failed at baseline, but this did not affect morphometric analysis

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Summary

Introduction

Over 9 million osteoporotic fractures occur annually that may cause permanent disability and increased mortality[1,2]. PTH with passive axial loading or treadmill running has shown increased benefits to both the 3 and 9 months-old rat vertebra[25,26] and 3–4 months old mouse tibia trabecular bone[27,28], whereas PTH inhibited the anabolic effect of tibia loading in mature (19 months-old) mice[29]. In cortical bone, both synergistic[27,29] and neutral effects[30] with combined treatments were found. The spatiotemporal effects of treatment for four weeks and of treatment withdrawal for two weeks were measured with high-resolution in vivo microCT to evaluate detailed early localised changes of the tissue along the bone length

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