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Erschienen in: Calcified Tissue International 6/2015

01.06.2015 | Original Research

The Effects of Atorvastatin on the Prevention of Osteoporosis and Dyslipidemia in the High-Fat-Fed Ovariectomized Rats

verfasst von: Sien Lin, Jianping Huang, Ziwei Fu, Yanlong Liang, Haiyou Wu, Liangliang Xu, Yuxin Sun, Wayne Y. W. Lee, Tie Wu, Ling Qin, Liao Cui, Gang Li

Erschienen in: Calcified Tissue International | Ausgabe 6/2015

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Abstract

Previous studies reported that statins showed positive effects on bone in both human and animal models. This study aimed to investigate the effects of atorvastatin on the prevention of osteoporosis and dyslipidemia in ovariectomized rats fed with high-fat emulsion. The 3-month-old female rats were subjected to either sham operations (n = 8) or ovariectomized operations (OVX, n = 24). The OVX rats were orally administered deionized water (n = 8) or standardized high-fat emulsion without (n = 8) or with atorvastatin (n = 8). All rats were injected twice with calcein before sacrificed for the purpose of double in vivo labeling. After 12 weeks, all rats were sacrificed under anesthesia. Biochemistry, histomorphometry, mechanical test, micro-computed tomography analysis, mechanical test, histology, and component analysis were performed. We found that high-fat emulsion significantly decreased body weight, bone formation, collagen content of bone, and bone biomechanics, while increased blood, liver, and bone marrow lipids. Atorvastatin treatment prevented dyslipidemia, reversed hepatic steatosis, optimized composition of bone, and improved bone mechanical properties. The current study provided further evidence that atorvastatin might be useful for the treatment of osteoporotic patients with dyslipidemia.
Literatur
1.
Zurück zum Zitat Xia WB, He SL, Xu L, Liu AM, Jiang Y, Li M, Wang O, Xing XP, Sun Y, Cummings SR (2012) Rapidly increasing rates of hip fracture in Beijing, China. J Bone Miner Res 27:125–129CrossRefPubMed Xia WB, He SL, Xu L, Liu AM, Jiang Y, Li M, Wang O, Xing XP, Sun Y, Cummings SR (2012) Rapidly increasing rates of hip fracture in Beijing, China. J Bone Miner Res 27:125–129CrossRefPubMed
2.
Zurück zum Zitat Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison DM, Melton LJ, Cummings SR, Kanis JA (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–1288CrossRefPubMedCentralPubMed Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison DM, Melton LJ, Cummings SR, Kanis JA (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–1288CrossRefPubMedCentralPubMed
3.
Zurück zum Zitat Wohl GR, Loehrke L, Watkins BA, Zernicke RF (1998) Effects of high-fat diet on mature bone mineral content, structure, and mechanical properties. Calcif Tissue Int 63:74–79CrossRefPubMed Wohl GR, Loehrke L, Watkins BA, Zernicke RF (1998) Effects of high-fat diet on mature bone mineral content, structure, and mechanical properties. Calcif Tissue Int 63:74–79CrossRefPubMed
4.
Zurück zum Zitat van Beek E, Pieterman E, Cohen L, Lowik C, Papapoulos S (1999) Farnesyl pyrophosphate synthase is the molecular target of nitrogen-containing bisphosphonates. Biochem Biophys Res Commun 264:108–111CrossRefPubMed van Beek E, Pieterman E, Cohen L, Lowik C, Papapoulos S (1999) Farnesyl pyrophosphate synthase is the molecular target of nitrogen-containing bisphosphonates. Biochem Biophys Res Commun 264:108–111CrossRefPubMed
5.
Zurück zum Zitat Fisher JE, Rogers MJ, Halasy JM, Luckman SP, Hughes DE, Masarachia PJ, Wesolowski G, Russell RG, Rodan GA, Reszka AA (1999) Alendronate mechanism of action: geranylgeraniol, an intermediate in the mevalonate pathway, prevents inhibition of osteoclast formation, bone resorption, and kinase activation in vitro. Proc Natl Acad Sci USA 96:133–138CrossRefPubMedCentralPubMed Fisher JE, Rogers MJ, Halasy JM, Luckman SP, Hughes DE, Masarachia PJ, Wesolowski G, Russell RG, Rodan GA, Reszka AA (1999) Alendronate mechanism of action: geranylgeraniol, an intermediate in the mevalonate pathway, prevents inhibition of osteoclast formation, bone resorption, and kinase activation in vitro. Proc Natl Acad Sci USA 96:133–138CrossRefPubMedCentralPubMed
6.
Zurück zum Zitat Halcox JP, Deanfield JE (2004) Beyond the laboratory: clinical implications for statin pleiotropy. Circulation 109:II42–II48CrossRefPubMed Halcox JP, Deanfield JE (2004) Beyond the laboratory: clinical implications for statin pleiotropy. Circulation 109:II42–II48CrossRefPubMed
7.
Zurück zum Zitat Maritz FJ, Conradie MM, Hulley PA, Gopal R, Hough S (2001) Effect of statins on bone mineral density and bone histomorphometry in rodents. Arterioscler Thromb Vasc Biol 21:1636–1641CrossRefPubMed Maritz FJ, Conradie MM, Hulley PA, Gopal R, Hough S (2001) Effect of statins on bone mineral density and bone histomorphometry in rodents. Arterioscler Thromb Vasc Biol 21:1636–1641CrossRefPubMed
8.
Zurück zum Zitat Drake Matthew T, Clarke Bart L, Khosla Sundeep (2008) Bisphosphonates: mechanism of action and role in clinical practice. Mayo Clin Proc 83:1032–1045CrossRefPubMedCentralPubMed Drake Matthew T, Clarke Bart L, Khosla Sundeep (2008) Bisphosphonates: mechanism of action and role in clinical practice. Mayo Clin Proc 83:1032–1045CrossRefPubMedCentralPubMed
9.
Zurück zum Zitat Grasser WA, Baumann AP, Petras SF, Harwood HJ Jr, Devalaraja R, Renkiewicz R, Baragi V, Thompson DD, Paraklar VM (2003) Regulation of osteoclast differentiation by statins. J Musculoskelet Neuronal Interact 3:53–62PubMed Grasser WA, Baumann AP, Petras SF, Harwood HJ Jr, Devalaraja R, Renkiewicz R, Baragi V, Thompson DD, Paraklar VM (2003) Regulation of osteoclast differentiation by statins. J Musculoskelet Neuronal Interact 3:53–62PubMed
10.
Zurück zum Zitat Chen PY, Sun JS, Tsuang YH, Chen MH, Weng PW, Lin FH (2010) Simvastatin promotes osteoblast viability and differentiation via Ras/Smad/Erk/BMP-2 signaling pathway. Nutr Resm 30:191–199CrossRef Chen PY, Sun JS, Tsuang YH, Chen MH, Weng PW, Lin FH (2010) Simvastatin promotes osteoblast viability and differentiation via Ras/Smad/Erk/BMP-2 signaling pathway. Nutr Resm 30:191–199CrossRef
11.
Zurück zum Zitat Maeda T, Matsunuma A, Kawane T, Horiuchi N (2001) Simvastatin promotes osteoblast differentiation and mineralization in MC3T3-E1 cells. Biochem Biophys Res Commun 280:874–877CrossRefPubMed Maeda T, Matsunuma A, Kawane T, Horiuchi N (2001) Simvastatin promotes osteoblast differentiation and mineralization in MC3T3-E1 cells. Biochem Biophys Res Commun 280:874–877CrossRefPubMed
12.
Zurück zum Zitat Chan KA, Andrade SE, Boles M, Buist DS, Chase GA, Donahue JG, Goodman MJ, Gurwitz JH, LaCroix AZ, Platt R (2000) Inhibitors of hydroxymethylglutaryl-coenzyme A reductase and risk of fracture among older women. Lancet 355:2185–2188CrossRefPubMed Chan KA, Andrade SE, Boles M, Buist DS, Chase GA, Donahue JG, Goodman MJ, Gurwitz JH, LaCroix AZ, Platt R (2000) Inhibitors of hydroxymethylglutaryl-coenzyme A reductase and risk of fracture among older women. Lancet 355:2185–2188CrossRefPubMed
13.
Zurück zum Zitat Uysal AR, Delibasi T, Erdogan MF, Kamel N, Baskal N, Tonyukuk V, Corapcioglu D, Güllü S, Erdogan G (2007) Effect of simvastatin use on bone mineral density in women with type 2 diabetes. Endocr Pract 13:114–116CrossRefPubMed Uysal AR, Delibasi T, Erdogan MF, Kamel N, Baskal N, Tonyukuk V, Corapcioglu D, Güllü S, Erdogan G (2007) Effect of simvastatin use on bone mineral density in women with type 2 diabetes. Endocr Pract 13:114–116CrossRefPubMed
14.
Zurück zum Zitat Majima T, Komatsu Y, Fukao A, Ninomiya K, Matsumura T, Nakao K (2007) Short term effects of atorvastatin on bone turnover in male patients with hypercholesterolemia. Endocr J 54:145–151CrossRefPubMed Majima T, Komatsu Y, Fukao A, Ninomiya K, Matsumura T, Nakao K (2007) Short term effects of atorvastatin on bone turnover in male patients with hypercholesterolemia. Endocr J 54:145–151CrossRefPubMed
15.
Zurück zum Zitat Majima T, Shimatsu A, Komatsu Y, Satoh N, Fukao A, Ninomiya K, Matsumura T, Nakao K (2007) Shortterm effects of pitavastatin on biochemical markers of bone turnover in patients with hypercholesterolemia. Intern Med 46:1967–1973CrossRefPubMed Majima T, Shimatsu A, Komatsu Y, Satoh N, Fukao A, Ninomiya K, Matsumura T, Nakao K (2007) Shortterm effects of pitavastatin on biochemical markers of bone turnover in patients with hypercholesterolemia. Intern Med 46:1967–1973CrossRefPubMed
16.
Zurück zum Zitat Safaei H, Janghorbani M, Aminorroaya A, Amini M (2007) Lovastatin effects on bone mineral density in postmenopausal women with type 2 diabetes mellitus. Acta Diabetol 44:76–82CrossRefPubMed Safaei H, Janghorbani M, Aminorroaya A, Amini M (2007) Lovastatin effects on bone mineral density in postmenopausal women with type 2 diabetes mellitus. Acta Diabetol 44:76–82CrossRefPubMed
17.
Zurück zum Zitat Schoofs MW, Sturkenboom MC, van der Klift M, Hofman A, Pols HA, Stricker BH (2004) HMG-CoA reductase inhibitors and the risk of vertebral fracture. J Bone Miner Res 19:1525–1530CrossRefPubMed Schoofs MW, Sturkenboom MC, van der Klift M, Hofman A, Pols HA, Stricker BH (2004) HMG-CoA reductase inhibitors and the risk of vertebral fracture. J Bone Miner Res 19:1525–1530CrossRefPubMed
18.
Zurück zum Zitat Rejnmark L, Olsen ML, Johnsen SP, Vestergaard P, Sorensen HT, Mosekildeb L (2004) Hip fracture risk in statin users: a population-based Danish case-control study. Osteoporos Int 15:452–458PubMed Rejnmark L, Olsen ML, Johnsen SP, Vestergaard P, Sorensen HT, Mosekildeb L (2004) Hip fracture risk in statin users: a population-based Danish case-control study. Osteoporos Int 15:452–458PubMed
19.
Zurück zum Zitat Hatzigeorgiou C, Jackson JL (2005) Hydroxymethylglutaryl-coenzyme A reductase inhibitors and osteoporosis: a meta-analysis. Osteoporos Int 16:990–998CrossRefPubMed Hatzigeorgiou C, Jackson JL (2005) Hydroxymethylglutaryl-coenzyme A reductase inhibitors and osteoporosis: a meta-analysis. Osteoporos Int 16:990–998CrossRefPubMed
20.
Zurück zum Zitat Uzzan B, Cohen R, Nicolas P, Cucherat M, Perret GY (2007) Effects of statins on bone mineral density: a meta-analysis of clinical studies. Bone 40:1581–1587CrossRefPubMed Uzzan B, Cohen R, Nicolas P, Cucherat M, Perret GY (2007) Effects of statins on bone mineral density: a meta-analysis of clinical studies. Bone 40:1581–1587CrossRefPubMed
21.
Zurück zum Zitat Bone HG, Kiel DP, Lindsay RS, Lewiecki EM, Bolognese MA, Leary ET, Lowe W, McClung MR (2007) Effects of atorvastatin on bone in postmenopausal women with dyslipidemia: a double-blind, placebo-controlled, dose-ranging trial. J Clin Endocrinol Metab 92:4671–4677CrossRefPubMed Bone HG, Kiel DP, Lindsay RS, Lewiecki EM, Bolognese MA, Leary ET, Lowe W, McClung MR (2007) Effects of atorvastatin on bone in postmenopausal women with dyslipidemia: a double-blind, placebo-controlled, dose-ranging trial. J Clin Endocrinol Metab 92:4671–4677CrossRefPubMed
22.
Zurück zum Zitat Huang JH, Huang XH, Chen ZY, Zheng QS, Sun RY (2004) Dose conversion among different animals and healthy volunteers in pharmacological study. Chin J Clin Pharmacol Ther 9:1069–1072 Huang JH, Huang XH, Chen ZY, Zheng QS, Sun RY (2004) Dose conversion among different animals and healthy volunteers in pharmacological study. Chin J Clin Pharmacol Ther 9:1069–1072
24.
Zurück zum Zitat Lin SE, Huang JP, Wu LZ, Wu T, Cui L (2013) Prevention of osteopenia and dyslipidemia in rats after ovariectomy with combined aspirin and low-dose diethylstilbestrol. Biomed Environ Sci 26:249–257PubMed Lin SE, Huang JP, Wu LZ, Wu T, Cui L (2013) Prevention of osteopenia and dyslipidemia in rats after ovariectomy with combined aspirin and low-dose diethylstilbestrol. Biomed Environ Sci 26:249–257PubMed
25.
Zurück zum Zitat Cui L, Li T, Liu Y, Li P, Xu B, Huang L, Chen Y, Liu Y, Tian X, Jee WS, Wu T (2012) Salvianolic acid B prevents bone loss in prednisone-treated rats through stimulation of osteogenesis and bone marrow angiogenesis. PLoS One 7:e34647CrossRefPubMedCentralPubMed Cui L, Li T, Liu Y, Li P, Xu B, Huang L, Chen Y, Liu Y, Tian X, Jee WS, Wu T (2012) Salvianolic acid B prevents bone loss in prednisone-treated rats through stimulation of osteogenesis and bone marrow angiogenesis. PLoS One 7:e34647CrossRefPubMedCentralPubMed
26.
Zurück zum Zitat Lin SE, Huang JP, Zheng L, Liu YZ, Liu GH, Li N, Wang KX, Zou LY, Wu T, Qin L, Cui L, Li G (2014) Glucocorticoid-induced osteoporosis in growing rats. Calcif Tissue Int 95:362–373CrossRefPubMed Lin SE, Huang JP, Zheng L, Liu YZ, Liu GH, Li N, Wang KX, Zou LY, Wu T, Qin L, Cui L, Li G (2014) Glucocorticoid-induced osteoporosis in growing rats. Calcif Tissue Int 95:362–373CrossRefPubMed
27.
Zurück zum Zitat Dempster DW, Compston JE, Drezner MK, Glorieux FH, Kanis JA, Malluche H, Meunier PJ, Ott SM, Recker RR, Parfitt AM (2013) Standardized nomenclature, symbols, and units for bone histomorphometry: a 2012 update of the report of the ASBMR Histomorphometry Nomenclature Committee. J Bone Miner Res 28:2–17CrossRefPubMedCentralPubMed Dempster DW, Compston JE, Drezner MK, Glorieux FH, Kanis JA, Malluche H, Meunier PJ, Ott SM, Recker RR, Parfitt AM (2013) Standardized nomenclature, symbols, and units for bone histomorphometry: a 2012 update of the report of the ASBMR Histomorphometry Nomenclature Committee. J Bone Miner Res 28:2–17CrossRefPubMedCentralPubMed
28.
Zurück zum Zitat Campbell GM, Bernhardt R, Scharnweber D, Boyd SK (2011) The bone architecture is enhanced with combined PTH and alendronate treatment compared to monotherapy while maintaining the state of surface mineralization in the OVX rat. Bone 49:225–232CrossRefPubMed Campbell GM, Bernhardt R, Scharnweber D, Boyd SK (2011) The bone architecture is enhanced with combined PTH and alendronate treatment compared to monotherapy while maintaining the state of surface mineralization in the OVX rat. Bone 49:225–232CrossRefPubMed
29.
Zurück zum Zitat Mahanti HS, Barnes RM (1983) Determination of major, minor and trace elements in bone by inductively-coupled plasma emission spectrometry. Anal Chim Acta 151:409–417CrossRef Mahanti HS, Barnes RM (1983) Determination of major, minor and trace elements in bone by inductively-coupled plasma emission spectrometry. Anal Chim Acta 151:409–417CrossRef
30.
Zurück zum Zitat Little Tanya J, Feinle-Bisset Christine (2010) Oral and gastrointestinal sensing of dietary fat and appetite regulation in humans: modification by diet and obesity. Front Neurosci 4:178PubMedCentralPubMed Little Tanya J, Feinle-Bisset Christine (2010) Oral and gastrointestinal sensing of dietary fat and appetite regulation in humans: modification by diet and obesity. Front Neurosci 4:178PubMedCentralPubMed
31.
Zurück zum Zitat Paquette A, Shinoda M, Rabasa Lhoret R, Prud’homme D, Lavoie JM (2007) Time course of liver lipid infiltration in ovariectomized rats: impact of a high-fat diet. Maturitas 58:182–190CrossRefPubMed Paquette A, Shinoda M, Rabasa Lhoret R, Prud’homme D, Lavoie JM (2007) Time course of liver lipid infiltration in ovariectomized rats: impact of a high-fat diet. Maturitas 58:182–190CrossRefPubMed
32.
Zurück zum Zitat Grundy SM, Cleeman JI, Merz CN, Brewer HB Jr, Clark LT, Hunninghake DB, Pasternak RC, Smith SC Jr, Stone NJ (2004) Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 110:227–239CrossRefPubMed Grundy SM, Cleeman JI, Merz CN, Brewer HB Jr, Clark LT, Hunninghake DB, Pasternak RC, Smith SC Jr, Stone NJ (2004) Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 110:227–239CrossRefPubMed
33.
Zurück zum Zitat Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (2001) Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 285:2486–2497CrossRef Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (2001) Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 285:2486–2497CrossRef
34.
Zurück zum Zitat Stein EA (2003) The power of statins: aggressive lipid lowering. Clin Cardiol 26:III25–III31CrossRefPubMed Stein EA (2003) The power of statins: aggressive lipid lowering. Clin Cardiol 26:III25–III31CrossRefPubMed
35.
Zurück zum Zitat Parhami F, Tintut Y, Beamer WG, Gharavi N, Goodman W, Demer LL (2001) Atherogenic high-fat diet reduces bone mineralization in mice. J Bone Miner Res 16:182–188CrossRefPubMed Parhami F, Tintut Y, Beamer WG, Gharavi N, Goodman W, Demer LL (2001) Atherogenic high-fat diet reduces bone mineralization in mice. J Bone Miner Res 16:182–188CrossRefPubMed
36.
Zurück zum Zitat Cao JJ, Gregoire BR, Gao H (2009) High-fat diet decreases cancellous bone mass but has no effect on cortical bone mass in the tibia in mice. Bone 44:1097–1104CrossRefPubMed Cao JJ, Gregoire BR, Gao H (2009) High-fat diet decreases cancellous bone mass but has no effect on cortical bone mass in the tibia in mice. Bone 44:1097–1104CrossRefPubMed
37.
Zurück zum Zitat Patsch JM, Kiefer FW, Varga P, Pail P, Rauner M, Stupphann D, Resch H, Moser D, Zysset PK, Stulnig TM, Pietschmann P (2011) Increased bone resorption and impaired bone microarchitecture in short-term and extended high-fat diet-induced obesity. Metabolism 60:243–249CrossRefPubMed Patsch JM, Kiefer FW, Varga P, Pail P, Rauner M, Stupphann D, Resch H, Moser D, Zysset PK, Stulnig TM, Pietschmann P (2011) Increased bone resorption and impaired bone microarchitecture in short-term and extended high-fat diet-induced obesity. Metabolism 60:243–249CrossRefPubMed
38.
Zurück zum Zitat Seeman E, Delmas PD (2006) Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed Seeman E, Delmas PD (2006) Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261CrossRefPubMed
39.
Zurück zum Zitat Kaji H, Kanatani M, Sugimoto T, Chihara K (2005) Statins modulate the levels of osteoprotegerin/receptor activator of NFκB ligand mRNA in mouse bonecell cultures. Horm Metab Res 37:589–592CrossRefPubMed Kaji H, Kanatani M, Sugimoto T, Chihara K (2005) Statins modulate the levels of osteoprotegerin/receptor activator of NFκB ligand mRNA in mouse bonecell cultures. Horm Metab Res 37:589–592CrossRefPubMed
40.
Zurück zum Zitat Viereck V, Grundker C, Blaschke S, Frosch KH, Schoppet M, Emons G, Hofbauer LC (2005) Atorvastatin stimulates the production of osteoprotegerin by human osteoblasts. J Cell Biochem 96:1244–1253CrossRefPubMed Viereck V, Grundker C, Blaschke S, Frosch KH, Schoppet M, Emons G, Hofbauer LC (2005) Atorvastatin stimulates the production of osteoprotegerin by human osteoblasts. J Cell Biochem 96:1244–1253CrossRefPubMed
Metadaten
Titel
The Effects of Atorvastatin on the Prevention of Osteoporosis and Dyslipidemia in the High-Fat-Fed Ovariectomized Rats
verfasst von
Sien Lin
Jianping Huang
Ziwei Fu
Yanlong Liang
Haiyou Wu
Liangliang Xu
Yuxin Sun
Wayne Y. W. Lee
Tie Wu
Ling Qin
Liao Cui
Gang Li
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Calcified Tissue International / Ausgabe 6/2015
Print ISSN: 0171-967X
Elektronische ISSN: 1432-0827
DOI
https://doi.org/10.1007/s00223-015-9975-7

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