Skip to main content
Erschienen in: Osteoporosis International 12/2007

01.12.2007 | Original Article

Locally applied simvastatin promotes fracture healing in ovariectomized rat

verfasst von: J. W. Wang, S. W. Xu, D. S. Yang, R. K. Lv

Erschienen in: Osteoporosis International | Ausgabe 12/2007

Einloggen, um Zugang zu erhalten

Abstract

Summary

Simvastatin solution was injected subcutaneously to the site of fractured tibiae of ovariectomized rats. Afterwards healing quality was evaluated by morphologic, radiographic, biomechanical, histological and histomorphometric methods at 1, 2 and 4 weeks after fracture. Results showed that locally applied simvastatin improved fracture healing.

Introduction

Many studies have documented an anabolic effect of hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, statins, on undisturbed bone. Reports of their effects, however, on fractured skeletal sytems have been limited. A study was, therefore, conducted to check the effects of statins on fracture healing.

Methods

Simvastatin (10 mg/kg/day) was injected subcutaneously to tissue overlying the site of fractured tibiae of ovariectomized rats for a treatment period of 5 days. Vehicle reagent was used as a control. Healing quality was evaluated at 1, 2 and 4 weeks after fracture.

Results

Compared with that in the vehicle group, the callus cross-section area in simvastatin-treated rats was significantly enlarged by 21.3% (p < 0.05) at 1 week and by 21.5% (p < 0.05) at 2 weeks; new woven bone was relatively substantive and arranged more tightly and regularly at 2 and 4 weeks; and maximal load was increased by 57.5% (p < 0.05) at 2 weeks and by 31.4% (p < 0.05) at 4 weeks. Histomorphometrically, simvastatin was associated with a significant (p < 0.05) increase of mineralization width (MLW), mineralization volume (MLV) and mineral apposition rate (MAR).

Conclusion

The current study suggests that local application of simvastatin could promote fracture healing in ovariectomized rats.
Literatur
1.
Zurück zum Zitat Mundy G, Garrett R, Harris S, Chan J, Chen D, Rossini G, Boyce B, Zhao M, Gutierrez G (1999) Stimulation of bone formation in vitro and in rodents by statins. Science 286:1946–1949PubMedCrossRef Mundy G, Garrett R, Harris S, Chan J, Chen D, Rossini G, Boyce B, Zhao M, Gutierrez G (1999) Stimulation of bone formation in vitro and in rodents by statins. Science 286:1946–1949PubMedCrossRef
2.
Zurück zum Zitat Chan MH, Mak TW, Chiu RW, Chow C, Chan IH, Lam CW (2001) Simvastatin increases serum osteocalcin concentration in patients treated for hypercholesterolemia. J Clin Endocrinol Metab 86:4556–4559PubMedCrossRef Chan MH, Mak TW, Chiu RW, Chow C, Chan IH, Lam CW (2001) Simvastatin increases serum osteocalcin concentration in patients treated for hypercholesterolemia. J Clin Endocrinol Metab 86:4556–4559PubMedCrossRef
3.
Zurück zum Zitat Mostaza JM, De la Piedra C, Curiel MD, Pena R, Lahoz C (2001) Pravastatin therapy increases procollagen I N-terminal propeptide. Clin Chim Acta 308:133–137PubMedCrossRef Mostaza JM, De la Piedra C, Curiel MD, Pena R, Lahoz C (2001) Pravastatin therapy increases procollagen I N-terminal propeptide. Clin Chim Acta 308:133–137PubMedCrossRef
4.
Zurück zum Zitat Stein EA, Farnier M, Waldstreicher J, Mercuri M (2001) Effects of statins on biomarkers of bone metabolism: a randomized trial. Nutr Metab Cardiovasc Dis 11:84–87PubMed Stein EA, Farnier M, Waldstreicher J, Mercuri M (2001) Effects of statins on biomarkers of bone metabolism: a randomized trial. Nutr Metab Cardiovasc Dis 11:84–87PubMed
5.
Zurück zum Zitat Oxlund H, Dalstra M, Andreassen TT (2001) Statin given perorally to adult rats increases cancellous bone mass and compressive strength. Calcif Tissue Int 69:299–304PubMedCrossRef Oxlund H, Dalstra M, Andreassen TT (2001) Statin given perorally to adult rats increases cancellous bone mass and compressive strength. Calcif Tissue Int 69:299–304PubMedCrossRef
6.
Zurück zum Zitat Sirola J, Sirola J, Honkanen R, Kroger H, Jurvelin JS, Maenpaa P, Saarikoski S (2002) Relation of statin use and bone loss: a prospective population-based cohort study in early postmenopausal women. Osteoporos Int 13:537–541PubMedCrossRef Sirola J, Sirola J, Honkanen R, Kroger H, Jurvelin JS, Maenpaa P, Saarikoski S (2002) Relation of statin use and bone loss: a prospective population-based cohort study in early postmenopausal women. Osteoporos Int 13:537–541PubMedCrossRef
7.
Zurück zum Zitat Montagnani A, Gonnelli S, Cepollaro C, Pacini S, Campagna MS, Franci MB, Lucani B, Gennari C (2003) Effect of simvastatin treatment on bone mineral density and bone turnover in hypercholesterolemic postmenopausal women: a 1-year longitudinal study. Bone 32:427–433PubMedCrossRef Montagnani A, Gonnelli S, Cepollaro C, Pacini S, Campagna MS, Franci MB, Lucani B, Gennari C (2003) Effect of simvastatin treatment on bone mineral density and bone turnover in hypercholesterolemic postmenopausal women: a 1-year longitudinal study. Bone 32:427–433PubMedCrossRef
8.
Zurück zum Zitat Lupattelli G, Scarponi AM, Vaudo G, Siepi D, Roscini AR, Gemelli F, Pirro M, Latini RA, Sinzinger H, Marchesi S, Mannarino E (2004) Simvastatin increases bone mineral density in hypercholesterolemic postmenopausal women. Metabolism 53:744–748PubMedCrossRef Lupattelli G, Scarponi AM, Vaudo G, Siepi D, Roscini AR, Gemelli F, Pirro M, Latini RA, Sinzinger H, Marchesi S, Mannarino E (2004) Simvastatin increases bone mineral density in hypercholesterolemic postmenopausal women. Metabolism 53:744–748PubMedCrossRef
9.
Zurück zum Zitat Pasco J, Kotowicz M, Henry M, Sanders K, Nicholson G (2002) Statin use, bone mineral density, and fracture risk: Geelong Osteoporosis Study. Arch Intern Med 162:537–540PubMedCrossRef Pasco J, Kotowicz M, Henry M, Sanders K, Nicholson G (2002) Statin use, bone mineral density, and fracture risk: Geelong Osteoporosis Study. Arch Intern Med 162:537–540PubMedCrossRef
10.
Zurück zum Zitat Bauer D, Mundy G, Jamal S, Black DM, Cauley JA, Ensrud KE, van der Klift M, Pols HA (2004) Use of statins and fracture: results of four prospective studies and cumulative metaanalysis of observational studies and controlled trials. Arch Intern Med 164:146–152PubMedCrossRef Bauer D, Mundy G, Jamal S, Black DM, Cauley JA, Ensrud KE, van der Klift M, Pols HA (2004) Use of statins and fracture: results of four prospective studies and cumulative metaanalysis of observational studies and controlled trials. Arch Intern Med 164:146–152PubMedCrossRef
11.
Zurück zum Zitat Rejnmark L, Olsen ML, Johnsen SP, Vestergaard P, Sorensen HT, Mosekilde 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, Mosekilde L (2004) Hip fracture risk in statin users-a population-based Danish case-control study. Osteoporos Int 15:452–458PubMed
12.
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 19:1525–1530PubMedCrossRef 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 19:1525–1530PubMedCrossRef
13.
Zurück zum Zitat Ralph A, Meyer J, Paul JT, David FM, David MB, Matt EH, Gary MK (2001) Age and ovariectomy impair both the normalization of mechanical properties and the accretion of mineral by the fracture callus in rats. J Orthop Res 19:428–435CrossRef Ralph A, Meyer J, Paul JT, David FM, David MB, Matt EH, Gary MK (2001) Age and ovariectomy impair both the normalization of mechanical properties and the accretion of mineral by the fracture callus in rats. J Orthop Res 19:428–435CrossRef
14.
Zurück zum Zitat Namkung-Matthai H, Appleyard R, Jansen J, Hao Lin J, Maastricht S, Swain M, Mason RS, Murrell GA, Diwan AD, Diamond T (2001) Osteoporosis influences the early period of fracture healing in a rat osteoporotic model. Bone 28:80–86PubMedCrossRef Namkung-Matthai H, Appleyard R, Jansen J, Hao Lin J, Maastricht S, Swain M, Mason RS, Murrell GA, Diwan AD, Diamond T (2001) Osteoporosis influences the early period of fracture healing in a rat osteoporotic model. Bone 28:80–86PubMedCrossRef
15.
Zurück zum Zitat Wang JW, Li W, Xu SW, Yang DS, Wang Y, Lin M, Zhao GF (2005) Osteoporosis influences the middle and late periods of fracture healing in a rat osteoporostic model. Chinese Journal of Traumatology 8:111–116PubMed Wang JW, Li W, Xu SW, Yang DS, Wang Y, Lin M, Zhao GF (2005) Osteoporosis influences the middle and late periods of fracture healing in a rat osteoporostic model. Chinese Journal of Traumatology 8:111–116PubMed
16.
Zurück zum Zitat Nakajima A, Shimoji N, Shiomi K, Shimizu S, Moriya H, Einhorn TA, Yamazaki M (2002) Mechanisms for the enhancement of fracture healing in rats treated with intermittent low-dose human parathyroid hormone (1–34). J Bone Miner Res 17:2038–2047PubMedCrossRef Nakajima A, Shimoji N, Shiomi K, Shimizu S, Moriya H, Einhorn TA, Yamazaki M (2002) Mechanisms for the enhancement of fracture healing in rats treated with intermittent low-dose human parathyroid hormone (1–34). J Bone Miner Res 17:2038–2047PubMedCrossRef
17.
Zurück zum Zitat Delgado-Martinez AD, Martinez ME, Carrascal MT, Rodriguez-Avial M, Munuera L (1998) Effect of 25-OH-vitamin D on fracture healing in elderly rats. J Orthop Res 16:650–653PubMedCrossRef Delgado-Martinez AD, Martinez ME, Carrascal MT, Rodriguez-Avial M, Munuera L (1998) Effect of 25-OH-vitamin D on fracture healing in elderly rats. J Orthop Res 16:650–653PubMedCrossRef
18.
Zurück zum Zitat McCormack AP, Anderson PA, Tencer AF (1993) Effect of controlled local release of sodium fluoride on bone formation: filling a defect in the proximal femoral cortex. J Orthop Res 11:548–555PubMedCrossRef McCormack AP, Anderson PA, Tencer AF (1993) Effect of controlled local release of sodium fluoride on bone formation: filling a defect in the proximal femoral cortex. J Orthop Res 11:548–555PubMedCrossRef
19.
Zurück zum Zitat Cao Y, Mori S, Mashiba T, Westmore MS, Ma L, Sato M, Akiyama T, Shi L, Komatsubara S, Miyamoto K, Norimatsu H (2002) Raloxifene, estrogen, and alendronate affect the processes of fracture repair differently in ovariectomized rats. J Bone Miner Res 17:2237–2246PubMedCrossRef Cao Y, Mori S, Mashiba T, Westmore MS, Ma L, Sato M, Akiyama T, Shi L, Komatsubara S, Miyamoto K, Norimatsu H (2002) Raloxifene, estrogen, and alendronate affect the processes of fracture repair differently in ovariectomized rats. J Bone Miner Res 17:2237–2246PubMedCrossRef
20.
Zurück zum Zitat Paavolainen P, Taivainen T, Michelsson JE, Lalla M, Penttinen R (1989) Calcitonin and fracture healing. An experimental study on rats. J Orthop Res 7:100–106PubMedCrossRef Paavolainen P, Taivainen T, Michelsson JE, Lalla M, Penttinen R (1989) Calcitonin and fracture healing. An experimental study on rats. J Orthop Res 7:100–106PubMedCrossRef
21.
Zurück zum Zitat Skoglund B, Forslund C, Aspenberg P (2002) Simvastatin improves fracture healing in mice. J Bone Miner Res 17:2004–2008PubMedCrossRef Skoglund B, Forslund C, Aspenberg P (2002) Simvastatin improves fracture healing in mice. J Bone Miner Res 17:2004–2008PubMedCrossRef
22.
Zurück zum Zitat Ohno T, Shigetomi M, Ihara K, Matsunaga T, Hashimoto T, Kawano H, Sugiyama T, Kawai S (2003) Skeletal reconstruction by vascularized allogenic bone transplantation: effects of statin in rats. Transplantation 76:869–871PubMedCrossRef Ohno T, Shigetomi M, Ihara K, Matsunaga T, Hashimoto T, Kawano H, Sugiyama T, Kawai S (2003) Skeletal reconstruction by vascularized allogenic bone transplantation: effects of statin in rats. Transplantation 76:869–871PubMedCrossRef
23.
Zurück zum Zitat Blum CB (1994) Comparison of properties of four inhibitors of 3-hdroxy-3methyglutary-coenzyme A reductase. Am J Cardiol 73:3D–11DPubMedCrossRef Blum CB (1994) Comparison of properties of four inhibitors of 3-hdroxy-3methyglutary-coenzyme A reductase. Am J Cardiol 73:3D–11DPubMedCrossRef
24.
25.
Zurück zum Zitat Giles AR (1987) Guidelines for the use of animals in biomedical research. Thromb Haemost 58:1078–1084PubMed Giles AR (1987) Guidelines for the use of animals in biomedical research. Thromb Haemost 58:1078–1084PubMed
26.
Zurück zum Zitat Pytlik M, Janiec W, Misiarz-Myrta M, Gubala I (2003) Effects of simvastatin on the development of osteopenia caused by ovariectomy in rats. Pol J Pharmacol 55:63–71PubMed Pytlik M, Janiec W, Misiarz-Myrta M, Gubala I (2003) Effects of simvastatin on the development of osteopenia caused by ovariectomy in rats. Pol J Pharmacol 55:63–71PubMed
27.
Zurück zum Zitat LaCroix AZ, Cauley JA, Pettinger M, Hsia J, Bauer DC, McGowan J, Chen Z, Lewis CE, McNeeley SG, Passaro MD, Jackson RD (2003) Statin use, clinical fracture, and bone density in postmenopausal women: results from the women’s health initiative observation study. Ann Intern Med 139:97–104PubMed LaCroix AZ, Cauley JA, Pettinger M, Hsia J, Bauer DC, McGowan J, Chen Z, Lewis CE, McNeeley SG, Passaro MD, Jackson RD (2003) Statin use, clinical fracture, and bone density in postmenopausal women: results from the women’s health initiative observation study. Ann Intern Med 139:97–104PubMed
28.
Zurück zum Zitat Reid IR, Hague W, Emberson J, Baker J, Tonkin A, Hunt D, MacMahon S, Sharpe N (2001) Effect of pravastatin on frequency of fracture in the LIPID study: secondary analysis of a randomised controlled trial. Long-term intervention with pravastatin in ischaemic disease. Lancet 357:509–512PubMedCrossRef Reid IR, Hague W, Emberson J, Baker J, Tonkin A, Hunt D, MacMahon S, Sharpe N (2001) Effect of pravastatin on frequency of fracture in the LIPID study: secondary analysis of a randomised controlled trial. Long-term intervention with pravastatin in ischaemic disease. Lancet 357:509–512PubMedCrossRef
29.
Zurück zum Zitat Reid IR, Tonkin A, Cannon CP (2005) Comparison of the effects of pravastatin and atorvastatin on fracture incidence in the PROVE IT-TIMI 22 trial-secondary analysis of a randomized controlled trial. Bone 37:190–191PubMedCrossRef Reid IR, Tonkin A, Cannon CP (2005) Comparison of the effects of pravastatin and atorvastatin on fracture incidence in the PROVE IT-TIMI 22 trial-secondary analysis of a randomized controlled trial. Bone 37:190–191PubMedCrossRef
30.
Zurück zum Zitat Tikiz C, Tikiz H, Taneli F, Gumuser G, Tuzun C (2005) Effects of simvastatin on bone mineral density and remodeling parameters in postmenopausal osteopenic subjects: 1-year follow-up study. Clin Rheumatol 24:447–452PubMedCrossRef Tikiz C, Tikiz H, Taneli F, Gumuser G, Tuzun C (2005) Effects of simvastatin on bone mineral density and remodeling parameters in postmenopausal osteopenic subjects: 1-year follow-up study. Clin Rheumatol 24:447–452PubMedCrossRef
31.
Zurück zum Zitat Rejnmark L, Buus NH, Vestergaard P, Heickendorff L, Andreasen F, Larsen ML, Mosekilde L (2004) Effects of simvastatin on bone turnover and BMD: a 1-year randomized controlled trial in postmenopausal osteopenic women. J Bone Miner Res 19:737–744PubMedCrossRef Rejnmark L, Buus NH, Vestergaard P, Heickendorff L, Andreasen F, Larsen ML, Mosekilde L (2004) Effects of simvastatin on bone turnover and BMD: a 1-year randomized controlled trial in postmenopausal osteopenic women. J Bone Miner Res 19:737–744PubMedCrossRef
32.
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 21:1636–1641PubMedCrossRef 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 21:1636–1641PubMedCrossRef
33.
Zurück zum Zitat Gerson RJ, MacDonald JS, Alberts AW, Kornbrust DJ, Majka JA, Stubbs RJ, Bokelman DL (1989) Animal safety and toxicology of simvastatin and related hydroxy-methylglutaryl-coenzyme A reductase inhibitors. Am J Med 87:28S–38SPubMedCrossRef Gerson RJ, MacDonald JS, Alberts AW, Kornbrust DJ, Majka JA, Stubbs RJ, Bokelman DL (1989) Animal safety and toxicology of simvastatin and related hydroxy-methylglutaryl-coenzyme A reductase inhibitors. Am J Med 87:28S–38SPubMedCrossRef
34.
Zurück zum Zitat Barnes CD, Eltherington LG (1964) Drug dosage in laboratory animals. University of California Press, Berkeley Barnes CD, Eltherington LG (1964) Drug dosage in laboratory animals. University of California Press, Berkeley
35.
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 280:874–877PubMedCrossRef Maeda T, Matsunuma A, Kawane T, Horiuchi N (2001) Simvastatin promotes osteoblast differentiation and mineralization in MC3T3-E1 cells. Biochem Biophys Res Commun 280:874–877PubMedCrossRef
36.
Zurück zum Zitat Song C, Guo Z, Ma Q, Chen Z, Liu Z, Jia H, Dang G (2003) Simvastatin induces osteoblastic differentiation and inhibits adipocytic differentiation in mouse bone marrow stromal cells. Biochem Biophys Res Commun 308:458–462PubMedCrossRef Song C, Guo Z, Ma Q, Chen Z, Liu Z, Jia H, Dang G (2003) Simvastatin induces osteoblastic differentiation and inhibits adipocytic differentiation in mouse bone marrow stromal cells. Biochem Biophys Res Commun 308:458–462PubMedCrossRef
37.
Zurück zum Zitat Hatano H, Maruo A, Bolander ME, Sarkar G (2003) Statin stimulates bone morphogenetic protein-2, aggrecan, and type 2 collagen gene expression and proteoglycan synthesis in rat chondrocytes. J Orthop Sci 8:842–848PubMedCrossRef Hatano H, Maruo A, Bolander ME, Sarkar G (2003) Statin stimulates bone morphogenetic protein-2, aggrecan, and type 2 collagen gene expression and proteoglycan synthesis in rat chondrocytes. J Orthop Sci 8:842–848PubMedCrossRef
38.
Zurück zum Zitat Oxlund H, Andreassen TT (2004) Simvastatin treatment partially prevents ovariectomy-induced bone loss while increasing cortical bone formation. Bone 34:609–618PubMedCrossRef Oxlund H, Andreassen TT (2004) Simvastatin treatment partially prevents ovariectomy-induced bone loss while increasing cortical bone formation. Bone 34:609–618PubMedCrossRef
39.
Zurück zum Zitat Sugiyama M, Kodama T, Konishi K, Abe K, Asami S, Oikawa S (2000) Compactin and simvastatin, but not pravastatin, induce bone morphogenetic protein-2 in human osteosarcoma cells. Biochem Biophys Res Commun 271:688–692PubMedCrossRef Sugiyama M, Kodama T, Konishi K, Abe K, Asami S, Oikawa S (2000) Compactin and simvastatin, but not pravastatin, induce bone morphogenetic protein-2 in human osteosarcoma cells. Biochem Biophys Res Commun 271:688–692PubMedCrossRef
40.
Zurück zum Zitat Ohnaka K, Shimoda S, Nawata H, Shimokawa H, Kaibuchi K, Iwamoto Y, Takayanagi R (2001) Pitavastatin enhanced BMP-2 and osteocalcin expression by inhibition of rho-associated kinase in human osteoblasts. Biochem Biophys Res Commun 287:337–342PubMedCrossRef Ohnaka K, Shimoda S, Nawata H, Shimokawa H, Kaibuchi K, Iwamoto Y, Takayanagi R (2001) Pitavastatin enhanced BMP-2 and osteocalcin expression by inhibition of rho-associated kinase in human osteoblasts. Biochem Biophys Res Commun 287:337–342PubMedCrossRef
41.
Zurück zum Zitat Garrett IR, Mundy GR (2002) The role of statins as potential targets for bone formation. Arthritis Res 4:237–240PubMedCrossRef Garrett IR, Mundy GR (2002) The role of statins as potential targets for bone formation. Arthritis Res 4:237–240PubMedCrossRef
42.
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 96:1244–1253PubMedCrossRef 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 96:1244–1253PubMedCrossRef
Metadaten
Titel
Locally applied simvastatin promotes fracture healing in ovariectomized rat
verfasst von
J. W. Wang
S. W. Xu
D. S. Yang
R. K. Lv
Publikationsdatum
01.12.2007
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 12/2007
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-007-0412-2

Weitere Artikel der Ausgabe 12/2007

Osteoporosis International 12/2007 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.