Treatment with risedronate or alendronate prevents hind-limb immobilization-induced loss of bone density and strength in adult female rats.
Abstract
Immobilization leads to rapid loss of bone mass and mechanical competence, and long-term immobilization or repeated periods of short-term immobilization can have serious skeletal consequences and may lead to increased fracture liability. The aim of the present preclinical study was, therefore, to assess whether two antiresorptive agents, risedronate (Ris) or alendronate (Aln), would be capable of preventing immobilization-induced loss of bone mass and strength in rats. The study was designed as a dose-response study, and the site-specific effects of immobilization and of treatment are described. Four-month-old virgin female Sprague-Dawley rats were divided into eight groups with 12 animals in each group: (1) immobilized (Imm) control; (2) normal control; (3) Imm + Ris 0.1 mg/kg body weight/day (b.w./day); (4) Imm + Ris 0.2 mg/kg b.w./day; (5) Imm + Ris 1.0 mg/kg b.w./day; (6) Imm + Aln 0.2 mg/kg b.w./day; (7) Imm + Aln 1.0 mg/kg b.w./day; and (8) Imm + Aln 2.0 mg/kg b.w. /day. In groups 1 and 3-8, the right hind leg was immobilized with an elastic bandage. The study period was 28 days. The effects of unilateral hind-limb immobilization and of treatment were determined by dual-energy X-ray absorptiometry (DEXA) measurements on tibiae and by biomechanical testing of femora at three different sites: diaphysis; femoral neck; and distal metaphysis. Bilateral measurements were performed (on the immobilized and nonimmobilized legs). Immobilization induced a significant loss of bone mineral density (BMD) at the proximal tibial metaphysis, but no change at the mid-diaphysis. Furthermore, immobilization induced a loss of bone strength at the two femoral metaphyses, but no change was seen in three-point bending of the diaphysis. Both risedronate and alendronate treatment showed a dose-dependent protection against the immobilization-induced loss of bone density and strength at the metaphyses. We conclude that, in rats, short-term hind-limb immobilization affects only the metaphyses and that no changes are seen in the diaphysis. Both risedronate and alendronate can prevent immobilization-induced bone loss at the metaphyses. The present study confirms the importance of examining several skeletal sites when testing the efficacy of therapeutic agents.
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Bisphosphonates are frequently ineffective at improving cortical bone strength in rat unloading models, even when cancellous bone strength is significantly improved.
“bisphosphonates are frequently ineffective at improving cortical bone strength in rat unloading models (284 -286), even when cancellous bone strength was significantly improved (286).”
From Receptor Activator of Nuclear Factor κB Ligand and Osteoprotegerin Regulation of Bone Remodeling in Health and Disease (2008) · cites this paper as [286]
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- Authors
- Mosekilde, L., Thomsen, J. S., Mackey, M. S., & Phipps, R. J.
- Affiliations
- Aarhus University (DK)
- Procter & Gamble (United States) (US)
- Corresponding author
- Mosekilde, Li
- ORCID
- Thomsen, J.S
- Venue
- Bone
- Publisher
- Elsevier BV
- Published
- 2000-11
- Volume
- 27
- Issue
- 5
- Pages
- 639-645
- ISSN
- 1873-2763 (ISSN-L)
- 8756-3282
- OpenAlex
- W2010187077
- Cited by
- 78
- References
- 43
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 3 · 2015: 1 · 2014: 9 · 2012: 2
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bone (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Physiology › Spaceflight effects on biology
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- risedronate, alendronate, bisphosphonates, antiresorptive agents, hindlimb immobilization, disuse osteoporosis, bone mineral density, bone strength, femoral metaphysis, tibial metaphysis, femoral diaphysis, dose-response relationship, female rats, fracture risk
- MeSH terms
- Risedronic Acid, Animals, Body Weight, Female, Femur, Osteoporosis, Etidronic Acid, Rats, Sprague-Dawley, Alendronate, Hindlimb Suspension, Rats
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