Abstract
In rodent osteoporosis models such as ovariectomized (OVX) rats, intermittently administered
human parathyroid hormone (hPTH) has an anabolic effect in vertebrae and long bones.
In the present experiments, subcutaneously injected hPTH(1 - 34) or hPTH(1 - 84) dose-
and time-dependently increased bone mineral density (BMD) as measured by dual energy
X-ray absorptiometry in mandibles, L2 to L4 vertebrae and femurs of such rats. The
highest dose (15.9 nmol/kg, s. c.) of either peptide given four times weekly for 10
weeks completely reversed the effects of overiectomy on BMD. Significant elevation
in lumbar BMD after 10 weeks was observed with hPTH(1 - 34) or hPTH(1 - 84) at 1.1
nmol/kg, whereas hPTH(1 - 34) at 1.1 and 4.2 nmol/kg significantly increased BMD of
the whole bone and the metaphysis of the femur and the diaphysis of the bone, respectively.
In contrast, significant effects of hPTH(1 - 84) administration on BMD increase in
the femur were observed at 4.2 and 15.9 nmol/kg in the whole bone and the metaphysis,
and in the diaphysis, respectively. Maxillary molar extraction left mandibular BMD
in rats with intact ovaries unchanged, but significantly decreased mandibular BMD
in OVX rats. Administration of hPTH(1 - 84) for 10 weeks in OVX rats without or with
extraction significantly increased BMD in the mandibular molar region at doses of
15.9 and 4.2 nmol/kg, respectively, indicating that efficacy was increased by extraction.
A significant BMD increase in the molar region in OVX rats with extraction occurred
at only 1.1 nmol/kg of hPTH(1 - 34) and 4.2 nmol/kg of hPTH(1 - 84). Also, BMD of
the ramus region was increased by administration of both peptides to a lesser extent
than that of the molar region in these rats. Thus, intermittent administration of
hPTH, especially hPTH(1 - 34), has an anabolic effect on bone, particularly alveolar
bone. Such treatment may increase alveolar bone mass in postmenopausal women with
osteoporosis.
Key words
Intermittent Administration - Bone Mineral Density - Bone Formation - Osteoporosis
References
1
Chrischilles E, Shireman T, Wallace R.
Costs and health effects of osteoporotic fractures.
Bone.
1994;
15
377-386
2
Christiansen C.
Prevention and treatment of osteoporosis: a review of current modalities.
Bone.
1992;
13 Suppl. 1
S35-S39
3
Lane N E, Thompson J M, Strewler G J, Kinney J H.
Intermittent treatment with human parathyroid hormone (hPTH 1 - 34) increased trabecular
bone volume but not connectivity in osteopenic rats.
J Bone Miner Res.
1995;
10
1470-1477
4
Kimmel D B, Recker R R, Gallagher J C, Vaswani A S, Aloia J F.
A comparison of iliac bone histomorphometric data in post-menopausal osteoporotic
and normal subjects.
Bone Miner.
1990;
11
217-235
5
Weinstein R S, Hutson M S.
Decreased trabecular width and increased trabecular spacing contribute to bone loss
with aging.
Bone.
1987;
8
137-142
6
Christiansen C, Lindsay R.
Estrogens, bone loss and preservation.
Osteoporosis International.
1990;
1
7-13
7
Margolis R N, Canalis E, Partridge N C.
Invited review of a workshop: anabolic hormones in bone: basic research and therapeutic
potential.
J Clin Endocrinol Metab.
1996;
81
872-877
8
Reeve J, Davies U M, Hesp R, McNally E, Katz D.
Treatment of osteoporosis with human parathyroid peptide and observations on effect
of sodium fluoride.
British Medical Journal.
1990;
301
314-318
9
Reeve J, Meunier P J, Parsons J A, Bernat M, Bijvoet O L, Courpron P, Edouard C, Klenerman L,
Neer R M, Renier J C, Slovik D, Vismans F J, Potts Jr. J T.
Anabolic effect of human parathyroid hormone fragment on trabecular bone in involutional
osteoporosis: a multicentre trial.
Br Med J.
1980;
280
1340-1344
10
Slovik D M, Rosenthal D I, Doppelt S H, Potts Jr. J T, Daly M A, Campbell J A, Neer R M.
Restoration of spinal bone in osteoporotic men by treatment with human parathyroid
hormone (1 - 34) and 1,25-dihydroxyvitamin D.
J Bone Miner Res.
1986;
1
377-381
11
Frost H M, Jee W SS.
On the rat model of human osteopenias and osteoporoses.
Bone Miner.
1992;
18
227-236
12
Kalu D N.
The ovariectomized rat model of postmenopausal bone loss.
Bone Miner.
1991;
15
175-191
13
Dempster D W, Cosman F, Parisien M, Shen V, Lindsay R.
Anabolic actions of parathyroid hormone on bone.
Endocrine Rev.
1993;
14
690-709
14
Baumann B D, Wronski T J.
Response of cortical bone to antiresorptive agents and parathyroid hormone in aged
ovariectomized rats.
Bone.
1995;
16
247-253
15
Meng X W, Liang X G, Birchman R, Wu D D, Dempster D W, Lindsay R, Shen V.
Temporal expression of the anabolic action of PTH in cancellous bone of ovariectomized
rats.
J Bone Miner Res.
1996;
11
421-429
16
Mitlak B H, Burdette-Miller P, Schoenfeld D, Neer R M.
Sequential effects of chronic human PTH (1 - 84) treatment of estrogen-deficiency
osteopenia in the rat.
J Bone Miner Res.
1996;
11
430-439
17
Dobnig H, Turner R T.
Evidence that intermittent treatment with parathyroid hormone increases bone formation
in adult rats by activation of bone lining cells.
Endocrinology.
1995;
136
3632-3638
18
Tam C S, Heersche J NM, Murray T M, Parsons J A.
Parathyroid hormone stimulates the bone apposition rate independently of its resorptive
action: differential effects of intermittent and continuous administration.
Endocrinology.
1982;
110
506-512
19
Miller S C, Bowman B M, Miller M A, Bagi C M.
Calcium absorption and osseous organ-, tissue-, and envelope-specific changes following
ovariectomy in rats.
Bone.
1991;
12
439-446
20
Elovic R P, Hipp J A, Hayes W C.
Ovariectomy decreases the bone area fraction of the rat mandible.
Calcified Tissue Int.
1995;
56
305-310
21
Miller S C, Hunziker J, Mecham M, Wronski T J.
Intermittent parathyroid hormone administration stimulates bone formation in the mandibles
of aged ovariectomized rats.
J Dent Res.
1997;
76
1471-1476
22
Bonofiglio D, Maggiolini M, Catalano S, Marsico S, Aquila S, Ando S.
Bone mineral density is inversely related to parathyroid hormone in adolescent girls.
Horm Metab Res.
2001;
33
170-174
23
Kanzawa M, Sugimoto T, Kobayashi T, Kobayashi A, Chihara K.
Association between parathyroid hormone (PTH)/PTH-related peptide receptor gene polymorphism
and the extent of bone mass reduction in primary hyperparathyroidism.
Horm Metab Res.
2000;
32
355-358
24
Gomez J M, Gomez N, Fiter J, Soler J.
Effects of long-term treatment with GH in the bone mineral density of adults with
hypopituitarism and GH deficiency and after discontinuation of GH replacement.
Horm Metab Res.
2000;
32
66-70
25
D’Erasmo E, Pisani D, Ragno A, Raejntroph N, Letizia C, Acca M.
Relationship between serum albumin and bone mineral density in postmenopausal women
and in patients with hypoalbuminemia.
Horm Metab Res.
1999;
31
385-388
26
Elovic R P, Hipp J A, Hayes W C.
Maxillary molar extraction causes increased bone loss in the mandible of ovariectomized
rats.
J Bone Miner Res.
1995;
10
1087-1093
27
Gardella T J, Rubin D, Abou-Samra A-B, Keutmann H T, Potts J T , Kronenberg H M, Nussbaum S R.
Expression of human parathyroid hormone-(1 - 84) in Escherichia coli as a factor X-cleavable
fusion protein.
J Biol Chem.
1990;
265
15 854-15 859
28
Torres R, de la Piedra C, Rapado A.
Clinical usefulness of serum tartrate-resistant acid phosphatase in Paget’s disease
of bone: correlation with other biochemical markers of bone remodelling.
Calcified Tissue Int.
1991;
49
14-16
29
Frolik C A, Cain R L, Sato M, Harvey A K, Chandrasekhar S, Black E C, Tashjian A H,
Hock J M.
Comparison of recombinant human PTH(1 - 34) (LY333334) with a C-terminally substituted
analog of human PTH-related protein(1 - 34) (RS-66 271): In vitro activity and in vivo pharmacological effects in rats.
J Bone Miner Res.
1999;
14
163-172
30
Kimmel D B, Bozzato R P, Kronis K A, Coble T, Sindrey D, Kwong P, Recker R R.
The effect of recombinant human (1 - 84) or synthetic human (1 - 34) parathyroid hormone
on the skeleton of adult osteopenic ovariectomized rats.
Endocrinology.
1993;
132
1577-1584
31
Lane N E, Sanchez S, Modin G W, Genant H K, Pierini E, Arnaud C D.
Parathyroid hormone treatment can reverse corticosteroid-induced osteoporosis. Results
of a randomized controlled clinical trial.
J Clin Invest.
1998;
102
1627-1633
32
Mosekilde L, Søgaard C H, Danielsen C C, Tørring O, Nilsson M HL.
The anabolic effects of human parathyroid hormone (hPTH) on rat vertebral body mass
are also reflected in the quality of bone, assessed by biomechanical testing: a comparison
study between hPTH-(1 - 34) and hPTH-(1 - 84).
Endocrinology.
1991;
129
421-428
33
Rittmaster R S, Bolognese M, Ettinger M P, Hanley D A, Hodsman A B, Kendler D L, Rosen C J.
Enhancement of bone mass in osteoporotic women with parathyroid hormone followed by
alendronate.
J Clin Endocrinol Metab.
2000;
85
2129-2134
34
Stanislaus D, Devanarayan V, Hock J M.
In vivo comparison of activated protein-1 gene activation in response to human parathyroid
hormone (hPTH)(1 - 34) and hPTH(1 - 84) in the distal femur metaphyses of young mice.
Bone.
2000;
27
819-826
35
Wronski T J, Yen C-F, Qi H, Dann L M.
Parathyroid hormone is more effective than estrogen or bisphosphonates for restoration
of lost bone mass in ovariectomized rats.
Endocrinology.
1993;
132
823-831
36
Nguyen-Yamamoto L, Rousseau L, Brossard J-H, Lepage R, D’Amour P.
Synthetic carboxyl-terminal fragments of parathyroid hormone (PTH) decrease ionized
calcium concentration in rats by acting on a receptor different from the PTH/PTH-related
peptide receptor.
Endocrinology.
2001;
142
1386-1392
37
Kalu D N, Liu C-C, Hardin R R, Hollis B W.
The aged rat model of ovarian hormone deficiency bone loss.
Endocrinology.
1989;
124
7-16
38
Toolan B C, Shea M, Myers E R, Borchers R E, Seedor J G, Quartuccio H, Rodan G, Hayes W C.
Effects of 4-amino-1-hydroxybutylidene bisphosphonate on bone biomechanics in rats.
J Bone Miner Res.
1992;
7
1399-1406
39
Andersson N, Lindberg M K, Ohlsson C, Andersson K, Ryberg B.
Repeated in vivo determinations of bone mineral density during parathyroid hormone
treatment in ovariectomized mice.
J Endocrinol.
2001;
170
529-537
40
Harter L V, Hruska K A, Duncan R L.
Human osteoblast-like cells respond to mechanical strain with increased bone matrix
protein production independent of hormonal regulation.
Endocrinology.
1995;
136
528-535
41
Toma C D, Ashkar S, Gray M L, Schaffer J L, Gerstenfeld L C.
Signal transduction of mechanical stimuli is dependent on microfilament integrity:
identification of osteopontin as a mechanically induced gene in osteoblasts.
J Bone Miner Res.
1997;
12
1626-1636
42
Salter D M, Robb J E, Wright M O.
Electrophysiological responses of human bone cells to mechanical stimulation: evidence
for specific integrin function in mechanotransduction.
J Bone Miner Res.
1997;
12
1133-1141
43
Wozniak M, Fausto A, Carron C P, Meyer D M, Hruska K A.
Mechanically strained cells of the osteoblast lineage organize their extracellular
matrix through unique sites of alphav beta3 -integrin expression.
J Bone Miner Res.
2000;
15
1731-1745
44
Dobnig H, Turner R T.
Evidence that intermittent treatment with parathyroid hormone increases bone formation
in adult rats by activation of bone lining cells.
Endocrinology.
1995;
136
3632-3638
45
LaFlamme S E, Auer K L.
Integrin signaling.
Semin Cancer Biol.
1996;
7
111-118
46
Hunziker J, Wronski T J, Miller S C.
Mandibular bone formation rates in aged ovariectomized rats treated with anti-resorptive
agents alone and in combination with intermittent parathyroid hormone.
J Dent Res.
2000;
79
1431-1438
47
Nakajima M, Ejiri S, Tanaka M, Toyooka E, Kohno S, Ozawa H.
Effect of intermittent administration of human parathyroid hormone (1 - 34) on the
mandibular condyle of ovariectomized rats.
J Bone Miner Metab.
2000;
18
9-17
48
Hodsman A B, Steer B M, Fraher L J, Drost D J.
Bone densitometric and histomorphometric responses to sequential human parathyroid
hormone (1 - 38) and salmon calcitonin in osteoporotic patients.
Bone Miner.
1991;
14
67-83
49
Inomata N, Akiyama M, Kubota N, Jüppner H.
Characterization of a novel parathyroid hormone (PTH) receptor with specificity for
the carboxyl-terminal region of PTH-(1 - 84).
Endocrinology.
1995;
136
4732-4740
50
Kaji H, Sugimoto T, Kanatani M, Miyauchi A, Kimura T, Sakakibara S, Fukase M, Chihara K.
Carboxyl-terminal parathyroid hormone fragments stimulate osteoclast-like cell formation
and osteoclastic activity.
Endocrinology.
1994;
134
1897-1904
51
Divieti P, Inomata N, Chapin K, Singh R, Jüppner H, Bringhurst F R.
Receptors for the carboxyl-terminal region of pth(1 - 84) are highly expressed in
osteocytic cells.
Endocrinology.
2001;
142
916-925
52
Jüppner H, Abou-Samra A B, Freeman M, Kong X F, Schipani E, Richards J, Kolakowski L F,
Hock J, Potts J T, Kronenberg H M, Segre G V.
A G protein-linked receptor for parathyroid hormone and parathyroid hormone-related
peptide.
Science.
1991;
254
1024-1026
N. Horiuchi, D.D.S., Ph.D.
Department of Biochemistry,
Ohu University School of Dentistry
Koriyama 963-8611 · Japan
Fax: + 81 (249) 38-91 92
Email: fwga 4746@mb.infoweb.ne.jp