Biomechanical analysis of combined treatment of high calcium and bisphosphonate in tibia of steroid-treated growing-phase rats

Dent Mater J. 2008 Sep;27(5):647-53. doi: 10.4012/dmj.27.647.

Abstract

Childhood systemic diseases are commonly treated with steroids. Consequently, steroid-induced osteoporosis is often observed as a side effect of steroid therapy. However, osteoporosis of tibia resulting from steroid therapy has not been reported yet. Herein we constructed a steroid-induced osteoporosis in tibia of the growing phase rats to examine internal structural changes of the bone and tried to find out the effect of bisphosphonates as a new and early treatment method. Biomechanical analysis was performed using two-dimensional microdensitometry and three-dimensional pQCT method. In addition, the following evaluations were carried out: noninvasive bone strength measurements in steroid-induced osteoporotic rat tibiae; comparing the effectiveness of single high-calcium diet versus combined treatment of high calcium and bisphosphonate for osteoporosis; and quantitative measurement of four elements (Ca, P, Mg, Zn) in bone matrix. Our data suggested that a combined treatment of high calcium and bisphosphonate was an effective new method to improve and treat steroid-induced osteoporosis in childhood.

Publication types

  • Comparative Study

MeSH terms

  • Absorptiometry, Photon
  • Animals
  • Biomechanical Phenomena
  • Bone Density / drug effects
  • Bone Density Conservation Agents / therapeutic use*
  • Bone Development / drug effects*
  • Bone Matrix / chemistry
  • Calcium / analysis
  • Calcium, Dietary / therapeutic use*
  • Disease Models, Animal
  • Etidronic Acid / therapeutic use*
  • Imaging, Three-Dimensional
  • Magnesium / analysis
  • Male
  • Osteoporosis / chemically induced*
  • Osteoporosis / drug therapy
  • Periosteum / drug effects
  • Periosteum / pathology
  • Phosphorus / analysis
  • Prednisone / adverse effects
  • Prednisone / analogs & derivatives*
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Stress, Mechanical
  • Tibia / drug effects*
  • Tibia / growth & development
  • Tibia / pathology
  • Tomography, X-Ray Computed
  • Zinc / analysis

Substances

  • Bone Density Conservation Agents
  • Calcium, Dietary
  • prednisone sodium succinate
  • Phosphorus
  • Magnesium
  • Zinc
  • Etidronic Acid
  • Calcium
  • Prednisone