Intermittent therapy with 1,25 vitamin D and calcitonin prevents cyclosporin-induced alveolar bone loss in rats

Calcif Tissue Int. 2010 Sep;87(3):236-45. doi: 10.1007/s00223-010-9380-1. Epub 2010 Jun 5.

Abstract

Bone loss associated with cyclosporin A (CsA) therapy can result in serious morbidity to patients. Intermittent administration of 1,25 Vitamin D and calcitonin reduces osteopenia in a murine model of postmenopausal osteoporosis. The purpose of this study was to evaluate the effects of this therapeutic approach on CsA-induced alveolar bone loss in rats. Forty male Wistar rats were allocated to four experimental groups according to the treatment received during 8 weeks: (1) CsA (10 mg/kg/day, s.c.); (2) 1,25 Vitamin D (2 microg/kg, p.o.; in weeks 1, 3, 5, and 7) plus calcitonin (2 microg/kg, i.p.; in weeks 2, 4, 6, and 8); (3) CsA concurrently with intermittent 1,25 Vitamin D and calcitonin administration; and (4) the control treatment group (vehicle). At the end of the 8-week treatment period, serum concentrations of bone-specific alkaline phosphatase, tartrate-resistant acid phosphatase (TRAP-5b), osteocalcin, interleukin (IL)-1 beta, IL-6, and tumor necrosis factor alpha (TNF-alpha) were measured and an analysis of bone volume, bone surface, number of osteoblasts, and osteoclasts was performed. CsA administration resulted in significant alveolar bone resorption, as assessed by a lower bone volume and an increased number of osteoclasts, and increased serum bone-specific alkaline phosphatase, TRAP-5b, IL-1 beta, IL-6, and TNF-alpha concentrations. The intermittent administration of calcitriol and calcitonin prevented the CsA-induced osteopenic changes and the increased serum concentrations of TRAP-5b and inflammatory cytokines. Intermittent calcitriol/calcitonin therapy prevents CsA-induced alveolar bone loss in rats and normalizes the production of associated inflammatory mediators.

MeSH terms

  • Acid Phosphatase / blood
  • Administration, Oral
  • Alveolar Bone Loss / blood
  • Alveolar Bone Loss / chemically induced
  • Alveolar Bone Loss / prevention & control*
  • Animals
  • Bone Density Conservation Agents / administration & dosage
  • Bone Density Conservation Agents / therapeutic use*
  • Calcitonin / administration & dosage
  • Calcitonin / therapeutic use*
  • Calcitriol / administration & dosage
  • Calcitriol / therapeutic use*
  • Cell Count
  • Cyclosporine / adverse effects
  • Drug Administration Schedule
  • Interleukins / blood
  • Isoenzymes / blood
  • Male
  • Mandibular Diseases / chemically induced
  • Mandibular Diseases / prevention & control*
  • Osteoclasts / cytology
  • Rats
  • Rats, Wistar
  • Tartrate-Resistant Acid Phosphatase
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Bone Density Conservation Agents
  • Interleukins
  • Isoenzymes
  • Tumor Necrosis Factor-alpha
  • Cyclosporine
  • Calcitonin
  • Acid Phosphatase
  • Tartrate-Resistant Acid Phosphatase
  • Calcitriol