Abstract
The effect of sex hormones on bone tissue was studied in 12 osteoporotic patients. Surfaces of bone undergoing formation and resorption were determined by quantitative microradiography of iliac crest biopsy samples before and after treatment with estrogens in 11 postmenopausal women and with testosterone in one gonadally competent man. Before treatment, bone resorption was greater than normal in all but one patient and bone formation was normal. After treatment, bone resorption decreased to within the normal range in all patients, and bone formation did not change significantly. Biochemical studies showed significant decreases in serum calcium, phosphorus, and alkaline phosphatase levels and in urinary excretion of calcium and hydroxyproline. These changes are believed to be the consequence of the effect of the hormones on bone. The data indicate that the major effect of sex hormones in osteoporosis is an inhibition of bone resorption.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ATKINSON P. J. CHANGES IN RESORPTION SPACES IN FEMORAL CORTICAL BONE WITH AGE. J Pathol Bacteriol. 1965 Jan;89:173–178. doi: 10.1002/path.1700890118. [DOI] [PubMed] [Google Scholar]
- Adams P., Jowsey J. Effect of calcium on cortisone-induced osteoporosis: a preliminary communication. Endocrinology. 1967 Jul;81(1):152–154. doi: 10.1210/endo-81-1-152. [DOI] [PubMed] [Google Scholar]
- Albert A., Rosemberg E., Ross G. T., Paulsen C. A., Ryan R. J. Report of the National Pituitary Agency collaborative study on the radioimmunoassay of FSH and LH. J Clin Endocrinol Metab. 1968 Aug;28(8):1214–1219. doi: 10.1210/jcem-28-8-1214. [DOI] [PubMed] [Google Scholar]
- Burkhart J. M., Jowsey J. Parathyroid and thyroid hormones in the development of immobilization osteoporosis. Endocrinology. 1967 Nov;81(5):1053–1062. doi: 10.1210/endo-81-5-1053. [DOI] [PubMed] [Google Scholar]
- CALDWELL R. A. Observations on the incidence, aetiology, and pathology of senile osteoporosis. J Clin Pathol. 1962 Sep;15:421–431. doi: 10.1136/jcp.15.5.421. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DONALDSON I. A., NASSIM J. R. The artificial menopause, with particular reference to the occurrence of spinal porosis. Br Med J. 1954 May 29;1(4873):1228–1230. doi: 10.1136/bmj.1.4873.1228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davis M. E., Lanzl L. H., Strandjord N. M. Estrogens and the aging process. The detection, prevention, and retardation of osteoporosis. JAMA. 1966 Apr 18;196(3):219–224. [PubMed] [Google Scholar]
- EISENBERG E., GORDAN G. S. Skeletal dynamics in man measured by nonradioactive strontium. J Clin Invest. 1961 Oct;40:1809–1825. doi: 10.1172/JCI104405. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eisenberg E. Effects of androgens, estrogens and corticoids on strontium kinetics in man. J Clin Endocrinol Metab. 1966 May;26(5):566–572. doi: 10.1210/jcem-26-5-566. [DOI] [PubMed] [Google Scholar]
- FRASER R., HARRISON M., IBBERTSON K. The rate of calcium turnover in bone. Measurement by a tracer test using stable strontium. Q J Med. 1960 Jan;29:85–111. [PubMed] [Google Scholar]
- FROST H. M. Measurement of human bone formation by means of tetracycline labelling. Can J Biochem Physiol. 1963 Jan;41:31–42. [PubMed] [Google Scholar]
- Faiman C., Ryan R. J. Radioimmunoassay for human follicle stimulating hormone. J Clin Endocrinol Metab. 1967 Mar;27(3):444–447. doi: 10.1210/jcem-27-3-444. [DOI] [PubMed] [Google Scholar]
- Faiman C., Ryan R. J. Radioimmunoassay for human luteinizing hormone. Proc Soc Exp Biol Med. 1967 Aug-Sep;125(4):1130–1133. doi: 10.3181/00379727-125-32295. [DOI] [PubMed] [Google Scholar]
- Frings C. S., Rahman R., Jones J. D. Automated method for the determination of serum inorganic phosphorus. Comparison with manual procedure. Clin Chim Acta. 1966 Oct;14(4):563–565. doi: 10.1016/0009-8981(66)90049-0. [DOI] [PubMed] [Google Scholar]
- GARDNER B., GRAHAM W. P., 3rd, GORDAN G. S., LOKEN H. F., THOMAS A. N., TEAL J. S. CALCIUM AND PHOSPHATE METABOLISM IN PATIENTS WITH DISSEMINATED BREAST CANCER: EFFECT OF ANDROGENS AND OF PREDNISONE. J Clin Endocrinol Metab. 1963 Nov;23:1115–1124. doi: 10.1210/jcem-23-11-1115. [DOI] [PubMed] [Google Scholar]
- HARRISON M., FRASER R. The parathyroid glands and calcium deficiency in the rat. J Endocrinol. 1960 Nov;21:207–211. doi: 10.1677/joe.0.0210207. [DOI] [PubMed] [Google Scholar]
- HEANEY R. P. Radiocalcium metabolism in disuse osteoporosis in man. Am J Med. 1962 Aug;33:188–200. doi: 10.1016/0002-9343(62)90017-7. [DOI] [PubMed] [Google Scholar]
- HEANEY R. P., WHEDON G. D. Radiocalcium studies of bone formation rate in human metabolic bone disease. J Clin Endocrinol Metab. 1958 Nov;18(11):1246–1267. doi: 10.1210/jcem-18-11-1246. [DOI] [PubMed] [Google Scholar]
- HENNEMAN P. H., WALLACH S. A review of the prolonged use of estrogens and androgens in postmenopausal and senile osteoporosis. AMA Arch Intern Med. 1957 Nov;100(5):715–723. doi: 10.1001/archinte.1957.00260110031005. [DOI] [PubMed] [Google Scholar]
- Heaney R. P. A unified concept of osteoporosis. Am J Med. 1965 Dec;39(6):877–880. doi: 10.1016/0002-9343(65)90109-9. [DOI] [PubMed] [Google Scholar]
- JASANI C., NORDIN B. E., SMITH D. A., SWANSON I. SPINAL OSTEOPOROSIS AND THE MENOPAUSE. Proc R Soc Med. 1965 Jun;58:441–444. [PMC free article] [PubMed] [Google Scholar]
- JONES J. D., MCGUCKIN W. F. COMPLEXOMETRIC TITRATION OF CALCIUM AND MAGNESIUM BY A SEMIAUTOMATED PROCEDURE. Clin Chem. 1964 Sep;10:767–780. [PubMed] [Google Scholar]
- JOWSEY J., GERSHON-COHEN J. EFFECT OF DIETARY CALCIUM LEVELS ON PRODUCTION AND REVERSAL OF EXPERIMENTAL OSTEOPOROSIS IN CATS. Proc Soc Exp Biol Med. 1964 Jun;116:437–441. doi: 10.3181/00379727-116-29272. [DOI] [PubMed] [Google Scholar]
- JOWSEY J., LAFFERTY W., RABINOWITZ J. ANALYSIS OF DISTRIBUTION OF CA45 IN DOG BONE BY A QUANTITATIVE AUTORADIOGRAPHIC METHOD. J Bone Joint Surg Am. 1965 Mar;47:359–370. [PubMed] [Google Scholar]
- JOWSEY J., PHIL D., KELLY P. J., RIGGS B. L., BIANCO A. J., Jr, SCHOLZ D. A., GERSHON-COHEN J. QUANTITATIVE MICRORADIOGRAPHIC STUDIES OF NORMAL AND OSTEOPOROTIC BONE. J Bone Joint Surg Am. 1965 Jun;47:785–806. [PubMed] [Google Scholar]
- Jowsey J. Indirect measurement of bone resorption. J Clin Endocrinol Metab. 1965 Oct;25(10):1408–1410. doi: 10.1210/jcem-25-10-1408. [DOI] [PubMed] [Google Scholar]
- KROON D. B. Effect of parathyroid extract on osteogenic tissue. Acta Morphol Neerl Scand. 1958;2(1):38–58. [PubMed] [Google Scholar]
- Katz F. H., Kappas A. Influence of estradiol and estriol on urinary excretion of hydroxyproline in man. J Lab Clin Med. 1968 Jan;71(1):65–74. [PubMed] [Google Scholar]
- LAFFERTY F. W., SPENCER G. E., Jr, PEARSON O. H. EFFECTS OF ANDROGENS, ESTROGENS AND HIGH CALCIUM INTAKES ON BONE FORMATION AND RESORPTION IN OSTEOPOROSIS. Am J Med. 1964 Apr;36:514–528. doi: 10.1016/0002-9343(64)90100-7. [DOI] [PubMed] [Google Scholar]
- LINDQUIST B., BUDY A. M., MCLEAN F. C., HOWARD J. L. Skeletal metabolism in estrogen-treated rats studied by means of Ca45. Endocrinology. 1960 Jan;66:100–111. doi: 10.1210/endo-66-1-100. [DOI] [PubMed] [Google Scholar]
- MARSH W. H., FINGERHUT B., KIRSCH E. Adaptation of an alkaline phosphatase method for automatic colorimetric analysis. Clin Chem. 1959 Apr;5(2):119–126. [PubMed] [Google Scholar]
- MEEMA H. E., BUNKER M. L., MEEMA S. LOSS OF COMPACT BONE DUE TO MENOPAUSE. Obstet Gynecol. 1965 Sep;26:333–343. [PubMed] [Google Scholar]
- MILCH R. A., RALL D. P., TOBIE J. E. Bone localization of the tetracyclines. J Natl Cancer Inst. 1957 Jul;19(1):87–93. [PubMed] [Google Scholar]
- MULLIGAN L., NASSIM J. R., SAVILLE P. D. The effect of stilboestrol on urinary phosphate excretion. Clin Sci. 1956 Aug;15(3):367–371. [PubMed] [Google Scholar]
- Meema H. E., Meema S. Prevention of postmenopausal osteoporosis by hormone treatment of the menopause. Can Med Assoc J. 1968 Aug 10;99(6):248–251. [PMC free article] [PubMed] [Google Scholar]
- Melick R. A. Calcium-47 kinetics in osteoporosis. Australas Ann Med. 1966 Nov;15(4):318–325. doi: 10.1111/imj.1966.15.4.318. [DOI] [PubMed] [Google Scholar]
- NORDIN B. E. Investigation of bone metabolism with 47Ca; a preliminary report. Proc R Soc Med. 1959 May;52(5):351–353. [PubMed] [Google Scholar]
- Nordin B. E., MacGregor J., Smith D. A. The incidence of osteoporosis in normal women: its relation to age and the menopause. Q J Med. 1966 Jan;35(137):25–38. [PubMed] [Google Scholar]
- PARFITT A. M. CHANGES IN SERUM CALCIUM AND PHOSPHORUS DURING STILBOESTROL TREATMENT OF OSTEOPOROSIS. J Bone Joint Surg Br. 1965 Feb;47:137–139. [PubMed] [Google Scholar]
- PROCKOP D. J., UDENFRIEND S. A specific method for the analysis of hydroxyproline in tissues and urine. Anal Biochem. 1960 Nov;1:228–239. doi: 10.1016/0003-2697(60)90050-6. [DOI] [PubMed] [Google Scholar]
- Rasmussen H., Tenenhouse A. Thyrocalcitonin, osteoporosis and osteolysis. Am J Med. 1967 Nov;43(5):711–726. doi: 10.1016/0002-9343(67)90113-1. [DOI] [PubMed] [Google Scholar]
- Smith R. W., Jr Dietary and hormonal factors in bone loss. Fed Proc. 1967 Nov-Dec;26(6):1737–1746. [PubMed] [Google Scholar]
- TROTTER M., BROMAN G. E., PETERSON R. R. Densites of bones of white and Negro skeletons. J Bone Joint Surg Am. 1960 Jan;42-A:50–58. [PubMed] [Google Scholar]
- Villanueva A., Frost H., Ilnicki L., Frame B., Smith R., Arnstein R. Cortical bone dynamics measured by means of tetracycline labeling in 21 cases of osteoporosis. J Lab Clin Med. 1966 Oct;68(4):599–616. [PubMed] [Google Scholar]
- Wu K., Jett S., Frost H. M. Bone resorption rates in rib in physiological, senile, and postmenopausal osteoporoses. J Lab Clin Med. 1967 May;69(5):810–818. [PubMed] [Google Scholar]