scholarly journals Angiogenesis Changes in Ovariectomized Rats with Osteoporosis Treated with Estrogen Replacement Therapy

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Yige Zhang ◽  
Fei Hua ◽  
Kai Ding ◽  
Haifeng Chen ◽  
Chenyang Xu ◽  
...  

To investigate whether angiogenesis changes in early menopausal osteoporosis treated with estrogen replacement therapy, 120 rats were randomly divided into five groups: sham operation group (SHAM), ovariectomy group (OVX), and ovariectomy plus three different estrogen doses replacement therapy groups (OVX + E2). We detected the bone microarchitecture and measured the expression levels of estrogen receptor beta (ERβ), vascular endothelial growth factor (VEGF), osteoprotegerin (OPG), and receptor activator of NF-κB ligand (RANKL). CD31 immunofluorescence and silica gel perfusion imaging were used to analyze the vascular distribution. We confirmed that the femur BMD of ovariectomized rats was significantly lower than SHAM group and OVX+E2 groups. After estrogen therapy, the local microvascular formation increased after estrogen treatment in a dose dependent manner. ERβ was downregulated and VEGF was upregulated, positively correlated with estrogen dosage. We successfully constructed an osteoporosis model of ovariectomized rats with estrogen replacement therapy. We also found angiogenesis changed in early menopausal osteoporosis treated with estrogen replacement therapy. We indicated that estrogen replacement therapy increased angiogenesis through VEGF upregulation. However, we observed that, at the highest doses of estrogen studied, increased angiogenesis was associated with a decrease in BMD, the underlying mechanisms of which remain unclear.

Author(s):  
Roberto O. Ybañez‐Julca ◽  
Daniel Asunción‐Alvarez ◽  
Javier Palacios ◽  
Chukwuemeka R. Nwokocha

1996 ◽  
Vol 42 (4) ◽  
pp. 23-27
Author(s):  
Ye. В. Koledova ◽  
T. V. Semicheva ◽  
A. N. Tyulpakov ◽  
I. S. Yarovaya ◽  
V. A. Peterkova

Short stature and ovarian failure are typical features of Turner's syndrome (TS). Although growth in TS has been intensively studied, few data are available concerning the influence of different karyotypes and estrogen replacement therapy on the growth of TS patients. This paper presents the first results of studying the growth of TS patients in Russia. Sixty-one girls aged 5 to 17 with TS were examined. Auxological data included parental height (Ht), target Ht, predicted Ht (1), spontaneous Ht, Ht SDS (Tanner), Ht SDS TS (1), birth length, birth length SDS, and Ht SDS for BA before and after estrogen therapy. The diagnosis of TS was confirmed by the identification of the karyotype from peripheral leukocytes. 45,X karyotype was detected in 69%, different types of mosaicism including X chromosome (45,X/46,XX; 45,X/46,X(r)x) in 16%, 46,Xi(q) and deletions of X chromosome in 10%; Y chromosome mosaicism (45,X/46,XY) in 5%. Estrogen replacement (dihydrostilbestrol orally in a daily dose of 1.0 mg) was started at BA11.0 years if no signs of spontaneous puberty were observed. The mean duration of estrogen therapy was 0.960.15 years. A moderate growth delay was seen at birth (0.950.11 Ht SDS). There was no correlation between birth length and parental height (r=0.09 for maternal and r=-0.33 for parental height, respectively). The degree of postnatal growth retardation negatively correlated with CA (r=-0.647; p0.01). Short stature was particularly evident at CA9.0 yrs (-2.460.19 Ht SDS and -3.360.20 Ht SDS, CA9.0 yrs vs. CA9.0 yrs, respectively). The karyotype (45, X or mosaicism) did not influence growth retardation either at birth (49.320.28 cm vs. 48.610.56 cm; p=0.48) or in the postnatal life (p=0.8). Estrogen appreciably accelerated the growth (0.600.14 and 0.800.15 Ht SDS TS, before vs. after estrogen, p=0.006), followed by a decrease of SDS for BA (-1.430.23 vs. -1.800.34, p=0.2). Hence, spontaneous growth in Turner girls in Russia does not appreciably differ from European standards. Short stature progressed with age irrespective of the karyotype (45,X or mosaicism). Low estrogen doses, minimizing the unfavorable effects on BA maturation, are more appropriate for replacement therapy in TS.


1981 ◽  
Author(s):  
C Palmason ◽  
S Shams ◽  
C Harris

A preliminary study was designed to identify if estrogen replacement therapy (E.R.T.) could be correlated with any progressive alterations in blood coagulation function. A total of thirty post menopausal women were assigned to treatment groups and monitored monthly for six months. This presentation relates the laboratory findings of one 55 year old woman who developed significantly altered blood coagulation parameters after two months on conjugated estrogens equine (1.25 mg/day).Routine biochemistry, F.S.H. levels, haematology, and eight standard coagulation tests were done. However, prothrombin time (P.T.), and partial thromboplastin times (P.T.T.), were done on a Coagulation Profiler (T.M.). Assessment of coagulation function was affected through comparison of the patients present P.T. and P.T.T. profiles with pretreatment and reference standard profiles. All aspects of the patient’s coagulation kinetics were altered significantly, in the direction of hyper-coagulation (p< 0.001) with the exception of the P.T. time alone, which was unchanged. Platelet aggregation was impossible, due to spontaneous aggregation during pre-test standing, fibrinogen and euglobulin lysis levels were also raised. The patient reported breast engorgement, abdominal distension and calf tenderness. Two months following E.R.T. discontinuation, the patient’s blood coagulation parameters had all returned to pretreatment levels.The case is discussed within the context of an hypercoagulation syndrome resultant upon an idiosyncratic response to estrogen therapy.


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