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Publication : SERMs have substance-specific effects on bone, and these effects are mediated via ERαAF-1 in female mice.

First Author  Börjesson AE Year  2016
Journal  Am J Physiol Endocrinol Metab Volume  310
Issue  11 Pages  E912-8
PubMed ID  27048997 Mgi Jnum  J:237313
Mgi Id  MGI:5811971 Doi  10.1152/ajpendo.00488.2015
Citation  Borjesson AE, et al. (2016) SERMs have substance-specific effects on bone, and these effects are mediated via ERalphaAF-1 in female mice. Am J Physiol Endocrinol Metab 310(11):E912-8
abstractText  The bone-sparing effect of estrogens is mediated primarily via estrogen receptor (ER)alpha, which stimulates gene transcription through activation function (AF)-1 and AF-2. The role of ERalphaAF-1 for the estradiol (E2) effects is tissue specific. The selective ER modulators (SERMs) raloxifene (Ral), lasofoxifene (Las), and bazedoxifene (Bza) can be used to treat postmenopausal osteoporosis. They all reduce the risk for vertebral fractures, whereas Las and partly Bza, but not Ral, reduce the risk for nonvertebral fractures. Here, we have compared the tissue specificity of Ral, Las, and Bza and evaluated the role of ERalphaAF-1 for the effects of these SERMs, with an emphasis on bone parameters. We treated ovariectomized (OVX) wild-type (WT) mice and OVX mice lacking ERalphaAF-1 (ERalphaAF-1(0)) with E2, Ral, Las, or Bza. All three SERMs increased trabecular bone mass in the axial skeleton. In the appendicular skeleton, only Las increased the trabecular bone volume/tissue volume and trabecular number, whereas both Ral and Las increased the cortical bone thickness and strength. However, Ral also increased cortical porosity. The three SERMs had only a minor effect on uterine weight. Notably, all evaluated effects of these SERMs were absent in ovx ERalphaAF-1(0) mice. In conclusion, all SERMs had similar effects on axial bone mass. However, the SERMs had slightly different effects on the appendicular skeleton since only Las increased the trabecular bone mass and only Ral increased the cortical porosity. Importantly, all SERM effects require a functional ERalphaAF-1 in female mice. These results could lead to development of more specific treatments for osteoporosis.
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