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Evaluation of ostarine as a selective androgen receptor modulator in a rat model of postmenopausal osteoporosis

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Abstract

Selective androgen receptor modulators (SARMs) have shown beneficial effects on muscle wasting, general physical function and bone properties in male mammals. However, data on the effects of SARMs in postmenopausal osteoporotic bone are scarce. We evaluated the effects of the SARM drug ostarine on postmenopausal osteoporotic bone in a rat osteoporosis model. Ovariectomy was performed on 46 of 56 3-month-old female Sprague–Dawley rats. Eight weeks after ovariectomy, ostarine was orally administered daily for 5 weeks in dosages of 0.04 (low, OVX + Ost. 0.04), 0.4 (intermediate, OVX + Ost. 0.4), and 4 mg/kg (high, OVX + Ost. 4) body weight. Another ovariectomized group received no ostarine. Lumbar vertebrae and femora were removed for biomechanical, gene expression, ashing, and computer tomography analyses. Low dose showed no effects. The effects of intermediate and high doses were comparable overall. Improvements were mainly seen in structural properties such as bone mineral density and bone volume density. However, the effects in femora were superior to effects in vertebrae. Ostarine treatment for 5 weeks did not improve significantly biomechanical properties. mRNA expression of the receptor activator of NF-κB ligand decreased after treatment, and uterine weight increased. Serum levels of phosphorus increased following ostarine treatment in intermediate and high-dose groups. Short-term treatment of osteoporotic bone with ostarine leads to improvement of several microstructural bone indices. While we did not observe changes in biomechanics, it is conceivable that longer treatment may also improve biomechanical properties. Further studies are needed to characterize longer time effects and side effects of ostarine in osteoporosis.

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Abbreviations

ALP:

Alkaline phosphatase

BMD:

Bone mineral density

BV/TV:

Bone volume density

BW:

Body weight

DHT:

Dihydrotestosterone

ERα:

Estrogen receptor alpha

Fmax :

Maximal load

N.Nd.:

Trabecular nodes

OC:

Osteocalcin

OPG:

Osteoprotegerin

OVX:

Ovariectomy

RANKL:

Receptor activator of NF-κB ligand

S-4:

S-3-(4-acetylamino-phenoxy)-2-hydroxy-2-methyl-N-(4-nitro-3-trifluoromethyl-phenyl)-propionamide

SARM:

Selective androgen receptor modulator

SERM:

Selective estrogen receptor modulator

TRAP:

Tartrate-resistant acid phosphatase

Tb.Sp:

Trabecular spacing

Tb.th:

Trabecular thickness

Tb.Wi:

Trabecular thickness (2-Dscan)

References

  1. Duquet N (2014) Osteoporosis: treatment and pharmaceutical care. J Pharm Belg 2:14–24

    Google Scholar 

  2. Osterkamp R (2005) Population developments in Germany until 2050. Chirurg 76:10–18

    Article  CAS  PubMed  Google Scholar 

  3. Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, Hanley DA, Hodsman A, Jamal SA, Kaiser SM, Kvern B (2010) 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 182:1864–1873

    Article  PubMed  PubMed Central  Google Scholar 

  4. Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, Jackson RD, Beresford SA, Howard BV, Johnson KC, Kotchen JM, Ockene J (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results. From the Women’s Health Initiative randomized controlled trial. JAMA 288:321–333

    Article  CAS  PubMed  Google Scholar 

  5. Chlebowski RT, Kuller LH, Prentice RL, Stefanick ML, Manson JE, Gass M, Aragaki AK, Ockene JK, Lane DS, Sarto GE, Rajkovic A (2009) Breast cancer after use of estrogen plus progestin in postmenopausal women. N Engl J Med 360:573–587

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Muchmore DB (2000) Raloxifene: a selective estrogen receptor modulator (SERM) with multiple target system effects. Oncologist 5:388–392

    Article  CAS  PubMed  Google Scholar 

  7. Ettinger B, Black DM, Mitlak BH, Knickerbocker RK, Nickelsen T, Genant HK, Christiansen C, Delmas PD, Zanchetta JR, Stakkestad J, Glüer CC (1999) Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: results from a 3-year randomized clinical trial. Multiple Outcomes of Raloxifene Evaluation (MORE) Investigators. JAMA 282:637–645

    Article  CAS  PubMed  Google Scholar 

  8. Kanis JA, Johansson H, Oden A, McCloskey EV (2010) A meta-analysis of the efficacy of raloxifene on all clinical and vertebral fractures and its dependency on FRAX. Bone 47:729–735

    Article  CAS  PubMed  Google Scholar 

  9. An KC (2016) Selective estrogen receptor modulators. Asian Spine J. 10:787–791

    Article  PubMed  PubMed Central  Google Scholar 

  10. Anderson FH, Francis RM, Faulkner K (1996) Androgen supplementation in eugonadal men with osteoporosis-effects of 6 months of treatment on bone mineral density and cardiovascular risk factors. Bone 18:171–177

    Article  CAS  PubMed  Google Scholar 

  11. Tobias JH, Gallagher A, Chambers TJ (1994) 5 alpha-dihydrotestosterone partially restores cancellous bone volume in osteopenic ovariectomized rats. Am J Physiol 267:E853–E859

    CAS  PubMed  Google Scholar 

  12. Katznelson L, Finkelstein JS, Schoenfeld DA, Rosenthal DI, Anderson EJ, Klibanski A (1996) Increase in bone density and lean body mass during testosterone administration in men with acquired hypogonadism. J Clin Endocrinol Metab 81:4358–4365

    CAS  PubMed  Google Scholar 

  13. Lea CK, Flanagan AM (1998) Physiological plasma levels of androgens reduce bone loss in the ovariectomized rat. Am J Physiol 274:E328–E335

    CAS  PubMed  Google Scholar 

  14. Amory JK, Watts NB, Easley KA, Sutton PR, Anawalt BD, Matsumoto AM, Bremner WJ, Tenover JL (2004) Exogenous testosterone or testosterone with finasteride increases bone mineral density in older men with low serum testosterone. J Clin Endocrinol Metab 89:503–510

    Article  CAS  PubMed  Google Scholar 

  15. Otto-Duessel M, He M, Jones JO (2012) Tissue-selective regulation of androgen-responsive genes. Endocr Res 37:203–215

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Dobs AS, Boccia RV, Croot CC, Gabrail NY, Dalton JT, Hancock ML, Johnston MA, Steiner MS (2013) Effects of enobosarm on muscle wasting and physical function in patients with cancer: a double-blind, randomised controlled phase 2 trial. Lancet Oncol 14:335–345

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Dalton JT, Barnette KG, Bohl CE, Hancock ML, Rodriguez D, Dodson ST, Morton RA, Steiner MS (2011) The selective androgen receptor modulator GTx-024 (enobosarm) improves lean body mass and physical function in healthy elderly men and postmenopausal women: results of a double-blind, placebo-controlled phase II trial. J Cachexia Sarcopenia Muscle 2:153–161

    Article  PubMed  PubMed Central  Google Scholar 

  18. Girgis CM, Mokbel N, Digirolamo DJ (2014) Therapies for musculoskeletal disease: can we treat two birds with one stone? Curr Osteoporos Rep 12:142–153

    Article  PubMed  PubMed Central  Google Scholar 

  19. Zhang X, Lanter JC, Sui Z (2009) Recent advances in the development of selective androgen receptor modulators. Expert Opin Ther Pat 19:1239–1258

    Article  CAS  PubMed  Google Scholar 

  20. Kearbey JD, Gao W, Narayanan R, Fisher SJ, Wu D, Miller DD, Dalton JT (2007) Selective androgen receptor modulator (SARM) treatment prevents bone loss and reduces body fat in ovariectomized rats. Pharm Res 24:328–335

    Article  CAS  PubMed  Google Scholar 

  21. Kearbey JD, Gao W, Fisher SJ, Wu D, Miller DD, Dalton JT (2009) Effects of selective androgen receptor modulator (SARM) treatment in osteopenic female rats. Pharm Res 26:2471–2477

    Article  CAS  PubMed  Google Scholar 

  22. Vajda EG, Hogue A, Griffiths KN, Chang WY, Burnett K, Chen Y, Marschke K, Mais DE, Pedram B, Shen Y, van Oeveren A (2009) Combination treatment with a selective androgen receptor modulator q(SARM) and a bisphosphonate has additive effects in osteopenic female rats. J Bone Miner Res 24:231–240

    Article  CAS  PubMed  Google Scholar 

  23. Kalu DN (1991) The ovariectomized rat model of postmenopausal bone loss. Bone Miner 15:175–191

    Article  CAS  PubMed  Google Scholar 

  24. Sehmisch S, Erren M, Rack T, Tezval M, Seidlova-Wuttke D, Richter J, Wuttke W, Stuermer KM, Stuermer EK (2009) Short-term effects of parathyroid hormone on rat lumbar vertebrae. Spine (Phila Pa 1976) 34:2014–2021

    Article  Google Scholar 

  25. Tezval M, Stuermer EK, Sehmisch S, Rack T, Stary A, Stebener M, Konietschke F, Stuermer KM (2010) Improvement of trochanteric bone quality in an osteoporosis model after short-term treatment with parathyroid hormone: a new mechanical test for trochanteric region of rat femur. Osteoporos Int 21:251–261

    Article  CAS  PubMed  Google Scholar 

  26. Sehmisch S, Erren M, Kolios L, Tezval M, Seidlova-Wuttke D, Wuttke W, Stuermer KM, Stuermer EK (2010) Effects of isoflavones equol and genistein on bone quality in a rat osteopenia model. Phytother Res 24:S168–S174

    Article  PubMed  Google Scholar 

  27. Dempster DW, Compston JE, Drezner MK, Glorieux FH, Kanis JA, Malluche H, Meunier PJ, Ott SM, Recker RR, Parfitt AM (2013) Standardized nomenclature, symbols, and units for bone histomorphometry: a 2012 update of the report of the ASBMR Histomorphometry Nomenclature Committee. J Bone Miner Res 28:2–17

    Article  PubMed  Google Scholar 

  28. CEN (2002) European committee for standardization. Determination of calcium and magnesium. EN ISO 7980

  29. CEN (2004) European committee for standardization. Determination of orthophosphate. EN ISO 6878

  30. Hoffmann DB, Griesel MH, Brockhusen B, Tezval M, Komrakova M, Menger B, Wassmann M, Stuermer KM, Sehmisch S (2016) Effects of 8-prenylnaringenin and whole-body vibration therapy on a rat model of osteopenia. J Nutr Metab 2016:6893137

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Komrakova M, Hoffmann DB, Nuehnen V, Stueber H, Wassmann M, Wicke M, Tezval M, Stuermer KM, Sehmisch S (2016) The effect of vibration treatments combined with teriparatide or strontium ranelate on bone healing and muscle in ovariectomized rats. Calcif Tissue Int 99:408–422

    Article  CAS  PubMed  Google Scholar 

  32. Tezval M, Hansen S, Schmelz U, Komrakova M, Stuermer KM, Sehmisch S (2014) Effect of urocortin on strength and microarchitecture of osteopenic rat femur. J Bone Miner Metab 33:154–160

    Article  CAS  PubMed  Google Scholar 

  33. Chen H, Zhou X, Fujita H, Onozuka M, Kubo KY (2013) Age-related changes in trabecular and cortical bone microstructure. Int J Endocrinol 2013:213234

    PubMed  PubMed Central  Google Scholar 

  34. Ritzel H, Amling M, Posl M, Hahn M, Delling G (1997) The thickness of human vertebral cortical bone and its changes in aging and osteoporosis: a histomorphometric analysis of the complete spinal column from thirty-seven autopsy specimens. J Bone Miner Res 12:89–95

    Article  CAS  PubMed  Google Scholar 

  35. Amling M, Posl M, Ritzel H, Hahn M, Vogel M, Wening VJ, Delling G (1996) Architecture and distribution of cancellous bone yield vertebral fracture clues. A histomorphometric analysis of the complete spinal column from 40 autopsy specimens. Arch Orthop Trauma Surg 115:262–269

    Article  CAS  PubMed  Google Scholar 

  36. Kavuncu V, Sahin S, Baydas G, Ilhan N, Ozercan I, Yasar A, Pekkutucu I, Ilhan N, Ozercan R (2003) A comparison of estrogen and two different doses of calcitonin in ovariectomized rats. Yonsei Med J 44:508–516

    Article  CAS  PubMed  Google Scholar 

  37. Nair AB, Jacob S (2016) A simple practice guide for dose conversion between animals and human. J Basic Clin Pharm 7:27–31

    Article  PubMed  PubMed Central  Google Scholar 

  38. USFDA (2005) Guidance for industry: estimating the maximum safe starting dose in adult healthy volunteer. US Food and Drug Administration

  39. Jones A, Hwang DJ, Duke CB 3rd, He Y, Siddam A, Miller DD, Dalton JT (2010) Nonsteroidal selective androgen receptor modulators enhance female sexual motivation. J Pharmacol Exp Ther 334:439–448

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Furuya K, Yamamoto N, Ohyabu Y, Morikyu T, Ishige H, Albers M, Endo Y (2013) Mechanism of the tissue-specific action of the selective androgen receptor modulator S-101479. Biol Pharm Bull 36:442–451

    Article  CAS  PubMed  Google Scholar 

  41. Nagata N, Furuya K, Oguro N, Nishiyama D, Kawai K, Yamamoto N, Ohyabu Y, Satsukawa M, Miyakawa M (2014) Lead evaluation of tetrahydroquinolines as nonsteroidal selective androgen receptor modulators for the treatment of osteoporosis. ChemMedChem 9:197–206

    Article  CAS  PubMed  Google Scholar 

  42. Scialla JJ, Wolf M (2014) Roles of phosphate and fibroblast growth factor 23 in cardiovascular disease. Nat Rev Nephrol 10:268–278

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The present study was funded by the German Research Foundation (DFG SE 1966/6-1, KO 4646/3-1). The authors are grateful to R. Castro-Machguth and A. Witt for technical support.

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Correspondence to D. B. Hoffmann.

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Hoffmann, D.B., Komrakova, M., Pflug, S. et al. Evaluation of ostarine as a selective androgen receptor modulator in a rat model of postmenopausal osteoporosis. J Bone Miner Metab 37, 243–255 (2019). https://doi.org/10.1007/s00774-018-0929-9

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  • DOI: https://doi.org/10.1007/s00774-018-0929-9

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