Summary
Nandrolone decanoate (ND) is an anabolic steroid with a positive effect on bone mass in osteoporotic patients. The mechanism of action, (i.e., reduction of bone resorption and/or Stimulation of bone formation), the ultimate effect on mechanical properties, and the most effective dosage are not yet clear. To address these issues, dose-related effects of the long-term effect of ND on Serum and bone biochemistry, bone mineral content, and bone mechanical properties in ovariectomized (OVX) rats (12 weeks old at the Start of the experiment) were Studied for 6 months. The results were compared with those obtained in agematched, intact, and OVX rats. OVX caused in the femur a significant increase in net periosteal bone formation and net endosteal bone resorption of bone collagen content and torsional strength, and of Serum alkaline phosphatase, osteocalcin, and insulin-like growth factor-I (IGF-I) levels, whereas cortical bone density and calcium/creatinine and phosphorus/creatinine in 24-hour urine were Significantly reduced.
Treatment of OVX rats with 1 mg ND/14 days resulted in a Significant increase in periosteal bone formation, femur length, cortical and trabecular bone mineral content and density, torsion stiffness and Strength, and bone IGF-I content, and a decrease in Serum osteocalcin, urinary calcium/creatinine levels, and bone collagen content compared with OVX controls. The higher ND dosage of 2.5 mg/14 days did not improve the results. ND treatment did not reverse all changes induced by OVX to the level of the intact controls.
These results indicate that ND acts as an antiresorptive drug and as a bone formation Stimulating drug. Furthermore, the increased bone mass and bone mineral density is associated with improved bone Strength and stiffness and the presence of an increased amount of IGF-I. IGF-I is a growth factor considered to play a role in the maintenance of normal skeletal balance by a paracrine or autocrine mechanism.
Similar content being viewed by others
References
Riggs BL, Hodgson SF, O'Fallon WM, Chao EYS, Wahner HW, Muks JM, Cedel SL, Melton III LJ (1990) Effect of fluoride treatment on the fracture rate in postmenopausal women with osteoporosis. N Engl J Med 322:802–809
Geusens P, Dequeker J (1986) Long-term effect of nandrolone decanoate, 1α-hydroxyvitamin D3 or intermittent calcium infusion therapy on bone mineral content, bone remodeling and fracture rate in symptomatic osteoporosis: a double-blind controlled study. Bone Miner 1:347–357
Johansen JS, Hassager C, Podenphant J, Riis BJ, Hartwell D, Thomsen K, Christiansen C (1989) Treatment of postmenopausal osteoporosis: Is the anabolic steroid nandrolone decanoate a candidate? Bone Miner 6:77–86
Need AG, Horowitz M, Bridges A, Morris HA, Nordin BEC (1989) Effects of nandrolone decanoate and antiresorptive therapy on vertebral density in osteoporotic postmenopausal women. Arch Intern Med 149:57–60
Adami S, Fossaluzza V, Rossini M, Bertoldo F, Gatti D, Zamberlan N, LoCascio V (1991) The prevention of corticosteroidinduced osteoporosis with nandrolone decanoate. Bone Miner 15:72–81
Hassager C, Riis BJ, Pødenphant J, Christiansen C (1989) Nandrolone decanoate treatment of post-menopausal osteoporosis for 2 years and effects of withdrawal. Maturitas 11:305–317
Colvard DS, Eriksen ED, Keetin PE, Wilson EM, Lubahn DB, French FS, Riggs BL, Spelsberg TC (1989) Identification of androgen receptors in normal human osteoblast-like cells. Proc Natl Acad Sci USA 86:854–857
Kasperk CH, Wergedal JE, Farley JR, Linkhart TA, Turner RT, Baylink DJ (1989) Androgens directly stimulate proliferation of bone cells in vitro. Endocrinology 124:1576–1578
Fitzsimmons RJ, Wergedal JE, Kasperk C, Baylink DJ (1990) The effects of nandrolone decanoate on human bone cells, in vitro. In: Christiansen C (ed) Osteoporosis 1990: the role of nandrolone decanoate in the treatment of established osteoporosis. Handeltrijkkeriet Aalborg Aps., Aalborg, Denmark, pp 13–18
Raymaekers G, Aerssens J, Van den Eynde R, Peeters J, De Keersmaecker G, Geusens P, Dequeker J (1992) Changes in bone matrix constituents in ovariectomized dogs on a calciumdeficient diet after administration of 17β-oestradiol and nandrolone decanoate. Eur J Exp Musculoskel Res 1:72–76
Kivirikko KI, Laitinen O, Prockop DJ (1967) Modifications of a specific assay for hydroxyproline in urine. Anal Biochem 19:249–255
Verhaeghe J, Van Herck E, Van Bree R, Van Assche FA, Bouillon R (1990) Osteocalcin during the reproductive cycle in normal and diabetic rats. J Endocrinol 120:143–151
Gundberg CM, Hauschka P, Lian JB, Gallop PM (1984) Osteocalcin: isolation, characterization and detection. In: Molav K (ed) Methods in enzymology. Academic Press, New York, pp 516–544
Verhaeghe J, Van Herck E, Visser WJ, Suiker AMH, Thomasset M, Einhorn TA, Faierman E, Bouillon R (1990) Bone and mineral metabolism in BB rats with long-term diabetes. Diabetes 39:249–255
Geusens P (1992) Photon absorptiometry in osteoporosis: bone mineral measurements in animal models and in humans. PhD thesis, K.U. Leuven, Orientaliste, Belgium
Mbuyi-Muamba JM, Dequeker J (1986) Bone mass measured by photonabsorptiometry and radiogrammetry in Wistar rats: age and sex variations. Invest Radiol 21:336–339
Burstein AH, Frankel VH (1971) A standard test for laboratory animal bone. J Biomechanics 4:155–158
Martens M, Van Audekercke R, De Meester P, Mulier JC (1980) The mechanical characteristics of the long bones of the lower extremity in torsional loading. J Biomechanics 13:667–676
Wronski TJ, Cintron M, Doherty AL, Dann LM (1988) Estrogen treatment prevents osteopenia and depresses bone turnover in ovariectomized rats. Endocrinology 123:681–686
Frost HM, Jee WSS (1992) On the rat model of human osteopenias and osteoporoses. Bone Miner 18:227–236
Schot LPC, Schuurs AHWM (1990) Pathophysiology of bone loss in castrated animals. J Steroid Biochem Molec Biol 37:461–465
Baron R, Tross R, Vipnery A (1984) Evidence of sequential remodeling in rat trabecular bone: morphology, dynamic histomorphometry, and changes during skeletal maturation. Anat Rec 208:127–145
Wronski TJ, Schenck PA, Cintron M, Walsh CC (1987) Effect of body weight on osteopenia in ovariectomized rats. Calcif Tissue Int 40:155–159
Turner RT, Wakky GK, Hannon KS (1990) Differential effects of androgens on cortical bone histomorphometry in gonadectomized male and female rats. J Orthop Res 8:612–617
Tang LY, Jee WSS, Ke HZ, Kimmel DB (1992) Restoring and maintaining bone in osteopenic female rat skeleton: I. Changes in bone mass and structure. J Bone Miner Res 7:1093–1104
Vanderschueren D, Gevers G, Raymaekers G, Devos P, Dequeker J (1990) Sex- and age-related changes in bone and serum osteocalcin. Calcif Tissue Int 46:179–182
Dequeker J (1972) Bone loss in normal and pathological conditions. PhD Thesis, K. U. Leuven, Leuven University Press, Belgium
Dannucci GA, Martin RB, Patterson-Buckendahl (1987) Ovariectomy and trabecular bone remodeling in the dog. Calcif Tissue Int 40:194–199
Ismail F, Epstein S, Fallon MD, Thosmas SB, Reinhardt TA (1988) Serum bone gla protein and the vitamin D endocrine system in the oophorectomized rat. Endocrinology 122:624–630
Wronski TJ, Cintron M, Dann LM (1988) Temporal relationship between bone loss and increased bone turnover in ovariectomized rats. Calcif Tissue Int 43:179–183
Delmas PD, Stenner S, Wahner HW, Mann KG, Riggs BL (1983) Increase in serum bone gamma-carboxyglutamic acid protein with aging in women. J Clin Invest 71:1316–1321
Yamamoto H, Sohmiya M, Oka N, Kato Y (1991) Effects of aging and sex on plasma insulin-like growth factor I (IGF-I) levels in normal adults. Acta Endocrinol (Copenh) 124:497–500
Wronski TJ, Dann LM, Horner SL (1989) Time course of vertebral osteopenia in ovariectomized rats. Bone 10:295–301
Wronski TJ, Dann LM, Scott KS, Cintrón M (1989) Long-term effects of ovariectomy and aging on the rat skeleton. Calcif Tissue Int 45:360–366
Fröhlander N, von Schoultz B (1988) Growth hormone and somatomedin C during post-menopausal replacement therapy with oestrogen alone and in combination with an antioestrogen. Maturitas 9:297–302
Turner RT, Backup P, Kline BC, Colvard DS, Spelsberg TC (1991) Evidence that the inhibition of osteoblast activity by estrogen is preceded by down regulation of IGF-I gene expression and that these changes are estrogen-receptor mediated. In: Spencer EM (ed) Modern concepts of insulin-like growth factors. Elsevier Science Publishing Co, New York, pp 143–153
Underwood LE, D'Ercole AJ, Clemmons DR, Van Wyk JJ (1986) Paracrine functions of somatomedin. In: Franchimont P (ed). Clinics in endocrinology and metabolism: paracrine control, vol 15. WB Saunders Co, London, pp 59–77
Holly JMP, Wass JAH (1989) Insulin-like growth factors: autocrine, paracrine or endocrine? New perspectives of the somatomedin hypothesis in the light of recent developments. J Endocrinol 122:611–618
Finkelman RD, Eason AL, Bell NH, Baylink DJ (1991) Ovariectomy selectively reduces the concentration of transforming growth factor beta in rat bone (abstract). J Bone Miner Res 6 (suppl 1), S99
McCarthy TL, Centrella M, Canalis E (1989) Insulin-like growth factor (IGF) and bone. Connect Tissue Res 20:277–282
Isaksson OGP, Lindahl A, Nilsson A, Isgaard J (1987) Mechanisms of the stimulatory effect of growth hormone on longitudinal bone growth. Endocrine Rev 8:426–438
Ibbotson KJ, Orcutt CM, D'Soua SM, Paddock CL, Arthur JA, Jankowsky ML, Boyce RW (1992) Contrasting effects of parathyroid hormone and insulin-like growth factor I in an aged ovariectomized rat model of postmenopausal osteoporosis. J Bone Miner Res 7:425–432
Spencer EM, Lin CC, Si ECC, Howard GA (1990) In vivo actions of insulin-like growth factor I (IGF-I) on bone formation and resorption in rats. Bone 12:21–27
Geusens P, Schot LPC, Nijs J, Dequeker J (1991) Calciumdeficient diet in ovariectomized dogs limits the effects of 17β-estradiol and nandrolone decanoate on bone. J Bone Miner Res 6:791–797
Schot LPC, Brunekreef K, Spanjers C, Bouillon R (1990) Anabolic and anti-catabolic effects of nandrolone decanoate (Deca-Durabolin®) on bone of ovariectomized rats. In: Christiansen C (ed). Osteoporosis 1990: the role of nandrolone decanoate in the treatment of established osteoporosis. Handeltrijkkeriet Aalborg Aps., Aalborg, Denmark, pp 19–23
Geusens P, Cantatore F, Nijs J, Proesmans W, Emma F, Dequeker J (1991) Heterogeneity of growth of bone in children at the spine, radius and total skeleton. Growth Dev Aging 55:249–256
Ishak KG, Zimmerman HJ (1987) Hepatotoxic effects of the anabolic/androgenic steroids. Semin Liver Dis 7:230–236
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Aerssens, J., Van Audekercke, R., Geusens, P. et al. Mechanical properties, bone mineral content, and bone composition (collagen, osteocalcin, IGF-I) of the rat femur: Influence of ovariectomy and nandrolone decanoate (anabolic steroid) treatment. Calcif Tissue Int 53, 269–277 (1993). https://doi.org/10.1007/BF01320913
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF01320913