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Deletion of estrogen receptor beta accelerates early stage of bone healing in a mouse osteotomy model

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Abstract

Summary

This study examined the role of estrogen receptor (ER) beta during mouse femoral fracture healing by employing ER knockout (KO) mice. The fracture healing in KO mice was enhanced in the early stage of neovascularization and the middle stage of endochondral ossification.

Introduction

This study was conducted to examine the role of ER beta during fracture healing.

Methods

Female ERbeta knockout (KO) mice (18 weeks old) and age-matched female wild-type (WT) mice underwent open osteotomy on the right femur. They were sacrificed at 1, 2, 4 and 6 weeks post-fracture. The sera and callus samples were subjected to the following analyses: micro-computed tomography (CT)-based angiography, micro-CT evaluation, histological examination, histomorphometry examination, real-time polymerase chain reaction (PCR) analysis, biochemical marker, and mechanical testing.

Results

Micro-CT-based angiography showed that the total vessel volume at the fracture site was larger in the KO group than the WT group at 1 and 2 weeks post-fracture. Micro-CT analysis revealed that the callus volume was significantly higher in the KO group from week 2 to week 4 post-fracture when compared with the WT group consistent with the histological data. Analysis of biochemical markers indicated that circulating P1NP levels in the KO mice were significantly higher than in the WT mice from week 2 to week 4 and that temporal expression of circulating C-terminal telopeptide of type I collagen (CTX) levels was also higher in the KO mice than in the WT mice. These results were consistent with quantitative real-time PCR analysis. The ultimate load, stiffness, and energy to failure were significantly higher in the KO mice than in the WT mice at week 4.

Conclusions

The fracture healing in KO mice was enhanced in the early stage of neovascularization and the middle stage of endochondral ossification, but not by the end of healing. Blockade of ERbeta can be considered as another therapeutic strategy for osteoporotic fracture and non-union fracture.

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Abbreviations

ER:

Estrogen receptor

KO:

Knockout

Micro-CT:

Micro-computed tomography

WT:

Wild-type

References

  1. Ferguson C, Alpern E, Miclau T, Helms JA (1999) Does adult fracture repair recapitulate embryonic skeletal formation? Mech Dev 87:57–66

    Article  PubMed  CAS  Google Scholar 

  2. Einhorn TA (1998) The cell and molecular biology of fracture healing. Clin Orthop Relat Res S7–S21

  3. Gerstenfeld LC, Cho TJ, Kon T, Aizawa T, Tsay A, Fitch J, Barnes GL, Graves DT, Einhorn TA (2003) Impaired fracture healing in the absence of TNF-alpha signaling: the role of TNF-alpha in endochondral cartilage resorption. J Bone Miner Res 18:1584–1592

    Article  PubMed  CAS  Google Scholar 

  4. Einhorn TA (2005) The science of fracture healing. J Orthop Trauma 19:S4–S6

    Article  PubMed  Google Scholar 

  5. Turner RT, Riggs BL, Spelsberg TC (1994) Skeletal effects of estrogen. Endocr Rev 15:275–300

    PubMed  CAS  Google Scholar 

  6. Beil FT, Barvencik F, Gebauer M, Seitz S, Rueger JM, Ignatius A, Pogoda P, Schinke T, Amling M (2010) Effects of estrogen on fracture healing in mice. J Trauma 69:1259–1265

    Article  PubMed  CAS  Google Scholar 

  7. Kuiper GG, Enmark E, Pelto-Huikko M, Nilsson S, Gustafsson JA (1996) Cloning of a novel receptor expressed in rat prostate and ovary. Proc Natl Acad Sci USA 93:5925–5930

    Article  PubMed  CAS  Google Scholar 

  8. Green S, Walter P, Greene G, Krust A, Goffin C, Jensen E, Scrace G, Waterfield M, Chambon P (1986) Cloning of the human oestrogen receptor cDNA. J Steroid Biochem 24:77–83

    Article  PubMed  CAS  Google Scholar 

  9. Chagin AS, Lindberg MK, Andersson N, Moverare S, Gustafsson JA, Savendahl L, Ohlsson C (2004) Estrogen receptor-beta inhibits skeletal growth and has the capacity to mediate growth plate fusion in female mice. J Bone Miner Res 19:72–77

    Article  PubMed  CAS  Google Scholar 

  10. Ke HZ (2005) In vivo characterization of skeletal phenotype of genetically modified mice. J Bone Miner Metab 23(Suppl):84–89

    Article  PubMed  CAS  Google Scholar 

  11. Ke HZ, Brown TA, Qi H, Crawford DT, Simmons HA, Petersen DN, Allen MR, McNeish JD, Thompson DD (2002) The role of estrogen receptor-beta, in the early age-related bone gain and later age-related bone loss in female mice. J Musculoskelet Neuronal Interact 2:479–488

    PubMed  CAS  Google Scholar 

  12. Lindberg MK, Alatalo SL, Halleen JM, Mohan S, Gustafsson JA, Ohlsson C (2001) Estrogen receptor specificity in the regulation of the skeleton in female mice. J Endocrinol 171:229–236

    Article  PubMed  CAS  Google Scholar 

  13. Windahl SH, Vidal O, Andersson G, Gustafsson JA, Ohlsson C (1999) Increased cortical bone mineral content but unchanged trabecular bone mineral density in female ERbeta(−/−) mice. J Clin Invest 104:895–901

    Article  PubMed  CAS  Google Scholar 

  14. Hartman J, Lindberg K, Morani A, Inzunza J, Strom A, Gustafsson JA (2006) Estrogen receptor beta inhibits angiogenesis and growth of T47D breast cancer xenografts. Cancer Res 66:11207–11213

    Article  PubMed  CAS  Google Scholar 

  15. Doyon AR, Ferries IK, Li J (2010) Glucocorticoid attenuates the anabolic effects of parathyroid hormone on fracture repair. Calcif Tissue Int 87:68–76

    Article  PubMed  CAS  Google Scholar 

  16. He YX, Zhang G, Pan XH, Liu Z, Zheng LZ, Chan CW, Lee KM, Cao YP, Li G, Wei L, Hung LK, Leung KS, Qin L (2011) Impaired bone healing pattern in mice with ovariectomy-induced osteoporosis: a drill-hole defect model. Bone 48:1388–1400

    Article  PubMed  Google Scholar 

  17. Zhang G, Sheng H, He YX, Xie XH, Wang YX, Lee KM, Yeung KW, Li ZR, He W, Griffith JF, Leung KS, Qin L (2009) Continuous occurrence of both insufficient neovascularization and elevated vascular permeability in rabbit proximal femur during inadequate repair of steroid-associated osteonecrotic lesions. Arthritis Rheum 60:2966–2977

    Article  PubMed  CAS  Google Scholar 

  18. Duvall CL, Taylor WR, Weiss D, Wojtowicz AM, Guldberg RE (2007) Impaired angiogenesis, early callus formation, and late stage remodeling in fracture healing of osteopontin-deficient mice. J Bone Miner Res 22:286–297

    Article  PubMed  CAS  Google Scholar 

  19. Hao YJ, Zhang G, Wang YS, Qin L, Hung WY, Leung K, Pei FX (2007) Changes of microstructure and mineralized tissue in the middle and late phase of osteoporotic fracture healing in rats. Bone 41:631–638

    Article  PubMed  Google Scholar 

  20. Qin L, Hung L, Leung K, Guo X, Bumrerraj S, Katz L (2001) Staining intensity of individual osteons correlated with elastic properties and degrees of mineralization. J Bone Miner Metab 19:359–364

    Article  PubMed  CAS  Google Scholar 

  21. Songlin P, Ge Z, Yixin H, Xinluan W, Pingchung L, Kwoksui L, Ling Q (2009) Epimedium-derived flavonoids promote osteoblastogenesis and suppress adipogenesis in bone marrow stromal cells while exerting an anabolic effect on osteoporotic bone. Bone 45:534–544

    Article  PubMed  Google Scholar 

  22. Zhang G, Qin L, Hung WY, Shi YY, Leung PC, Yeung HY, Leung KS (2006) Flavonoids derived from herbal Epimedium brevicornum Maxim prevent OVX-induced osteoporosis in rats independent of its enhancement in intestinal calcium absorption. Bone 38:818–825

    Article  PubMed  CAS  Google Scholar 

  23. He YX, Zhang G, Pan XH, Liu Z, Zheng LZ, Chan CW, Lee KM, Cao YP, Li G, Wei L, Hung LK, Leung KS, Qin L (2011) Impaired bone healing pattern in mice with ovariectomy-induced osteoporosis: A drill-hole defect model. Bone 48:1388–1400

    Article  PubMed  Google Scholar 

  24. Rauner M, Stupphann D, Haas M, Fert I, Glatigny S, Sipos W, Breban M, Pietschmann P (2009) The HLA-B27 transgenic rat, a model of spondyloarthritis, has decreased bone mineral density and increased RANKL to osteoprotegerin mRNA ratio. J Rheumatol 36:120–126

    PubMed  Google Scholar 

  25. Jacobsen KA, Al-Aql ZS, Wan C, Fitch JL, Stapleton SN, Mason ZD, Cole RM, Gilbert SR, Clemens TL, Morgan EF, Einhorn TA, Gerstenfeld LC (2008) Bone formation during distraction osteogenesis is dependent on both VEGFR1 and VEGFR2 signaling. J Bone Miner Res 23:596–609

    Article  PubMed  CAS  Google Scholar 

  26. Lim W, Park Y, Cho J, Park C, Park J, Park YK, Park H, Lee Y (2011) Estrogen receptor beta inhibits transcriptional activity of hypoxia inducible factor-1 through the downregulation of arylhydrocarbon receptor nuclear translocator. Breast Cancer Res 13:R32

    Article  PubMed  CAS  Google Scholar 

  27. Holstein JH, Menger MD, Scheuer C, Meier C, Culemann U, Wirbel RJ, Garcia P, Pohlemann T (2007) Erythropoietin (EPO): EPO-receptor signaling improves early endochondral ossification and mechanical strength in fracture healing. Life Sci 80:893–900

    Article  PubMed  CAS  Google Scholar 

  28. Colburn NT, Zaal KJ, Wang F, Tuan RS (2009) A role for gamma/delta T cells in a mouse model of fracture healing. Arthritis Rheum 60:1694–1703

    Article  PubMed  CAS  Google Scholar 

  29. Windahl SH, Hollberg K, Vidal O, Gustafsson JA, Ohlsson C, Andersson G (2001) Female estrogen receptor beta−/− mice are partially protected against age-related trabecular bone loss. J Bone Miner Res 16:1388–1398

    Article  PubMed  CAS  Google Scholar 

  30. Gruber R, Koch H, Doll BA, Tegtmeier F, Einhorn TA, Hollinger JO (2006) Fracture healing in the elderly patient. Exp Gerontol 41:1080–1093

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was supported by AO Research Grant (S-08-74Z) and CUHK Direct Grant (2008.1.063). We also thank Mr. Wang Yu-Gang for his support in animal care.

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Correspondence to L. Qin or G. Zhang.

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He, YX., Liu, Z., Pan, XH. et al. Deletion of estrogen receptor beta accelerates early stage of bone healing in a mouse osteotomy model. Osteoporos Int 23, 377–389 (2012). https://doi.org/10.1007/s00198-011-1812-x

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  • DOI: https://doi.org/10.1007/s00198-011-1812-x

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