Thyrotoxicosis Involves β2-Adrenoceptor Signaling to Negatively Affect Microarchitecture and Biomechanical Properties of the Femur

Autor: Vanda Jorgetti, Nathalia Juliana Nardelli Gonçalves, Cecilia H. A. Gouveia, Rudá Prestes e Albuquerque, Manuela Miranda-Rodrigues, Bianca Neofiti-Papi, Julio C.B. Ferreira, Patricia Chacur Brum
Rok vydání: 2019
Předmět:
Male
Sympathetic Nervous System
Endocrinology
Diabetes and Metabolism

Gene Expression
Bone remodeling
Mice
0302 clinical medicine
Endocrinology
Cyclic AMP
Femur
Receptor
Mice
Knockout

Triiodothyronine
Estradiol
Receptor Activator of Nuclear Factor-kappa B
biology
Chemistry
ESTRÓGENOS
Biomechanical Phenomena
Resorption
Thyrotoxicosis
medicine.anatomical_structure
RANKL
030220 oncology & carcinogenesis
Female
Bone Remodeling
Signal Transduction
medicine.medical_specialty
Medullary cavity
030209 endocrinology & metabolism
Cell Line
03 medical and health sciences
Internal medicine
medicine
Animals
Clenbuterol
Adrenergic beta-2 Receptor Agonists
Osteoblasts
RANK Ligand
Osteoprotegerin
Estrogens
X-Ray Microtomography
medicine.disease
Osteopenia
Bone Diseases
Metabolic

biology.protein
Cortical bone
Receptors
Adrenergic
beta-2
Zdroj: Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
ISSN: 1557-9077
1050-7256
DOI: 10.1089/thy.2018.0259
Popis: Background: Thyrotoxicosis increases bone turnover, resulting in net bone loss. Sympathetic nervous system (SNS) activation, via β2-adrenoceptor (β2-AR) signaling, also has osteopenic effects. Because thyroid hormones (TH) interact with the SNS to regulate several physiological processes, we hypothesized that this interaction also occurs to regulate bone mass. Previous studies support this hypothesis, as α2-AR knockout (KO) mice are less susceptible to thyrotoxicosis-induced osteopenia. Here, we evaluated whether TH-SNS interactions in bone involve β2-AR signaling. Methods: Thyrotoxicosis was induced in 120-day-old female and male mice with β2-AR gene inactivation (β2-AR-/-) by daily treatment with supraphysiological doses of triiodothyronine (T3) for 12 weeks. The impact of thyrotoxicosis on femoral bone microarchitecture, remodeling, fracture risk, and gene expression of the receptor activator of nuclear factor-kappa-B (RANK)-RANK ligand (RANKL)-osteoprotegerin (OPG) pathway was evaluated. In addition, the effect of the β2-AR-specific agonist clenbuterol (CL) on cAMP accumulation was determined in osteoblastic (MC3T3-E1) cells treated with T3 and/or 17β-estradiol (E2). Results: Thyrotoxicosis negatively affected trabecular bone microarchitecture in wild-type (WT) females, but this effect was milder or nonexistent in β2-AR-/- animals, whereas the opposite was seen in males. T3 treatment increased the femoral RANKL/OPG mRNA ratio and the endosteal perimeter and medullary area of the diaphysis in WT females and males, but not in β2-AR-/- mice, suggesting that T3 promotes endosteal resorption in cortical bone, in a mechanism that involves β2-AR signaling. T3 treatment increased endocortical mineral apposition rate only in WT females but not in β2-AR-/- mice, suggesting that TH also induce bone formation in a β2-AR signaling-dependent mechanism. T3 treatment decreased femoral resistance to fracture only in WT females, but not in KO mice. E2 and CL similarly increased cAMP accumulation in MC3T3-E1 cells; whereas T3 alone had no effect, but it completely blocked E2-stimulated cAMP accumulation, suggesting that some T3 effects on bone may involve E2/cAMP signaling in osteoblasts. Conclusions: These findings sustain the hypothesis that T3 interacts with the SNS to regulate bone morphophysiology in a β2-AR signaling-dependent mechanism. The data also reveal sex as an important modifier of skeletal manifestations of thyrotoxicosis, as well as a modifier of the TH-SNS interactions to control bone microarchitecture, remodeling, and resistance to fracture.
Databáze: OpenAIRE