To examine a potential role for phytoestrogens in postmenopausal bone
loss, the oophorectomized (OOX) rat model has been used in three studi
es to investigate the effects of the phytoestrogens coumestrol, zearal
anol and a mixture of isoflavones on estrogen-dependent bone loss. In
the studies of coumestrol and zearalanol, the rats were allocated to a
control group, a phytoestrogen-treated group (1.5 mu mol coumestrol o
r 3.1 mmol zearalanol twice per week, intramuscular) or, in the coumes
trol study, an estrogen-treated group (28.1 nmol, intramuscular). In t
he isoflavone study, the rats were allocated to a control group, an es
trogen treated group or a treatment group that received 131.25 mg of p
hytoestrogens per week incorporated into the nonpurified rat diet. Bon
e mineral density was measured globally and at the spine and femur at
base line and 6 wk post-oophorectomy. In the coumestrol study, blood a
nd urine samples were collected. Compared with the control group, rats
receiving coumestrol and zearalanol had significantly reduced bone lo
ss at all sites measured. The estrogen-treated group had significantly
greater bone density than the control and the coumestrol-treated grou
ps in the spine and global measurements. Coumestrol reduced urine calc
ium excretion and the bone resorption markers pyridinoline and deoxypy
ridinoline after 1 wk of treatment. Oral isoflavone phytoestrogens had
no effect on oophorectomized rats including bone loss at the dose use
d. Thus, for the first time, the bioactivity of coumestrol and zearala
nol in preventing bone loss has been demonstrated in a well-recognized
model of postmenopausal bone loss.