Twenty-five 30-month-old Lou rats fed a diet (6 g/100 g BW/day) contai
ning 0.9% Ca and 0.8% Pi were divided into five groups. Four groups we
re surgically ovariectomized. From day 2 until day 29 after ovariectom
y, they were S.C, injected either with 17 beta estradiol (E(2); 10 mu
g/kg BW/48 hours) or progesterone (P; 140 mu g/kg BW/48 hours), or 17
beta estradiol + progesterone (E(2)P) at the same doses, or solvent al
one (OVX). The fifth group was sham operated (SH) and injected with so
lvent. Urine was collected in metabolic cages from day 24 to 29 after
OVX, and urinary pyridinoline (PYD) and deoxypyridinoline (DPD) excret
ion (markers of bone resorption) was measured by HPLC. All animals wer
e killed 30 days after ovariectomy. Serum was then collected for measu
rement of osteocalcin (OC), alkaline phosphatase (ALP), parathyroid ho
rmone (PTH), and calcitonin (CT). At necropsy, the success of ovariect
omy was checked by marked atrophy of the uterine horns. Left and right
femur were harvested for densitometric and mineral analysis, respecti
vely. Ovariectomy had no significant effect upon plasma calcium and PT
H concentrations. E(2) or E(2)P treatment significantly increased plas
ma PTH and calcitonin concentrations. Plasma OC concentration and ALP
were not different in any of the groups. In contrast, urinary excretio
n of PYD and DPD was higher in OVX than in SH rats. Bone mineral densi
ty (BMD) of the distal femur was decreased by OVX, but was not differe
nt in the E(2)P and SH groups. A similar pattern was observed for the
mineral or Ca content of whole femur. Thus, OVX decreased BMD and bone
mineral content (BMC) in very old female rats. Plasma OC concentratio
n and ALP activity failed to demonstrate any significant effect of OVX
, whereas PYD and DPD were elevated. These results suggest that bone r
esorption is increased in OVX rats, even when supplemented with E(2) o
r P alone. However, no significant difference was observed between SH
and OVX rats treated with supplementation of both E(2) and P. Thus, in
very old rats, a combination of E(2) and P is much more effective tha
n E(2) or P alone to prevent bone loss following ovariectomy.