Rl. Jilka et al., LOSS OF ESTROGEN UP-REGULATES OSTEOBLASTOGENESIS IN THE MURINE BONE-MARROW - EVIDENCE FOR AUTONOMY FROM FACTORS RELEASED DURING BONE-RESORPTION, The Journal of clinical investigation, 101(9), 1998, pp. 1942-1950
Loss of sex steroids causes an increase in both the resorption and for
mation of bone, with the former exceeding the latter. Based on evidenc
e that the increased bone resorption after estrogen loss is due to an
increase in osteoclastogenesis, we hypothesized that estrogen loss als
o stimulates osteoblastogenesis. We report that the number of mesenchy
mal osteoblast progenitors in the murine bone marrow was increased two
- to threefold between 2 and 8 wk after ovariectomy and returned to co
ntrol levels by 16 wk. Circulating osteocalcin, as well as osteoclasto
genesis and the rate of bone loss, followed a very similar temporal pa
ttern. Inhibition of bone resorption by administration of the bisphosp
honate alendronate led to a decrease of the absolute number of osteobl
ast progenitors; however, it did not influence the stimulating effect
of ovariectomy on osteoblastogenesis or osteoclastogenesis. These obse
rvations indicate that the increased bone formation that follows loss
of estrogen can be explained, at least in part, by an increase in oste
oblastogenesis. Moreover, they strongly suggest that unlike normal bon
e remodeling, whereby osteoblast development is stimulated by factors
released from the bone matrix during osteoclastic resorption, estrogen
deficiency unleashes signals that can stimulate the differentiation o
f osteoblast progenitors in a fashion that is autonomous from the need
created by bone resorption, and therefore, inappropriate.