Effects of Estrogen on Histomorphology Steroid-Induced Avascular Necrosis of Head of Femur in Male Rats

Authors

  • Sadaf Iqbal Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan
  • Shabnam Hamid Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan
  • Faiza Umbreen Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan
  • Mahwash Azam Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan
  • Ayesha Ali Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan
  • Maroosh Mirza Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.8769

Keywords:

Avascular necrosis, Estrogen, Head of the femur, Steroids

Abstract

Objectives: To study the effects of estrogen administration on histomorphology of avascular necrosis of the femoral head in male rats.

Study Design: Lab-based experimental study.

Place and Duration of Study: Department of Anatomy, Army Medical College, National University of Medical Sciences,
Rawalpindi (NUMS), in collaboration with the National Institute of Health Islamabad, (NIH) Pakistan from Aug to Nov 2021.

Methodology: Thirty male Sprague Dawley rats, three months of age, weighing 200-300 gm, were selected. Rats were equally divided into three groups. Group-A served as a control group in which no intervention was made, and the rats were fed on a standard lab diet. Groups B and C served as experimental groups. In Groups B and C, avascular necrosis was induced by steroids for the first week of the study. Group C along with steroids also received tab estrogen by oral gavage for eight weeks, starting from the fifth week of the study till the twelfth week of the study. All the rats were sacrificed after the completion of the experimental period. The microscopic parameters like cortical thickness and percentage of the empty lacunae were counted.

Results: Histomorphological changes were observed when the comparison was made between Group B, Control Group A,
and Experimental Groups B and C with statistically significant results (p-value 0.001).

Conclusion: Estrogen helps in fracture healing and shows improvement in cortical and trabecular strength. It has shown
improvement in the cortical thickness measurement after avascular necrosis causes a decrease in the thickness.

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Author Biography

  • Faiza Umbreen, Department of Anatomy, Army Medical College/National University of Medical Sciences, (NUMS) Rawalpindi Pakistan

     

     

References

Wei J-H, Luo Q-Q, Tang Y-J, Chen J-X, Huang C-L, Lu D-G, et al.

Upregulation of microRNA-320 decreases the risk of developing

steroid-induced avascular necrosis of femoral head by inhibiting

CYP1A2 both in vivo and in vitro. Gene 2018: 660(1): 136-144.

https://doi.org/10.1016/j.gene.2018.03.045

Cheng C-H, Chen L-R, Chen K-H. Osteoporosis Due to Hormone

Imbalance: An Overview of the Effects of Estrogen Deficiency

and Glucocorticoid Overuse on Bone Turnover. Int J Mol Sci

; 23(3): 1376. https://doi.org/10.3390/ijms23031376

Shaikh SA, Hussain S, Samejo MQA, Ahmed N, Jamali AR.

Osetosynthesis of Fractures neck femur with cannulated screws:

Evaluation of risk factors for post-operative complications. J Pak

Med Assoc 2021; 71(Suppl-5): S59-S63.

Petek D, Hannouche D, Suva D. Osteonecrosis of the femoral

head: pathophysiology and current concepts of treatment.

EFORT Open Rev 2019; 4(3): 85-97.

https://doi.org/10.1302/2058-5241.4.180036

Xu J, Gong H, Lu S, Deasey MJ, Cui QJ. Animal models of

steroid-induced osteonecrosis of the femoral head-a comprehensive research review up to 2018. Int Orthop 2018 ; 42(7): 1729-1737. https://doi.org/10.1007/s00264-018-3956-1

Baig SA, Baig M. Osteonecrosis of the femoral head: etiology,

investigations, and management. Cureus 2018; 10(8): 1-4.

https://doi.org/10.7759/cureus.3171

Ye T, Cao P, Qi J, Zhou Q, Rao DS, Qiu SJ. Protective effect of

low-dose risedronate against osteocyte apoptosis and bone loss

in ovariectomized rats. PLoS One 2017; 12(10): e0186012.

https://doi.org/10.1371/journal.pone.0186012

Broulik PD, Urbánek V, Libanský PJH, Research M. Eighteenyear effect of androgen therapy on bone mineral density in trans(gender) men. Horm Metab Res 2018; 50(02): 133-137.

https://doi.org/10.1055/s-0043-118747

Cooke PS, Nanjappa MK, Ko C, Prins GS, Hess RA. Estrogens in

male physiology. Physiol Rev 2017; 97(3): 995-1043.

https://doi.org/10.1152/physrev.00018.2016

Cui J, Shen Y, Li RJ. Estrogen synthesis and signaling pathways

during aging: from periphery to brain. Trends Mol Med 2013;

(3): 197–209. https://doi.org/10.1016/j.molmed.2012.12.007

Coates BA, McKenzie JA, Yoneda S, Silva MJ. Interleukin-6 (IL-6)

deficiency enhances intramembranous osteogenesis following

stress fracture in mice. Bone 2021; 143(1): 115737.

https://doi.org/10.1016%2Fj.bone.2020.115737

Surve VV, Andersson N, Lehto-Axtelius D, Håkanson R.

Comparison of osteopenia after gastrectomy, ovariectomy and

prednisolone treatment in the young female rat. Acta Orthop

Scand 2001; 72(5): 525-532.https://doi.org/10.1080/000164701753532880

Aghaloo TL, Kang B, Sung EC, Shoff M, Ronconi M, Gotcher JE,

et al. Periodontal disease and bisphosphonates induce osteonecrosis of the jaws in the rat. J Bone Miner Res 2011; 26(8): 1871-1882. https://doi.org/10.1002/jbmr.379

Tahami M, Haddad B, Abtahian A, Hashemi A, Aminian A,

Konan S,et al. Potential role of local estrogen in enhancement of

fracture healing: preclinical study in rabbits. Arch Bone Joint

Surg 2016; 4(4): 323-326.

Khosla S, Monroe DG. Regulation of bone metabolism by sex

steroids. Cold Spring Harb Perspect Med 2018 ; 8(1): a031211.

https://doi.org/10.1101%2Fcshperspect.a031211

Tamer SA, Yıldırım A, Arabacı Ş, Çiftçi S, Akın S, Sarı E, et al.

Treatment with estrogen receptor agonist ERβ improves torsioninduced oxidative testis injury in rats. Life Sci 2019 : 222: 203-211.https://doi.org/10.1016/j.lfs.2019.02.056

Tobeiha M, Moghadasian MH, Amin N, Jafarnejad SJ.

RANKL/RANK/OPG pathway: a mechanism involved in

exercise-induced bone remodeling. Biomed Res Int 2020; 2020:

https://doi.org/10.1155%2F2020%2F6910312

Farman HH, Gustafsson KL, Henning P, Grahnemo L, Lionikaite

V, Movérare-Skrtic S, et al. Membrane estrogen receptor α is

essential for estrogen signaling in the male skeleton. J Endocrinol

; 239(3): 303-312. https://doi.org/10.1530/joe-18-0406

Mont MA, Salem HS, Piuzzi NS, Goodman SB, Jones LC.

Nontraumatic osteonecrosis of the femoral head: where do we

stand today?: a 5-year update. J Bone Joint Surg Am 2020 ;

(12): 1084-1099. https://doi.org/10.2106/jbjs.19.01271

Fan ZQ, Bai SC, Xu Q, Li ZJ, Cui WH, Li H, et al. Oxidative Stress

Induced Osteocyte Apoptosis in Steroid‐Induced Femoral Head

Necrosis. Orthop Surg 2021; 13(7): 2145–2152.

https://doi.org/10.1111%2Fos.13127

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Published

30-12-2023

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Original Articles

How to Cite

1.
Iqbal S, Shabnam Hamid, Faiza Umbreen, Mahwash Azam, Ayesha Ali, Maroosh Mirza. Effects of Estrogen on Histomorphology Steroid-Induced Avascular Necrosis of Head of Femur in Male Rats. Pak Armed Forces Med J [Internet]. 2023 Dec. 30 [cited 2024 Dec. 27];73(6):1733-6. Available from: https://pafmj.org/PAFMJ/article/view/8769