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TAMOXIFEN IN THE RAT PREVENTS ESTROGEN-DEFICIENCY BONE LOSS ELICITED WITH THE LHRH AGONIST BUSERELIN
Author(s): GOULDING A, GOLD E, FENG W
Source: BONE AND MINERAL    Volume: 18    Issue: 2    Pages: 143-152    Published: AUG 1992  
Times Cited: 14     References: 37     
Abstract: In young women chronic use of luteinizing hormone releasing hormone (LHRH) agonists such as buserelin to treat endometriosis leads to estrogen-deficiency bone loss. Tamoxifen citrate is an estrogen agonist/antagonist which protects the skeleton from osteopenia when ovarian hormones are depleted. The present study was undertaken to determine whether tamoxifen citrate (20 mg/kg body wt/week s.c.) could prevent the osteopenic effect of buserelin (25-mu-g/kg body wt/day s.c.). Four groups of rats with Ca-45-labelled bones were studied for 4 weeks: group A - placebo controls; group B - buserelin; Group C -tamoxifen; group D - buserelin + tamoxifen. Bone resorption was monitored by measuring the urinary excretion of Ca-45 and hydroxyproline. Interestingly buserelin lowered both blood 17-beta-estradiol values and uterine weights in the presence and absence of tamoxifen. However, tamoxifen slowed bone breakdown and inhibited the bone-thinning effects of buserelin. Total body calcium values (mg; means +/- S.D.) were: 2227 +/- 137; 1926 +/- 124; 2233 +/- 94 and 2268 +/- 163, in groups A to D respectively. Osteopenia was thus present only in group B (P < 0.001). Because tamoxifen inhibits estrogen-deficiency bone loss in buserelin-treated rats without depressing the hypoestrogenic actions of this LHRH-agonist, we suggest that use of tamoxifen to protect the skeleton during LHRH-agonist therapy in young women should be explored. Tamoxifen citrate might also help to prevent postmenopausal osteoporosis.
Document Type: Article
Language: English
Reprint Address: GOULDING, A (reprint author), UNIV OTAGO, SCH MED, DEPT MED, POB 913, DUNEDIN, NEW ZEALAND
Publisher: ELSEVIER SCI IRELAND LTD, CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND
Subject Category: Endocrinology & Metabolism
IDS Number: JK540
ISSN: 0169-6009
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