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1Institut National de la Santé et de la Recherche Médicale, Laboratoire de Biologie du Tissu Osseux, University of Saint-Etienne, Saint-Etienne, France; and 2Institute for Biomedical Engineering, University of Zürich and Swiss Federal Institute of Technology, Zürich, Switzerland
Submitted 2 July 2004 ; accepted in final form 13 August 2005
| ABSTRACT |
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in vivo microcomputed tomography; dual-energy X-ray absorptiometry; histomorphometry; cancellous; cortical
| MATERIALS AND METHODS |
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The protocol and animal procedure for this study were in compliance with the European Community standards on the care and use of laboratory animals (Ministère de l'Agriculture, France, Authorization no. 04827). Fourteen male (265 ± 15 g) and 14 virgin female (250 ± 10 g) Wistar-Han rats (Charles River Laboratories, l'Arbresle, France), 12 wk old, were randomly assigned to two groups of 14 animals each. Male and female groups were further divided into two subgroups: tail suspended (S) or maintained in suspension cages but not suspended (control groups, Ctr), for 14 days.
The rats were acclimatized for 1 wk with standard temperature (23 ± 1°C) and 12:12-h light-dark conditions. Animals were individually housed and provided with food (standard diet) and water ad libitum. The suspension procedure was performed according to the Globus et al. (11) recommendations. Fluorochrome double bone labeling was performed 4 days and 1 day before animals were killed. The rats received an intraperitoneal injection of 30 mg/kg tetracycline (Sigma Aldrich).
µCT and dual-energy X-ray absorptiometry (DEXA) measurements were performed on days 0, 7, and 14. Before measurement, rats were anesthetized by an intraperitoneal dose of 100 mg/kg ketamine (Panpharma, France) and 8 mg/kg xylazine (Rompun, Bayer Pharma, France) solution, and the animals were killed with a high dose of Nesdonal (Specia, Paris, France).
The left tibia of each animal was measured in vivo and ex vivo by µCT and DEXA, respectively, and bone sections from the same sample were then processed for conventional histomorphometry.
DEXA
A dual-energy X-ray PIXImus densitometer (LUNAR, Madison, WI) with small-animal software was used for measuring bone mineral density (BMD) and bone mineral content (BMC). It is a rapid (5-min image acquisition) and precise small-animal densitometer (4), with a precision of 1% coefficient of variation (CV) for total skeletal BMD, and 1.5% CV for femoral BMD. After the animal measurement was completed, the region of interest (ROI) rectangle was moved and reshaped to cover a portion: entire left tibias (ET), left femora (EF), and left humeri (EH) were analyzed. The PIXI software automatically calculated bone density and recorded the data as Microsoft Excel files.
In Vivo High Resolution µCT
The left tibiae were scanned with a high-resolution µCT prototype (VivaCT20) from Scanco Medical (Scanco Medical, Bassersdorf, Switzerland), recently described by David et al. (7). This apparatus performs noninvasive in vivo examination of bones of small laboratory animals with a high resolution. Voxel matrix was 20 x 20 x 26 µm3. The scanned region corresponded to a zone of 253 transverse slices (6.58 mm) under the left proximal growth plate of tibia. The net scanning time was
10 min. From the acquired data, the ROI in the axial direction was delimited anatomically from the bottom of the primary spongiosa (7). The height of the ROI was delimited with regard to cancellous bone distribution in the tibial metaphysis. Because there is a larger amount of cancellous tissue in females' metaphysis than in males' (Fig. 1A), the ROI was delimited up to a height of 2.6 mm (100 slices) for female animals and 1.3 mm (50 slices) for males in order to analyze the whole secondary spongiosa. Then we manually adjusted the ROI top at the primary-secondary spongiosa boundary susceptible to varying according to growth or bone loss processes. For each transverse slice, the ROI was established to encompass as much as possible of cancellous bone. All gray-scale images were segmented using a Gaussian filter and a fixed threshold (15% of maximal gray-scale, corresponding to a value of 150) for all data (7).
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The bone volume fraction was calculated directly by plotting gray voxels representing bone fraction against gray plus black voxels (nonbone objects) (VOX BV/TV). Bone surface (BS) was calculated using a tetrahedron meshing technique generated by the "marching cubes method" (23), and total volume (TV) was taken as the volume of interest (VOI). The normalized indexes (BV/TV, BS/TV, and BS/BV) were used.
Three-dimensional (3-D) metric indexes were calculated using direct techniques based on the distance transformation (15, 16), without assuming a constant model. Direct indexes were calculated as follows:
Tb.Th was calculated by filling maximal spheres into a structure, and the average thickness of all voxels corresponded to Tb.Th.
The same procedure was used to determine Tb.Sp, but in this case the nonbone voxels were filled with maximal spheres, and the mean thickness of the marrow cavities represented Tb.Sp.
Tb.N was the inverse of the mean distance between the midaxes of the observed structure. The midaxes of the structure were assessed from the binary 3-D image using the 3-D distance transformation and by extracting the center points of nonredundant spheres that fill the structure completely. The mean distance between the midaxes was then determined by analogy with the Tb.Sp calculation.
The plate-rod characteristic of the structure was estimated by the structure model index (SMI) (16) calculated by differential analysis of a triangulated surface of a structure: SMI = 6{[BV(dBS/dr)]/BS2}, where dBS/dr is the surface area derivative with respect to a linear r (half-thickness or the radius assumed to be constant over the entire structure). The SMI value is 0 for an ideal plate, and 3 for an ideal rod structure. Values between 0 and 3 correspond to a structure with both plates and rods, depending on the volume ratio between rods and plates.
The geometric degree of anisotropy (DA) is defined as the ratio between the maximal and minimal radius of the mean intercept length ellipsoid (12, 30).
Connectivity density (Conn.Den.) was calculated using the Euler method of Odgard and Gundersen (26).
Cortical Measurement
To analyze the cortex, we chose a cross-sectional slice among the original images on which the distance between the tibia and fibula was
4 mm. We assumed that the individual distance was constant, and for each measurement point, cortical area (Ct.Ar.), cross-sectional or total area (T.Ar.), and marrow Area (Ma.Ar.) were evaluated, with the same Gaussian filter and the same fixed threshold as for the trabecular structure (Fig. 1B).
Histomorphometric Analysis
The proximal tibial metaphyses were fixed in 4% formaldehyde solution, dehydrated in acetone, and embedded in methylmethacrylate (6). Longitudinal frontal slices were cut from the embedded bones with a Jung model K microtome (Carl Zeiss, Heidelberg, Germany). Six nonserial sections, 8 µm thick, were used for modified Goldner staining (3). Fourteen-micrometer-thick sections were used to determine the dynamic indexes of bone formation (dLS/BS, MAR, BFR/BS). MAR was derived from fluorochrome interlabel distances. BFR were subsequently obtained from the product of dLS/BS and MAR (7). Six-micrometer-thick sections were used for tartrate-resistant acid phosphatase (TRACP) staining (6, 7), allowing determination of osteoclastic parameters (Oc.S/BS, N.Oc/B.Ar). Histological parameters were evaluated on a region matching with 3-D µCT ROI (Fig. 1A). Bone volume and parameters reflecting trabecular structure were measured using an automatic image analysis system (Biocom, Lyon, France). Bone cellular and macroscopic parameters were measured with a semiautomatic system: digitizing tablet (Summasketch; Summagraphics, Paris, France) connected to a Macintosh personal computer with software designed in our laboratory (3).
Statistical Analysis
The statistical test analysis was performed using commercially available statistical software (Statistica; StatSoft, Tulsa, OK). One-way ANOVA (sex factor) was performed between baseline values for densitometric and tomographic data. A three-way ANOVA was performed, with two between-group factors (male or female, tail-suspended or control) and a repeated-measures factor (within subjects factor). In parallel, we compared the time kinetics of different groups by comparing slopes of individual linear regression curves. The individual slopes were compared using a two-way ANOVA with two between-group factors (male or female, tail-suspended or control). When F values for a given variable were found to be significant, the sequentially rejecting Bonferroni-Holm test (17) was subsequently performed using the Holm's adjusted P values taken from the t-table. Results were considered to be significantly different at P < 0.05.
Two-way analysis of variance (ANOVA) was performed on histomorphometric data to determine the influence of both suspension and sex factors on the structural and cellular parameters. When F values for a given variable were found to be significant, a post hoc Scheffé test was performed, and the results were considered to be significantly different at P < 0.05.
| RESULTS |
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Body weight. Male rats were 1.5-fold heavier than females despite their identical age (P < 0.00001). During the experimental period, male rats increased their body weight threefold more than female rats (P < 0.036; Fig. 2).
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20% greater Ct.Ar than females (Figs. 1B and 5) at baseline. During growth, cortex continued to enlarge in a similar way in males and females.
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Body weight. Suspension did not induce a decrease in body weight in males, but only a smaller increase than in Ctr group (P < 0.013; Fig. 2).
DEXA assessment of bone alteration. In suspended rats, femoral BMD values slowly decreased with time (0.003 g·cm2·day1) compared with the Ctr group, whereas no change in tibia BMD was noted (Table 1). Suspension did not alter humeral growth (not shown).
Microarchitecture of tibial metaphysis. Suspension induced bone loss (BV/TV, 54% during the experiment, mean slope: 0.41, P< 0.012; Fig. 3A) and accentuated the Tb.N (33% loss during suspension, mean slope:0.66, P < 0.05) and Conn.Den. (26% loss during suspension, mean slope:0.95, P < 0.05) age-related decline (Fig. 3, B and C). Tb.Th was not significantly affected; also, the slope was descending (Fig. 3D). The SMI pattern evolved toward a more rod-like structure in the S groups throughout the experimental period (P < 0.02 vs. Ctr) (Fig. 4A). During the experiment, a progressive DA increase appeared more important during suspension than in Ctr rats (11%, P < 0.05; Fig. 4B). Ct.Ar decreased by 12% (P < 0.05) during the experiment in suspended rats (Fig. 5).
Bone cellular activities. Suspension induced a significant decrease in dLS/BS (50%, P < 0.02). BFR/BS alteration paralleled that of dLS/BS. N.Oc./B.Ar increased significantly after 14 days in the S group compared with Ctr (40%, P < 0.0001; Table 2).
Female Suspension vs. Female Controls
Body weight. Despite the lack of statistical difference between female S and Ctr rats' body weight evolution, a slow decrease was noted in the female S group (mean slope = 0.18 g/day; Fig. 2).
DEXA assessment of bone alteration. In females, femoral and tibia BMDs were not altered by suspension, as they increased at a similar rate in both S and Ctr rats (Table 1). Suspension did not alter humeral growth (not shown).
Microarchitecture of tibial metaphysis. Suspension induced a 15% decrease in BV/TV (mean slope: 0.21, P < 0.0007; Fig. 3A), a 2.3% decrease in Tb.N (mean slope: 0.02, P < 0.05; Fig. 3B), a 22% decrease in Conn.Den. (mean slope: 0.78, P < 0.05; Fig. 3C), and a 5% decrease in Tb.Th (mean slope: 0.0003, P < 0.05; Fig. 3D). The SMI pattern evolved toward a more rod-like structure in the S groups throughout the experimental period (P < 0.02 vs. Ctr). Suspension had no major effect on the DA age-related kinetics, although the slope appeared less negative than in Ctr rats (Fig. 4B). Suspension decreased Ct.Ar by 6%.
Bone cellular activities. Suspension induced a significant decrease in dLS/BS (48%, P < 0.02). BFR/BS alteration paralleled that of dLS/BS during suspension. Neither N.Oc./B.Ar nor Oc.S./BS evolved differently during suspension.
Differential Changes Between Males and Females in Responding to Suspension
Bone loss was significantly more accentuated in suspended males (45% decrease in BV/TV) than in suspended females (15% decrease in BV/TV). This phenomenon was seen at the level of the overall femoral BMD and at different compartment sites in the proximal tibia, where BV/TV loss is fourfold higher in males than in females, mainly due to trabecular disappearance. In females, the 15% BV/TV loss was accompanied by a mild decrease in both Tb.Th and Tb.N. In both sexes the bone formation was similarly affected, whereas bone resorption was elevated in suspended males only. As for the tibia cortical area, males lost twice more than females.
| DISCUSSION |
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Over the 2-wk experimental period, suspension induced a progressive reduction in the cortical area of the tibia, which is of greater importance in male than in female animals. The total femoral BMD was decreased between 7 and 14 days of unweighting in males and was unaffected in females. Unweighting caused cancellous bone loss in both sexes, with more severely depressed trabecular number in males (9-fold less than in females). This could be associated with the unloading-related increase in resorption activity seen in males only. The connectivity density was similarly decreased in both sexes, accentuating aging-related effects in males and reversing growth-related effects in females. There was, however, an increase in the SMI in both sexes, meaning that the bone loss process is accompanied by a more rod-like structure, a fact already seen after ovariectomy (18, 21) or immobilization (7). The increasing degree of anisotropy observed in control males was even more accentuated in suspended animals, whereas the growth-related decreased degree of anisotropy occurring in females was not altered by unloading. The increase of anisotropy seen in males may be interpreted as the consequence of structural adaptation secondary to immobilization-induced bone loss. The trabeculae align more strongly to the primary direction, which is parallel to the longitudinal loading axis of the tibia, as in the aging human tibia (10). Trabecular thickness, which was increasing slightly with time in both sexes in the control groups, was slightly decreased in unloaded males and females. This fact might be related to the decreased bone formation rate seen in male and female suspended rats.
In the study of Hefferan et al. (13), bone differences at the proximal metaphysis of the tibia between males and females appeared similar to those found in the present study. However, we have not found important changes in Tb.Th, as Hefferan et al. (13) did, and this was probably due to a lack of correlation between histomorphometric and µCT evaluation for this parameter (7). Hindlimb unweighting resulted in different responses mainly concerning cortical macroscopic parameters and lack of sex specificity in the responses of cancellous compartment. The disparity between their results and ours might be explained by the fact that, as reported for mice (2), there are strain-related differences in skeletal adaptation (inbred Fisher 344 vs. outbred Wistar-Han rats).
Globally, hindlimb unloading reversed in males the aging-related evolution for the following parameters: trabecular thickness, SMI, and cortical area, and it accentuated the aging-related changes for cancellous bone volume, trabecular number, connectivity density, and degree of anisotropy. In females, unloading reversed all the growth-related changes except for the degree of anisotropy. Both cortical and cancellous compartments were affected by suspension in males and females, although more extensively in males. We conclude that mechanical stimulus is a primary regulator over maturity stage even if estrogen-driven extracondensation of bone during puberty in the female skeleton might dampen its responsiveness to mechanical loading. In older female rats (6 mo), bone loss after hindlimb unloading was evidenced only at the cortical level (1), suggesting that trabecular bone sensitivity to unloading decreases with aging.
In conclusion, we have shown that longitudinal survey is required to allow comparison of time-dependent bone changes in control and experimental groups. The cortical tibia is still growing in both sexes at 3 mo. At these sites, males lose more bone than females. However, the cancellous compartment of the proximal tibia showed completely different profiles in males, already in a plateau phase, and in females, still in a growing process. Immobilization reversed the growth evolution in females and accentuated the aging evolution in males. Future studies have to address the question of the extent and mechanisms of unloading-related bone alterations according not only to sex but also to skeletal maturity.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
| REFERENCES |
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