Effects on bone by the light/dark cycle and chronic treatment with melatonin and/or hormone replacement therapy in

Paula A Witt-Enderby1, John P Slater, Nakpangi A Johnson

  • 1Division of Pharmaceutical Sciences, School of Pharmacy, Duquesne University, Pittsburgh, PA 15282, USA. wittp@duq.edu

Insights

Hormone replacement therapy (HRT) and nocturnal melatonin supplementation both increased bone density in a blind mouse model. These findings suggest potential benefits for bone health in women experiencing perimenopause or low melatonin levels.

Area of Science:

  • Endocrinology
  • Bone Biology
  • Chronobiology

Background:

  • The interplay between circadian rhythms, hormones, and bone metabolism is complex.
  • Melatonin, a hormone regulated by light/dark cycles, influences various physiological processes, including bone physiology.
  • Blindness in mice does not always abolish circadian melatonin rhythms, offering a model to study its effects.

Purpose of the Study:

  • To investigate the impact of hormone replacement therapy (HRT) and nocturnal melatonin on osteogenic markers and bone health in a blind mouse model.
  • To determine if endogenous melatonin rhythms influence bone physiology.
  • To assess the combined effects of HRT and melatonin on bone density and quality.

Main Methods:

  • Utilized a blind mouse model (MMTV-Neu transgenic mice, FVB/N strain with retinal degeneration).
  • Administered chronic hormone replacement therapy (HRT) and/or nocturnal melatonin supplementation.
  • Assessed osteogenic marker mRNA levels using real-time RT-PCR.
  • Evaluated bone quality and density via histomorphometry and microcomputed tomography.

Main Results:

  • Both HRT and nocturnal melatonin significantly increased bone density (22% and 20%, respectively) after one year compared to controls.
  • HRT alone improved bone surface, reduced trabecular space, and decreased osteoclast numbers.
  • Combined HRT and melatonin therapy did not further increase bone density but elevated Bglap mRNA levels.

Conclusions:

  • Endogenous melatonin rhythms appear to modulate key markers of bone physiology.
  • HRT and nocturnal melatonin, individually, show promise for improving bone density.
  • These findings suggest potential therapeutic strategies for bone health in women with hormonal changes or disrupted melatonin production.