Treatment of osteoporosis using a selective androgen receptor modulator ostarine in an orchiectomized rat model

K O Böker1, M Komrakova2, L Fahrendorff2

  • 1Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen, Goettingen, Germany. kai.boeker@med.uni-goettingen.de.

Endocrine
|June 28, 2023
PubMed
Abstract

Insights

Ostarine prophylaxis shows promise in preventing bone loss in male osteoporosis models. However, potential prostate effects warrant further investigation and consideration for combination therapies.

Area of Science:

  • Endocrinology
  • Orthopedics
  • Pharmacology

Background:

  • Selective androgen receptor modulators (SARMs) like ostarine offer skeletal benefits.
  • Limited data exists on SARMs for male osteoporosis treatment.
  • Ostarine's effects on bone density and structure in a male osteoporosis model require evaluation.

Purpose of the Study:

  • To investigate the efficacy of ostarine in preventing and treating bone loss in a rat model of male osteoporosis.
  • To compare the effects of ostarine with testosterone treatments on bone parameters.
  • To assess the impact of ostarine and testosterone on bone biomechanics, micro-architecture, and gene expression.

Main Methods:

  • Male Sprague-Dawley rats underwent orchiectomy to induce osteoporosis.
  • Groups received either ostarine or testosterone treatments (prophylaxis or therapy).
  • Bone analysis included biomechanical testing, micro-CT, ashing, and gene expression.

Main Results:

  • Ostarine prophylaxis significantly improved bone density in vertebrae and femora, preventing osteoporotic changes.
  • Ostarine therapy showed a modest increase in femoral cortical density.
  • Testosterone prophylaxis enhanced femoral cortical density, while testosterone therapy had no significant effect on bone parameters.

Conclusions:

  • Ostarine prophylaxis demonstrates potential as a preventative strategy for male osteoporosis.
  • Androgenic effects on the prostate necessitate careful consideration with ostarine use.
  • Combination therapies involving ostarine with other agents may offer enhanced anti-osteoporosis benefits.

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