The effects of synthetic 19-noprogestins on osteoblastic cell function are mediated by their non-phenolic reduced metabolites


Por: Enrírquez J., Lemus A.E., Chimal-Monroy J., Arzate H., García G.A., Herrero B., Larrea F., Pérez-Palacios G.

Publicada: 1 ene 2007
Resumen:
The key role of estrogens on osteoblastic cell function is well documented; however, the role of progesterone (P) and synthetic progestins remains controversial. While several reports indicate that P has no significant effects on bone cells, a number of clinical studies have shown that 19-norprogestins restore postmenopausal bone loss. The mechanisms by which 19-norprogestins induce estrogen-like effects on bone cells are not fully understood. To assess whether the actions of 19-norprogestins on osteoblasts are mediated by their non-phenolic metabolites, we studied the effects of norethisterone (NET), levonorgestrel (LNG), and two of their A-ring reduced derivatives upon cell proliferation and differentiation in neonatal rat osteoblasts. Osteoblast function was assessed by determining cell DNA, cell-associated osteocalcin and calcium content, alkaline phosphatase activity, and mineral deposition. P failed to induce changes on osteoblasts, while NET and LNG exerted a number of actions. The most striking finding was that the 3?,5?- and 3?,5?-tetrahydro derivatives of NET and LNG induced osteoblast proliferation and differentiation with higher potency than those exerted by their parent compounds, mimicking the effects of estradiol. Interestingly, osteoblast differentiation and mineral deposition induced by NET and LNG were abolished by finasteride, a 5?-reductases inhibitor, while the potent effect on osteoblast proliferation induced by progestin derivatives was abolished by a steroidal antiestrogen. Results demonstrate that A-ring reduced derivatives of NET and LNG exhibit intrinsic estrogen-like potency on rat osteoblasts, offering a plausible explanation for the mechanism of action of 19-norprogestins in bone restoration in postmenopausal women and providing new insights for hormone replacement therapy researh. © 2007 Society for Endocrinology.

Filiaciones:
Enrírquez J.:
 Department of Reproductive Biology, Institute Nacional de Ciencias Médicas y Nutrición S. Zubirán INCMNSZ, Mexico City 14000, Mexico

Lemus A.E.:
 Department of Reproductive Biology, Universidad Autónoma Metropolitana-Iztapalapa, Mexico City 09340, Mexico

Chimal-Monroy J.:
 Institute of Biomedical Research, Universidade Nacional Autónoma de Mexico (UNAM), Mexico City 04510, Mexico

Arzate H.:
 School of Dentistry, Universidade Nacional Autónoma de Mexico (UNAM), Mexico City 04510, Mexico

García G.A.:
 School of Chemistry, Universidade Nacional Autónoma de Mexico (UNAM), Mexico City 04510, Mexico

Herrero B.:
 Department of Nephrology and Mineral Metabolism, INCMNSZ, Mexico City, Mexico

Larrea F.:
 Department of Reproductive Biology, Institute Nacional de Ciencias Médicas y Nutrición S. Zubirán INCMNSZ, Mexico City 14000, Mexico

Pérez-Palacios G.:
 National Institute of Perinatology and School of Medicine, UNAM/Hospital General de México, Montes Urales No. 800, 11000 Mexico City, Mexico
ISSN: 00220795
Editorial
BIOSCIENTIFICA LTD, EURO HOUSE, 22 APEX COURT WOODLANDS, BRADLEY STOKE, BRISTOL BS32 4JT, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 193 Número: 3
Páginas: 493-504
WOS Id: 000247430600016
ID de PubMed: 17535886
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