Androgens, estrogens, and bone loss in males

NIH RePORTER · VA · I01 · · view on reporter.nih.gov ↗

Abstract

Both androgens and estrogens contribute to the maintenance of bone mass during adult life in men, but the cell targets and molecular mechanisms of these effects remain poorly understood. During the preceding funding period, we found that the effects of androgens on cancellous bone result from AR signaling in cells of the mesenchymal lineage leading to a decrease in osteoclasts; and orchidectomy (ORX) increases soluble RANKL levels as well as the number of B-lymphocytes in the murine bone marrow. RANKL derived from osteocytes is critical for cancellous bone remodeling and B-lymphocyte-derived RANKL contributes to the loss of cancellous bone mass in ovariectomized (OVX) mice. In cortical bone, however, the effects of androgens do not require AR signaling in any cell type of the mesenchymal lineage, nor do they require ERα signaling downstream of committed osteoblast progenitors targeted by Osx1-Cre, or AR or ERα signaling in the osteoclast lineage. Estrogens, nonetheless, attenuate endocortical resorption in females by ERα signaling in uncommitted mesenchymal progenitors targeted by Prx1-Cre. In addition, the mRNA and secreted protein levels of SDF1 – a chemotactic cytokine of the CXC family that is abundantly expressed in Prx1-Cre targeted cells and promotes osteoclast generation – are higher in GFP-tagged ERα null cells as well as bone marrow cell cultures from female ERαf/f;Prx1-Cre mice as compared to identical cultures from littermate controls; and so is osteoclastogenesis in co-cultures of ERα null BM stromal or calvaria cells with macrophages. Furthermore, both OVX and ORX increase SDF1 in the bone marrow plasma, administration of E2 to ORX mice prevents this increase, and E2, but not DHT, prevents cortical bone loss in ORX mice. Finally, we found that the OVX- or ORX-induced cortical bone loss is prevented by restraining H2O2 generation in osteoclast mitochondria; and the loss of cortical bone mass in OVX mice is prevented by a 17β-E2 dendrimer conjugate (EDC), incapable of stimulating nuclear- initiated actions of ERα. Based on these advances, we will test the interrelated hypotheses that: in males, the protective effects of androgens on cancellous bone result from AR signaling in osteocytes, B-lymphocytes, or both. These actions result in the attenuation of RANKL and thereby attenuation of the number of cancellous osteoclasts. The protective effects of androgens against endocortical resorption result, at least in part, from ERα- mediated actions (upon aromatization of androgens to estrogens) on Prx1-Cre targeted uncommitted mesenchymal progenitors. These actions repress SDF1 production, thereby attenuating osteoclast formation and homing at the endosteal surfaces. The suppressive effect of estrogens on SDF1 production ultimately leads to the restraining of H2O2 accumulation in osteoclasts and results from non-nuclear-initiated signaling of the ERα. To advance these hypotheses we will try to elucidate the mechanism of the protective effect...

Key facts

NIH application ID
9861185
Project number
5I01BX001405-08
Recipient
CENTRAL ARKANSAS VETERANS HLTHCARE SYS
Principal Investigator
STAVROS C. MANOLAGAS
Activity code
I01
Funding institute
VA
Fiscal year
2020
Award amount
Award type
5
Project period
2012-01-01 → 2021-03-31