Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (29): 4632-4637.doi: 10.12307/2021.161

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Effect of exogenous hydrogen sulfide on bone metabolism in an ovariectomized osteoporotic rat model

Lai Honghui1, Liu Yue1, Li Tiyuan1, Pan Xiaohua2, Xu Zhongshi1   

  1. 1Department of Orthopedics, Jinan University Second Clinical School (Shenzhen People's Hospital), Shenzhen 518000, Guangdong Province, China; 2Department of Orthopedics, Baoan District People’s Hospital, Shenzhen 518000, Guangdong Province, China
  • Received:2020-09-27 Revised:2020-09-28 Accepted:2020-12-07 Online:2021-10-18 Published:2021-06-02
  • Contact: Xu Zhongshi, MD, Chief physician, Department of Orthopedics, Jinan University Second Clinical School (Shenzhen People's Hospital), Shenzhen 518000, Guangdong Province, China
  • About author:Lai Honghui, Physician, Department of Orthopedics, Jinan University Second Clinical School (Shenzhen People's Hospital), Shenzhen 518000, Guangdong Province, China
  • Supported by:
    Basic Research Project of Shenzhen Knowledge Innovation Plan, No. JCYJ20150403101028168 (to XZS)

Abstract: BACKGROUND: Exogenous hydrogen sulfide has an important effect on the formation and differentiation of osteoblasts, which are important functional cells in the development of osteoporotic disease. The effect of exogenous hydrogen sulfide on osteoporosis levels and related hormones has not been studied.
OBJECTIVE: To investigate the correlation between endogenous hydrogen sulfide concentration and osteoporosis, and the effect of exogenous hydrogen sulfide supplementation on the biochemical and hormonal parameters commonly used in the clinical follow-up of bone metabolism. 
METHODS: Sixty rats were randomly divided into sham-operated group, model group, and exogenous hydrogen sulfide group (n=20 per group). A classical osteoporosis model was established by removing both ovaries of rats in the latter two groups. No ovariectomy was conducted in the sham-operated group. Rats in the sham-operated and model groups were intraperitoneally given 1 mg/kg normal saline, while those in the exogenous hydrogen sulfide group intraperitoneally injected 100 μg/kg GYY4137, a slow-released agent of exogenous hydrogen sulfide. Treatments in each group were conducted twice a day, for 12 weeks. Plasma hydrogen sulfide concentration, blood calcium and phosphorus concentrations, alkaline phosphatase activity, osteocalcin, calcitonin, parathyroid hormone, and leptin laboratory index data of each group were analyzed by quantitative comparison. 
RESULTS AND CONCLUSION: Bone mineral density of the L5, plasma hydrogen sulfide, calcium, phosphorus, alkaline phosphatase, calcitonin concentrations were significantly lower, and osteocalcin, parathyroid hormone, and leptin levels were significantly higher in the model group compared with the sham-operated group at weeks 8 and 12 (P < 0.05). There were no significant differences between the sham-operated and exogenous hydrogen sulfide groups at weeks 8 and 12 in terms of L5 bone mineral density, plasma hydrogen sulfide, phosphorus, osteocalcin, calcitonin, parathyroid hormone and leptin levels (P > 0.05). Whereas blood calcium concentration and alkaline phosphatase activity were still decreased in the exogenous hydrogen sulfide group compared with the sham-operated group (P < 0.05). Compared with the model group, plasma hydrogen sulfide, blood calcium and phosphorus concentrations were elevated and leptin level was decreased in the exogenous hydrogen sulfide group (P < 0.05), while the differences in L5 bone mineral density, alkaline phosphatase activity, osteocalcin, calcitonin and parathyroid hormone levels at weeks 8 and 12 were not significant between the two groups (P > 0.05). Therefore, in the ovariectomized osteoporotic rat model, endogenous hydrogen sulfide concentration was negatively correlated with the severity of osteoporosis, and exogenous supplementation to increase plasma hydrogen sulfide concentration could improve or reverse plasma calcium, phosphorus and some hormone indexes related to bone metabolism. To conclude, plasma hydrogen sulfide concentration and osteoporosis are correlated, and exogenous hydrogen sulfide supplementation has a potential therapeutic effect on osteoporosis which is caused by estrogen reduction.

Key words: estrogen, osteoporosis, hydrogen sulfide, bone metabolism, calcium, phosphorus, hormone

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