Abstract
Little is known about the effects of antagonistic GnRH analogues vs. agonists on bone
strength, specifically in context of treating precocious puberty. Peripubertal female
rats were treated from postnatal day 25 - 36 with either the GnRH agonist triptorelin
(TRIP) or the antagonist cetrorelix (CET). Using peripherial quantitative computerized
tomography (pQCT) we investigated effects on bone parameters. Onset of puberty was
retarded by both analogues as measured by prevention of vaginal opening at 36 d of
age and reduced uterine weights. In the tibia, cortical content, cortical area related
to body weight, and periosteal circumference related to weight were significantly
reduced in CET-treated rats - indicating reduced bone modeling and reduced bone strength
(cortical circumference related to body weight: CET 0.066 ± 0.001 vs. TRIP 0.068 ±
0.001 vs. controls 0.071 ± 0.001 mm/g, mean ± SEM, p < 0.05 CET vs. controls; cortical
area related to body weight: CET 3.87 ± 0.46 vs. TRIP 6.80 ± 0.63 vs. controls 8.07
± 1.13, × 10-3 mm2 /g, p < 0.001 CET vs. controls; cortical content: CET 0.316 ± 0.038 vs. TRIP 0.546
± 0.051 vs. controls 0.624 ± 0.089 mg/mm, p < 0.01 CET vs. controls). In conclusion,
although both CET and TRIP inhibit puberty in rats, cortical thinning was only seen
in CET-treated rats. This indicates that GnRH antagonist treatment might cause reduced
bone strength which is partly comparable to postmenopausal bone loss. When using new
GnRH antagonists for treating precocious puberty in humans, parameters for bone strength
and mineralization should be monitored.
Key words
Puberty - GnRH-analogues - bone mineralization - bone modeling and remodeling
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PD Dr. med. Christian L. Roth
Department of Pediatrics University of Bonn
Adenauerallee 119
53113 Bonn
Email: croth@uni-bonn.de