1. Skeletal effects of a gastrin receptor antagonist in H+/K+ATPase beta subunit KO mice
- Author
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Vidar Beisvag, Kristin Matre Aasarød, Mats Peder Mosti, Reidar Fossmark, Masoud Ramezanzadehkoldeh, Bjørn Skallerud, Christiane Schüler, Arne K. Sandvik, Reinhold G. Erben, Erik Fink Eriksen, Malcolm Boyce, Maziar Shabestari, Janne E. Reseland, Astrid Kamilla Stunes, and Unni Syversen
- Subjects
Leptin ,0301 basic medicine ,medicine.medical_specialty ,Bone density ,medicine.drug_class ,Endocrinology, Diabetes and Metabolism ,Osteocalcin ,Osteoporosis ,Drug Evaluation, Preclinical ,030209 endocrinology & metabolism ,Bone and Bones ,H(+)-K(+)-Exchanging ATPase ,03 medical and health sciences ,Absorptiometry, Photon ,0302 clinical medicine ,Endocrinology ,Bone Density ,Internal medicine ,Gastrins ,medicine ,Animals ,Adaptor Proteins, Signal Transducing ,Glycoproteins ,Gastrin ,Mice, Knockout ,Benzodiazepinones ,Mice, Inbred BALB C ,biology ,Chemistry ,Phenylurea Compounds ,RANK Ligand ,Stomach ,Antagonist ,Proton Pump Inhibitors ,X-Ray Microtomography ,Receptor antagonist ,medicine.disease ,Receptor, Cholecystokinin B ,030104 developmental biology ,biology.protein ,Intercellular Signaling Peptides and Proteins ,Gastric acid ,Female ,ATP synthase alpha/beta subunits - Abstract
Epidemiological studies suggest an increased fracture risk in patients taking proton pump inhibitors (PPIs) for long term. The underlying mechanism, however, has been disputed. By binding to the gastric proton pump, PPIs inhibit gastric acid secretion. We have previously shown that proton pump (H+/K+ATPase beta subunit) KO mice exhibit reduced bone mineral density (BMD) and inferior bone strength compared with WT mice. Patients using PPIs as well as these KO mice exhibit gastric hypoacidity, and subsequently increased serum concentrations of the hormone gastrin. In this study, we wanted to examine whether inhibition of the gastrin/CCK2 receptor influences bone quality in these mice. KO and WT mice were given either the gastrin/CCK2 receptor antagonist netazepide dissolved in polyethylene glycol (PEG) or only PEG for 1year. We found significantly lower bone mineral content and BMD, as well as inferior bone microarchitecture in KO mice compared with WT. Biomechanical properties by three-point bending test also proved inferior in KO mice. KO mice receiving netazepide exhibited significantly higher cortical thickness, cortical area fraction, trabecular thickness and trabecular BMD by micro-CT compared with the control group. Three-point bending test also showed higher Young’s modulus of elasticity in the netazepide KO group compared with control mice. In conclusion, we observed that the gastrin receptor antagonist netazepide slightly improved bone quality in this mouse model, suggesting that hypergastrinemia may contribute to deteriorated bone quality during acid inhibition.
- Published
- 2016
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