Effect of silicon supplement on osteopenia induced by ovariectomy in rats
2000 Springer-Verlag New York Inc. Effect of Silicon Supplement on Osteopenia Induced by Ovariectomy in Rats H. Rico, J. L. Gallego-Lago, E. R. Herna´ndez, L. F. Villa, A. Sanchez-Atrio, C. Seco, J. J. Ge´rvas
Departamento de Medicina, Universidad de Alcala´, 28801, Madrid, Spain
Received: 15 February 1999 / Accepted: 25 June 1999
Abstract. The effect of silicon (Si) supplement on prevent-
Similar to the examples above, supplements of 50 mg
ing bone mass loss induced by ovariectomy (OVX) in rats
Si/100 g of diet stimulates rat growth and increases body
was investigated. Three groups of 15, 100-day-old female
weight [4]. Carlisle [5] observed that by supplementing
Wistar rats each, with a mean initial weight of ∼260 g per
chick diets with Si, as it was done by Schwartz and Milne
animal, were selected for the present study. One of the
[4], the body weight increased significantly in less than a
experimental group consisting of 15 OVX rats was fed a
month. Both experiments have proven beyond a doubt that
diet supplemented with 500 mg of Si per kg of feed (Si +
the effect of Si favors somatic development in experimental
OVX). The other two groups consisting of 15 OVX and 15
animals. In 1983, Parfitt [6], while referring to bone and the
sham-OVX rats did not receive these supplements. Morpho-
risk of excessive bone mass loss synonymous with osteo-
metric (weight and length) and densitometric studies with
porosis, stated that several trace elements including zinc and
dual-energy X-ray absorptiometry were performed on the
Si were essential for normal bone growth and development.
whole femur and 5th lumbar vertebra of each animal 30
In this sense, Si seems to be indispensable for the synthesis
days after the experiment. The Si + OVX rats did not show
of bone marrow, given its osteoformatory effect on the col-
a loss of bone mass induced by OVX at axial level (5th
lumbar vertebra) or periphery (femur). Nonetheless, a sig-
Experimental rat models are considered to be suitable for
nificant increase (ANOVA with Bonferroni/Dunn post hocs
extrapolation of results to human subjects [8, 9]. The use-
test) of longitudinal development of the femur (P < 0.0001)
fulness of dual-energy X-ray absorptiometry (DXA) for
was patent. These results, obtained through the measure-
bone-mass determinations in small animals has been vali-
ments of axial and peripheral bones, warrant closer scrutiny
dated repeatedly [10] and our team had relied extensively on
in connection with the Si inhibitory effect on bone mass loss
this technique in previous experimental studies [11, 12].
as well as the stimulatory effect on bone formation. Both
More recently [13], we have demonstrated that zinc exerts a
actions, namely, inhibition of resorption and stimulation of
powerful influence by inhibiting the loss of bone mass in
formation, infer that Si may have a potential therapeutic
rats subjected to strenuous physical exercise. In view of
application in the treatment of involutive osteoporosis.
these assertions, the present study was centered on the veri-fication of the effect of Si on the bone mass loss through
Key words: Silicon — Ovariectomy — Bone loss — Rats
— Bone mineral content — Bone mineral density. Material and Methods
Silicon (Si) is an essential mineral in the animal diet [1] to
Three batches (15 animals each) of 100-day-old female Wistar rats
such an extent that it is preferentially found in the growth
with a mean initial weight of ∼260 g were investigated. All rats
regions of the body and consequently it has been considered
were fed Mucedola type 4RF21 (Mucedola s.r.l. Milano, Italy)
an important element that plays a crucial role in bone cal-
feed containing 7.1 g/kg calcium and 5 g/kg phosphorus; the en-
cification [2]. In addition to bone, Si deficiency is mani-
ergy content of the feed was 3100 kcal/kg. The rats were kept for
fested by abnormalities involving articular cartilage and
30 days in the animal laboratory of the University of Alcala´,
connective tissue. Chicks from the Si-deficient group had
Madrid (Spain). Living conditions (12 hours of light and 12 hoursof dark cycles), mean room temperature (22°C), habitat, and the
thinner legs and smaller combs in proportion to body size.
diet were observed in accordance with current guidelines imposed
Likewise, their long-bone tibial joints were markedly
by the European Union Council. Experimental procedures were
smaller and bones contained 34–35% less water than the
followed according to the guiding principles on Care and Use of
chicks whose diet was supplemented with Si [3].
Animals as approved and overseen by the appointed institutionalanimal care committee. Sample size was calculated in a pilot studyafter determining the variability of densitometric measurements. The standard deviation (SD) of bone mineral density (BMD) was
10 and the hypothesized difference among the groups was 15 units. Table 1. Group characteristics of three groups of rats
a P < 0.0001 vs othersb P < 0.005 vs sham-OVX according to ANOVA with Bonferroni/Dunn post hocs test
Alpha risk was found to be 0.05 and beta risk was 0.20 for a
determined by six separate measurements done on three rat femurs
two-sided control. The number of animals in each group was es-
and 5th vertebras at intervals of 3–4 days were 0.8% and 0.7%,
tablished according to the formula nc ס ne ס 2(Za + Zb)2s2/D2,
respectively. The instrument was calibrated daily.
where nc ס number of animals in the control group; ne ס number
of animals in the experimental group; s ס SD; D ס difference to
The rats were randomly integrated into three groups based on
their body weight. Those with highest and lowest weight werealternatively incorporated into one of the groups, so that at the end
Descriptive statistics are presented as mean ± SD. The nor-
of the randomization the mean body weight of each group was
mal distribution of data was confirmed by calculating skew
easily comparable. All of the 45 animals were anesthetized intra-
and kurtosis before applying standard tests. The studied
peritoneally with ketamine hydrochloride (10 mg/kg) and
parameters (continuous variables) in each group (nominal
acepromazine (3 mg/kg), their abdomens were shaved, and the
variables) were compared using analysis of variance
skin was cleaned with 70% ethanol and povidoneidone (Betadine)
(ANOVA) and covariance to determine the effects of nomi-
solution. A longitudinal midline incision was made in the subum-
nal variables; data were analyzed by ANOVA with a post
bilical region to expose the rectus abdominous muscle and the
hoc test of differences among groups using the Bonferroni/
abdominal cavity. The urinary bladder was retracted and the uter-ine horns were identified. The ovarian arteries were ligated and
Dunn test. A minimum P-value of 0.005 was the necessary
bilateral ovariectomy (OVX) was performed in 30 animals; in the
condition for statistical significance. Data were processed
remaining 15 rats the ovaries were exposed but not excised (sham-
on a Macintosh computer using the StatView 4.02 statistical
OVX). In all the other animals the abdominal musculature was
package (Abacus Concepts, Berkeley, CA, USA).
sutured and the skin was closed with staples.
The experimental groups of OVX rats were fed the common
diet supplemented with an additional 50 mg Si/100 g of diet (500
ppm) as sodium metasilicate (Na2SiO3-9H2O) (OVX + Si group). A group of 15 OVX rats and the group of 15 sham-OVX rats didnot receive the above supplements. The water consumption, body
Group characteristics (number, baseline, and final body
weight, and food intake were measured twice a week in sham-
weight, anthropometric data, etc.) are summarized in Table
OVX rats with the same amount of food given to ovariectomized
1. As it can be observed, the initial weight did not differ
animals (pair feeding) to avoid hyperphagia and overweight asso-
among the three rat groups, but it had increased significantly
in the OVX and Si+OVX groups at the end of the studywhen compared with the sham-OVX (P < 0.0001) group. The femur length (mm) and its weight had decreased in the
Morphometric and Densitometric Studies
OVX group contrary to the other two groups (P < 0.0001). A similar change was observed for F-BMC mg, V-BMC
At the conclusion of the 30-day experiment, the rats were sacri-
mg, F-BMD mg/cm2, V-BMD mg/cm2 as well as in verte-
ficed by exsanguination from the abdominal aorta after being anes-
bral weight and F-BMC/FW mg/g (P < 0.0001 in all). Sub-
thetized with 4 mg/100 g body weight of sodium pentothal. Suc-
sequently, the only parameters where no differences were
cess of ovariectomy was confirmed at necropsy by failure to detectovarian tissue and by observing marked atrophy of the uterine
observed were the length or height of the 5th lumbar ver-
horns. The rat femurs and 5th lumbar vertebrae were dissected and
soft tissue was removed. Femoral and vertebral length were mea-sured with a caliper and bones were weighed on a precision bal-ance. The bone mineral content (BMC) and BMD of the whole
Discussion
femur (F-BMC mg and F-BMD mg/cm2) and 5th lumbar vertebra(V-BMC mg and V-BMD mg/cm2) were measured separately.
Our results showed that Si inhibits the loss of bone mass in
Because of the influence of weight on bone mass [11], femur BMCwas corrected for the animals final body weight (femur BMC/FW
rats subjected to OVX and that it promotes the longitudinal
mg/g). As in our earlier studies [11–14], we have relied on DXA
growth of long bones, in this case, the femur. On the other
(Norland XR-26, Norland Co., Fort Atkinson, Wisconsin, USA).
hand, Si incremented corporal mass by 11.5%. It was shown
Our coefficients of variation (CV) for the current measurements,
that OVX induces a deficit of longitudinal growth in bones
[15] and that Si is very important for it sanctions the lon-
in human and animal nutrition, vol. 2. Academic Press, Or-
gitudinal development, as claimed by Schwart and Milne
[4] and later confirmed by Carlisle [5]. Sontag [16] has
2. Carlisle EM (1970) Silicon: a possible factor in bone calcifi-
reported that at 150 days of life, femoral length in female
Wistar rats reached a mean of ± 34 mm. In our study the
3. Carlisle EM (1976) In vivo requirements for silicon in articu-
longitudinal development of the femur in the Si-OVX group
lar cartilage and connective tissue formation in chick. J Nutr
was notably enhanced. This phenomenon may be related to
the mentioned effect of Si, that it promotes bone growth [4],
4. Schwartz K, Milne DB (1972) Growth-promoting effects of
which has also been certified by most recent studies [17].
The mentioned reports showed that an aluminum-silicon
5. Carlisle EM (1972) Silicon—an essential element for the
mixture increases the proliferation and differentiation of os-
teoblasts. It is an action that can be dependent on the men-
6. Parfitt AM (1983) Dietary risk factor for age-related bone loss
tioned mixture, known otherwise as Zeolite A, which in turn
exerts effect on TGFb, a citoquine that stimulates bone for-
7. Carlisle EM (1980) A silicon requirement for normal skull
mation in vivo [18]. This action is not to be linked to the
aluminum by the toxic effect of aluminum on the bone [19].
8. Frost HM, Jee WSS (1992) On the rat model of human os-
The increase in the body weight of rats treated with Si
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reports of other authors [4, 5], even though their claims
hormone is more effective than estrogen or bisphosphonates
inferred greater proportion, as the one observed by us.
for restoration of lost bone mass in ovariectomized rats. En-
Nonetheless, it once again proved the positive effect of Si
on the rats’ somatic development. The rats’ weight in this
10. Mitlak BH, Schoenfeld D, Neer RM (1994) Accuracy, preci-
study was significantly correlated with bone mass [11].
sion, and utility of spine and whole-skeleton mineral measure-ments by DXA in rats. J Bone Miner Res 9:119–126
When the final bone mass, such as femur BMC (F-BMCmg) was divided by the final rats’ weight (F-BMC/FW mg/
11. Rico H, Amo C, Revilla M, Arribas I, Gonza´lez-Riola J, Villa
LF, Rodrı´guez-Puyol M (1994) Etidronate versus Clodronate
g), the results were the same at significant levels, closely
in the prevention of postovariectomy bone loss. An experi-
matching those observed in the study on femurs. This fact
mental study in rats. Clin Exp Rheumatol 12:301–304
alone vouches for the importance that the Si exerts on the
12. Rico H, Alamo C, Revilla M, Villa LF, Alguacil LF (1992)
prevention of bone loss induced by OVX.
Effect of adjuvant-induced arthritis on bone mass in rats and
It is widely held that experimental oophorectomy of
its prevention by non-steroid anti-inflammatory drugs
laboratory animals supposedly mimics the sequence of
(NSAIDs). Clin Exp Rheumatol 10:595–597
events that take place in human subjects following meno-
13. Seco C, Revilla M, Herna´ndez ER, Gerva´s J, Gonza´lez-Riola
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J, Villa LF, Rico H (1998) Effects of zinc supplementation on
loss was rapid. Ovariectomy results in severe cancellous
vertebral and femoral bone mass in rats on strenuous treadmill
osteopenia of murine long bones and vertebras [15]. A simi-
training exercise. J Bone Miner Res 13:508–512
lar phenomenon was observed in our study, where the loss
14. Escribano A, Revilla M, Herna´ndez ER, Seco C, Villa LF,
due to OVX was evident in the axial skeleton (vertebra),
Rico H (1997) Effects of lead on bone development and bone
reaching 30% and 25% in the periphery (femur), respec-
mass: a morphometric, densitometric and histomorphometric
tively. There is ample evidence that after immediate meno-
study in growing rats. Calcif Tissue Int 60:200–203
pause and/or OVX, the loss is greater at the axial skeleton
15. Ousler MJ, Kassem M, Turner R, Riggs BL, Spelberg TC
than in the periphery [20], which was possible to confirm in
(1996) Regulation of bone cell function by gonadal steroids.
the present study. Nonetheless, the observed significant ef-
In: Marcus R, Feldman D, Kelsey J (eds) Osteoporosis. Aca-
fect on Si on the bone mass has to do with the prevention of
post-OVX losses, which is known to be secondary to an
16. Sontag W (1992) Age-dependent morphometric alterations in
the distal femora of male and female rats. Bone 13:297–310
Based on results concerning longitudinal development in
17. Keeting PE, Ousler MJ, Wiegand KE, Bonde SK, Spelsberg
the peripheral skeleton, we are in a position to conclude that
TC, Riggs BL (1991) Zeolite A increases proliferation, dif-
Si has a very important effect on the stimulation of bone
ferentiation and TGF-beta production in normal adult human
formation. It is also obvious that these results need to be
osteoblast-like cells in vitro. J Bone Miner Res 7:1281–1289
related to the recent studies conducted by Hott et al. [21]
18. Mundy GR, Boyce BF, Yoneda T, Bonewald LF, Roodman
and Schutze et al. [22] which demonstrate that Si decreases
GD (1996) Cytokines and bone remodeling. In: Marcus R,
the osteoclast number by 20% and that Si exerts a potent
Feldman D, Kelsey J (eds) Osteoporosis. Academic Press, SanDiego, CA, pp 301–313
inhibitory effect on bone resorption while increasing therate of bone formation [21]. These findings coincide with
19. Rico H (1991) Minerals and osteoporosis. Osteoporosis Int
Eisinger and Cairet’s studies [23] which show that Si is amore potent bone formation stimulus than other drugs, such
20. Parfitt AM (1996) Skeletal heterogeneity and the purposes of
bone remodeling. Implications for the understanding of osteo-
as ethidronate, used in the treatment of osteoporosis. The
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double action to which we refer—on one hand, a potent
sis. Academic Press, San Diego, CA, pp 315–329
inhibition of the bone resorption and on the other a signifi-
21. Hott M, de Pollak C, Modrowski D, Marie PJ (1993) Short-
cant stimulation of bone formation—suggests that Si as-
term effects of organic silicon on trabecular bone in mature
sumes two crucial functions in the treatment of osteoporo-
ovariectomized rats. Calcif Tissue Int 53:174–179
sis. The forthcoming conclusion was amply justified by the
22. Schutze N, Oursler MJ, Nolan J, Riggs BL, Spelsberg TC
good results obtained in the present study.
(1995) Zeolite A inhibits osteoclast-mediated bone resorptionin vitro. J Cell Biochem 58:39–46
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During their annual appraisals, doctors will use supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice . This guidance sets out the supporting information that you will need to provide at your annual appraisal and the frequency with which it should be provided. It also gives further details on how the information can be