Chronic Alcohol Consumption Induced Tibial Bone Loss and Resulted in Osteopenia in Growing Young Male Rats

  • Kwak Chung Shil (Aging and Physical Culture Research Institute, Seoul National University) ;
  • Song Kye Yong (Department of Pathology, Chung-Ang University College of Medicine) ;
  • Park Sang Chul (Department of Biochemistry, Seoul National University College of Medicine)
  • Published : 2005.05.01

Abstract

To determine the deleterious effects of chronic alcohol consumption on bone especially in adolescents or young adults, 8 week-old Sprague Dawley male rats were fed with Lieber-Decarli ethanol liquid diet, containing $36\%$ of energy as ethanol, ad libitum (ethanol group) or isocaloric normal liquid diet (control group) for 7 weeks. Body weight was significantly lower in ethanol group than that in control group after 1 week of feeding to the end. liver weight and the ratio of liver or kidney weight to body weight in ethanol group were significantly increased when compared to those in control group. Ethanol group showed significantly lower serum protein and albumin levels (p<0.05), higher total cholesterol and HDL-cholesterol levels (p<0.05), and AST, ALT and BUN activities than control group, but serum triglyceride, Ca and phosphate levels were not different. Ethanol group had significantly lower tibial trabecular bone area and serum osteocalcin level than control group (p<0.05), but urinary Ca and NTx (cross-linked N-telopeptide of type I collagen) concentrations and serum testosterone and parathyroid hormone levels were not different. In conclusion, chronic alcohol consumption in growing young male rats may result in osteopenia through the reduction of bone formation as well as liver malfunction.

Keywords

References

  1. Orwoll ES. Osteoporotisis in men. In: Primer on the metabolic bone diseases and disorders of mineral metabolism. Fifth ed. Am Soc Bone Miner Res, pp360-364, Washington DC, 2003
  2. Amin S, Felson DT. Osteoporosis in men. Rheum Dis Clin North Am 27:19-47, 2001 https://doi.org/10.1016/S0889-857X(05)70186-1
  3. Sampson HW, Hebert VA, Booe HL, Champney TH. Effect of alcohol consumption on adult and aged bone: composition, morphology, and hormone levels of a rat animal model. Alcohol Clin Exp Res 22:1746-1753, 1998
  4. Turner RT. Skeletal response to alcohol. Alcohol Clin Exp Res 24:1693-1701, 2000 https://doi.org/10.1111/j.1530-0277.2000.tb01971.x
  5. Hogan HA, Argueta F, Moe L, Nguyen LP, Sampson HW. Adult-onset alcohol consumption induces osteopenia in female rats. Alcohol Clin Exp Res 25:746-754, 2001 https://doi.org/10.1111/j.1530-0277.2001.tb02275.x
  6. Santolaria F, Gonzalez-Reimers E, Perez-Manzano JL, Milena A, Gomez-Rodriguez MA, Gonzalez-Diaz A, de la Vega MJ, Martinez-Riera A. Osteopenia assessed by body composition analysis is related to malnutrition in alcoholic patients. Alcohol 22(3):147-157, 2000 https://doi.org/10.1016/S0741-8329(00)00115-4
  7. Bikle DD, Stesin A, Halloran B, Steinbach L, Recker R. Alcohol-induced bone desease: Relationship to age and parathyroid hormone levels. Alcohol Clin Exp Res 17:690-695, 1993 https://doi.org/10.1111/j.1530-0277.1993.tb00821.x
  8. Nielsen HK, Lundby L, Rasmussen K, Charles P, Hansen C. Alcohol decreases serum osteocalcin in a dose-dependent way in normal subjects. Calcif Tissue Int 46:173-178, 1990 https://doi.org/10.1007/BF02555040
  9. Dyer SA, Buckendahl P, Sampson HW. Alcohol consumption inhibits osteoblastc cell proliferation and activity in vivo. Alcohol 16:337-341, 1998 https://doi.org/10.1016/S0741-8329(98)00025-1
  10. Laitinen K, Valimaki M. Alcohol and bone. Calcif Tissue Int 49:S70-73, 1997 https://doi.org/10.1007/BF02555094
  11. Latinen K, Tahtela R, Luomanmaki K, Valimaki MJ. Mechanisms of hypocalcemia and markers of bone turnover in alcohol-intoxicated drinkers. Bone Miner 24:171-179, 1994 https://doi.org/10.1016/S0169-6009(08)80134-1
  12. Dai J, Lin D, Zhang J, Habib P, Smith P, Murtha J, Fu Z, Uao Z, Qi Y, Keller ET. Chronic alcohol ingestion induces osteoclastogenesis and bone loss through IL-6 in mice. J Clin Invest 106:887-895, 2000 https://doi.org/10.1172/JCI10483
  13. Zhang J, Dai J, Lin D, Habib P, Smith P, Murtha J, Fu Z, Yao Z, Qi Y, Keller ET. Osteoprotegerin abrogated chronic alcohol ingestion-induced bone loss in mice. J Bone Mine Res 17(7):1256-1263, 2002 https://doi.org/10.1359/jbmr.2002.17.7.1256
  14. Diez A, Puig J, Serrano S, Marinoso ML, Bosch J, Marrugat J, Mellibovsky L, Nogues X, Knobel H, Aubia J. Alcohol-induced bone disease in the absence of severe chronic liver damage. J Bone Miner Res 9:825-831, 1994
  15. Nam J, Kim H, Choi E. Report on 1998 National health and nutritional survey: Health. Kor J Community Nutr 5(3):537-548, 2000
  16. Report on the social statistics survey. Korea National Statistical Office, 2003
  17. Lee MS, Woo MK. Differences in the dietary and health-related habits and quality of diet in university students living in Daejon. Kor J Community Nutr 8(1):33-40, 2003
  18. Kim KH. A study of the dietary habits, the nutritional knowledge and the consumption patterns of convenience foods of university students in the Gwangju area. Kor J Community Nutr 8(2):181-191, 2003
  19. Kim IS, Yu HH, Han HS. Effects of nutrition knowledge, dietary attitude, dietary habits and life style on the health of college students in Chungnam area. Kor J Community Nutr 7(1):45-57, 2002
  20. Report on 2001 National health and nutritional survey. Ministry of Health and Welfare, 2002
  21. Sampson HW, Spears H. Osteopenia due to chronic alcohol consumption by young actively growing rats is not completely reversible. Alcohol Clin Exp Res 23(2):324-327, 1999 https://doi.org/10.1111/j.1530-0277.1999.tb04117.x
  22. Arlet J. Nontraumatic avascular necrosis of the femoral head: Past, present, and future. Clin Orthop 277:12-21, 1992
  23. Mont MA, Hungerford DS. Nontraumatic avascular necrosis of the femoral head. J Bone Joint Surg 77A:457-474, 1995
  24. Elmani N, Ertem K, Ozen S, Inan M, Baysal T, Guner G, Bora A. Fracture healing and bone mass in rats fed on liquid diet containing ethanol. Alcohol Clin Exp Res 26(4):509-513, 2002 https://doi.org/10.1111/j.1530-0277.2002.tb02568.x
  25. Srivastava AK, Bhattacharyya S, Castillo G, Wergedal J, Mohan S, Baylink DJ. Development and application of serum C-telopeptide and osteocalcin assay to measure bone turnover in an ovariectomized rat model. Calcif Tissue Int 66:435-442, 2000 https://doi.org/10.1007/s002230010088
  26. Gorski JP, Apone S, Shaffer KA, Batchelder A, Jean W, Williams JA, Shacter E, Eyre DR. Hypercalcemia during the osteogenic phase after rat marrow ablation coincides with increased bone resorption assessed by the NTx marker. Bone 27:103-110, 2000 https://doi.org/10.1016/S8756-3282(00)00295-7
  27. Wezeman FH, Emanuele MA, Emanule NV, Moskal SF, Woods M, Suri M, Steiner J, LaPaglia N. Chronic alcohol consumption during male rat adolescence impairs skeletal development through effects on osteoblast gene expression, bone mineral density and bone strength. Alcohol Clin Exp Res 23:1534-1542, 1999 https://doi.org/10.1111/j.1530-0277.1999.tb04678.x
  28. Wezeman FH, Emanuele MA, Moskal SF, Steiner J, LaPaglia N. Alendronate administration and skeletal response during chronic alcohol intake in the adolescent male rat. J Bone Mine Res 15(10):2033-2041, 2000 https://doi.org/10.1359/jbmr.2000.15.10.2033
  29. Brown EC, Perrin DS, Fletcher TW, Irby DJ, Aronson J, Gao GG, Hogue WJ, Skinner RA, Suva LJ, Ronis MJJ, Hakkak R, Badger TM, Lumpkin CK. Skeletal toxicity associated with chronic ethanol exposure in a rat model using total enteral nutrition. J Pharm Exp Ther 301:1132-1138, 2002 https://doi.org/10.1124/jpet.301.3.1132
  30. Cheung RCY, Gray C, Boyde A, Jones SJ. Effects of ethanol on bone cells in vitro resulting in increased resorption. Bone 16:143-147, 1995 https://doi.org/10.1016/S8756-3282(94)00022-0
  31. Friday KE, Howard GA. Ethanol inhibits human bone cell proliferation and function in vitro. Metabolism 40(6):562-565, 1991 https://doi.org/10.1016/0026-0495(91)90044-W
  32. Klein RF, Carlos AS. Inhibition of osteoblastic cell proliferation and ornithine decarboxylase activity by ethanol. Endocrinology 136:3406-3411, 1995 https://doi.org/10.1210/en.136.8.3406
  33. Klein RF, Fausti KA, Carlos AS. Ethanol inhibits human osteoblastic cell proliferation. Alcohol Clin Exp Res 20:572-578, 1996 https://doi.org/10.1111/j.1530-0277.1996.tb01095.x
  34. Latinen K, Lamberg-Allardt C, Tunninen R, Karonen SL, Tahtela R, Ylikahri R, Latinen K, Lamberg-Allardt C, Tunninen R, Karonen SL, Ylikahri R, Valimaki M. Effects of 3 weeks' moderate alcohol intake on bone and mineral metabolism in normal men. Bone Miner 13:139-151, 1991 https://doi.org/10.1016/0169-6009(91)90081-A
  35. Peng TC, Gitelman HJ. Ethanol-induced hypocalcemia, hypomagnesemic in rats and dogs. Endocrinology 91:586-593, 1974 https://doi.org/10.1210/endo-91-2-586
  36. Rico H, Cabranes JA, Cabello J, Gomez-Castresana F, Hernandez ER. Low serum osteocalcin in acute alcohol intoxication: A direct toxic effect of alcohol on osteoblasts. Bone Miner 2:221-225, 1987
  37. Ilich JZ, Brownbill RA, Tanborini L, Crncevic-Orlic. To drink or not to drink: How are alcohol, caffeine and past smoking related to bone mineral density in elderly women? J Am College Nutr 21(6):536-544, 2002 https://doi.org/10.1080/07315724.2002.10719252
  38. Yamamoto A, Sekino A, Tajima M, Nguyen VC, Ezawa I. Effect of long-term alcohol administration on born metabolism in rats. J Nutr Sci Vitam (Tokyo) 43(3):369-375, 1997 https://doi.org/10.3177/jnsv.43.369
  39. Perry HM III, Horowitz M, Fleming S, Kaiser FE, Patrick P, Morley JE, Cushman W, Binghm S, Perry HM. The effects of season and alcohol intake on mineral metabolism in men. Alcohol Clin Exp Res 23(2):214-219, 1999 https://doi.org/10.1111/j.1530-0277.1999.tb04102.x
  40. Bikle DD, Genant HK, Cann CH, Recker RR, Halloran BP, Strewlwe GJ. Bone disease in alcohol abuse. Ann Int Med 103:42-48, 1985 https://doi.org/10.7326/0003-4819-103-1-42
  41. Diamond TH, Stiel D, Lunzer M, Wilkinson M, Posen S. Ethanol reduces bone formation and may cause osteoporosis. Am J Med 86:282-288, 1989 https://doi.org/10.1016/0002-9343(89)90297-0
  42. Valimaki M. Transient hypoparathyroidism during acute alcohol intoxication. New Engl Med 324:721-727, 1991 https://doi.org/10.1056/NEJM199103143241103
  43. Diez A, Serrano S, Cucurull J, Marinoso L, Bosch J, Puig J, Nogues X, Aubia J. Acute effects of ethanol on mineral metabolism and trabecular bone in Sprague-Dawley rats. Calcif Tissue Int 61(2):168-171, 1997 https://doi.org/10.1007/s002239900317
  44. Steiner J, Halloran M, LaPaglia N, Emanuele NV, Emanuele MA. Effect of chronic ethanol on reproductive and growth hormone in peripubertal rat. J Endocrinol 154:363-370, 1997 https://doi.org/10.1677/joe.0.1540363
  45. Emanuele MA, LaPaglla N, Steiner J, Jabamoni K, Hansen M, Kirsteins L. Emanuele NV. Reversal of ethanol-induced testosterone suppression in peripubertal male rats by opiate blockade. Alcohol Clin Exp Res 22(6):1199-1204, 1998 https://doi.org/10.1111/j.1530-0277.1998.tb03899.x
  46. Little PJ, Adams ML, Cicero TJ. Effects of alcohol on the hypothalamic pituitary-gonadal axis in the developing males. J Phamacol Exp Ther 263:1056-1061, 1992
  47. Adams ML, Cicero TJ. Effects of alcohol on beta-endorphin and reproductive hormones in the male rat. Alcohol Clin Exp Res 15:685-692, 1991 https://doi.org/10.1111/j.1530-0277.1991.tb00580.x