Acute Effects of Kisspeptin Administration on Bone Metabolism in Healthy Men

© The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society..

CONTEXT: Osteoporosis results from disturbances in bone formation and resorption. Recent nonhuman data suggest that the reproductive hormone kisspeptin directly stimulates osteoblast differentiation in vitro and thus could have clinical therapeutic potential. However, the effects of kisspeptin on human bone metabolism are currently unknown.

OBJECTIVE: To assess the effects of kisspeptin on human bone metabolism in vitro and in vivo.

METHODS: In vitro study: of Mono- and cocultures of human osteoblasts and osteoclasts treated with kisspeptin. Clinical study: Randomized, placebo-controlled, double-blind, 2-way crossover clinical study in 26 men investigating the effects of acute kisspeptin administration (90 minutes) on human bone metabolism, with blood sampling every 30 minutes to +90 minutes. Cells for the in vitro study were from 12 male blood donors and 8 patients undergoing hip replacement surgery. Twenty-six healthy eugonadal men (age 26.8 ± 5.8 years) were included in the clinical study. The intervention was Kisspeptin (vs placebo) administration. The main outcome measures were changes in bone parameters and turnover markers.

RESULTS: Incubation with kisspeptin in vitro increased alkaline phosphatase levels in human bone marrow mesenchymal stem cells by 41.1% (P = .0022), and robustly inhibited osteoclastic resorptive activity by up to 53.4% (P < .0001), in a dose-dependent manner. Kisspeptin administration to healthy men increased osteoblast activity, as evidenced by a 20.3% maximal increase in total osteocalcin (P = .021) and 24.3% maximal increase in carboxylated osteocalcin levels (P = .014).

CONCLUSION: Collectively, these data provide the first human evidence that kisspeptin promotes osteogenic differentiation of osteoblast progenitors and inhibits bone resorption in vitro. Furthermore, kisspeptin acutely increases the bone formation marker osteocalcin but not resorption markers in healthy men, independent of downstream sex steroid levels. Kisspeptin could therefore have clinical therapeutic application in the treatment of osteoporosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:107

Enthalten in:

The Journal of clinical endocrinology and metabolism - 107(2022), 6 vom: 17. Mai, Seite 1529-1540

Sprache:

Englisch

Beteiligte Personen:

Comninos, Alexander N [VerfasserIn]
Hansen, Morten S [VerfasserIn]
Courtney, Alan [VerfasserIn]
Choudhury, Sirazum [VerfasserIn]
Yang, Lisa [VerfasserIn]
Mills, Edouard G [VerfasserIn]
Phylactou, Maria [VerfasserIn]
Busbridge, Mark [VerfasserIn]
Khir, Muaza [VerfasserIn]
Thaventhiran, Thilipan [VerfasserIn]
Bech, Paul [VerfasserIn]
Tan, Tricia [VerfasserIn]
Abbara, Ali [VerfasserIn]
Frost, Morten [VerfasserIn]
Dhillo, Waljit S [VerfasserIn]

Links:

Volltext

Themen:

104982-03-8
Bone metabolism
Journal Article
Kisspeptin
Kisspeptins
Osteocalcin
Osteoporosis
Randomized Controlled Trial
Reproduction
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 19.05.2022

Date Revised 16.09.2023

published: Print

Citation Status MEDLINE

doi:

10.1210/clinem/dgac117

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337758255