Obesity impairs revascularization and bone healing in a mouse model of osteonecrosis

© 2023 The Authors. Journal of Orthopaedic Research® published by Wiley Periodicals LLC on behalf of Orthopaedic Research Society..

Osteonecrosis of the femoral head (ONFH) is a devastating bone disease that is caused by a disruption of blood supply leading to necrotic cell death. Clinically, it was found that obesity has a high prevalence with ONFH. However, it remains unclear how obesity may directly affect tissue regeneration and bone healing in osteonecrosis (ON). The purpose of this study is to investigate the effects of obesity and weight loss (WL) on ON healing. In this study, we induced obesity and WL in an established surgery-induced ON mouse model via feeding a high-fat diet (HFD) and altering the diet respectively. All mice received a surgical induction of ON of distal femoral epiphysis at the age of 12 weeks. HFD was switched to normal diet (ND) after ON surgery to induce WL. Mouse body weight was recorded weekly. Mouse body composition was scanned by DEXA (Dual-energy X-ray absorptiometry) right after sacrifice at the age of 16 weeks. The distal femoral bone samples were fixed and embedded for histology such as H&E, immunohistochemistry, and TRAP staining. In this study, we found that HFD-induced obesity impaired revascularization and bone remodeling showing decreased vessel areas and reduced osteoblast and osteoclast numbers. WL could rescue obesity-induced bone healing defects. Our study is the first to test the direct effects of obesity and WL on ON bone healing. We believe our work may provide new concepts for osteonecrosis treatment in obese patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Journal of orthopaedic research : official publication of the Orthopaedic Research Society - 42(2024), 4 vom: 17. März, Seite 811-820

Sprache:

Englisch

Beteiligte Personen:

Deng, Zhuo [VerfasserIn]
Aguirre-Flores, Maria [VerfasserIn]
Kim, Harry K W [VerfasserIn]
Ren, Yinshi [VerfasserIn]

Links:

Volltext

Themen:

Bone healing
Journal Article
Obesity
Osteonecrosis (ON)
Re‐vascularization
Weight loss (WL)

Anmerkungen:

Date Completed 29.03.2024

Date Revised 29.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jor.25728

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364671637