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Published in: Calcified Tissue International 2/2004

01-08-2004

Role of Hormonal Changes in the Pathogenesis of Osteoporosis in Men

Author: S. Khosla

Published in: Calcified Tissue International | Issue 2/2004

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Excerpt

An understanding of the pathogenesis of osteoporosis in men depends on a clear definition of the specific entity under consideration. Conceptually, it is useful to divide male osteoporosis into three main categories: (1) involutional (age-related) osteoporosis, (2) idiopathic osteoporosis in young and middle-aged men, and (3) secondary osteoporosis (medical diseases, drugs, and environmental factors). At the outset, it is important to recognize that the three categories are not mutually exclusive: as an extreme example, a 50-year-man with vertebral fractures (idiopathic osteoporosis) may develop superimposed age-related bone loss (involutional osteoporosis) that could be worsened by corticosteroid use for his asthma (secondary osteoporosis). Thus, the main utility of this classification is to help focus our thinking on pathogenesis, since the causal mechanism(s) are likely to differ. The following discussion focusses on the first two categories, as the third is usually related to a clearly identifiable factor known to cause bone loss. …
Literature
1.
go back to reference Smith, EP, Boyd, J, Frank, GR, Takahashi, H, Cohen, RM, Specker, B, Williams, TC, Lubahn, DB, Korach, KS 1994Estrogen resistance caused by a mutation in the estrogen-receptor gene in a manN Engl J Med33110561061CrossRefPubMed Smith, EP, Boyd, J, Frank, GR, Takahashi, H, Cohen, RM, Specker, B, Williams, TC, Lubahn, DB, Korach, KS 1994Estrogen resistance caused by a mutation in the estrogen-receptor gene in a manN Engl J Med33110561061CrossRefPubMed
2.
go back to reference Morishima, A, Grumbach, MM, Simpson, ER, Fisher, C, Qin, K 1995Aromatase deficiency in male and female siblings caused by a novel mutation and the physiological role of estrogensJ Clin Endocrinol Metab8036893698CrossRefPubMed Morishima, A, Grumbach, MM, Simpson, ER, Fisher, C, Qin, K 1995Aromatase deficiency in male and female siblings caused by a novel mutation and the physiological role of estrogensJ Clin Endocrinol Metab8036893698CrossRefPubMed
3.
go back to reference Carani, C, Qin, K, Simoni, M, Faustini-Fustini, M, Serpente, S, Boyd, J, Korach, KS, Simpson, ER 1997Effect of testosterone and estradiol in a man with aromatase deficiencyN Engl J Med3379195CrossRefPubMed Carani, C, Qin, K, Simoni, M, Faustini-Fustini, M, Serpente, S, Boyd, J, Korach, KS, Simpson, ER 1997Effect of testosterone and estradiol in a man with aromatase deficiencyN Engl J Med3379195CrossRefPubMed
4.
go back to reference Bilezikian, JP, Morishima, A, Bell, J, Grumbach, MM 1998Increased bone mass as a result of estrogen therapy in a man with aromatase deficiencyN Engl J Med339599603CrossRefPubMed Bilezikian, JP, Morishima, A, Bell, J, Grumbach, MM 1998Increased bone mass as a result of estrogen therapy in a man with aromatase deficiencyN Engl J Med339599603CrossRefPubMed
5.
go back to reference Falahati-Nini, A, Riggs, BL, Atkinson, EJ, O’Fallon, WM, Eastell, R, Khosla, S 2000Relative contributions of testosterone and estrogen in regulating bone resorption and formation in normal elderly menJ Clin Invest10615531560PubMed Falahati-Nini, A, Riggs, BL, Atkinson, EJ, O’Fallon, WM, Eastell, R, Khosla, S 2000Relative contributions of testosterone and estrogen in regulating bone resorption and formation in normal elderly menJ Clin Invest10615531560PubMed
6.
go back to reference Taxel, P, Kennedy, DG, Fall, PM, Willard, AK, Clive, JM, Raisz, LG 2001The effect of aromatase inhibition on sex steroids, gonadotropins, and markers of bone turnover in older menJ Clin Endocrinol Metab8628692874CrossRefPubMed Taxel, P, Kennedy, DG, Fall, PM, Willard, AK, Clive, JM, Raisz, LG 2001The effect of aromatase inhibition on sex steroids, gonadotropins, and markers of bone turnover in older menJ Clin Endocrinol Metab8628692874CrossRefPubMed
7.
go back to reference Leder, BZ, LeBlanc, KM, Schoenfeld, DA, Eastell, R, Finkelstein, JS 2003Differential effects of androgens and estrogens on bone turnover in normal menJ Clin Endocrinol Metab813204210CrossRef Leder, BZ, LeBlanc, KM, Schoenfeld, DA, Eastell, R, Finkelstein, JS 2003Differential effects of androgens and estrogens on bone turnover in normal menJ Clin Endocrinol Metab813204210CrossRef
8.
go back to reference Turner, RT, Wakley, GK, Hannon, KS 1990Differential effects of androgens on cortical bone histomorphometry in gonadectomized male and female ratsJ Orthop Res8612617PubMed Turner, RT, Wakley, GK, Hannon, KS 1990Differential effects of androgens on cortical bone histomorphometry in gonadectomized male and female ratsJ Orthop Res8612617PubMed
9.
go back to reference Khosla, S, Melton, LJ,III, Atkinson, EJ, O’Fallon, WM, Klee, GG, Riggs, BL 1998Relationship of serum sex steroid levels and bone turnover markers with bone mineral density in men and women: A key role for bioavailable estrogenJ Clin Endocrinol Metab8322662274CrossRefPubMed Khosla, S, Melton, LJ,III, Atkinson, EJ, O’Fallon, WM, Klee, GG, Riggs, BL 1998Relationship of serum sex steroid levels and bone turnover markers with bone mineral density in men and women: A key role for bioavailable estrogenJ Clin Endocrinol Metab8322662274CrossRefPubMed
10.
go back to reference Slemenda, CW, Longcope, C, Zhou, L, Hui, SL, Peacock, M, Johnston, C 1997Sex steroids and bone mass in older men: positive associations with serum estrogens and negative associations with androgensJ Clin Invest10017551759PubMed Slemenda, CW, Longcope, C, Zhou, L, Hui, SL, Peacock, M, Johnston, C 1997Sex steroids and bone mass in older men: positive associations with serum estrogens and negative associations with androgensJ Clin Invest10017551759PubMed
11.
go back to reference Greendale, GA, Edelstein, S, Barrett-Connor, E 1997Endogenous sex steroids and bone mineral density in older women and men: the Rancho Bernardo studyJ Bone Miner Res1218331843PubMed Greendale, GA, Edelstein, S, Barrett-Connor, E 1997Endogenous sex steroids and bone mineral density in older women and men: the Rancho Bernardo studyJ Bone Miner Res1218331843PubMed
12.
go back to reference Center, JR, Nguyen, TV, Sambrook, PN, Eisman, JA 1999Hormonal and biochemical parameters in the determination of osteoporosis in elderly menJ Clin Endocrinol Metab8436263635CrossRefPubMed Center, JR, Nguyen, TV, Sambrook, PN, Eisman, JA 1999Hormonal and biochemical parameters in the determination of osteoporosis in elderly menJ Clin Endocrinol Metab8436263635CrossRefPubMed
13.
go back to reference Ongphiphadhanakul, B, Rajatanavin, R, Chanprasertyothin, S, Piaseau, N, Chailurkit, L 1998Serum oestradiol and oestrogen-receptor gene polymorphism are associated with bone mineral density independently of serum testosterone in normal malesClin Endocrinol49803809CrossRef Ongphiphadhanakul, B, Rajatanavin, R, Chanprasertyothin, S, Piaseau, N, Chailurkit, L 1998Serum oestradiol and oestrogen-receptor gene polymorphism are associated with bone mineral density independently of serum testosterone in normal malesClin Endocrinol49803809CrossRef
14.
go back to reference Beld, AW, Jong, FH, Grobbee, DE, Pols, HAP, Lamberts, SWJ 2000Measures of bioavailable serum testosterone and estradiol and their relationships with muscle strength, bone density, and body composition in elderly menJ Clin Endocrinol Metab8532763282CrossRefPubMed Beld, AW, Jong, FH, Grobbee, DE, Pols, HAP, Lamberts, SWJ 2000Measures of bioavailable serum testosterone and estradiol and their relationships with muscle strength, bone density, and body composition in elderly menJ Clin Endocrinol Metab8532763282CrossRefPubMed
15.
go back to reference Amin, S, Zhang, Y, Sawin, CT, Evans, SR, Hannan, MT, Kiel, DP, Wilson, PWF, Felson, DT 2000Association of hypogonadism and estradiol levels with bone mineral density in elderly men from the Framingham studyAnn Intern Med133951963PubMed Amin, S, Zhang, Y, Sawin, CT, Evans, SR, Hannan, MT, Kiel, DP, Wilson, PWF, Felson, DT 2000Association of hypogonadism and estradiol levels with bone mineral density in elderly men from the Framingham studyAnn Intern Med133951963PubMed
16.
go back to reference Szulc, P, Munoz, F, Claustrat, B, Garnero, P, Marchand, F 2001Bioavailable estradiol may be an important determinant of osteoporosis in men: the MINOS studyJ Clin Endocrinol Metab86192199CrossRefPubMed Szulc, P, Munoz, F, Claustrat, B, Garnero, P, Marchand, F 2001Bioavailable estradiol may be an important determinant of osteoporosis in men: the MINOS studyJ Clin Endocrinol Metab86192199CrossRefPubMed
17.
go back to reference Khosla, S, Melton, LJ,III, Atkinson, EJ, O’Fallon, WM 2001Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly menJ Clin Endocrinol Metab8635553561CrossRefPubMed Khosla, S, Melton, LJ,III, Atkinson, EJ, O’Fallon, WM 2001Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly menJ Clin Endocrinol Metab8635553561CrossRefPubMed
19.
go back to reference Pfeilshifter, J, Scheidt-Nave, C, Leidig-Bruckner, G, Woitge, WW, Blum, WF, Wuster, C, Haack, D, Ziegler, R 1996Relationship between circulating insulin-like growth factor components and sex hormones in a population-based sample of 50- to 80-year-old men and womenJ Clin Endocrinol Metab8125342540CrossRefPubMed Pfeilshifter, J, Scheidt-Nave, C, Leidig-Bruckner, G, Woitge, WW, Blum, WF, Wuster, C, Haack, D, Ziegler, R 1996Relationship between circulating insulin-like growth factor components and sex hormones in a population-based sample of 50- to 80-year-old men and womenJ Clin Endocrinol Metab8125342540CrossRefPubMed
20.
go back to reference Crave, JC, Lejeune, H, Brebant, C, Baret, C, Pugeat, M 1995Differential effects of insulin-like growth factor I on the production of plasma steroid-binding globulins by human hepatoblastoma-derived (HepG2) cellsJ Clin Endocrinol Metab8012831289CrossRefPubMed Crave, JC, Lejeune, H, Brebant, C, Baret, C, Pugeat, M 1995Differential effects of insulin-like growth factor I on the production of plasma steroid-binding globulins by human hepatoblastoma-derived (HepG2) cellsJ Clin Endocrinol Metab8012831289CrossRefPubMed
21.
go back to reference Bateman, TA, Zimmerman, RJ, Ayers, RA, Ferguson, VL, Chapes, SK, Simske, SJ 1998Histomorphometric, physical, and mechanical effects of spaceflight and insulin-like growth factor-I on rat long bonesBone23527535CrossRefPubMed Bateman, TA, Zimmerman, RJ, Ayers, RA, Ferguson, VL, Chapes, SK, Simske, SJ 1998Histomorphometric, physical, and mechanical effects of spaceflight and insulin-like growth factor-I on rat long bonesBone23527535CrossRefPubMed
22.
go back to reference Gillberg, P, Johansson, AG, Ljunghall, . 1999Decreased estradiol levels and free androgen index and elevated sex hormone-binding globulin levels in male idiopathic osteoporosisCalcif Tissue Int64209213CrossRefPubMed Gillberg, P, Johansson, AG, Ljunghall, . 1999Decreased estradiol levels and free androgen index and elevated sex hormone-binding globulin levels in male idiopathic osteoporosisCalcif Tissue Int64209213CrossRefPubMed
23.
go back to reference Legrand, E, Hedde, C, Gallois, Y, Degasne, I, Boux Casson, F, Mathieu, E, Basle, MF, Chappard, D, Audran, M 2001Osteoporosis in men: Apotential role for the sex hormone binding globulinBone299095CrossRefPubMed Legrand, E, Hedde, C, Gallois, Y, Degasne, I, Boux Casson, F, Mathieu, E, Basle, MF, Chappard, D, Audran, M 2001Osteoporosis in men: Apotential role for the sex hormone binding globulinBone299095CrossRefPubMed
24.
go back to reference Evans, SF, Davie, MWJ 2002Low body size and elevated sex-hormone binding globulin distinguish men with idiopathic vertebral fractureCalcif Tissue Int70915CrossRefPubMed Evans, SF, Davie, MWJ 2002Low body size and elevated sex-hormone binding globulin distinguish men with idiopathic vertebral fractureCalcif Tissue Int70915CrossRefPubMed
25.
go back to reference Carlsen, CG, Soerensen, TH, Eriksen, EF 2000Prevalence of low serum estradiol levels in male osteoporosisOsteoporosis Int11697701CrossRef Carlsen, CG, Soerensen, TH, Eriksen, EF 2000Prevalence of low serum estradiol levels in male osteoporosisOsteoporosis Int11697701CrossRef
26.
go back to reference Kurland, ES, Rosen, CJ, Cosman, F, McMahon, D, Chan, F, Shane, E, Lindsay, R, Dempster, D, Bilezikian, JP 1997Insulin-like growth factor-I in men with idiopathic osteoporosisJ Clin Endocrinol Metab8227992805CrossRefPubMed Kurland, ES, Rosen, CJ, Cosman, F, McMahon, D, Chan, F, Shane, E, Lindsay, R, Dempster, D, Bilezikian, JP 1997Insulin-like growth factor-I in men with idiopathic osteoporosisJ Clin Endocrinol Metab8227992805CrossRefPubMed
27.
go back to reference Kurland, ES, Chan, FKW, Rosen, CJ, Bilezekian, JP 1998Normal growth hormone secretory reserve in men with idiopathic osteoporosis and reduced circulating levels of insulin-like growth factor-IJ Clin Endocrinol Metab8325762579CrossRef Kurland, ES, Chan, FKW, Rosen, CJ, Bilezekian, JP 1998Normal growth hormone secretory reserve in men with idiopathic osteoporosis and reduced circulating levels of insulin-like growth factor-IJ Clin Endocrinol Metab8325762579CrossRef
28.
go back to reference Rosen, CJ, Kurland, ES, Vereault, D, Adler, RA, Rackoff, PJ, Craig, WY, Witte, S, Rogers, J, Bilezikian, JP 1998Association between serum insulin growth factor-I (IGF-I) and a simple sequence repeat in IGF-I gene: implications for genetic studies of bone mineral densityJ Clin Endocrinol Metab8322862290CrossRefPubMed Rosen, CJ, Kurland, ES, Vereault, D, Adler, RA, Rackoff, PJ, Craig, WY, Witte, S, Rogers, J, Bilezikian, JP 1998Association between serum insulin growth factor-I (IGF-I) and a simple sequence repeat in IGF-I gene: implications for genetic studies of bone mineral densityJ Clin Endocrinol Metab8322862290CrossRefPubMed
Metadata
Title
Role of Hormonal Changes in the Pathogenesis of Osteoporosis in Men
Author
S. Khosla
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
Calcified Tissue International / Issue 2/2004
Print ISSN: 0171-967X
Electronic ISSN: 1432-0827
DOI
https://doi.org/10.1007/s00223-004-0290-y

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