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Effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats

Background and objectives Strontium ranelate is a medication indicated for the treatment of osteoporosis that presents concomitant anti‐resorptive and osteoanabolic dual biological activity. However, the effects of strontium ranelate on alveolar bone have been poorly explored. Furthermore, to date,...

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Published in:Journal of periodontal research 2020-01, Vol.55 (1), p.141-151
Main Authors: Marins, Letícia Macedo, Napimoga, Marcelo Henrique, Malta, Fernando de Souza, Miranda, Tamires Szeremeske, Nani, Edson Parra, Franco, Beatriz da Silva Tavares, Silva, Hélio Doyle Pereira, Duarte, Poliana Mendes
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creator Marins, Letícia Macedo
Napimoga, Marcelo Henrique
Malta, Fernando de Souza
Miranda, Tamires Szeremeske
Nani, Edson Parra
Franco, Beatriz da Silva Tavares
Silva, Hélio Doyle Pereira
Duarte, Poliana Mendes
description Background and objectives Strontium ranelate is a medication indicated for the treatment of osteoporosis that presents concomitant anti‐resorptive and osteoanabolic dual biological activity. However, the effects of strontium ranelate on alveolar bone have been poorly explored. Furthermore, to date, there are no data on the effects of this medication on alveolar bone loss (BL) during conditions of estrogen deficiency. Therefore, the aim of this study was to evaluate the effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats. Methods Ninety‐six rats were assigned to one of the following groups: sham‐surgery + water (estrogen‐sufficient; n = 24); ovariectomy + water (estrogen‐deficient; n = 24), sham‐surgery + strontium ranelate (ranelate/estrogen‐sufficient; n = 24) and; ovariectomy + strontium ranelate (ranelate/estrogen‐deficient; n = 24). The rats received strontium ranelate or water from the 14th day after ovariectomy until the end of the experiment. On the 21st day after ovariectomy, one first mandibular molar received a ligature, while the contralateral tooth was left unligated. Eight rats per group were killed at 10, 20, and 30 days after ligature placement. Bone loss (BL) and trabecular bone area (TBA) were analyzed in the furcation area of ligated and unligated teeth at all experimental times by histometry. Tartrate‐resistant acid phosphatase (TRAP) positive cells and immunohistochemical staining for osteocalcin (OCN), osteopontin (OPN), osteoprotegerin (OPG), and receptor activator of NF‐КB ligand (RANKL) were assessed in the ligated teeth at 30 days after ligature placement. Results At 10 and 30 days, ligated teeth of the estrogen‐deficient group exhibited higher BL, when compared to all other groups (P 
doi_str_mv 10.1111/jre.12697
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However, the effects of strontium ranelate on alveolar bone have been poorly explored. Furthermore, to date, there are no data on the effects of this medication on alveolar bone loss (BL) during conditions of estrogen deficiency. Therefore, the aim of this study was to evaluate the effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats. Methods Ninety‐six rats were assigned to one of the following groups: sham‐surgery + water (estrogen‐sufficient; n = 24); ovariectomy + water (estrogen‐deficient; n = 24), sham‐surgery + strontium ranelate (ranelate/estrogen‐sufficient; n = 24) and; ovariectomy + strontium ranelate (ranelate/estrogen‐deficient; n = 24). The rats received strontium ranelate or water from the 14th day after ovariectomy until the end of the experiment. On the 21st day after ovariectomy, one first mandibular molar received a ligature, while the contralateral tooth was left unligated. Eight rats per group were killed at 10, 20, and 30 days after ligature placement. Bone loss (BL) and trabecular bone area (TBA) were analyzed in the furcation area of ligated and unligated teeth at all experimental times by histometry. Tartrate‐resistant acid phosphatase (TRAP) positive cells and immunohistochemical staining for osteocalcin (OCN), osteopontin (OPN), osteoprotegerin (OPG), and receptor activator of NF‐КB ligand (RANKL) were assessed in the ligated teeth at 30 days after ligature placement. Results At 10 and 30 days, ligated teeth of the estrogen‐deficient group exhibited higher BL, when compared to all other groups (P < .05). At 10 days, TBAs were higher in the unligated teeth of strontium ranelate‐treated groups, when compared to those of untreated groups (P < .05). At 30 days, the ligated teeth of the estrogen‐deficient group exhibited lower TBA than the other groups (P < .05). There were no differences among groups regarding the number of TRAP‐stained cells (P < .05). The strontium ranelate‐treated groups exhibited lower expressions of OCN and RANKL than the untreated groups (P < .05). The estrogen‐sufficient group presented higher staining for OPG than both treated and untreated estrogen‐deficient groups (P < .05). Conclusions Strontium ranelate prevented ligature‐induced BL in an estrogen‐deficiency condition and, to a certain extent, increased TBA in the presence and absence of periodontal collapse in states of estrogen deficiency and estrogen sufficiency. Furthermore, strontium ranelate also affected the expression of bone markers, appearing to have acted predominantly as an anti‐resorptive agent.]]></description><identifier>ISSN: 0022-3484</identifier><identifier>EISSN: 1600-0765</identifier><identifier>DOI: 10.1111/jre.12697</identifier><identifier>PMID: 31539178</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Acid phosphatase (tartrate-resistant) ; Alveolar bone ; alveolar bone loss ; Alveolar Bone Loss - drug therapy ; Animals ; Biological activity ; Bone loss ; Cancellous bone ; Dentistry ; Estrogens - deficiency ; Gum disease ; Hormone replacement therapy ; Mandible ; Osteocalcin ; Osteocalcin - metabolism ; Osteopontin ; Osteopontin - metabolism ; Osteoporosis ; Osteoprotegerin ; Osteoprotegerin - metabolism ; Ovariectomy ; Periodontitis ; Periodontitis - drug therapy ; RANK ligand ; RANK Ligand - metabolism ; Rats ; Rats, Wistar ; Strontium ; strontium ranelate ; Surgery ; Teeth ; Thiophenes - pharmacology ; TRANCE protein</subject><ispartof>Journal of periodontal research, 2020-01, Vol.55 (1), p.141-151</ispartof><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2020 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-368776284f0caf6ba0c472c9880f736a4b1485f2b2b899fdf43ec2ce0ceeb1fd3</citedby><cites>FETCH-LOGICAL-c3537-368776284f0caf6ba0c472c9880f736a4b1485f2b2b899fdf43ec2ce0ceeb1fd3</cites><orcidid>0000-0001-8872-5943</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31539178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marins, Letícia Macedo</creatorcontrib><creatorcontrib>Napimoga, Marcelo Henrique</creatorcontrib><creatorcontrib>Malta, Fernando de Souza</creatorcontrib><creatorcontrib>Miranda, Tamires Szeremeske</creatorcontrib><creatorcontrib>Nani, Edson Parra</creatorcontrib><creatorcontrib>Franco, Beatriz da Silva Tavares</creatorcontrib><creatorcontrib>Silva, Hélio Doyle Pereira</creatorcontrib><creatorcontrib>Duarte, Poliana Mendes</creatorcontrib><title>Effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats</title><title>Journal of periodontal research</title><addtitle>J Periodontal Res</addtitle><description><![CDATA[Background and objectives Strontium ranelate is a medication indicated for the treatment of osteoporosis that presents concomitant anti‐resorptive and osteoanabolic dual biological activity. However, the effects of strontium ranelate on alveolar bone have been poorly explored. Furthermore, to date, there are no data on the effects of this medication on alveolar bone loss (BL) during conditions of estrogen deficiency. Therefore, the aim of this study was to evaluate the effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats. Methods Ninety‐six rats were assigned to one of the following groups: sham‐surgery + water (estrogen‐sufficient; n = 24); ovariectomy + water (estrogen‐deficient; n = 24), sham‐surgery + strontium ranelate (ranelate/estrogen‐sufficient; n = 24) and; ovariectomy + strontium ranelate (ranelate/estrogen‐deficient; n = 24). The rats received strontium ranelate or water from the 14th day after ovariectomy until the end of the experiment. On the 21st day after ovariectomy, one first mandibular molar received a ligature, while the contralateral tooth was left unligated. Eight rats per group were killed at 10, 20, and 30 days after ligature placement. Bone loss (BL) and trabecular bone area (TBA) were analyzed in the furcation area of ligated and unligated teeth at all experimental times by histometry. Tartrate‐resistant acid phosphatase (TRAP) positive cells and immunohistochemical staining for osteocalcin (OCN), osteopontin (OPN), osteoprotegerin (OPG), and receptor activator of NF‐КB ligand (RANKL) were assessed in the ligated teeth at 30 days after ligature placement. Results At 10 and 30 days, ligated teeth of the estrogen‐deficient group exhibited higher BL, when compared to all other groups (P < .05). At 10 days, TBAs were higher in the unligated teeth of strontium ranelate‐treated groups, when compared to those of untreated groups (P < .05). At 30 days, the ligated teeth of the estrogen‐deficient group exhibited lower TBA than the other groups (P < .05). There were no differences among groups regarding the number of TRAP‐stained cells (P < .05). The strontium ranelate‐treated groups exhibited lower expressions of OCN and RANKL than the untreated groups (P < .05). The estrogen‐sufficient group presented higher staining for OPG than both treated and untreated estrogen‐deficient groups (P < .05). Conclusions Strontium ranelate prevented ligature‐induced BL in an estrogen‐deficiency condition and, to a certain extent, increased TBA in the presence and absence of periodontal collapse in states of estrogen deficiency and estrogen sufficiency. Furthermore, strontium ranelate also affected the expression of bone markers, appearing to have acted predominantly as an anti‐resorptive agent.]]></description><subject>Acid phosphatase (tartrate-resistant)</subject><subject>Alveolar bone</subject><subject>alveolar bone loss</subject><subject>Alveolar Bone Loss - drug therapy</subject><subject>Animals</subject><subject>Biological activity</subject><subject>Bone loss</subject><subject>Cancellous bone</subject><subject>Dentistry</subject><subject>Estrogens - deficiency</subject><subject>Gum disease</subject><subject>Hormone replacement therapy</subject><subject>Mandible</subject><subject>Osteocalcin</subject><subject>Osteocalcin - metabolism</subject><subject>Osteopontin</subject><subject>Osteopontin - metabolism</subject><subject>Osteoporosis</subject><subject>Osteoprotegerin</subject><subject>Osteoprotegerin - metabolism</subject><subject>Ovariectomy</subject><subject>Periodontitis</subject><subject>Periodontitis - drug therapy</subject><subject>RANK ligand</subject><subject>RANK Ligand - metabolism</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Strontium</subject><subject>strontium ranelate</subject><subject>Surgery</subject><subject>Teeth</subject><subject>Thiophenes - pharmacology</subject><subject>TRANCE protein</subject><issn>0022-3484</issn><issn>1600-0765</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kc1KJDEUhYOMaOvMwhcYArPRRbX5qUoqy6Fp_2gQZGYdUqkbSVOd6kmqmOmdj-Az-iSmbRUR5m7C5Xw5nOQgdELJlOY5X0aYUiaU3EMTKggpiBTVFzQhhLGCl3V5iI5SWpK8C6kO0CGnFVdU1hP0b-4c2CHh3uE0xD4MflzhaAJ0ZgDcB9z5ezOMEZ4eHn1oRwstXkP0fbtlB5-wDxi2V-8hZKYF562HMGAT2o9CGt2bEs2QvqJ9Z7oE317PY_T7Yv5rdlUsbi-vZz8XheUVlwUXtZSC1aUj1jjRGGJLyayqa-IkF6ZsaFlXjjWsqZVyrSs5WGaBWICGupYfo9Od7zr2f8acR698stB1-Yn9mDRjqiplRVWV0R-f0GU_xpDTaZbDKKKoUJk621E29ilFcHod_crEjaZEb-vQuQ79Ukdmv786js0K2nfy7f8zcL4D_voONv930jd3853lMy0lmaA</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Marins, Letícia Macedo</creator><creator>Napimoga, Marcelo Henrique</creator><creator>Malta, Fernando de Souza</creator><creator>Miranda, Tamires Szeremeske</creator><creator>Nani, Edson Parra</creator><creator>Franco, Beatriz da Silva Tavares</creator><creator>Silva, Hélio Doyle Pereira</creator><creator>Duarte, Poliana Mendes</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8872-5943</orcidid></search><sort><creationdate>202001</creationdate><title>Effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats</title><author>Marins, Letícia Macedo ; Napimoga, Marcelo Henrique ; Malta, Fernando de Souza ; Miranda, Tamires Szeremeske ; Nani, Edson Parra ; Franco, Beatriz da Silva Tavares ; Silva, Hélio Doyle Pereira ; Duarte, Poliana Mendes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-368776284f0caf6ba0c472c9880f736a4b1485f2b2b899fdf43ec2ce0ceeb1fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acid phosphatase (tartrate-resistant)</topic><topic>Alveolar bone</topic><topic>alveolar bone loss</topic><topic>Alveolar Bone Loss - drug therapy</topic><topic>Animals</topic><topic>Biological activity</topic><topic>Bone loss</topic><topic>Cancellous bone</topic><topic>Dentistry</topic><topic>Estrogens - deficiency</topic><topic>Gum disease</topic><topic>Hormone replacement therapy</topic><topic>Mandible</topic><topic>Osteocalcin</topic><topic>Osteocalcin - metabolism</topic><topic>Osteopontin</topic><topic>Osteopontin - metabolism</topic><topic>Osteoporosis</topic><topic>Osteoprotegerin</topic><topic>Osteoprotegerin - metabolism</topic><topic>Ovariectomy</topic><topic>Periodontitis</topic><topic>Periodontitis - drug therapy</topic><topic>RANK ligand</topic><topic>RANK Ligand - metabolism</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Strontium</topic><topic>strontium ranelate</topic><topic>Surgery</topic><topic>Teeth</topic><topic>Thiophenes - pharmacology</topic><topic>TRANCE protein</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marins, Letícia Macedo</creatorcontrib><creatorcontrib>Napimoga, Marcelo Henrique</creatorcontrib><creatorcontrib>Malta, Fernando de Souza</creatorcontrib><creatorcontrib>Miranda, Tamires Szeremeske</creatorcontrib><creatorcontrib>Nani, Edson Parra</creatorcontrib><creatorcontrib>Franco, Beatriz da Silva Tavares</creatorcontrib><creatorcontrib>Silva, Hélio Doyle Pereira</creatorcontrib><creatorcontrib>Duarte, Poliana Mendes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontal research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marins, Letícia Macedo</au><au>Napimoga, Marcelo Henrique</au><au>Malta, Fernando de Souza</au><au>Miranda, Tamires Szeremeske</au><au>Nani, Edson Parra</au><au>Franco, Beatriz da Silva Tavares</au><au>Silva, Hélio Doyle Pereira</au><au>Duarte, Poliana Mendes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats</atitle><jtitle>Journal of periodontal research</jtitle><addtitle>J Periodontal Res</addtitle><date>2020-01</date><risdate>2020</risdate><volume>55</volume><issue>1</issue><spage>141</spage><epage>151</epage><pages>141-151</pages><issn>0022-3484</issn><eissn>1600-0765</eissn><abstract><![CDATA[Background and objectives Strontium ranelate is a medication indicated for the treatment of osteoporosis that presents concomitant anti‐resorptive and osteoanabolic dual biological activity. However, the effects of strontium ranelate on alveolar bone have been poorly explored. Furthermore, to date, there are no data on the effects of this medication on alveolar bone loss (BL) during conditions of estrogen deficiency. Therefore, the aim of this study was to evaluate the effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats. Methods Ninety‐six rats were assigned to one of the following groups: sham‐surgery + water (estrogen‐sufficient; n = 24); ovariectomy + water (estrogen‐deficient; n = 24), sham‐surgery + strontium ranelate (ranelate/estrogen‐sufficient; n = 24) and; ovariectomy + strontium ranelate (ranelate/estrogen‐deficient; n = 24). The rats received strontium ranelate or water from the 14th day after ovariectomy until the end of the experiment. On the 21st day after ovariectomy, one first mandibular molar received a ligature, while the contralateral tooth was left unligated. Eight rats per group were killed at 10, 20, and 30 days after ligature placement. Bone loss (BL) and trabecular bone area (TBA) were analyzed in the furcation area of ligated and unligated teeth at all experimental times by histometry. Tartrate‐resistant acid phosphatase (TRAP) positive cells and immunohistochemical staining for osteocalcin (OCN), osteopontin (OPN), osteoprotegerin (OPG), and receptor activator of NF‐КB ligand (RANKL) were assessed in the ligated teeth at 30 days after ligature placement. Results At 10 and 30 days, ligated teeth of the estrogen‐deficient group exhibited higher BL, when compared to all other groups (P < .05). At 10 days, TBAs were higher in the unligated teeth of strontium ranelate‐treated groups, when compared to those of untreated groups (P < .05). At 30 days, the ligated teeth of the estrogen‐deficient group exhibited lower TBA than the other groups (P < .05). There were no differences among groups regarding the number of TRAP‐stained cells (P < .05). The strontium ranelate‐treated groups exhibited lower expressions of OCN and RANKL than the untreated groups (P < .05). The estrogen‐sufficient group presented higher staining for OPG than both treated and untreated estrogen‐deficient groups (P < .05). Conclusions Strontium ranelate prevented ligature‐induced BL in an estrogen‐deficiency condition and, to a certain extent, increased TBA in the presence and absence of periodontal collapse in states of estrogen deficiency and estrogen sufficiency. Furthermore, strontium ranelate also affected the expression of bone markers, appearing to have acted predominantly as an anti‐resorptive agent.]]></abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31539178</pmid><doi>10.1111/jre.12697</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8872-5943</orcidid></addata></record>
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subjects Acid phosphatase (tartrate-resistant)
Alveolar bone
alveolar bone loss
Alveolar Bone Loss - drug therapy
Animals
Biological activity
Bone loss
Cancellous bone
Dentistry
Estrogens - deficiency
Gum disease
Hormone replacement therapy
Mandible
Osteocalcin
Osteocalcin - metabolism
Osteopontin
Osteopontin - metabolism
Osteoporosis
Osteoprotegerin
Osteoprotegerin - metabolism
Ovariectomy
Periodontitis
Periodontitis - drug therapy
RANK ligand
RANK Ligand - metabolism
Rats
Rats, Wistar
Strontium
strontium ranelate
Surgery
Teeth
Thiophenes - pharmacology
TRANCE protein
title Effects of strontium ranelate on ligature‐induced periodontitis in estrogen‐deficient and estrogen‐sufficient rats
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