Vitamin E Prevents Steroid-induced Osteonecrosis in Rabbits

Overview

Journal Acta Orthop

Specialty Orthopedics

Date 2010 Feb 12

PMID 20146637

Citations 27

Authors

Masaaki Kuribayashi

Mikihiro Fujioka

Kenji A Takahashi

Yuji Arai

Masashi Ishida

Tsuyoshi Goto

Toshikazu Kubo

Affiliations

Soon will be listed here.

Abstract

Background And Purpose: Prevention of osteonecrosis after corticosteroid administration would be important. We examined the potential of vitamin E (alpha-tocopherol) to reduce the incidence of corticosteroid-induced osteonecrosis in an animal model.

Methods: Japanese white rabbits were divided into 2 groups; the control group was fed a normal diet and the experimental group was fed alpha-tocopherol-supplemented diet in which alpha-tocopherol (600 mg/kg diet) was added to the normal diet. To induce osteonecrosis, high-dose methylprednisolone acetate (MPSL) (20 mg/kg body weight) was injected once into the right gluteus medius muscle of all rabbits. 4 weeks after the injection of MPSL, the presence or absence of osteonecrosis of bilateral femurs was examined histopathologically. The tocopherol/cholesterol ratios were calculated. The plasma levels of thiobarbituric acid-reactive substances (TBARS) were measured.

Results: Alpha-tocopherol-supplemented diet reduced the incidence of osteonecrosis, which developed in 14 of 20 rabbits in the control group and 5 of 21 rabbits in the experimental group (p = 0.004). The tocopherol/cholesterol ratio was higher in the experimental group than in the control group after the alpha-tocopherol administration. The plasma TBARS level was lower in the experimental group than in the control group at 4 weeks after the MPSL administration.

Interpretation: Our findings may offer a new approach for the prevention of corticosteroid-induced osteonecrosis.

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