The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice

Fracture healing is impaired in aged and osteoporotic individuals. Because adequate mechanical stimuli are able to increase bone formation, one therapeutical approach to treat poorly healing fractures could be the application of whole-body vibration, including low-magnitude high-frequency vibration...

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Main Authors: Esther Wehrle, Astrid Liedert, Aline Heilmann, Tim Wehner, Ronny Bindl, Lena Fischer, Melanie Haffner-Luntzer, Franz Jakob, Thorsten Schinke, Michael Amling, Anita Ignatius
Format: Article
Language:English
Published: The Company of Biologists 2015-01-01
Series:Disease Models & Mechanisms
Subjects:
Online Access:http://dmm.biologists.org/content/8/1/93
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author Esther Wehrle
Astrid Liedert
Aline Heilmann
Tim Wehner
Ronny Bindl
Lena Fischer
Melanie Haffner-Luntzer
Franz Jakob
Thorsten Schinke
Michael Amling
Anita Ignatius
author_facet Esther Wehrle
Astrid Liedert
Aline Heilmann
Tim Wehner
Ronny Bindl
Lena Fischer
Melanie Haffner-Luntzer
Franz Jakob
Thorsten Schinke
Michael Amling
Anita Ignatius
author_sort Esther Wehrle
collection DOAJ
description Fracture healing is impaired in aged and osteoporotic individuals. Because adequate mechanical stimuli are able to increase bone formation, one therapeutical approach to treat poorly healing fractures could be the application of whole-body vibration, including low-magnitude high-frequency vibration (LMHFV). We investigated the effects of LMHFV on fracture healing in aged osteoporotic mice. Female C57BL/6NCrl mice (n=96) were either ovariectomised (OVX) or sham operated (non-OVX) at age 41 weeks. When aged to 49 weeks, all mice received a femur osteotomy that was stabilised using an external fixator. The mice received whole-body vibrations (20 minutes/day) with 0.3 g peak-to-peak acceleration and a frequency of 45 Hz. After 10 and 21 days, the osteotomised femurs and intact bones (contra-lateral femurs, lumbar spine) were evaluated using bending-testing, micro-computed tomography (μCT), histology and gene expression analyses. LMHFV disturbed fracture healing in aged non-OVX mice, with significantly reduced flexural rigidity (−81%) and bone formation (−80%) in the callus. Gene expression analyses demonstrated increased oestrogen receptor β (ERβ, encoded by Esr2) and Sost expression in the callus of the vibrated animals, but decreased β-catenin, suggesting that ERβ might mediate these negative effects through inhibition of osteoanabolic Wnt/β-catenin signalling. In contrast, in OVX mice, LMHFV significantly improved callus properties, with increased flexural rigidity (+1398%) and bone formation (+637%), which could be abolished by subcutaneous oestrogen application (0.025 mg oestrogen administered in a 90-day-release pellet). On a molecular level, we found an upregulation of ERα in the callus of the vibrated OVX mice, whereas ERβ was unaffected, indicating that ERα might mediate the osteoanabolic response. Our results indicate a major role for oestrogen in the mechanostimulation of fracture healing and imply that LMHFV might only be safe and effective in confined target populations.
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spelling doaj.art-fb30b52c1fc14355a952e84ac998a3672022-12-22T01:14:19ZengThe Company of BiologistsDisease Models & Mechanisms1754-84031754-84112015-01-01819310410.1242/dmm.018622018622The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in miceEsther WehrleAstrid LiedertAline HeilmannTim WehnerRonny BindlLena FischerMelanie Haffner-LuntzerFranz JakobThorsten SchinkeMichael AmlingAnita IgnatiusFracture healing is impaired in aged and osteoporotic individuals. Because adequate mechanical stimuli are able to increase bone formation, one therapeutical approach to treat poorly healing fractures could be the application of whole-body vibration, including low-magnitude high-frequency vibration (LMHFV). We investigated the effects of LMHFV on fracture healing in aged osteoporotic mice. Female C57BL/6NCrl mice (n=96) were either ovariectomised (OVX) or sham operated (non-OVX) at age 41 weeks. When aged to 49 weeks, all mice received a femur osteotomy that was stabilised using an external fixator. The mice received whole-body vibrations (20 minutes/day) with 0.3 g peak-to-peak acceleration and a frequency of 45 Hz. After 10 and 21 days, the osteotomised femurs and intact bones (contra-lateral femurs, lumbar spine) were evaluated using bending-testing, micro-computed tomography (μCT), histology and gene expression analyses. LMHFV disturbed fracture healing in aged non-OVX mice, with significantly reduced flexural rigidity (−81%) and bone formation (−80%) in the callus. Gene expression analyses demonstrated increased oestrogen receptor β (ERβ, encoded by Esr2) and Sost expression in the callus of the vibrated animals, but decreased β-catenin, suggesting that ERβ might mediate these negative effects through inhibition of osteoanabolic Wnt/β-catenin signalling. In contrast, in OVX mice, LMHFV significantly improved callus properties, with increased flexural rigidity (+1398%) and bone formation (+637%), which could be abolished by subcutaneous oestrogen application (0.025 mg oestrogen administered in a 90-day-release pellet). On a molecular level, we found an upregulation of ERα in the callus of the vibrated OVX mice, whereas ERβ was unaffected, indicating that ERα might mediate the osteoanabolic response. Our results indicate a major role for oestrogen in the mechanostimulation of fracture healing and imply that LMHFV might only be safe and effective in confined target populations.http://dmm.biologists.org/content/8/1/93Whole-body vibrationLMHFVFracture healingOestrogen receptor signallingWnt signalling
spellingShingle Esther Wehrle
Astrid Liedert
Aline Heilmann
Tim Wehner
Ronny Bindl
Lena Fischer
Melanie Haffner-Luntzer
Franz Jakob
Thorsten Schinke
Michael Amling
Anita Ignatius
The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
Disease Models & Mechanisms
Whole-body vibration
LMHFV
Fracture healing
Oestrogen receptor signalling
Wnt signalling
title The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
title_full The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
title_fullStr The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
title_full_unstemmed The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
title_short The impact of low-magnitude high-frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
title_sort impact of low magnitude high frequency vibration on fracture healing is profoundly influenced by the oestrogen status in mice
topic Whole-body vibration
LMHFV
Fracture healing
Oestrogen receptor signalling
Wnt signalling
url http://dmm.biologists.org/content/8/1/93
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