Dextromethorphan upregulates osteoblast and osteoclast activity but does not attenuate ovariectomy-induced osteoporosis

Life Sci. 2017 Mar 15:173:145-149. doi: 10.1016/j.lfs.2017.01.011. Epub 2017 Jan 30.

Abstract

Aims: Study on the in vivo regulatory role of glutamate in osteoblast (OB) and osteoclast (OC) differentiation is less advanced. The present study investigated the effect of dextromethorphan (DXM), an N-methyl-d-aspartate receptors (NMDARs) antagonist, on osteoporosis development.

Main methods: In order to examine the role of glutamate in bone metabolism, ovariectomized (Ovx) female Wistar rats were injected three times per week for 8weeks with either saline, or 15μg/kg of β-estrodiol, or DXM (40mg/kg) intraperitoneally. Serum samples were collected every two weeks for measuring osteocalcin and C-terminal telopeptide of type I collagen (CTX-1) level. Rats were then sacrificed at week 8 and the femurs harvested for micro-CT scanning and mechanical strength.

Key findings: In saline-treated group, osteocalcin level significantly lower than that of sham-operated rats at 8weeks after operation, while CTX-1 levels were not affected. Estrogen treatment, as a positive control, partially inhibited the Ovx-induced reduction of osteocalcin serum level. DXM injection prevented the Ovx-induced reduction of osteocalcin expression and significantly upregulated CTX-1 expression. The micro-CT scan showed that the bone volume density decreased significantly in DXM treated rats compared to the sham-operated rats. In the mechanical strength assay, the maximum failure load for DXM treatment was significantly lower than the other groups.

Significance: Treatment with DXM upregulated OB and OC markers in Ovx rats, however with a greater effect on the OC marker, and had no significant benefit on bone volume density or bone strength.

Keywords: Cefazolin (PubChem CID:23675322); Dextromethorphan; Dextromethorphan (PubChem CID: 5360696); Glutamate; Osteoblast; Osteoclast; Osteoporosis; Thiopental (PubChem CID:000715); β-estrodiol (PubChem CID:5757).

MeSH terms

  • Animals
  • Bone Density / drug effects*
  • Collagen Type I / metabolism
  • Dextromethorphan / pharmacology*
  • Disease Models, Animal
  • Female
  • Osteoblasts / metabolism*
  • Osteoblasts / pathology
  • Osteoclasts / metabolism*
  • Osteoclasts / pathology
  • Osteoporosis / drug therapy
  • Osteoporosis / etiology
  • Osteoporosis / metabolism*
  • Ovariectomy
  • Peptide Fragments / metabolism
  • Rats
  • Rats, Wistar

Substances

  • CTX-I peptide, rat
  • Collagen Type I
  • Peptide Fragments
  • Dextromethorphan