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The effects of Cordyceps sinensis phytoestrogen on estrogen deficiency-induced osteoporosis in Ovariectomized rats
© Zhang et al.; licensee BioMed Central Ltd. 2014
Received: 19 February 2014
Accepted: 10 December 2014
Published: 13 December 2014
Isoflavones are naturally occurring plant chemicals belonging to the “phytoestrogen” class. The aim of the present study was to examine the effects of isoflavones obtained from Cordyceps sinensis (CSIF) on development of estrogen deficiency-induced osteoporosis in ovariectomized rats.
After the rats were treated orally with CSIF, serum alkaline phosphatase (ALP), tartarate resistant acid phosphatase (TRAP), serum osteocalcin (OC), homocysteine (HCY), C-terminal crosslinked telopeptides of collagen type I (CTX), estradiol and interferonγ (IFN-γ) level were examined. At the same time, the urine calcium, plasma calcium, plasma phosphorus and the mass of uterus, thymus and body were also examined.
The beneficial effects of CSIF on improvement of osteoporosis in rats were attributable mainly to decrease ALP activity, TRAP activity, CTX level and IFN-γ level. At the same time, CSIF also increase the OC and estradiol level in ovariectomized osteopenic rats. The histological examination clearly showed that dietary CSIF can prevent bone loss caused by estrogen deficiency.
The significant estrogenic activity of CSIF demonstrated that CSIF has significant estrogenic effects in OVX rats.
Cordyceps sinensis (CS) has been used as a tonic for longevity, endurance, and vitality for thousands of years by the Chinese . Many studies have shown that CS modulates immune responses [2–4], inhibits tumor cell proliferation [5, 6], enhances hepatic function , regulates insulin sensitivity , decreases plasma cholesterol levels , and has hypotensive and vasorelaxant activity . The effect of CS on osteoporosis had been studied in our former paper . However, the metabolites that account for this effect have not been studies so far.
Many research groups have reported that isoflavones were associated with human health benefits such as decreased risks of various cancers, heart disease, cardiovascular disease, and increased antioxidative effects [12–14]. Isoflavones are naturally occurring plant chemicals belonging to the “phytoestrogen” class . These compounds have structures similar to mammalian estrogens and display both estrogenic and anti-estrogenic effects .
Epidemiological studies indicate that the significant decrease in estrogen levels in women during the menopausal period causes osteoporosis, a major public health concern. Although hormone replacement therapy (HRT) can help to prevent and treat the menopausal syndromes, the side effects of HRT, such an increased risk of developing breast and endometrial cancer, prevent the acceptance of HRT [17, 18]. Now, there is an interest in using phytoestrogens to alleviate the menopausal symptoms, including development of osteoporosis. The aim of the present study was to examine the effects of isoflavones obtained from CS on development of estrogen deficiency-induced osteoporosis in ovariectomized rats.
Wistar rats (weighing 225 ± 25 g) were used in the study. This study was performed in accordance with the Guide for the Care and Use of Laboratory Animals. Care was taken to minimize discomfort, distress, and pain to the animals. The study was submitted to, and approved by, the Fourth Military Medical University institutional ethics committee.
Isolation of CSIF
Cultured Cordyceps sinensis mycelium was obtained from Shandong HandongLukang Pharmaceutical Co., Ltd. (Shandong, China). The mycelium (100 g) was ground and extracted with 80% methanol. The methanol solution was evaporated to dryness and suspended in high-purity distilled water (500 mL) and then extracted using ethyl acetate (500 mL × 3). The extracts appeared as brown syrup (20 g) upon concentration. The sample was then fractionated using silica gel column chromatography in a stepwise gradient solvent system comprising 800 mL each of the chloroform/methanol mixtures. Fraction 5 was concentrated and loaded onto a Sephadex LH-20 column in a solution that contained a methanol/distilled water ratio of 8.5:1.5. Ten milliliter fractions were collected separately, and the final purification of compound was accomplished via HPLC using an isocratic aqueous acetonitrile solvent system. The CSIF was dissolved in CD3OD and analysed by 1DNMR and 2D NMR techniques as reported previously .
The rats were randomly divided into five groups of animals, four ovariectomized (OVX) and another was given a sham-operation (control). Then group1 (sham) and 2 (OVX) were treated orally with 10-ml of saline, group 3, group 4 and group 5 were treated orally with CSIF (20 mg, 50 mg and 100 mg )for 8 weeks respectively. Body weight of the animals was recorded weekly.
On the last day of treatment urine was collected by micturation induced by manual pressure from overnight fasted animals and preserved at -20°C till further analysis . At necropsy, blood was collected from dorsal aorta under ether anesthesia. After centrifugation, serum was harvested and kept at -20°C until analysis. Uteri were isolated. The absolute weight of uterine tissue was recorded and normalized with body weight (relative weight of uterus, i.e., weight of uterus per 100 g of body weight) of animals. The masses of thymus were also determined. The femoral neck was processed for mechanical testing. The left femur and L-4 vertebra bone were processed for mineral content and histological analysis.
Urine calcium (Ca) content measurement
Calcium content of urine was measured by flame photometry (EHSY, China) after suitable dilution with double distilled water .
Serum calcium and phosphorus measurement
Serum samples were analyzed for their calcium and phosphorus contents by the arsenazo-3 dye and ammonium molybdate colorimetric methods respectively.
Serum hormone measurement
The serum was separated by centrifugation at 1000 × g for 10 min and then stored at -80°C until assay for E2, FSH, and LH. Serum E2, FSH, and LH concentrations were determined using radioimmunoassay (Sunbio, Inc., China).
Plasma enzyme measurements
Plasma proteins measurements
OCcontent was determined using an Osteocalcin EIA kit (Xinqidi bio -Technology, Inc., China) as described in the manufacturer’s directions. Two OC antibodies were employed, each directed toward the N or C-terminal OC molecule. HCY was measured by use of an enzymatic fluorescence polarization immunoassay on an Axsym analyzer (Abbott, Wiesbaden, Germany). CTX were quantified by ELISA (Sunbio, Inc., China).
The procedure for the preparation of bone powder was with the method described by Repo MA . The mineral dissolution of bone powder was examined in acetate buffered solutions . Briefly, 10 mg aliquots of powdered whole bone from rats were dispersed by sonication into 25 ml of 0.1 N acetate buffer pH = 5.0 at 37°C. Portions of the supernatant media that were freed of bone fragments by centrifugation for 2 minutes in an Eppendorf microfuge were harvested every 5 minutes for the first hour, hourly for the next 7 hours, and then at 24 hours. Calcium release from bone was followed by measuring the calcium content of the supernatant samples by atomic absorption.
Representative images of the uterine sections
The reproductive organs (uterine) were carefully removed, cleaned, weighed and fixed in 10% formalin. Then it was stained with Hematoxylin and Eosin (H&E) and examined under light microscopy at 20× magnification.
Histological analysis of lumbar vertebrae
The vertebrae were fixed in formaldehyde and then sectioned and stained with H&E. The bone structure was assessed under a light microscope.
Group means were compared by Analysis of Variance (ANOVA) with GraphPad Prism (GraphPad Software, Inc.). Multiple comparison tests were performed with Tukey for significant differences at P < 0.05.
Mass of uterus, thymus and body weights
Effects of CSIF on the mass of uterus and thymus in ovariectomized rats
Thymus mass (mg)
Absolute weight of uterus (mg)
Relative weight of uterus (mg)
270.11 ± 23.10**
340.15 ± 20.10**
125.11 ± 11.03**
540.1 ± 31.11
79.21 ± 3.21
29.7 ± 8.6
288.3 ± 20.00**
309.10 ± 11.20**
115.6 ± 31.0*
333.0 ± 20.22*
266.23 ± 11.11*
84.0 ± 9.2*
530.0 ± 18.20
100.30 ± 22.22
51.6 ± 8.8
Urine calcium, serum calcium and serum phosphorus content
Effect of CSIF on serum calcium (Ca), inorganic phosphorus (P) and urinary calcium excretion in ovariectomized rats
Urinary Ca (mg/dl)
Serum Ca (mg/dl)
Serum P (mg/dl)
48.61 ± 4.50**
8.00 ± 1.0*
5.10 ± 0.5 **
110.55 ± 12.2
15.93 ± 1.3
10.10 ± 0.4
50.22 ± 8.55**
10.01 ± 0.4*
6.20 ± 0.2**
71.22 ± 10.0*
11.10 ± 0.5*
7.99 ± 0.6*
99.62 ± 12.1
13.88 ± 0 .4
8.88 ± 0.5
Serum hormone measurement
Effect of CSIF on serum E 2 , FSH, and LH levels in ovariectomized rats
28.4 ± 2.00**
1.80 ± 1.0*
1.10 ± 0.5 **
12.5 ± 2.20
4.30 ± 1.0
3.10 ± 0.4
20.22 ± 2.50**
2.01 ± 0.4*
1.20 ± 0.2**
16.00 ± 5.50*
3.10 ± 0.5*
1.99 ± 0.6*
14.22 ± 2.10
3.88 ± 0 .4
2.80 ± 0.5
Plasma enzyme measurements
Effects of CSIF on plasma enzymes in ovariectomized rats
TRAP level (uM)
ALP level (mM)
0.22 ± 0.11**
3.25 ± 0.12**
0.82 ± 0.11
7.21 ± 0.10
0.46 ± 0.03**
4.00 ± 0.03*
0.55 ± 0.02
5.33 ± 0.06*
0.75 ± 0.03
6.30 ± 0.02
Plasma proteins measurements
Effects of CSIF on plasma proteins
Serum OC (ng/ml)
Serum HCY (μmol/L)
Serum CTX (ng/ml)
81.6 ± 5.2*
7.7 ± 1.1
75.6 ± 4.2**
0.82 ± 0.11**
56.4 ± 6.3*
9.9 ± 2.2
101.3 ± 5.1
2.70 ± 1.10
81.1 ± 11.2
7.6 ± 1.1
80.2 ± 18.2**
1.60 ± 0.02*
66.6 ± 14.0
8.1 ± 3.2
95.1 ± 19.3*
1.96 ± 1.2*
59.6 ± 14.2
8.9 ± 2.0
99.3 ± 14.1*
2.55 ± 0.02
Effects of CSIF on the uterine sections
Effects of CSIF on bone structure changes
Phytoestrogens are a diverse class of non-steroidal compounds that have an affinity for estrogen receptors α and β for the peroxisome proliferator-activated receptor (PPAR) family and for the aryl hydrocarbon receptor [26–28]. Many phytoestrogens counteract the cellular derailments that are responsible for the development of metabolic syndrome [29–31]. Here we propose the effects of isoflavones, which are naturally occurring plant chemicals belonging to the “phytoestrogen” class, obtained from Cordyceps sinensis on development of estrogen deficiency-induced osteoporosis in ovariectomized rats.
According to ancient descriptions, Cordyceps sinensis possesses important pharmacological activities for protecting lung and kidney functions and in nourishing essential and vital energy . Body weight is a general index of the health of an animal. The increases in body weight by CSIF may contribute to maintaining the elevated periosteal bone formation and inhibit endosteal bone resorption .
Ovariectomized (OVX) animal models, in a variety of species, have been used to evaluate the mechanism of or to assess the effect of drugs in estrogen deficiency. The ovariectomized rats were shown by substantial increases in the thymus mass in relation to the sham-operated control rats (Table 1). The hypertrophy of the thymus resulting from ovariectomy was inhibited by CSIF. The results indicate CSIF could enhance the immune functions in OVX animals.
Uterus is a primary target organ for estrogen. The uterotrophic assay is a standard tool for determining the estrogenic activity of a given substance in vivo . This study has shown for the first time that the oral administration of CSIF has significant estrogenic effects in OVX rats, including dose-dependently increasing uterine weight, restoring the uterine structure. In the current study, absolute and relative uterine weight was significantly lower in OVX rats than in Sham rats. Significant increase was observed with CSIF in weight of atrophic uterus (Table 1). These results may account for the possible mechanism of the action of CSIF.
It has been reported that the serum biochemical parameters, such as Ca and P are normal in osteoporosis in man . However, in the present investigation, significant differences in Ca and P levels were found in different group. CSIF treatments significantly decreased plasma total calcium and inorganic phosphate concentrations. At the same time, CSIF significantly decreased urinary Ca excretion. It agrees with the above results of the increases in body weight by CSIF and consistent with the finding that body weight may contribute to maintaining the elevated periosteal bone formation and inhibit endosteal bone resorption .
It has been reported that phytoestrogens have the beneficial effect of restoring the profile of such sex hormones as E2, FSH and LH in women. FSH and LH are key stimulators for follicular development. The preovulation secretion of FSH and LH is negatively regulated by circulating E2 via the feedback control system of the hypothalamic-pituitary-ovarian axis .
In the current study, CSIF significantly increased serum E2 levels and attenuated the elevated serum LH and FSH levels resulting from the removal of E2 in OVX rats, indicating that CSIF has a beneficial role in regulating hypothalamic-pituitary function.
ALP is a non-collagenous protein secreted by osteoblast, which is essential for bone mineralization . Increased ALP level in serum has been observed in conditions such as rapid bone loss  and fracture risk [39, 40]. TRAPis secreted by osteoclasts during bone resorption, and serum TRAP activity correlates with resorptive activity in disorders of bone metabolism. In the present study, CSIF significantly decreased ALP and TRAP levels commonly used bone remodeling markers. It suggested that the potency of CSIF is due to decrease ALP activity, TRAP activity in OVX rats.
Osteocalcin (OC) is known as serum markers reflecting osteoblast activities including bone formation and turnover . Treatment with CSIF increased OC level. The result suggested that the treatment with CSIF induce the secretion of OC after oral administration. Bone consists of a calcified organic matrix, which is composed of 90% type I collagen . Higher C-terminal crosslinked telopeptides of collagen type I (CTX) levels are associated with lower bone mineral density values in osteoporosis . The serum levels of CTX were significantly lower in the CSIF group than in the other groups. Substantial evidence demonstrates that have shown that IFN-γ enhances osteoclast generation in cultures of peripheral blood from osteopetrotic patients . Our study was consistent with this finding. However, CSIF treated to the OVX rats decreased significantly the IFN-γ level (P < 0.05).
These findings suggested that the effect of CSIF on osteoporosis is due to decrease CTX and IFN-γ level, as well as increase the OC level in plasma in OVX animals.
The mineral dissolution of bone from the CSIF treated rats were reduced as compared with the control group over the entire time period measured. The result assumed that the decreased solubility of treated bone accounts in part for its decreased resorbability. It is consistent with the findings of above results. These findings suggested that the potency of CSIF is due to dual effects on both decreased resorption and increased formation. The histological examination clearly showed that dietary CSIF can prevent bone loss caused by estrogen deficiency.
This study has shown for the first time that the oral administration of CSIF has significant estrogenic effects in OVX rats, including dose-dependently increasing uterine weight, restoring the circulating E2, FSH, LH, ALP, TRAP, OC, CTX and IFN-γ levels, and preventing bone loss due to E2 deficiency. The significant estrogenic activity of CSIF demonstrated that CSIF has significant estrogenic effects in OVX rats.
Da-wei Zhang and Zhen-lin Wang are co-first authors.
This work was supported by Natural Science Foundation of Shanxi Province of China (2012JQ4020).
- Zhu JS, Halpern GM, Jones K: The scientific rediscovery of an ancient Chinese herbal medicine. Cordyceps sinensis. J Altern Complement Med. 1998, 4: 289-303. 10.1089/acm.1998.4.3-289.View ArticlePubMedGoogle Scholar
- Kuo YC, Tsai WJ, Shiao MS, Chen CF, Lin CY: Cordyceps sinensis as an immunomodulatory agent. Am J Chin Med. 1996, 24: 111-125. 10.1142/S0192415X96000165.View ArticlePubMedGoogle Scholar
- Yang LY, Chen A, Kuo YC, Lin CY: Efficacy of a pure compound H1-A extracted from Cordyceps sinensis on autoimmune disease of MRL lpr/lpr mice. J Lab Clin Med. 1999, 134: 492-500. 10.1016/S0022-2143(99)90171-3.View ArticlePubMedGoogle Scholar
- Kuo YC, Tsai WJ, Wang JY, Chang SC, Lin CY, Shiao MS: Regulation of bronchoalveolar lavage fluids cell function by the immunomodulatory agents from Cordyceps sinensis. Life Sci. 2001, 68: 1067-1082. 10.1016/S0024-3205(00)01011-0.View ArticlePubMedGoogle Scholar
- Kuo YC, Lin CY, Tsai WJ, Wu CL, Chen CF, Shiao MS: Growth inhibitors against tumor cells in Cordyceps sinensis other than cordycepin and polysaccharides. Cancer Invest. 1994, 12: 611-615. 10.3109/07357909409023046.View ArticlePubMedGoogle Scholar
- Bok JW, Lermer L, Chilton J, Klingeman HG, Towers GH: Antitumor sterols from the mycelia of Cordyceps sinensis. Phytochemistry. 1999, 51: 891-898. 10.1016/S0031-9422(99)00128-4.View ArticlePubMedGoogle Scholar
- Manabe N, Azuma Y, Sugimoto M, Uchio K, Miyamoto M, Taketomo N, Tsuchita H, Miyamoto H: Effects of the mycelial extract of cultured Cordyceps sinensis on in vivo hepatic energy metabolism and blood flow in dietary hypoferric anaemic mice. Br J Nutr. 2000, 83: 197-204.View ArticlePubMedGoogle Scholar
- Balon TW, Jasman AP, Zhu JS: A fermentation product of Cordyceps sinensis increases whole-body insulin sensitivity in rats. J Altern Complement Med. 2002, 8: 315-323.View ArticlePubMedGoogle Scholar
- Koh JH, Kim JM, Chang UJ, Suh HJ: Hypocholesterolemic effect of hot-water extract from mycelia of Cordyceps sinensis. Biol Pharm Bull. 2003, 26: 4-87.Google Scholar
- Chiou WF, Chang PC, Chou CJ, Chen CF: Protein constituent contributes to the hypotensive and vasorelaxant activities of Cordyceps sinensis. Life Sci. 2000, 66: 1369-1376. 10.1016/S0024-3205(00)00445-8.View ArticlePubMedGoogle Scholar
- Qi W, Yan YB, Wang PJ, Lei W: The Co-effect of Cordyceps sinensis and Strontium on Osteoporosis in Ovariectomized Osteopenic Rats. Biol Trace Elem Res. 2010, 141 (1–3): 216-223.PubMedGoogle Scholar
- Messina MJ, Persky V, Setchell KD, Barnes S: Soy intake and cancer risk: a review of the in vitro and in vivo data. Nutr Cancer. 1994, 21: 113-131. 10.1080/01635589409514310.View ArticlePubMedGoogle Scholar
- Van der Schouw YT, de Kleijn MJ, Peeters PH, Grobbee DE: Phyto-oestrogens and cardiovascular disease risk. Nutr Metab Cardiovasc Dis. 2000, 10: 154-167.PubMedGoogle Scholar
- Webb CM, Hayward CS, Mason MJ, Llsley CD, Collins P: Coronary vasomotor and blood flow responses to isoflavone-intact soya protein in subjects with coronary heart disease or risk factors for coronary heart disease. Clin Sci (London). 2008, 115: 353-359. 10.1042/CS20070443.View ArticleGoogle Scholar
- Price KR, Fenwick GR: Naturally occurring oestrogens in foods—a review. Food Addit Contam. 1985, 2 (2): 73-106. 10.1080/02652038509373531.View ArticlePubMedGoogle Scholar
- Setchell KD, Cassidy A: Dietary isoflavones: biological effects and relevance to human health. J Nutr. 1999, 129 (3): 758S-767S.PubMedGoogle Scholar
- Waldman TN: Menopause: when hormone replacement therapy is not an option. Part II. J Women Health. 1998, 7: 673-683. 10.1089/jwh.1998.7.673.View ArticleGoogle Scholar
- Barnabei VM, Grady D, Stovall DW, Cauley JA, Lin F, Stuenkel CA, Stefanick ML, Pickar JH: Menopausal symptoms in older women and the effects of treatment with hormone therapy. Obstet Gynecol. 2002, 100: 1209-1218. 10.1016/S0029-7844(02)02369-4.PubMedGoogle Scholar
- Choi JN, Kim J, Lee MY, Park DK, Hong YS, Lee CH: Metabolomics revealed novel isoflavones and optimal cultivation time of Cordyceps militaris fermentation. J Agric Food Chem. 2010, 58: 4258-4267. 10.1021/jf903822e.View ArticlePubMedGoogle Scholar
- Weiss J, Taylor GR, Zimmermann F, Nebendahl K: Collection of Body Fluids. Laboratory Rat Book. 2000, New York: Academic Press, 485-510.View ArticleGoogle Scholar
- Changrani NR, Chonkar A, Adeghate E: Effects of streptozotocininduced type 1 diabetes mellitus on total protein concentrations and cation contents in the isolated pancreas, parotid, submandibular, and lacrimal glands of rats. Ann N Y Acad Sci. 2006, 1084: 503-519. 10.1196/annals.1372.019.View ArticlePubMedGoogle Scholar
- Bessy OA, Lowry OH, Brock MJ: A method for the rapid determination of alkaline phosphatase with five cubic millimetres of serum. J Biol Chem. 1946, 164: 321-329.Google Scholar
- Godkar P: Enzymes. Textbook of Medical Laboratory Techniques, Ed. 1994, Mumbai, India: Bhalani Publishing House, 149-167.Google Scholar
- Repo MA, Bockman RS, Betts F, Boskey AL, Alcock NW, Warrell RP: Effect of gallium on bone mineral properties. Calcif Tissue Int. 1988, 43 (5): 300-306. 10.1007/BF02556640.View ArticlePubMedGoogle Scholar
- Cho PW, Fox JL, Higuchi WI, Pithayanukul P: Influence of dodecylamine hydrochloride adsorption on the dissolution kinetics of hydroxyapatite. Adsorption on and surface chemistry of hydroxyapatite. Edited by: Misra DN. 1984, New York: Plenum Press, 51-70.View ArticleGoogle Scholar
- Mueller M, Hobiger S, Jungbauer A: Red clover extract: a source for substances that activate peroxisome proliferator-activated receptor alpha and ameliorate the cytokine secretion profile of lipopolysaccharide-stimulated macrophages. Menopause. 2010, 17 (2): 379-387. 10.1097/gme.0b013e3181c94617.View ArticlePubMedGoogle Scholar
- Mueller M, Jungbauer A: Red clover extract: a putative source for simultaneous treatment of menopausal disorders and the metabolic syndrome. Menopause. 2008, 15 (6): 1120-1131. 10.1097/gme.0b013e31817062ce.View ArticlePubMedGoogle Scholar
- Medjakovic S, Mueller M, Jungbauer A: Potential health-modulating effects of isoflavones and metabolites via activation of PPAR and AhR. Nutrients. 2010, 2 (3): 241-279. 10.3390/nu2030241.View ArticlePubMedPubMed CentralGoogle Scholar
- Carlson S, Peng N, Prasain JK, Wyss JM: Effects of botanical dietary sup-plements on cardiovascular, cognitive, and metabolic function in males and females.Gender. Medicine. 2008, 5 (Suppl. 1): S76-S90.Google Scholar
- Qiu L, Ye H, Chen L, Hong Y, Zhong F, Zhang T: Red clover extract ameliorates dyslipidemia in streptozotocin-induced diabetic C57BL/6 mice by activating hepatic PPAR. Phytother Res. 2012, 26 (6): 860-864. 10.1002/ptr.3641.View ArticlePubMedGoogle Scholar
- Kalaiselvan V, Kalaivani M, Vijayakumar A, Sureshkumar K, Venkatesku-mar K: Current knowledge and future direction of research on soy isoflavones as a therapeutic agents. Pharmacogn Rev. 2010, 4 (8): 111-117. 10.4103/0973-7847.70900.View ArticlePubMedPubMed CentralGoogle Scholar
- Tsunoo A, Taketomo N, Tsuboi H, Kamijo M, Nemoto A, Sasaki H, Uchida M, Meiji institute of Health Science: Cordyceps Sinensis: Its diverse effects on mammals in vitro and in vivo. Third International Symposium of the Mycological Society of Japan. 1995Google Scholar
- Yao W, Tian XY, Chen J, Setterberg RB, Lundy MW, Chmielzwski P, Froman CA, Jee WS: Rolipram, a phosphodiesterase 4 inhibitor, prevented cancellous and cortical bone loss by inhibiting endosteal bone resorption and maintaining the elevated periosteal bone formation in adult ovariectomized rats. J Musculoskelet Neuronal Interact. 2007, 7 (2): 119-130.PubMedGoogle Scholar
- Diel P, Schulz T, Smolnikar K, Strunck E, Vollmer G, Michna H: Ability of xeno- and phytoestrogens to modulate expression of estrogen-sensitive genes in rat uterus: estrogenicity profiles and uterotropic activity. J Steroid Biochem Mol Biol. 2000, 73: 1-10. 10.1016/S0960-0760(00)00051-0.View ArticlePubMedGoogle Scholar
- Tomita A: Osteoporosis-blood biochemistry. Jpn J Clin Med. 1990, 48: 2838-2844.Google Scholar
- Arai K, Komura H, Akikusa T, Iio K, Kishi H, Watanabe G, Taya K: Contributions of endogenous inhibin and estradiol to the regulation of follicle-stimulating hormone and luteinizing hormone secretion in the pregnant rat. Biol Reprod. 1997, 56: 1482-1489. 10.1095/biolreprod56.6.1482.View ArticlePubMedGoogle Scholar
- Havill LM, Hale LG, Newman DE, Witte SM, Mahaney MC: Bone ALP and OC reference standards in adult baboons (Papio hamadryas) by sex and age. J Med Primatol. 2006, 35: 97-105. 10.1111/j.1600-0684.2006.00150.x.View ArticlePubMedGoogle Scholar
- Ross PD, Knowlton W: Rapid bone loss is associated with increased levels of biochemical markers. J Bone Miner Res. 1998, 13: 297-302. 10.1359/jbmr.19188.8.131.527.View ArticlePubMedGoogle Scholar
- Garnero P, Sornay-Rendu E, Claustrat B, Delmas PD: Biochemical markers of bone turnover, endogenous hormones and the risk of fractures in postmenopausal women: the OFELY study. J Bone Miner Res. 2000, 15: 1526-1536. 10.1359/jbmr.2000.15.8.1526.View ArticlePubMedGoogle Scholar
- Ross PD, Kress BC, Parson RE, Wasnich RD, Armour KA, Mizrahi IA: Serum bone alkaline phosphatase and calcaneus bone density predict fractures: A prospective study. Osteoporos Int. 2000, 11: 76-82. 10.1007/s001980050009.View ArticlePubMedGoogle Scholar
- Polak-Jonkisz D, Zwolinska D: Osteocalcin as a biochemical marker of bone turnover. Nephrology. 1998, 4: 339-346. 10.1111/j.1440-1797.1998.tb00369.x.View ArticleGoogle Scholar
- Burgeson RE: New collagens, new concepts. Annu Rev Cell Biol. 1988, 4: 552-577.View ArticleGoogle Scholar
- Guerrero R, Diaz Martin MA, Diaz Diego EM, Disla T, Rapado A, De la Piedra C: New biochemical markers of bone resorption derived from collagen breakdown in the study of postmenopausal osteoporosis. Osteoporos Int. 1996, 6: 297-302.View ArticlePubMedGoogle Scholar
- Madyastha PR, Yang S, Ries WL, Key LL: IFN-gamma enhances osteoclast generation in cultures of peripheral blood from osteopetrotic patients and normalizes superoxide production. J. Interferon Cytokine Res. 2000, 20: 645-652. 10.1089/107999000414826.View ArticleGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6882/14/484/prepub
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