Estradiol, strain, and periosteal bone growth

DEVLIN, Maureen*; LIEBERMAN, Daniel; LEDOUX, Nicole; Harvard University; Harvard University; Harvard University: Estradiol, strain, and periosteal bone growth

Recently we showed that estradiol (E2) increases osteogenic responses to loading, so that the same mechanical loading produces more periosteal bone growth in individuals with higher E2 levels. This hypothesis was supported in sheep (Ovis aries, N=32) exposed to either low or high E2 levels and either sedentary or high activity levels. Periosteal growth in exercised animals was 25-75% greater in high than in low E2 animals, but only 15-20% greater in sedentary high vs. low E2 animals. Although E2 clearly stimulates bone growth, it is unknown whether this growth improves resistance to deformation. This study tests the hypothesis that E2-induced periosteal growth coincides with areas of peak tensile strain at midstance. We calculated midshaft cross-sectional properties (polar moment of area, JN; section moduli of tension and compression, ZNt, ZNc) in the tibia and metatarsal using the experimentally determined neutral axis (Lieberman et al., 2004) and compared them to areas of bone growth during the experiment. Results indicate little variation in JN, although it is greatest in high-E2 animals. In the tibia, section moduli are similar in the low-E2 and high-E2 sedentary groups. However, ZNt and ZNc are 17-20% greater in high-E2 vs. low-E2 exercised animals, corresponding to periosteal deposition on the anterior and posterior surfaces of the bone. In the metatarsal, ZNt and ZNc are 13-24% greater in the high-E2 exercised vs. the sedentary groups, corresponding to deposition on the posterior surface. These results support the hypothesis that E2-induced periosteal growth is concentrated in areas of highest tensile strain, improving bone�s resistance to bending.

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