PMID- 21091356 OWN - NLM STAT- MEDLINE DCOM- 20110314 LR - 20181201 IS - 1525-6006 (Electronic) IS - 1064-1963 (Linking) VI - 32 IP - 8 DP - 2010 TI - Pentosan reduces osteonecrosis of femoral head in SHRSP. PG - 511-6 LID - 10.3109/10641963.2010.496511 [doi] AB - Increased oxidative stress is considered one of the main causes of steroid-induced osteonecrosis of the femoral head (ONFH). The aim of this study was to evaluate the effects of a steroid hormone and pentosan polysulfate sodium (pentosan), a heparin analog, in stroke-prone spontaneously hypertensive rats (SHRSP) as a model of ONFH. One hundred twenty-three 13-week-old male SHRSP/Izm rats were divided into four groups: a control group (group C), pentosan-administered group (group P), steroid-administered group (group S), and group administered pentosan plus steroid (group PS). Methylprednisolone acetate, as the steroid hormone, at a dose of 4 mg (15 mg/kg) was administered at 15 weeks of age. Pentosan at a dose of 3 mg/day/kg was continuously administered intraperitoneally from 13 weeks of age for 4 weeks. Rats were sacrificed at 17 weeks of age, and heart blood and both femora were collected. Triglyceride levels were significantly lower in group PS than in group S, indicating that pentosan improves lipid metabolism. The incidence of histologic ONFH was significantly lower in group P, at 14.8% (10/71 femoral heads), than in group C, at 30.4% (17/56 femoral heads), and significantly lower in group PS, at 40.8% (29/71 femoral heads), than in group S, at 91.3% (42/46 femoral heads), indicating that pentosan markedly inhibits ONFH. Immunohistochemical staining for oxidative stress showed that the stainability was significantly lower in group PS than in group S. Pentosan seems to reduce the incidence of ONFH in SHRSP by improving lipid metabolism and decreasing oxidative stress. FAU - Miyata, Noriaki AU - Miyata N AD - Department of Orthopedic Surgery, Nagasaki University, Graduate School of Biomedical Sciences. FAU - Kumagai, Kenji AU - Kumagai K FAU - Osaki, Makoto AU - Osaki M FAU - Murata, Masakazu AU - Murata M FAU - Tomita, Masato AU - Tomita M FAU - Hozumi, Akira AU - Hozumi A FAU - Nozaki, Yoshihiro AU - Nozaki Y FAU - Niwa, Masami AU - Niwa M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Hypertens JT - Clinical and experimental hypertension (New York, N.Y. : 1993) JID - 9305929 RN - 37300-21-3 (Pentosan Sulfuric Polyester) RN - 43502P7F0P (Methylprednisolone Acetate) RN - X4W7ZR7023 (Methylprednisolone) SB - IM MH - Animals MH - Blood Coagulation/drug effects MH - Disease Models, Animal MH - Femur Head Necrosis/blood/chemically induced/metabolism/*prevention & control MH - Lipid Metabolism/drug effects MH - Male MH - Methylprednisolone/analogs & derivatives/toxicity MH - Methylprednisolone Acetate MH - Oxidative Stress/drug effects MH - Pentosan Sulfuric Polyester/*therapeutic use MH - Rats MH - Rats, Inbred SHR EDAT- 2010/11/26 06:00 MHDA- 2011/03/15 06:00 CRDT- 2010/11/25 06:00 PHST- 2010/11/25 06:00 [entrez] PHST- 2010/11/26 06:00 [pubmed] PHST- 2011/03/15 06:00 [medline] AID - 10.3109/10641963.2010.496511 [doi] PST - ppublish SO - Clin Exp Hypertens. 2010;32(8):511-6. doi: 10.3109/10641963.2010.496511.