TY - JOUR
T1 - Local osteogenic expression of cyclooxygenase-2 and systemic response in porcine models of osteomyelitis
AU - Johansen, Louise Kruse
AU - Iburg, Tine Moesgaard
AU - Nielsen, Ole Lerberg
AU - Leifsson, Páll S.
AU - Dahl-Pedersen, Kirstin
AU - Koch, Janne
AU - Frees, Dorte
AU - Aalbæk, Bent
AU - Heegaard, Peter M. H.
AU - Jensen, Henrik Michael Elvang
PY - 2012/3
Y1 - 2012/3
N2 - It is suggested that cyclooxygenase 2 (COX-2) derived prostaglandins contributes to the progressive bone loss seen in osteomyelitis lesions. In the present study we examined the expression of COX-2 in bones from 23 pigs with experimental osteomyelitis. Osteomyelitis was induced with Staphylococcus aureus and groups of animals were euthanized following 6 h, 12 h, 24 h, 2 days, 5 days, 11 days and 15 days, respectively. Expression of COX-2 was evaluated immunohistochemically and combined with characterization of morphological changes in bone tissue. Furthermore, the serum concentrations of alkaline phosphatase and haptoglobin were measured. Extensive COX-2 expression by osteoblasts was present 2 days after inoculation together with many activated osteoclasts. Simultaneously, the serum concentration of alkaline phosphatase decreased whereas the haptoglobin concentration increased. This is the first in vivo study showing an early wave of COX-2 mediated bone resorption during osteomyelitis. Therefore, treatment aiming to reduce the break down of bone tissue directed by the COX-2 pathway might be suggested early in the course of the disease.
AB - It is suggested that cyclooxygenase 2 (COX-2) derived prostaglandins contributes to the progressive bone loss seen in osteomyelitis lesions. In the present study we examined the expression of COX-2 in bones from 23 pigs with experimental osteomyelitis. Osteomyelitis was induced with Staphylococcus aureus and groups of animals were euthanized following 6 h, 12 h, 24 h, 2 days, 5 days, 11 days and 15 days, respectively. Expression of COX-2 was evaluated immunohistochemically and combined with characterization of morphological changes in bone tissue. Furthermore, the serum concentrations of alkaline phosphatase and haptoglobin were measured. Extensive COX-2 expression by osteoblasts was present 2 days after inoculation together with many activated osteoclasts. Simultaneously, the serum concentration of alkaline phosphatase decreased whereas the haptoglobin concentration increased. This is the first in vivo study showing an early wave of COX-2 mediated bone resorption during osteomyelitis. Therefore, treatment aiming to reduce the break down of bone tissue directed by the COX-2 pathway might be suggested early in the course of the disease.
U2 - 10.1016/j.prostaglandins.2012.01.002
DO - 10.1016/j.prostaglandins.2012.01.002
M3 - Journal article
C2 - 22266364
SN - 1098-8823
VL - 97
SP - 103
EP - 108
JO - Prostaglandins & Other Lipid Mediators
JF - Prostaglandins & Other Lipid Mediators
IS - 3-4
ER -