<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2018.5839</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-5839</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Age-dependent variations of cancellous bone in response to ovariectomy in C57BL/6J mice</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Sheng</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref>
<xref rid="fn1-etm-0-0-5839" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Guanghu</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref>
<xref rid="fn1-etm-0-0-5839" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Qiao</surname><given-names>Liang</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ge</surname><given-names>Qiting</given-names></name>
<xref rid="af2-etm-0-0-5839" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Dongyang</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Zhihong</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Shi</surname><given-names>Dongquan</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Dai</surname><given-names>Jin</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Qin</surname><given-names>Jinzhong</given-names></name>
<xref rid="af2-etm-0-0-5839" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Teng</surname><given-names>Huajian</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref>
<xref rid="af2-etm-0-0-5839" ref-type="aff">2</xref>
<xref rid="c1-etm-0-0-5839" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Jiang</surname><given-names>Qing</given-names></name>
<xref rid="af1-etm-0-0-5839" ref-type="aff">1</xref>
<xref rid="af2-etm-0-0-5839" ref-type="aff">2</xref>
<xref rid="c1-etm-0-0-5839" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-5839"><label>1</label>The Center of Diagnosis and Treatment for Joint Disease, Drum Tower Hospital, Medical School, Nanjing University, Nanjing, Jiangsu 210008, P.R. China</aff>
<aff id="af2-etm-0-0-5839"><label>2</label>Joint Research Center for Bone and Joint Disease, Model Animal Research Center (MARC), Nanjing University, Nanjing, Jiangsu 210061, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-5839"><italic>Correspondence to</italic>: Professor Qing Jiang or Dr Huajian Teng, The Center of Diagnosis and Treatment for Joint Disease, Drum Tower Hospital, Medical School, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu 210008, P.R. China, E-mail: <email>tenghj@hotmail.com</email>, E-mail: <email>qingj@nju.edu.cn</email></corresp>
<fn id="fn1-etm-0-0-5839"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>06</day>
<month>02</month>
<year>2018</year></pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>3623</fpage>
<lpage>3632</lpage>
<history>
<date date-type="received"><day>18</day><month>01</month><year>2017</year></date>
<date date-type="accepted"><day>21</day><month>12</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>The ovariectomized (OVX) mouse model has been widely accepted to be suitable for the study of postmenopausal osteoporosis. However, whether C57BL/6J mice, a commonly used genetic background mouse strain, is an appropriate model for postmenopausal osteoporosis remains controversial. The present study investigated the effect of the OVX model on alterations in bone density and microarchitecture in C57BL/6J female mice of different ages. C57BL/6J mice were divided into 8-, 12- and 16-week-old groups (OVX<sub>8</sub>, OVX<sub>12</sub> and OVX<sub>16</sub>) from the beginning of OVX. At 8 weeks post-surgery, the mice were anesthetized and micro-computed tomography was used to analyze the bone density and microarchitecture. The results revealed that OVX-induced loss of cancellous bone was greatest in OVX<sub>8</sub>, moderate in OVX<sub>12</sub>, and only a weak bone loss was observed in the OVX<sub>16</sub> group when compared with the SHAM<sub>16</sub> control group. In addition, the effect of genetic backgrounds in response to the OVX model were examined. Several other strains of mice, including inbred (BALB/c) and outbred (ICR and Kunming), were used in the present study, all of which were subjected to OVX at 8 weeks of age. The present findings revealed that the highest rate of bone loss was detected in C57BL/6J female mice. In addition, treatment with estrogen (17&#x03B2;-estradiol, 30 &#x00B5;g/kg five times per week) led to a significant increase in bone density in C57BL/6J mice compared with the other strains of mice. Therefore, these results may provide novel insights into the age- and strain-associated effect of OVX on regulating turnover of bone in female mice. The present findings also suggest 8-week-old C57BL/6J mice as an animal model for postmenopausal osteoporosis and preclinical testing of potential therapies for this disease.</p>
</abstract>
<kwd-group>
<kwd>C57BL/6J</kwd>
<kwd>ovariectomy</kwd>
<kwd>postmenopausal osteoporosis</kwd>
<kwd>bone density</kwd>
<kwd>bone microarchitecture</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Postmenopausal osteoporosis is characterized by a decrease in bone mass and a deterioration in bone architecture. The lifetime risk for women to have an osteoporotic fracture is 30&#x2013;40&#x0025; worldwide (<xref rid="b1-etm-0-0-5839" ref-type="bibr">1</xref>), which has a notable social, physical and economic impact (<xref rid="b2-etm-0-0-5839" ref-type="bibr">2</xref>&#x2013;<xref rid="b5-etm-0-0-5839" ref-type="bibr">5</xref>).</p>
<p>Experimental animal models have contributed tremendously to knowledge of the pathophysiology and treatment targets of postmenopausal osteoporosis. The ovariectomy (OVX) rat is the most commonly used animal model for evaluating the mechanisms underlying postmenopausal osteoporosis and therapeutic strategies for treating this disease (<xref rid="b6-etm-0-0-5839" ref-type="bibr">6</xref>&#x2013;<xref rid="b9-etm-0-0-5839" ref-type="bibr">9</xref>). However, compared with rats, mice may be a more effective model as they have a more easily manipulated genome and lower drug doses are required for treatment. Several strains of mice have been used in postmenopausal osteoporosis research (<xref rid="b10-etm-0-0-5839" ref-type="bibr">10</xref>&#x2013;<xref rid="b13-etm-0-0-5839" ref-type="bibr">13</xref>). However, there are controversies regarding the use of C57BL/6J mice as an animal model for postmenopausal osteoporosis (<xref rid="b14-etm-0-0-5839" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-etm-0-0-5839" ref-type="bibr">16</xref>). The starting age of C57BL/6J mice subjected to ovariectomy varies from 4 to 30 weeks old (<xref rid="b10-etm-0-0-5839" ref-type="bibr">10</xref>,<xref rid="b15-etm-0-0-5839" ref-type="bibr">15</xref>&#x2013;<xref rid="b18-etm-0-0-5839" ref-type="bibr">18</xref>). Certain combinations of age, skeletal site and time post-surgery may lead to varying levels of bone alterations in response to estrogen deficiency in female rats (<xref rid="b6-etm-0-0-5839" ref-type="bibr">6</xref>). It is reasonable to hypothesize that the starting age may result in varying levels of bone deterioration upon estrogen deficiency in C57BL/6J mice. Therefore, to improve the understanding of disease pathogenesis and to develop novel therapies, further characterization of C57BL/6J mice as an animal model for postmenopausal osteoporosis is required.</p>
<p>The current study investigated whether C57BL/6J mice were a valid model for postmenopausal osteoporosis. Mice were used in three different age groups (8, 12 and 16 weeks old) to evaluate the extent of bone loss in response to OVX by micro-computed tomography (&#x00B5;CT). To further evaluate bone mass changes of C57BL/6J mice in response to OVX and estrogen replacement, the inbred strain (BALB/c) and outbred strains (ICR and Kunming) of mice were used in this study, and OVX was performed in those mice at 8 weeks of age.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Animals</title>
<p>Female C57BL/6J mice (8, 12 and 16 weeks old). The total number of 8-, 12- and 16-week-old mice was 26, 21 and 22, respectively. The range of body weight of 8-, 12- and 16-week-old mice was 16.3&#x2013;20.3, 15.9&#x2013;24.7 and 20.7&#x2013;25.6 g, respectively), and female BALB/c, ICR and Kunming mice (all 8 weeks old). The total number of BALB/c, ICR and Kunming was 24, 28 and 28, respectively. The range of body weight of BALB/c, ICR and Kunming mice was 20.9&#x2013;27.5, 26.5&#x2013;32 and 32.4&#x2013;41.8 g, respectively) were purchased from Cavens Biological Technology Co., Ltd., Nanjing, China, <uri xlink:href="https://www.biomart.cn/56079/index.htm">https://www.biomart.cn/56079/index.htm</uri>. All mice were maintained under a 12-h light/dark cycle at room temperature (22&#x00B1;2&#x00B0;C) with a humidity of 45&#x0025; and allowed <italic>ad libitum</italic> access to water and standard rodent chow. All animal procedures were approved by the Animal Care and Use Committee of the Model Animal Research Center of Nanjing University (Nanjing, China).</p>
</sec>
<sec>
<title>Ovariectomy and estrogen supplement</title>
<p>Ovariectomy was conducted in 8-, 12- and 16-week-old female C57BL/6J mice and 8-week-old female BALB/c, ICR and Kunming mice. Mice were assigned to the following groups (<xref rid="tI-etm-0-0-5839" ref-type="table">Table I</xref>): Baseline, sacrificed at the corresponding age; SHAM, were subjected to sham operation; OVX, received bilateral ovariectomy; and OVX &#x002B; 17&#x03B2;-estradiol (E2), at 1 week following surgery administered E2 (30 &#x00B5;g/kg; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany; cat no. E2758) subcutaneously five times per week for 7 weeks. The dose of E2 used was similar to the levels used in a previous study where 20 &#x00B5;g/kg/day resulted in a serum E2 concentration that was similar to the levels in SHAM-operated mice (<xref rid="b19-etm-0-0-5839" ref-type="bibr">19</xref>). C57BL/6J mice were divided into 8-, 12- and 16-week-old groups (OVX<sub>8</sub>, OVX<sub>12</sub> and OVX<sub>16</sub>, respectively) from the beginning of OVX. BALB/c, ICR and Kunming mice were subject to surgery at the age of 8 weeks old (OVX<sub>8</sub>). Surgery was conducted at the Model Animal Research Center of Nanjing University by two operators (SZ and GHW), who were skilled in OVX. In brief, animals were anesthetized (100 mg/kg ketamine, purchased from Fujian Gutian Pharmaceutical Co., Ltd., Fujian, China, <uri xlink:href="http://www.fjgtyy.com/">http://www.fjgtyy.com/</uri>; and 5 mg/kg xylazine, purchased from Jilin Huamu Animal Health Product Co., Ltd., Jilin, China) for ~1 h. For the OVX group, anterior uterine horns were cut to remove the ovaries; for the SHAM group dorsoventral incisions were made through the skin, muscles and periosteum without removal of the ovaries. At 8 weeks post-surgery, animals were sacrificed by inhalation of CO<sub>2</sub> and left femurs were harvested for &#x00B5;aT analysis. The uteri were excised and weighed.</p>
</sec>
<sec>
<title>&#x00B5;CT analysis</title>
<p>Isolated left femurs were fixed with 4&#x0025; paraformaldehyde for 24 h at 4&#x00B0;C. Then, femurs were placed in plastic tubes and stored within the animal bed inside the SkyScan1176 (Bruker Corporation, Billerica, MA, USA). Femurs were scanned using an 18 &#x00B5;. resolution protocol: (45 kV, 556 &#x00B5;A, 0.1-mm Cu filter, and 0.2&#x00B0; rotation step, 7-min scan). Volumetric reconstruction software NRecon version 1.5 (Bruker Corporation) was used to reconstruct CT images. Quantification of bone mineral density and trabecular morphometric parameters was performed in a hand-picked cancellous bone area within the primary ossification center. The analyzed area was 0&#x2013;2 mm above the distal growth plate (<xref rid="f1-etm-0-0-5839" ref-type="fig">Fig. 1</xref>). The analysis was performed using scanner software (CTAn, Version 1.13, Bruker Corporation, Billerica, MA, USA). Trabecular parameters were as follows: Trabecular volumetric bone mineral density [vBMD; mg hydroxyapatite (HA)/cm<sup>3</sup>], bone volume fraction (BV/TV; &#x0025;), trabecular thickness (Tb.Th; mm), trabecular number (Tb.N; 1/mm), trabecular separation (Tb.Sp; mm), structure model index (SMI) and connectivity density (Conn.D; 1/mm<sup>3</sup>). The present study evaluated an area 1 mm above and below the midline of the femur to measure the bone mineral density (cortical BMD; mg HA/cm<sup>3</sup>) and cross-sectional thickness (Cs.Th; mm) of cortical bone (<xref rid="f1-etm-0-0-5839" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The effect of age on the body weight, trabecular and cortical bone properties in C57BL/6J were identified using one-way analysis of variance and followed by Fisher&#x0027;s least significant difference (LSD) if the variance was equal, otherwise Dunnett&#x0027;s post hoc test was performed. To ascertain whether bone loss in C57BL/6J following OVX was influenced by age, a two-way analysis of variance followed by Bonferroni&#x0027;s post hoc test was used with treatment (SHAM vs. OVX) and age. An unpaired Student&#x0027;s t-test was used to compare body weight and bone morphology between SHAM and OVX to detect OVX effects in three different age C57BL/6J groups.</p>
<p>To compare the body mass and skeletal parameter differences among the inbred and outbred mice strains, the values of baseline were compared using a one-way analysis of variance followed by an LSD post hoc test if the variance was equal, otherwise Dunnett&#x0027;s post hoc test was used. To evaluate whether bone loss following OVX or bone gain following subsequent E2 treatment was influenced by genetic factors, a two-way analysis of variance followed by Bonferroni&#x0027;s post hoc test was used with treatment (SHAM vs. OVX, or OVX vs. OVX&#x002B; E2) and strain. An unpaired Student&#x0027;s t-test was used to compare body weight and bone morphology between SHAM and OVX, or OVX and OVX&#x002B;E2 to detect OVX or estrogen supplement effects among inbred and outbred mice.</p>
<p>All statistical tests were performed using SPSS version 17.0 software (SPSS, Inc., Chicago, IL, USA) and P&#x003C;0.05 was considered to indicate a statistically significant difference. Data are presented as the mean &#x00B1; standard error.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Age-associated alterations in body weight, distal femur trabecular and femoral mid-shaft cortical bone density and architecture in C57BL/6J female mice by &#x00B5;CT</title>
<p>Age-associated alterations of body weight and distal femur metaphyseal trabecular architecture in C57BL/6J female mice are presented in <xref rid="tII-etm-0-0-5839" ref-type="table">Table II</xref>. The body weight of C57BL/6J mice increased steadily with age from 8&#x2013;24 weeks old by 43.9&#x0025; (P&#x003C;0.05). Trabecular vBMD plateaued from 8&#x2013;16 weeks and declined thereafter. Cancellous BV/TV decreased continuously from 12&#x2013;24 weeks of age. A similar trend was found in Tb.Th, Tb.N and Conn.D (a measure of trabecular connectedness). Correspondingly, Tb.Sp followed an opposite pattern of alterations. SMI remained relatively constant from 8&#x2013;16 weeks of age, but were increased significantly at 20 (P&#x003C;0.05 vs. 8, 12 and 16 weeks) and 24 weeks (P&#x003C;0.05 vs. 12 and 16 weeks), indicative of a shift to a more rod-like architecture.</p>
<p>Age-related changes in the mid-femur diaphysis are also presented in <xref rid="tII-etm-0-0-5839" ref-type="table">Table II</xref>. Cortical BMD and Cs.Th increased continuously with age; the largest increase occurred between 8 and 12 weeks, and measurements plateaued thereafter.</p>
</sec>
<sec>
<title>Influence of age on the sensitivity to estrogen deprivation in C57BL/6J female mice</title>
<p>When mice were sacrificed, the abdominal cavity was explored. The ovaries could not be located and the uteruses were very small, which indicated that OVX mice had their ovaries removed. As expected, OVX<sub>8</sub>, OVX<sub>12</sub> and OVX<sub>16</sub> were also heavier than mice in the SHAM group, although there was not a significant difference between OVX<sub>16</sub> and SHAM groups (P&#x003C;0.01, P&#x003C;0.05 and P=0.057, respectively; <xref rid="tIII-etm-0-0-5839" ref-type="table">Table III</xref>).</p>
<p>The patterns of microarchitectural deterioration in response to OVX varied among the three age groups (<xref rid="tIII-etm-0-0-5839" ref-type="table">Table III</xref>). In general, microarchitectural deterioration was severe in OVX<sub>8</sub>, intermediate in OVX<sub>12</sub> and lowest in OVX<sub>16</sub>. This was highlighted by significant differences between OVX and SHAM across the parameters examined in OVX<sub>8</sub>, with the exception of Tb.Th and SMI. For trabecular vBMD, Tb.Sp and Conn.D in the distal femur, the response to OVX depended on the age, as determined by two-way analysis of variance analyses between treatment and age (P<sub>treatment&#x002A;age</sub>=0.016, P<sub>treatment&#x002A;age</sub>&#x003C;0.001, P <sub>treatment&#x002A;age</sub>=0.035, respectively).</p>
<p>Upon ovariectomy, trabecular vBMD in all OVX groups was significantly reduced relative to their SHAM counterparts with OVX<sub>8</sub> demonstrating the greatest reduction (&#x2212;35.1&#x0025;). BV/TV declined significantly in OVX<sub>8</sub> (&#x2212;64.2&#x0025;, P=0.0078 vs. SHAM) and OVX<sub>12</sub> (&#x2212;47.1&#x0025;, P=0.0496 vs. SHAM) and declined non-significantly in OVX<sub>16</sub> (&#x2212;31.2&#x0025;, P=0.1834 vs. SHAM). For Tb.Th, there were no marked alterations in all age groups. All age groups exhibited a decline in Tb.N, ranging from &#x2212;34.7 to &#x2212;62.9&#x0025;, but this decline was only statistically significant in OVX<sub>8</sub> (&#x2212;62.9&#x0025;, P=0.0017 vs. SHAM) and OVX<sub>12</sub> (&#x2212;37.3&#x0025;, P=0.0184 vs. SHAM). No significant alterations in SMI existed among the three groups. Conn.D decreased significantly in OVX<sub>8</sub> (&#x2212;61.9&#x0025;, P=0.0008 vs. SHAM) and OVX<sub>12</sub> (&#x2212;56.6&#x0025;, P=0.0108 vs. SHAM), but OVX<sub>16</sub> exhibited a non-significant decrease.</p>
<p>The effect of OVX on mid-femoral cortical bone did not appear to depend on age (<xref rid="tIII-etm-0-0-5839" ref-type="table">Table III</xref>). Cortical BMD exhibited a statistically significant decline in OVX<sub>12</sub> (&#x2212;3.5&#x0025;, P=0.028 vs. SHAM) and OVX<sub>16</sub> (&#x2212;2.9&#x0025;, P=0.02 vs. SHAM), except for OVX<sub>8</sub>. By contrast, Cs.Th only declined significantly in OVX<sub>8</sub> (&#x2212;6.8&#x0025;, P=0.0114).</p>
</sec>
<sec>
<title>Differences in body mass and bone morphology among inbred and outbred strains of mice</title>
<p>To further explore the bone mass alterations in C57BL/6J mice in response to OVX and estrogen replacement, the above studies were extended by evaluating the inbred and outbred strains, and using an estrogen supplement.</p>
<p>At 8 weeks (baseline), body weight was highest in Kunming, intermediate in ICR and BALB/C, and lowest in C57BL/6J mice (<xref rid="tIV-etm-0-0-5839" ref-type="table">Table IV</xref>). Femur trabecular bone in C57BL/6J mice was characterized by the lowest trabecular vBMD, BV/TV, Tb.Th, Tb.N and Conn.D, whereas these mice also exhibited the highest Tb.Sp and SMI. Kunming mice had the most trabeculae and consequently the least Tb.Sp. In trabecular regions, Tb.Th was significantly higher in BALB/c compared with ICR mice (P&#x003C;0.05).</p>
<p>In the femoral cortical bone, BMD was significantly lower in C57BL/6J than the other three strains of mice, whereas Cs.Th was highest in ICR and Kunming, intermediate in BALB/c and lowest in C57BL/6J (<xref rid="tIV-etm-0-0-5839" ref-type="table">Table IV</xref>).</p>
</sec>
<sec>
<title>Influence of strain on the sensitivity to estrogen deprivation and supplement</title>
<p>C57BL/6J and BALB/c mice subjected to OVX exhibited significant increases 21.9&#x0025; (P=0.0001) and 6.5&#x0025; (P=0.0353) of their body mass compared with SHAM counterparts (<xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>). Only C57BL/6J and Kunming mice treated with estrogen exhibited significantly decreased body masses (&#x2212;8.3&#x0025;, P=0.0066; &#x2212;4.8&#x0025;, P=0.0465; respectively; <xref rid="tVI-etm-0-0-5839" ref-type="table">Table VI</xref>).</p>
<p>All four strains of mice lost cancellous bone in the femur following OVX, with no treatment-strain interaction observed, except in Tb.Sp and Conn.D. (P<sub>treatment&#x002A;age</sub> =0.007; P<sub>treatment&#x002A;age</sub> =0.035, respectively; <xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>). Femur trabecular vBMD was lower in OVX than the SHAM group in all four strains of mice (<xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>). The effect of OVX on trabecular vBMD in C57BL/6J (&#x2212;35.1&#x0025;, P&#x003C;0.001 vs. SHAM) differed significantly from the effect in BALB/c (&#x2212;28.4&#x0025;, P&#x003C;0.001 vs. SHAM; P&#x003C;0.001 vs. C57BL/6J), ICR (&#x2212;31.2&#x0025;, P=0.002 vs. SHAM; P=0.001 vs. C57BL/6J) and Kunming (&#x2212;22.0&#x0025;, P=0.024 vs. SHAM; P&#x003C;0.001 vs. C57BL/6J). Similar to femur trabecular vBMD, C57BL/6J exhibited the greatest decline in BV/TV (&#x2212;64.2&#x0025;, P=0.001 vs. SHAM; <xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>). The other strains also exhibited a decline in femur BV/TV, ranging from &#x2212;44.3 to &#x2212;54.9&#x0025;, but this decline was statistically significant only in BALB/c (P&#x003C;0.001 vs. SHAM) and ICR (P=0.008 vs. SHAM). A significant difference in Tb.Th between SHAM and OVX group was not detected in the C57BL/6J strain, whereas BALB/c exhibited a &#x2212;15.4&#x0025; decrease (P&#x003C;0.001 vs. SHAM), ICR &#x2212;15.7&#x0025; (P=0.016 vs. SHAM) and Kunming &#x2212;12.7&#x0025; (P&#x003C;0.001 vs. SHAM). Tb.N decreased in C57BL/6J (&#x2212;62.9&#x0025;, P=0.016 vs. SHAM), BALB/c (&#x2212;47.6&#x0025;, P&#x003C;0.001 vs. SHAM), ICR (&#x2212;34.8&#x0025;, P=0.011 vs. SHAM) and Kunming (&#x2212;36.0&#x0025;, P=0.013 vs. SHAM). Tb.Sp increased in C57BL/6J (100&#x0025;, P&#x003C;0.001 vs. SHAM), BALB/c (67.2&#x0025;, P=0.025 vs. SHAM), ICR (39.0&#x0025;, P=0.023 vs. SHAM) and Kunming (47.2&#x0025;, P=0.026 vs. SHAM). SMI increased significantly in BALB/c (26.5&#x0025;, P&#x003C;0.001 vs. SHAM) and ICR (15.1&#x0025;, P=0.020 vs. SHAM) whereas Conn.D declined in C57BL/6J (&#x2212;61.9&#x0025;, P&#x003C;0.001 vs. SHAM) and ICR (&#x2212;31.5&#x0025;, P=0.042 vs. SHAM). With regard to cortical bone indices, significant alterations were only found in C57BL/6J (<xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>). The difference in Cs.Th between SHAM and OVX mice was &#x2212;6.8&#x0025; in C57BL/6J mice (P=0.002; <xref rid="tIII-etm-0-0-5839" ref-type="table">Tables III</xref> and <xref rid="tV-etm-0-0-5839" ref-type="table">V</xref>).</p>
<p>For Tb.Sp, the response to estrogen supplement was dependent on the strain (P<sub>treatment&#x002A;strain</sub>=0.02; <xref rid="tVI-etm-0-0-5839" ref-type="table">Table VI</xref>). The alteration in this index following estrogen supplement differed significantly between C57BL/6J and BALB/c (P=0.002), ICR (P=0.001) and Kunming (P=0.027). Notably, C57BL/6J mice were the only strain markedly responsive to estrogen supplement, demonstrating significant alterations in all parameters except for BV/TV and Conn.D. Whereas estrogen decreased Tb.Sp by 31.9&#x0025; in the metaphyseal trabecular bone of C57BL/6J mice (P&#x003C;0.001 vs. OVX), it increased trabecular vBMD by 26.8&#x0025; (P=0.003 vs. OVX; <xref rid="tVI-etm-0-0-5839" ref-type="table">Table VI</xref>), BV/TV by 53.5&#x0025; (P=0.059 vs. OVX; <xref rid="tVI-etm-0-0-5839" ref-type="table">Table VI</xref>), Tb.Th by 14.2&#x0025; (P=0.045 vs. OVX) and SMI by 8.1&#x0025; (P=0.014 vs. OVX). In the mid-femoral cortical bone of C57BL/6J mice, estrogen increased cortical BMD by 2.0&#x0025; (P=0.023 vs. OVX; <xref rid="tVI-etm-0-0-5839" ref-type="table">Table VI</xref>) and Cs.Th by 9.5&#x0025; (P&#x003C;0.001 vs. OVX). In contrast with C57BL/6J, estrogen treatment failed to significantly alter any above indices in BALB/c and Kunming mice except Tb.Th (13.7&#x0025;, P=0.001 vs. OVX; 14.9&#x0025;, P&#x003C;0.001; respectively). ICR was the least sensitive to estrogen treatment showing no significant alterations across all the parameters examined.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>OVX model mice have been widely used in the study of postmenopausal osteoporosis. Multiple lines of evidence have revealed that genetic factors serve a profound role in regulating the balance of bone metabolism in mice (<xref rid="b14-etm-0-0-5839" ref-type="bibr">14</xref>,<xref rid="b20-etm-0-0-5839" ref-type="bibr">20</xref>,<xref rid="b21-etm-0-0-5839" ref-type="bibr">21</xref>). In the present study, it was demonstrated that the peak of cancellous mass in C57BL/6J female mice was present at 8 weeks old. Mice subjected to OVX at 8 weeks old had marked cancellous bone loss, and OVX-induced cancellous bone loss was restored by estrogen treatment. The data also suggested that OVX-induced loss of cancellous bone may gradually decline with age in C57BL/6J female mice.</p>
<p>The BV/TV at distal femur in C57BL/6J mice has been shown to be greatest at 6-weeks old and sequentially decline with age (<xref rid="b22-etm-0-0-5839" ref-type="bibr">22</xref>). The present study demonstrated an age-associated reduction in cancellous bone in C57BL/6J female mice, as trabecular vBMD and BV/TV were greatest at 8 weeks old. Notably, it was revealed that OVX-induced loss of cancellous bone was associated with age, and the data indicated that the rate of trabecular bone loss in mice subjected to OVX at 8 weeks old was higher than that at 12 weeks old. In addition, there were no significant differences in cancellous bone alterations in mice subjected to OVX at 16 weeks old when compared with the SHAM group. These findings indicated that the effect of estrogen on regulating turnover of cancellous bone in C57BL/6J female mice may gradually decline with age. Further studies are necessary to explore cellular mechanisms underlying the reduced response to estrogen with age.</p>
<p>In contrast with cancellous bone, the results showed that an age-associated increase of cortical bone persisted throughout 8&#x2013;16 weeks of age in C57BL/6J female mice. However, only a slight reduction in cortical bone, in an age-independent manner, was observed in those mice in response to OVX, suggesting that cortical bone was not sensitive to estrogen deprivation in C57BL/6J female mice.</p>
<p>C57BL/6J mice are typically used to produce gene knockout and transgenic animals. A number of previous studies have identified bone loss when the ovariectomy timing was 2 months old in this strain (<xref rid="b23-etm-0-0-5839" ref-type="bibr">23</xref>,<xref rid="b24-etm-0-0-5839" ref-type="bibr">24</xref>). However, C57BL/6J mice have been questioned as an ideal model for the study of postmenopausal osteoporosis as they have been found to be resistant to OVX-induced loss of bone. Bouxsein <italic>et al</italic> (<xref rid="b14-etm-0-0-5839" ref-type="bibr">14</xref>) previously discovered that 4-month-old C57BL/6J mice were resistant to OVX-induced trabecular bone deterioration in the proximal tibia. Iwaniec <italic>et al</italic> (<xref rid="b15-etm-0-0-5839" ref-type="bibr">15</xref>) demonstrated that no significant difference was observed between C57BL/6J OVX and SHAM groups in the distal femur cancellous BV/TV 3 months post-surgery. Klinck and Boyd (<xref rid="b16-etm-0-0-5839" ref-type="bibr">16</xref>) demonstrated that the majority of morphology parameters in the C57BL/6J femur and tibia were not statistically significant at 5 weeks post-ovariectomy. This data from previous research were obtained from mice subjected to OVX at the age of 12 or 16 weeks, which is consistent with the findings of the present study. The present study also revealed that alterations of cancellous bone in C57BL/6J mice at the age of 8 weeks were greatest.</p>
<p>Previous studies have demonstrated that the skeletal response to OVX varied among inbred mice (<xref rid="b14-etm-0-0-5839" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-etm-0-0-5839" ref-type="bibr">16</xref>). This study extended the above by adding one inbred (BALB/c) and two outbred strains (ICR and Kunming), and all strains of mice were subjected to OVX at 8 weeks old. It was demonstrated that C57BL/6J mice were most sensitive to OVX-induced loss of bone among the four strains, exhibiting greater alterations in body weight, trabecular vBMD, BV/TV, Tb.N, Conn.D and Cs.Th. In contrast with previous results (<xref rid="b14-etm-0-0-5839" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-etm-0-0-5839" ref-type="bibr">16</xref>), the present study revealed that C57BL/6J mice were the most sensitive to estrogen deficiency among the four strains. It should be noted that Cs.Th, reflecting the cortical bone, decreased only in C57BL/6J mice. Contradicting results may be due to the age of the animals at OVX (previous studies using no less than 3-month-old C57BL/6J mice) and the duration of time elapsed following OVX (8 weeks). The various skeletal alterations during the 2&#x2013;4 months old period caused by differing post-pubertal architectural development patterns among different strains may account for discrepancies arising from the different starting ages (<xref rid="b25-etm-0-0-5839" ref-type="bibr">25</xref>). It would be interesting to determine the underlying cellular mechanisms that determine the different strain-associated responses to estrogen deficiency by analysis of histomorphometry or biochemical markers.</p>
<p>E2 has been documented to improve bone quantity and miscrostructure both in mice and rats following OVX (<xref rid="b19-etm-0-0-5839" ref-type="bibr">19</xref>,<xref rid="b26-etm-0-0-5839" ref-type="bibr">26</xref>). With respect to humans, estrogen therapy prevents postmenopausal bone loss (<xref rid="b27-etm-0-0-5839" ref-type="bibr">27</xref>). In the present study, it was revealed that skeletal responses to estrogen were strain-dependent where C57BL/6J improved most in regard to trabecular vBMD, BV/TV, Tb.Th, cortical BMD and Cs.Th. As for Conn.D, estrogen failed to significantly increase this as this index was thought to be irreversible when bone loss has occurred (<xref rid="b28-etm-0-0-5839" ref-type="bibr">28</xref>), as it was unclear whether the anabolic treatment parathyroid hormone restored any connectivity (<xref rid="b29-etm-0-0-5839" ref-type="bibr">29</xref>,<xref rid="b30-etm-0-0-5839" ref-type="bibr">30</xref>).</p>
<p>The findings of the present study raise notable issues for selecting an animal model to study the mechanism of certain genes in postmenopausal osteopenia and evaluate the effectiveness of a novel candidate agent for treatment. Following OVX at 4 months old, C57BL/6J prostaglandin E2 receptor (one of the four prostanoid receptors) knockout mice exhibited protection against bone loss in femur and L4 vertebrae (<xref rid="b31-etm-0-0-5839" ref-type="bibr">31</xref>). However, when OVX was performed on 30-week-old female Col.1-PPAR&#x03B3; mice, ovariectomy-induced bone loss was accelerated (<xref rid="b10-etm-0-0-5839" ref-type="bibr">10</xref>). As the present results revealed that the factor age of C57BL/6J influenced the sensitivity of bone to OVX, the conclusions of a specific gene on osteoporosis must be identified with care. In addition, BALB/c, ICR and Kunming mice have been exploited in searching for anti-osteoporotic medicine, and drug testing results may be negative as the present study revealed that C57BL/6J was the most sensitive to the anti-osteoporotic drug estrogen.</p>
<p>There are certain limitations associated with this study. First, only one bone (femur) was assessed to evaluate the extent of OVX-induced bone loss and response to estrogen. Second, only a single time point (8 weeks) after OVX was assessed and therefore the rate of bone loss was not assessed. Third, no histomorphometry or biochemical markers were performed, and thus it is impossible to observe the underlying cellular mechanisms that determine the different strain-associated responses to estrogen deficiency. In spite of these shortcomings, conclusions were made by <italic>ex vivo</italic> analysis of femoral bone microarchitecture by &#x00B5;CT, as the bone (femur), the postsurgery time (8 weeks) and method (&#x00B5;CT) were the most commonly used in previous literature.</p>
<p>In conclusion, the results revealed that OVX-induced bone loss may be age- and strain-specific, which emphasizes the importance of appropriate selection of mouse strains and their age in postmenopausal osteoporosis research. It was demonstrated that C57BL/6J female mice subjected to OVX at 8 weeks old resulted in pronounced loss of bone that was sensitive to estrogen. Therefore, the present data may give novel insights into the age- and strain-associated effect of OVX in regulating turnover of bone in female mice, and this must be considered when using C57BL/6J mice as an animal model of postmenopausal osteoporosis.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Jason Kang for editing the manuscript. The present study was supported by the National Science Foundation for Distinguished Young Scholars of China (grant no. 81125013) and National Natural Science Foundation of China (grant no. 81472116).</p>
</ack>
<ref-list>
<title>References</title>
<ref id="b1-etm-0-0-5839"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jagtap</surname><given-names>VR</given-names></name><name><surname>Ganu</surname><given-names>JV</given-names></name><name><surname>Nagane</surname><given-names>NS</given-names></name></person-group><article-title>BMD and serum intact osteocalcin in postmenopausal osteoporosis women</article-title><source>Indian J Clin Biochem</source><volume>26</volume><fpage>70</fpage><lpage>73</lpage><year>2011</year><pub-id pub-id-type="doi">10.1007/s12291-010-0074-2</pub-id><pub-id pub-id-type="pmid">22211018</pub-id></element-citation></ref>
<ref id="b2-etm-0-0-5839"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Johnell</surname><given-names>O</given-names></name><name><surname>Kanis</surname><given-names>JA</given-names></name></person-group><article-title>An estimate of the worldwide prevalence and disability associated with osteoporotic fractures</article-title><source>Osteoporos Int</source><volume>17</volume><fpage>1726</fpage><lpage>1733</lpage><year>2006</year><pub-id pub-id-type="doi">10.1007/s00198-006-0172-4</pub-id><pub-id pub-id-type="pmid">16983459</pub-id></element-citation></ref>
<ref id="b3-etm-0-0-5839"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cauley</surname><given-names>JA</given-names></name><name><surname>Thompson</surname><given-names>DE</given-names></name><name><surname>Ensrud</surname><given-names>KC</given-names></name><name><surname>Scott</surname><given-names>JC</given-names></name><name><surname>Black</surname><given-names>D</given-names></name></person-group><article-title>Risk of mortality following clinical fractures</article-title><source>Osteoporos Int</source><volume>11</volume><fpage>556</fpage><lpage>561</lpage><year>2000</year><pub-id pub-id-type="doi">10.1007/s001980070075</pub-id><pub-id pub-id-type="pmid">11069188</pub-id></element-citation></ref>
<ref id="b4-etm-0-0-5839"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Frost</surname><given-names>SA</given-names></name><name><surname>Nguyen</surname><given-names>ND</given-names></name><name><surname>Center</surname><given-names>JR</given-names></name><name><surname>Eisman</surname><given-names>JA</given-names></name><name><surname>Nguyen</surname><given-names>TV</given-names></name></person-group><article-title>Excess mortality attributable to hip-fracture: A relative survival analysis</article-title><source>Bone</source><volume>56</volume><fpage>23</fpage><lpage>29</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.bone.2013.05.006</pub-id><pub-id pub-id-type="pmid">23684802</pub-id></element-citation></ref>
<ref id="b5-etm-0-0-5839"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reginster</surname><given-names>JY</given-names></name><name><surname>Burlet</surname><given-names>N</given-names></name></person-group><article-title>Osteoporosis: A still increasing prevalence</article-title><source>Bone</source><volume>38</volume><supplement>2 Suppl 1</supplement><fpage>S4</fpage><lpage>S9</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.bone.2005.11.024</pub-id><pub-id pub-id-type="pmid">16455317</pub-id></element-citation></ref>
<ref id="b6-etm-0-0-5839"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Francisco</surname><given-names>JI</given-names></name><name><surname>Yu</surname><given-names>Y</given-names></name><name><surname>Oliver</surname><given-names>RA</given-names></name><name><surname>Walsh</surname><given-names>WR</given-names></name></person-group><article-title>Relationship between age, skeletal site and time post-ovariectomy on bone mineral and trabecular microarchitecture in rats</article-title><source>J Orthop Res</source><volume>29</volume><fpage>189</fpage><lpage>196</lpage><year>2011</year><pub-id pub-id-type="doi">10.1002/jor.21217</pub-id><pub-id pub-id-type="pmid">20722002</pub-id></element-citation></ref>
<ref id="b7-etm-0-0-5839"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>XL</given-names></name><name><surname>Li</surname><given-names>CL</given-names></name><name><surname>Lu</surname><given-names>WW</given-names></name><name><surname>Cai</surname><given-names>WX</given-names></name><name><surname>Zheng</surname><given-names>LW</given-names></name></person-group><article-title>Skeletal site-specific response to ovariectomy in a rat model: Change in bone density and microarchitecture</article-title><source>Clin Oral Implants Res</source><volume>26</volume><fpage>392</fpage><lpage>398</lpage><year>2015</year><pub-id pub-id-type="doi">10.1111/clr.12360</pub-id><pub-id pub-id-type="pmid">24593016</pub-id></element-citation></ref>
<ref id="b8-etm-0-0-5839"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Esteves</surname><given-names>CM</given-names></name><name><surname>Moraes</surname><given-names>RM</given-names></name><name><surname>Gomes</surname><given-names>FC</given-names></name><name><surname>Marcondes</surname><given-names>MS</given-names></name><name><surname>Lima</surname><given-names>GM</given-names></name><name><surname>Anbinder</surname><given-names>AL</given-names></name></person-group><article-title>Ovariectomy-associated changes in interradicular septum and in tibia metaphysis in different observation periods in rats</article-title><source>Pathol Res Pract</source><volume>211</volume><fpage>125</fpage><lpage>129</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.prp.2014.11.015</pub-id><pub-id pub-id-type="pmid">25532670</pub-id></element-citation></ref>
<ref id="b9-etm-0-0-5839"><label>9</label><element-citation publication-type="conference"><person-group person-group-type="author"><name><surname>Anderson</surname><given-names>JJ</given-names></name><name><surname>Ambrose</surname><given-names>WW</given-names></name><name><surname>Garner</surname><given-names>SC</given-names></name></person-group><article-title>Biphasic effects of genistein on bone tissue in the ovariectomized, lactating rat model</article-title><source>Proc Soc Exp Biol Med</source><volume>217</volume><fpage>345</fpage><lpage>350</lpage><conf-date>1998</conf-date><pub-id pub-id-type="doi">10.3181/00379727-217-44243</pub-id><pub-id pub-id-type="pmid">9492346</pub-id></element-citation></ref>
<ref id="b10-etm-0-0-5839"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cho</surname><given-names>SW</given-names></name><name><surname>Yang</surname><given-names>JY</given-names></name><name><surname>Her</surname><given-names>SJ</given-names></name><name><surname>Choi</surname><given-names>HJ</given-names></name><name><surname>Jung</surname><given-names>JY</given-names></name><name><surname>Sun</surname><given-names>HJ</given-names></name><name><surname>An</surname><given-names>JH</given-names></name><name><surname>Cho</surname><given-names>HY</given-names></name><name><surname>Kim</surname><given-names>SW</given-names></name><name><surname>Park</surname><given-names>KS</given-names></name><etal/></person-group><article-title>Osteoblast-targeted overexpression of PPAR&#x03B3; inhibited bone mass gain in male mice and accelerated ovariectomy-induced bone loss in female mice</article-title><source>J Bone Miner Res</source><volume>26</volume><fpage>1939</fpage><lpage>1952</lpage><year>2011</year><pub-id pub-id-type="doi">10.1002/jbmr.366</pub-id><pub-id pub-id-type="pmid">21351141</pub-id></element-citation></ref>
<ref id="b11-etm-0-0-5839"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname><given-names>YH</given-names></name><name><surname>Chen</surname><given-names>WY</given-names></name><name><surname>Chan</surname><given-names>CH</given-names></name><name><surname>Wu</surname><given-names>CH</given-names></name><name><surname>Sun</surname><given-names>ZJ</given-names></name><name><surname>Chang</surname><given-names>MS</given-names></name></person-group><article-title>Anti-IL-20 monoclonal antibody inhibits the differentiation of osteoclasts and protects against osteoporotic bone loss</article-title><source>J Exp Med</source><volume>208</volume><fpage>1849</fpage><lpage>1861</lpage><year>2011</year><pub-id pub-id-type="doi">10.1084/jem.20102234</pub-id><pub-id pub-id-type="pmid">21844205</pub-id></element-citation></ref>
<ref id="b12-etm-0-0-5839"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jun</surname><given-names>AY</given-names></name><name><surname>Kim</surname><given-names>HJ</given-names></name><name><surname>Park</surname><given-names>KK</given-names></name><name><surname>Son</surname><given-names>KH</given-names></name><name><surname>Lee</surname><given-names>DH</given-names></name><name><surname>Woo</surname><given-names>MH</given-names></name><name><surname>Kim</surname><given-names>YS</given-names></name><name><surname>Lee</surname><given-names>SK</given-names></name><name><surname>Chung</surname><given-names>WY</given-names></name></person-group><article-title>Extract of Magnoliae Flos inhibits ovariectomy-induced osteoporosis by blocking osteoclastogenesis and reducing osteoclast-mediated bone resorption</article-title><source>Fitoterapia</source><volume>83</volume><fpage>1523</fpage><lpage>1531</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.fitote.2012.08.020</pub-id><pub-id pub-id-type="pmid">22981503</pub-id></element-citation></ref>
<ref id="b13-etm-0-0-5839"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name><name><surname>Miron</surname><given-names>RJ</given-names></name><name><surname>Shi</surname><given-names>B</given-names></name><name><surname>Bian</surname><given-names>Z</given-names></name></person-group><article-title>Anabolic bone formation via a site-specific bone-targeting delivery system by interfering with semaphorin 4d expression</article-title><source>J Bone Miner Res</source><volume>30</volume><fpage>286</fpage><lpage>296</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/jbmr.2322</pub-id><pub-id pub-id-type="pmid">25088728</pub-id></element-citation></ref>
<ref id="b14-etm-0-0-5839"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bouxsein</surname><given-names>ML</given-names></name><name><surname>Myers</surname><given-names>KS</given-names></name><name><surname>Shultz</surname><given-names>KL</given-names></name><name><surname>Donahue</surname><given-names>LR</given-names></name><name><surname>Rosen</surname><given-names>CJ</given-names></name><name><surname>Beamer</surname><given-names>WG</given-names></name></person-group><article-title>Ovariectomy-induced bone loss varies among inbred strains of mice</article-title><source>J Bone Miner Res</source><volume>20</volume><fpage>1085</fpage><lpage>1092</lpage><year>2005</year><pub-id pub-id-type="doi">10.1359/JBMR.050307</pub-id><pub-id pub-id-type="pmid">15940361</pub-id></element-citation></ref>
<ref id="b15-etm-0-0-5839"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Iwaniec</surname><given-names>UT</given-names></name><name><surname>Yuan</surname><given-names>D</given-names></name><name><surname>Power</surname><given-names>RA</given-names></name><name><surname>Wronski</surname><given-names>TJ</given-names></name></person-group><article-title>Strain-dependent variations in the response of cancellous bone to ovariectomy in mice</article-title><source>J Bone Miner Res</source><volume>21</volume><fpage>1068</fpage><lpage>1074</lpage><year>2006</year><pub-id pub-id-type="doi">10.1359/jbmr.060402</pub-id><pub-id pub-id-type="pmid">16813527</pub-id></element-citation></ref>
<ref id="b16-etm-0-0-5839"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Klinck</surname><given-names>J</given-names></name><name><surname>Boyd</surname><given-names>SK</given-names></name></person-group><article-title>The magnitude and rate of bone loss in ovariectomized mice differs among inbred strains as determined by longitudinal in vivo micro-computed tomography</article-title><source>Calcif Tissue Int</source><volume>83</volume><fpage>70</fpage><lpage>79</lpage><year>2008</year><pub-id pub-id-type="doi">10.1007/s00223-008-9150-5</pub-id><pub-id pub-id-type="pmid">18584110</pub-id></element-citation></ref>
<ref id="b17-etm-0-0-5839"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sabsovich</surname><given-names>I</given-names></name><name><surname>Clark</surname><given-names>JD</given-names></name><name><surname>Liao</surname><given-names>G</given-names></name><name><surname>Peltz</surname><given-names>G</given-names></name><name><surname>Lindsey</surname><given-names>DP</given-names></name><name><surname>Jacobs</surname><given-names>CR</given-names></name><name><surname>Yao</surname><given-names>W</given-names></name><name><surname>Guo</surname><given-names>TZ</given-names></name><name><surname>Kingery</surname><given-names>WS</given-names></name></person-group><article-title>Bone microstructure and its associated genetic variability in 12 inbred mouse strains: microCT study and in silico genome scan</article-title><source>Bone</source><volume>42</volume><fpage>439</fpage><lpage>451</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.bone.2007.09.041</pub-id><pub-id pub-id-type="pmid">17967568</pub-id></element-citation></ref>
<ref id="b18-etm-0-0-5839"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kara</surname><given-names>FM</given-names></name><name><surname>Doty</surname><given-names>SB</given-names></name><name><surname>Boskey</surname><given-names>A</given-names></name><name><surname>Goldring</surname><given-names>S</given-names></name><name><surname>Zaidi</surname><given-names>M</given-names></name><name><surname>Fredholm</surname><given-names>BB</given-names></name><name><surname>Cronstein</surname><given-names>BN</given-names></name></person-group><article-title>Adenosine A(1) receptors regulate bone resorption in mice: Adenosine A(1) receptor blockade or deletion increases bone density and prevents ovariectomy-induced bone loss in adenosine A(1) receptor-knockout mice</article-title><source>Arthritis Rheu</source><volume>62</volume><fpage>534</fpage><lpage>541</lpage><year>2010</year><pub-id pub-id-type="doi">10.1002/art.27219</pub-id></element-citation></ref>
<ref id="b19-etm-0-0-5839"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Modder</surname><given-names>UI</given-names></name><name><surname>Riggs</surname><given-names>BL</given-names></name><name><surname>Spelsberg</surname><given-names>TC</given-names></name><name><surname>Fraser</surname><given-names>DG</given-names></name><name><surname>Atkinson</surname><given-names>EJ</given-names></name><name><surname>Arnold</surname><given-names>R</given-names></name><name><surname>Khosla</surname><given-names>S</given-names></name></person-group><article-title>Dose-response of estrogen on bone versus the uterus in ovariectomized mice</article-title><source>Eur J Endocrinol</source><volume>151</volume><fpage>503</fpage><lpage>510</lpage><year>2004</year><pub-id pub-id-type="doi">10.1530/eje.0.1510503</pub-id><pub-id pub-id-type="pmid">15476452</pub-id></element-citation></ref>
<ref id="b20-etm-0-0-5839"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Beamer</surname><given-names>WG</given-names></name><name><surname>Donahue</surname><given-names>LR</given-names></name><name><surname>Rosen</surname><given-names>CJ</given-names></name><name><surname>Baylink</surname><given-names>DJ</given-names></name></person-group><article-title>Genetic variability in adult bone density among inbred strains of mice</article-title><source>Bone</source><volume>18</volume><fpage>397</fpage><lpage>403</lpage><year>1996</year><pub-id pub-id-type="doi">10.1016/8756-3282(96)00047-6</pub-id><pub-id pub-id-type="pmid">8739896</pub-id></element-citation></ref>
<ref id="b21-etm-0-0-5839"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>CY</given-names></name><name><surname>Schaffler</surname><given-names>MB</given-names></name><name><surname>Wolde-Semait</surname><given-names>HT</given-names></name><name><surname>Hernandez</surname><given-names>CJ</given-names></name><name><surname>Jepsen</surname><given-names>KJ</given-names></name></person-group><article-title>Genetic background influences cortical bone response to ovariectomy</article-title><source>J Bone Miner Res</source><volume>20</volume><fpage>2150</fpage><lpage>2158</lpage><year>2005</year><pub-id pub-id-type="doi">10.1359/JBMR.050819</pub-id><pub-id pub-id-type="pmid">16294268</pub-id></element-citation></ref>
<ref id="b22-etm-0-0-5839"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Glatt</surname><given-names>V</given-names></name><name><surname>Canalis</surname><given-names>E</given-names></name><name><surname>Stadmeyer</surname><given-names>L</given-names></name><name><surname>Bouxsein</surname><given-names>ML</given-names></name></person-group><article-title>Age-related changes in trabecular architecture differ in female and male C57BL/6J mice</article-title><source>J Bone Miner Res</source><volume>22</volume><fpage>1197</fpage><lpage>1207</lpage><year>2007</year><pub-id pub-id-type="doi">10.1359/jbmr.070507</pub-id><pub-id pub-id-type="pmid">17488199</pub-id></element-citation></ref>
<ref id="b23-etm-0-0-5839"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duque</surname><given-names>G</given-names></name><name><surname>Huang</surname><given-names>DC</given-names></name><name><surname>Dion</surname><given-names>N</given-names></name><name><surname>Macoritto</surname><given-names>M</given-names></name><name><surname>Rivas</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>W</given-names></name><name><surname>Yang</surname><given-names>XF</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Lian</surname><given-names>J</given-names></name><name><surname>Marino</surname><given-names>FT</given-names></name><etal/></person-group><article-title>Interferon-&#x03B3; plays a role in bone formation in vivo and rescues osteoporosis in ovariectomized mice</article-title><source>J Bone Miner Res</source><volume>26</volume><fpage>1472</fpage><lpage>1483</lpage><year>2011</year><pub-id pub-id-type="doi">10.1002/jbmr.350</pub-id><pub-id pub-id-type="pmid">21308779</pub-id></element-citation></ref>
<ref id="b24-etm-0-0-5839"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>F</given-names></name><name><surname>Wang</surname><given-names>PX</given-names></name><name><surname>Wu</surname><given-names>XL</given-names></name><name><surname>Dang</surname><given-names>SY</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Ni</surname><given-names>YY</given-names></name><name><surname>Gao</surname><given-names>LH</given-names></name><name><surname>Lu</surname><given-names>SY</given-names></name><name><surname>Kuang</surname><given-names>Y</given-names></name><name><surname>Huang</surname><given-names>L</given-names></name><etal/></person-group><article-title>Deficiency of adiponectin protects against ovariectomy-induced osteoporosis in mice</article-title><source>PLoS One</source><volume>8</volume><fpage>e68497</fpage><year>2013</year><pub-id pub-id-type="doi">10.1371/journal.pone.0068497</pub-id><pub-id pub-id-type="pmid">23844209</pub-id></element-citation></ref>
<ref id="b25-etm-0-0-5839"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Buie</surname><given-names>HR</given-names></name><name><surname>Moore</surname><given-names>CP</given-names></name><name><surname>Boyd</surname><given-names>SK</given-names></name></person-group><article-title>Postpubertal architectural developmental patterns differ between the L3 vertebra and proximal tibia in three inbred strains of mice</article-title><source>J Bone Miner Res</source><volume>23</volume><fpage>2048</fpage><lpage>2059</lpage><year>2008</year><pub-id pub-id-type="doi">10.1359/jbmr.080808</pub-id><pub-id pub-id-type="pmid">18684086</pub-id></element-citation></ref>
<ref id="b26-etm-0-0-5839"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thompson</surname><given-names>DD</given-names></name><name><surname>Simmons</surname><given-names>HA</given-names></name><name><surname>Pirie</surname><given-names>CM</given-names></name><name><surname>Ke</surname><given-names>HZ</given-names></name></person-group><article-title>FDA Guidelines and animal models for osteoporosis</article-title><source>Bone</source><volume>17</volume><fpage>125S</fpage><lpage>133S</lpage><year>1995</year><pub-id pub-id-type="doi">10.1016/8756-3282(95)00285-L</pub-id><pub-id pub-id-type="pmid">8579908</pub-id></element-citation></ref>
<ref id="b27-etm-0-0-5839"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bansal</surname><given-names>N</given-names></name><name><surname>Katz</surname><given-names>R</given-names></name><name><surname>de Boer</surname><given-names>IH</given-names></name><name><surname>Kestenbaum</surname><given-names>B</given-names></name><name><surname>Siscovick</surname><given-names>DS</given-names></name><name><surname>Hoofnagle</surname><given-names>AN</given-names></name><name><surname>Tracy</surname><given-names>R</given-names></name><name><surname>Laughlin</surname><given-names>GA</given-names></name><name><surname>Criqui</surname><given-names>MH</given-names></name><name><surname>Budoff</surname><given-names>MJ</given-names></name><etal/></person-group><article-title>Influence of estrogen therapy on calcium, phosphorus and other regulatory hormones in postmenopausal women: The MESA study</article-title><source>J Clin Endocrinol Metab</source><volume>98</volume><fpage>4890</fpage><lpage>4898</lpage><year>2013</year><pub-id pub-id-type="doi">10.1210/jc.2013-2286</pub-id><pub-id pub-id-type="pmid">24092825</pub-id></element-citation></ref>
<ref id="b28-etm-0-0-5839"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campbell</surname><given-names>GM</given-names></name><name><surname>Buie</surname><given-names>HR</given-names></name><name><surname>Boyd</surname><given-names>SK</given-names></name></person-group><article-title>Signs of irreversible architectural changes occur early in the development of experimental osteoporosis as assessed by in vivo micro-CT</article-title><source>Osteoporos Int</source><volume>19</volume><fpage>1409</fpage><lpage>1419</lpage><year>2008</year><pub-id pub-id-type="doi">10.1007/s00198-008-0581-7</pub-id><pub-id pub-id-type="pmid">18373058</pub-id></element-citation></ref>
<ref id="b29-etm-0-0-5839"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sato</surname><given-names>M</given-names></name><name><surname>Zeng</surname><given-names>GQ</given-names></name><name><surname>Turner</surname><given-names>CH</given-names></name></person-group><article-title>Biosynthetic human parathyroid hormone (1&#x2013;34) effects on bone quality in aged ovariectomized rats</article-title><source>Endocrinology</source><volume>138</volume><fpage>4330</fpage><lpage>4337</lpage><year>1997</year><pub-id pub-id-type="doi">10.1210/endo.138.10.5440</pub-id><pub-id pub-id-type="pmid">9322947</pub-id></element-citation></ref>
<ref id="b30-etm-0-0-5839"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sato</surname><given-names>M</given-names></name><name><surname>Westmore</surname><given-names>M</given-names></name><name><surname>Ma</surname><given-names>YL</given-names></name><name><surname>Schmidt</surname><given-names>A</given-names></name><name><surname>Zeng</surname><given-names>QQ</given-names></name><name><surname>Glass</surname><given-names>EV</given-names></name><name><surname>Vahle</surname><given-names>J</given-names></name><name><surname>Brommage</surname><given-names>R</given-names></name><name><surname>Jerome</surname><given-names>CP</given-names></name><name><surname>Turner</surname><given-names>CH</given-names></name></person-group><article-title>Teriparatide [PTH(1&#x2013;34)] strengthens the proximal femur of ovariectomized nonhuman primates despite increasing porosity</article-title><source>J Bone Miner Res</source><volume>19</volume><fpage>623</fpage><lpage>629</lpage><year>2004</year><pub-id pub-id-type="doi">10.1359/JBMR.040112</pub-id><pub-id pub-id-type="pmid">15005850</pub-id></element-citation></ref>
<ref id="b31-etm-0-0-5839"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>M</given-names></name><name><surname>Feigenson</surname><given-names>M</given-names></name><name><surname>Sheu</surname><given-names>TJ</given-names></name><name><surname>Awad</surname><given-names>HA</given-names></name><name><surname>Schwarz</surname><given-names>EM</given-names></name><name><surname>Jonason</surname><given-names>JH</given-names></name><name><surname>Loiselle</surname><given-names>AE</given-names></name><name><surname>O&#x0027;Keefe</surname><given-names>RJ</given-names></name></person-group><article-title>Loss of the PGE2 receptor EP1 enhances bone acquisition, which protects against age and ovariectomy-induced impairments in bone strength</article-title><source>Bone</source><volume>72</volume><fpage>92</fpage><lpage>100</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.bone.2014.11.018</pub-id><pub-id pub-id-type="pmid">25446888</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-etm-0-0-5839" position="float">
<label>Figure 1.</label>
<caption><p>A three-dimensional model of the distal femur is shown. Brackets define the trabecular and cortical regions chosen for analysis. Scale bar=1 mm.</p></caption>
<graphic xlink:href="etm-15-04-3623-g00.tif"/>
</fig>
<table-wrap id="tI-etm-0-0-5839" position="float">
<label>Table I.</label>
<caption><p>Number of mice in each group.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Group</th>
<th align="center" valign="bottom">Baseline mice (n)</th>
<th align="center" valign="bottom">SHAM mice (n)</th>
<th align="center" valign="bottom">OVX mice (n)</th>
<th align="center" valign="bottom">OVX &#x002B; E2 mice (n)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">8-week old C57BL/6</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">7</td>
</tr>
<tr>
<td align="left" valign="top">12-week old C57BL/6</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">&#x2013;</td>
</tr>
<tr>
<td align="left" valign="top">16-week old C57BL/6</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">&#x2013;</td>
</tr>
<tr>
<td align="left" valign="top">8-week old BALB/c</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">6</td>
</tr>
<tr>
<td align="left" valign="top">8-week old ICR</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">6</td>
</tr>
<tr>
<td align="left" valign="top">8-week old Kunming</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">7</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-5839"><p>E2, 17&#x03B2;-estradiol; OVX, ovariectomized.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-etm-0-0-5839" position="float">
<label>Table II.</label>
<caption><p>Body weight, bone mass and microarchitecture in 8-, 12-, 16-, 20- and 24-week old female C57BL/6 mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Parameter</th>
<th align="center" valign="bottom">8-week old</th>
<th align="center" valign="bottom">12-week old</th>
<th align="center" valign="bottom">16-week old</th>
<th align="center" valign="bottom">20-week old</th>
<th align="center" valign="bottom">24-week old</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Body weight (g)</td>
<td align="center" valign="top">17.49&#x00B1;0.30<sup><xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref>,<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">20.55&#x00B1;1.00<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">23.26&#x00B1;0.59<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">22.92&#x00B1;1.19</td>
<td align="center" valign="top">25.16&#x00B1;0.902<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">Distal femur: Trabecular</td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;vBMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.137&#x00B1;0.004</td>
<td align="center" valign="top">0.137&#x00B1;0.006</td>
<td align="center" valign="top">0.142&#x00B1;0.002<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.129&#x00B1;0.004</td>
<td align="center" valign="top">0.123&#x00B1;0.005<sup><xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BV/TV (&#x0025;)</td>
<td align="center" valign="top">9.342&#x00B1;0.634</td>
<td align="center" valign="top">14.361&#x00B1;2.151<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">12.983&#x00B1;0.912<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">8.118&#x00B1;1.402</td>
<td align="center" valign="top">6.467&#x00B1;0.813<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Th (mm)</td>
<td align="center" valign="top">0.074&#x00B1;0.002</td>
<td align="center" valign="top">0.080&#x00B1;0.003<sup><xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.077&#x00B1;0.001<sup><xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.070&#x00B1;0.002<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.073&#x00B1;0.002</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.N (mm<sup>&#x2212;1</sup>)</td>
<td align="center" valign="top">1.253&#x00B1;0.074<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">1.826&#x00B1;0.202<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref>,<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">1.681&#x00B1;0.099<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref>,<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">1.137&#x00B1;0.182<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>&#x2013;<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.875&#x00B1;0.096<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Sp (mm)</td>
<td align="center" valign="top">0.359&#x00B1;0.029</td>
<td align="center" valign="top">0.259&#x00B1;0.013<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.260&#x00B1;0.006<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.303&#x00B1;0.028</td>
<td align="center" valign="top">0.329&#x00B1;0.014<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;SMI</td>
<td align="center" valign="top">2.559&#x00B1;0.033<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">2.547&#x00B1;0.088<sup><xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref>,<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">2.537&#x00B1;0.057<sup><xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref>,<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">2.751&#x00B1;0.076<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">2.779&#x00B1;0.067<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>&#x2013;<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Conn.D (mm<sup>&#x2212;3</sup>)</td>
<td align="center" valign="top">41.546&#x00B1;4.465<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">69.722&#x00B1;1.015<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">55.104&#x00B1;0.508<sup><xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">41.531&#x00B1;0.781</td>
<td align="center" valign="top">19.872&#x00B1;2.994<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>&#x2013;<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">Femoral midshaft: Cortical</td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.848&#x00B1;0.027<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">1.064&#x00B1;0.008<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref>&#x2013;<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">1.107&#x00B1;0.008<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn6-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">1.163&#x00B1;0.009<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>&#x2013;<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">1.136&#x00B1;0.009<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Cs.Th (mm)</td>
<td align="center" valign="top">0.138&#x00B1;0.002<sup><xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.170&#x00B1;0.003<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn5-etm-0-0-5839" ref-type="table-fn">c</xref>&#x2013;<xref rid="tfn7-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.183&#x00B1;0.004<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.182&#x00B1;0.006<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.190&#x00B1;0.003<sup><xref rid="tfn3-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn4-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-etm-0-0-5839"><p>Data are presented as the mean &#x00B1; the standard error of the mean.</p></fn>
<fn id="tfn3-etm-0-0-5839"><label>a</label><p>P&#x003C;0.05 vs. 8-week old</p></fn>
<fn id="tfn4-etm-0-0-5839"><label>b</label><p>P&#x003C;0.05 vs. 12-week old</p></fn>
<fn id="tfn5-etm-0-0-5839"><label>c</label><p>P&#x003C;0.05 vs. 16-week old</p></fn>
<fn id="tfn6-etm-0-0-5839"><label>d</label><p>P&#x003C;0.05 vs. 20-week old</p></fn>
<fn id="tfn7-etm-0-0-5839"><label>e</label><p>P&#x003C;0.05 vs. 24-week old. vBMD, volumetric bone mineral density; BV/TV, bone volume fraction; Tb.Th, trabecular thickness; Tb.N, trabecular number; Tb.Sp, trabecular separation; SMI, structure model index; Conn.D, connectivity density; Cs.Th, cross-sectional thickness; BMD, bone mineral density; HA, hydroxyapatite.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-etm-0-0-5839" position="float">
<label>Table III.</label>
<caption><p>Effect of estrogen deprivation on body weight, bone mass and microarchitecture in OVX<sub>8</sub>, OVX<sub>12</sub> and OVX<sub>16</sub> female C57BL/6J mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3">8-week-old</th>
<th align="center" valign="bottom" colspan="3">12-week-old</th>
<th align="center" valign="bottom" colspan="3">16-week-old</th>
<th/>
</tr>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Parameter</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">P-value<sub>treatment&#x002A;age</sub></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Body weight (g)</td>
<td align="center" valign="top">22.00&#x00B1;0.80</td>
<td align="center" valign="top">26.81&#x00B1;0.46</td>
<td align="center" valign="top">21.9<sup><xref rid="tfn10-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">22.92&#x00B1;1.19</td>
<td align="center" valign="top">27.51&#x00B1;1.34</td>
<td align="center" valign="top">20.0<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">25.16&#x00B1;0.90</td>
<td align="center" valign="top">28.10&#x00B1;1.05</td>
<td align="center" valign="top">11.7</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">Distal femur: trabecular</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;vBMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.143&#x00B1;0.006</td>
<td align="center" valign="top">0.092&#x00B1;0.003</td>
<td align="center" valign="top">&#x2212;35.1<sup><xref rid="tfn11-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.129&#x00B1;0.004</td>
<td align="center" valign="top">0.100&#x00B1;0.005</td>
<td align="center" valign="top">&#x2212;22.6<sup><xref rid="tfn10-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.123&#x00B1;0.005</td>
<td align="center" valign="top">0.104&#x00B1;0.005</td>
<td align="center" valign="top">&#x2212;15.8<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.016</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BV/TV (&#x0025;)</td>
<td align="center" valign="top">8.005&#x00B1;1.513</td>
<td align="center" valign="top">2.862&#x00B1;0.318</td>
<td align="center" valign="top">&#x2212;64.2<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">8.118&#x00B1;1.402</td>
<td align="center" valign="top">4.292&#x00B1;1.068</td>
<td align="center" valign="top">&#x2212;47.1<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">6.467&#x00B1;1.154</td>
<td align="center" valign="top">4.452&#x00B1;1.068</td>
<td align="center" valign="top">&#x2212;31.2</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Th (mm)</td>
<td align="center" valign="top">0.069&#x00B1;0.003</td>
<td align="center" valign="top">0.068&#x00B1;0.002</td>
<td align="center" valign="top">&#x2212;1.4</td>
<td align="center" valign="top">0.070&#x00B1;0.002</td>
<td align="center" valign="top">0.072&#x00B1;0.005</td>
<td align="center" valign="top">2.9</td>
<td align="center" valign="top">0.073&#x00B1;0.002</td>
<td align="center" valign="top">0.075&#x00B1;0.004</td>
<td align="center" valign="top">2.7</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.N (mm<sup>&#x2212;1</sup>)</td>
<td align="center" valign="top">1.119&#x00B1;0.160</td>
<td align="center" valign="top">0.415&#x00B1;0.039</td>
<td align="center" valign="top">&#x2212;62.9<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.137&#x00B1;0.182</td>
<td align="center" valign="top">0.568&#x00B1;0.110</td>
<td align="center" valign="top">&#x2212;50.0<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.875&#x00B1;0.096</td>
<td align="center" valign="top">0.571&#x00B1;0.121</td>
<td align="center" valign="top">&#x2212;34.7</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Sp (mm)</td>
<td align="center" valign="top">0.307&#x00B1;0.013</td>
<td align="center" valign="top">0.630&#x00B1;0.025</td>
<td align="center" valign="top">100.0<sup><xref rid="tfn11-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.303&#x00B1;0.028</td>
<td align="center" valign="top">0.416&#x00B1;0.015</td>
<td align="center" valign="top">37.3<sup><xref rid="tfn10-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.329&#x00B1;0.014</td>
<td align="center" valign="top">0.402&#x00B1;0.024</td>
<td align="center" valign="top">22.2<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">&#x003C;0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;SMI</td>
<td align="center" valign="top">2.684&#x00B1;0.071</td>
<td align="center" valign="top">2.725&#x00B1;0.060</td>
<td align="center" valign="top">1.5</td>
<td align="center" valign="top">2.751&#x00B1;0.076</td>
<td align="center" valign="top">2.956&#x00B1;0.153</td>
<td align="center" valign="top">7.5</td>
<td align="center" valign="top">2.779&#x00B1;0.067</td>
<td align="center" valign="top">3.005&#x00B1;0.084</td>
<td align="center" valign="top">8.1</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Conn.D (mm<sup>&#x2212;3</sup>)</td>
<td align="center" valign="top">33.369&#x00B1;0.418</td>
<td align="center" valign="top">12.722&#x00B1;1.129</td>
<td align="center" valign="top">&#x2212;61.9<sup><xref rid="tfn11-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">41.531&#x00B1;0.781</td>
<td align="center" valign="top">18.015&#x00B1;2.523</td>
<td align="center" valign="top">&#x2212;56.6<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">19.872&#x00B1;2.994</td>
<td align="center" valign="top">16.511&#x00B1;3.189</td>
<td align="center" valign="top">&#x2212;16.9</td>
<td align="center" valign="top">0.035</td>
</tr>
<tr>
<td align="left" valign="top">Femoral midshaft: Cortical</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">1.136&#x00B1;0.004</td>
<td align="center" valign="top">1.132&#x00B1;0.008</td>
<td align="center" valign="top">&#x2212;0.4</td>
<td align="center" valign="top">1.163&#x00B1;0.009</td>
<td align="center" valign="top">1.123&#x00B1;0.006</td>
<td align="center" valign="top">&#x2212;3.5<sup><xref rid="tfn10-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">1.136&#x00B1;0.009</td>
<td align="center" valign="top">1.102&#x00B1;0.008</td>
<td align="center" valign="top">&#x2212;2.9<sup><xref rid="tfn9-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Cs.Th (mm)</td>
<td align="center" valign="top">0.177&#x00B1;0.003</td>
<td align="center" valign="top">0.165&#x00B1;0.002</td>
<td align="center" valign="top">&#x2212;6.8<sup><xref rid="tfn10-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.182&#x00B1;0.006</td>
<td align="center" valign="top">0.179&#x00B1;0.003</td>
<td align="center" valign="top">&#x2212;1.6</td>
<td align="center" valign="top">0.190&#x00B1;0.003</td>
<td align="center" valign="top">0.184&#x00B1;0.005</td>
<td align="center" valign="top">&#x2212;3.2</td>
<td align="center" valign="top">NS</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn8-etm-0-0-5839"><p>Data are presented as the mean &#x00B1; standard error of the mean, unless otherwise stated. Difference between SHAM and OVX=(OVX<sub>mean</sub>-SHAM<sub>mean</sub>)/SHAM<sub>mean</sub>.</p></fn>
<fn id="tfn9-etm-0-0-5839"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn10-etm-0-0-5839"><label>b</label><p>P&#x003C;0.01</p></fn>
<fn id="tfn11-etm-0-0-5839"><label>c</label><p>P&#x003C;0.001 between SHAM and OVX groups. OVX, ovariectomized; vBMD, volumetric bone mineral density; BV/TV, bone volume fraction; Tb.Th, trabecular thickness; Tb.N, trabecular number; Tb.Sp, trabecular separation; SMI, structure model index; Conn.D, connectivity density; Cs.Th, cross-sectional thickness; BMD, bone mineral density; HA, hydroxyapatite; NS, not significant.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIV-etm-0-0-5839" position="float">
<label>Table IV.</label>
<caption><p>Body weight, bone mass and microarchitecture in four inbred and outbred strains.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Parameter</th>
<th align="center" valign="bottom">C57BL/6J (n=6)</th>
<th align="center" valign="bottom">BALB/c (n=6)</th>
<th align="center" valign="bottom">ICR (n=7)</th>
<th align="center" valign="bottom">Kunming (n=6)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Body weight (g)</td>
<td align="center" valign="top">17.49&#x00B1;0.30<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">23.16&#x00B1;0.85<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">29.20&#x00B1;0.43<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">36.29&#x00B1;0.82<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">Distal femur: Trabecular</td>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;vBMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.137&#x00B1;0.004<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.239&#x00B1;0.012<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.230&#x00B1;0.008<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.267&#x00B1;0.018<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BV/TV (&#x0025;)</td>
<td align="center" valign="top">9.342&#x00B1;0.634<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">26.236&#x00B1;1.920<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">20.161&#x00B1;1.844<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">29.749&#x00B1;3.233<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Th (mm)</td>
<td align="center" valign="top">0.074&#x00B1;0.002<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.104&#x00B1;0.003<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn15-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.091&#x00B1;0.003<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.102&#x00B1;0.003<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn15-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.N (mm<sup>&#x2212;1</sup>)</td>
<td align="center" valign="top">1.253&#x00B1;0.074<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">2.535&#x00B1;0.175<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">2.182&#x00B1;0.144<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">2.881&#x00B1;0.236<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Sp (mm)</td>
<td align="center" valign="top">0.359&#x00B1;0.286<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.270&#x00B1;0.017<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.301&#x00B1;0.025<sup><xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.218&#x00B1;0.014<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn15-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;SMI</td>
<td align="center" valign="top">2.559&#x00B1;0.033<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">1.646&#x00B1;0.108<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.984&#x00B1;0.063<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.725&#x00B1;0.133<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Conn.D (mm<sup>&#x2212;3</sup>)</td>
<td align="center" valign="top">41.546&#x00B1;4.465<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">81.648&#x00B1;5.149<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">73.165&#x00B1;4.898<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">92.052&#x00B1;9.051<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn15-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">Femoral midshaft: cortical</td>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.848&#x00B1;0.027<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">1.119&#x00B1;0.011<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.151&#x00B1;0.006<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.129&#x00B1;0.009<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Cs.Th (mm)</td>
<td align="center" valign="top">0.138&#x00B1;0.002<sup><xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref>&#x2013;<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.182&#x00B1;0.005<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn15-etm-0-0-5839" ref-type="table-fn">c</xref>,<xref rid="tfn16-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.215&#x00B1;0.006<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.210&#x00B1;0.009<sup><xref rid="tfn13-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn14-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn12-etm-0-0-5839"><p>Data are presented as the mean &#x00B1; standard error of the mean.</p></fn>
<fn id="tfn13-etm-0-0-5839"><label>a</label><p>P&#x003C;0.05 vs. C57BL/6J</p></fn>
<fn id="tfn14-etm-0-0-5839"><label>b</label><p>P&#x003C;0.05 vs. BALB/c</p></fn>
<fn id="tfn15-etm-0-0-5839"><label>c</label><p>P&#x003C;0.05 vs. ICR</p></fn>
<fn id="tfn16-etm-0-0-5839"><label>d</label><p>P&#x003C;0.05 vs. Kunming. vBMD, volumetric bone mineral density; BV/TV, bone volume fraction; Tb.Th, trabecular thickness; Tb.N, trabecular number; Tb.Sp, trabecular separation; SMI, structure model index; Conn.D, connectivity density; Cs.Th, cross-sectional thickness; BMD, bone mineral density; HA, hydroxyapatite.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tV-etm-0-0-5839" position="float">
<label>Table V.</label>
<caption><p>Effect of estrogen deprivation on body weight, bone mass and microarchitecture in three inbred and outbred mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3">BALB/c</th>
<th align="center" valign="bottom" colspan="3">ICR</th>
<th align="center" valign="bottom" colspan="3">Kunming</th>
<th/>
</tr>
<tr>
<th/>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th align="center" valign="bottom" colspan="3"><hr/></th>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Parameter</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">SHAM</th>
<th align="center" valign="bottom">OVX</th>
<th align="center" valign="bottom">Difference between SHAM and OVX (&#x0025;)</th>
<th align="center" valign="bottom">P-value<sub>treatment&#x002A;age</sub></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Body weight (g)</td>
<td align="center" valign="top">24.30&#x00B1;0.31</td>
<td align="center" valign="top">25.88&#x00B1;0.66</td>
<td align="center" valign="top">6.5<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">36.65&#x00B1;0.59</td>
<td align="center" valign="top">33.46&#x00B1;0.91</td>
<td align="center" valign="top">&#x2212;0.6</td>
<td align="center" valign="top">44.80&#x00B1;1.55</td>
<td align="center" valign="top">48.09&#x00B1;1.93</td>
<td align="center" valign="top">7.5</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">Distal femur: trabecular</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;vBMD (mg HA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.276&#x00B1;0.006</td>
<td align="center" valign="top">0.198&#x00B1;0.010</td>
<td align="center" valign="top">&#x2212;28.4<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref>,<xref rid="tfn21-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.231&#x00B1;0.016</td>
<td align="center" valign="top">0.159&#x00B1;0.014</td>
<td align="center" valign="top">&#x2212;31.2<sup><xref rid="tfn19-etm-0-0-5839" ref-type="table-fn">b</xref>,<xref rid="tfn22-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.234&#x00B1;0.020</td>
<td align="center" valign="top">0.183&#x00B1;0.010</td>
<td align="center" valign="top">&#x2212;22.0<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref>,<xref rid="tfn21-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BV/TV (&#x0025;)</td>
<td align="center" valign="top">21.590&#x00B1;0.561</td>
<td align="center" valign="top">9.740&#x00B1;1.842</td>
<td align="center" valign="top">&#x2212;54.9<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">19.827&#x00B1;2.447</td>
<td align="center" valign="top">11.052&#x00B1;1.858</td>
<td align="center" valign="top">&#x2212;44.3<sup><xref rid="tfn19-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">21.719&#x00B1;3.144</td>
<td align="center" valign="top">12.025&#x00B1;1.358</td>
<td align="center" valign="top">&#x2212;44.6</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Th (mm)</td>
<td align="center" valign="top">0.091&#x00B1;0.001</td>
<td align="center" valign="top">0.077&#x00B1;0.002</td>
<td align="center" valign="top">&#x2212;15.4<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.097&#x00B1;0.005</td>
<td align="center" valign="top">0.082&#x00B1;0.004</td>
<td align="center" valign="top">&#x2212;15.7<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.104&#x00B1;0.002</td>
<td align="center" valign="top">0.091&#x00B1;0.002</td>
<td align="center" valign="top">&#x2212;12.7<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.N (mm<sup>&#x2212;1</sup>)</td>
<td align="center" valign="top">2.384&#x00B1;0.053</td>
<td align="center" valign="top">1.249&#x00B1;0.211</td>
<td align="center" valign="top">&#x2212;47.6<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">2.013&#x00B1;0.165</td>
<td align="center" valign="top">1.313&#x00B1;0.185</td>
<td align="center" valign="top">&#x2212;34.8<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">2.067&#x00B1;0.279</td>
<td align="center" valign="top">1.322&#x00B1;0.139</td>
<td align="center" valign="top">&#x2212;36.0<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Sp (mm)</td>
<td align="center" valign="top">0.262&#x00B1;0.004</td>
<td align="center" valign="top">0.438&#x00B1;0.043</td>
<td align="center" valign="top">67.2<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.300&#x00B1;0.025</td>
<td align="center" valign="top">0.417&#x00B1;0.045</td>
<td align="center" valign="top">39.0<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.288&#x00B1;0.025</td>
<td align="center" valign="top">0.423&#x00B1;0.033</td>
<td align="center" valign="top">47.2<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.007</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;SMI</td>
<td align="center" valign="top">1.798&#x00B1;0.043</td>
<td align="center" valign="top">2.274&#x00B1;0.070</td>
<td align="center" valign="top">26.5<sup><xref rid="tfn20-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">1.997&#x00B1;0.087</td>
<td align="center" valign="top">2.299&#x00B1;0.085</td>
<td align="center" valign="top">15.1<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">2.013&#x00B1;0.184</td>
<td align="center" valign="top">2.253&#x00B1;0.081</td>
<td align="center" valign="top">11.9</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Conn.D (mm<sup>&#x2212;3</sup>)</td>
<td align="center" valign="top">61.169&#x00B1;1.637</td>
<td align="center" valign="top">40.762&#x00B1;7.984</td>
<td align="center" valign="top">&#x2212;33.4</td>
<td align="center" valign="top">62.382&#x00B1;0.657</td>
<td align="center" valign="top">42.713&#x00B1;5.481</td>
<td align="center" valign="top">&#x2212;31.5<sup><xref rid="tfn18-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">45.978&#x00B1;0.814</td>
<td align="center" valign="top">29.597&#x00B1;0.430</td>
<td align="center" valign="top">&#x2212;35.6</td>
<td align="center" valign="top">0.035</td>
</tr>
<tr>
<td align="left" valign="top">Femoral midshaft: Cortical</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BMD (mg HA/cm<sup>3</sup>)</td>
<td align="center" valign="top">1.218&#x00B1;0.009</td>
<td align="center" valign="top">1.213&#x00B1;0.008</td>
<td align="center" valign="top">&#x2212;0.4</td>
<td align="center" valign="top">1.258&#x00B1;0.008</td>
<td align="center" valign="top">1.253&#x00B1;0.008</td>
<td align="center" valign="top">&#x2212;0.4</td>
<td align="center" valign="top">1.209&#x00B1;0.007</td>
<td align="center" valign="top">1.220&#x00B1;0.009</td>
<td align="center" valign="top">0.9</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Cs.Th (mm)</td>
<td align="center" valign="top">0.222&#x00B1;0.002</td>
<td align="center" valign="top">0.209&#x00B1;0.007</td>
<td align="center" valign="top">&#x2212;5.9</td>
<td align="center" valign="top">0.255&#x00B1;0.006</td>
<td align="center" valign="top">0.255&#x00B1;0.007</td>
<td align="center" valign="top">0.4</td>
<td align="center" valign="top">0.212&#x00B1;0.004</td>
<td align="center" valign="top">0.207&#x00B1;0.011</td>
<td align="center" valign="top">&#x2212;2.6</td>
<td align="center" valign="top">NS</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn17-etm-0-0-5839"><p>Data are presented as the mean &#x00B1; standard error of the mean, unless otherwise stated. Difference between SHAM and OVX=(OVX<sub>mean</sub>-SHAM<sub>mean</sub>)/SHAM<sub>mean</sub>.</p></fn>
<fn id="tfn18-etm-0-0-5839"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn19-etm-0-0-5839"><label>b</label><p>P&#x003C;0.01</p></fn>
<fn id="tfn20-etm-0-0-5839"><label>c</label><p>P&#x003C;0.001 between SHAM and OVX groups.</p></fn>
<fn id="tfn21-etm-0-0-5839"><label>d</label><p>P&#x003C;0.001</p></fn>
<fn id="tfn22-etm-0-0-5839"><label>e</label><p>P&#x003C;0.01 vs. C57BL/6J. vBMD, volumetric bone mineral density; BV/TV, bone volume fraction; Tb.Th, trabecular thickness; Tb.N, trabecular number; Tb.Sp, trabecular separation; SMI, structure model index; Conn.D, connectivity density; Cs.Th, cross-sectional thickness; BMD, bone mineral density; HA, hydroxyapatite; NS, not significant.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tVI-etm-0-0-5839" position="float">
<label>Table VI.</label>
<caption><p>Effect of estrogen replacement on body weight, bone mass and microarchitecture in four inbred and outbred mice.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="bottom" colspan="2">C57BL/6J</th>
<th align="center" valign="bottom" colspan="2">BALB/c</th>
<th align="center" valign="bottom" colspan="2">ICR</th>
<th align="center" valign="bottom" colspan="2">Kunming</th>
<th/>
</tr>
<tr>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Parameter</th>
<th align="center" valign="bottom">OVX&#x002B;E2</th>
<th align="center" valign="bottom">Difference between OVX and OVX&#x002B;E2 (&#x0025;)</th>
<th align="center" valign="bottom">OVX&#x002B;E2</th>
<th align="center" valign="bottom">Difference between OVX and OVX&#x002B;E2 (&#x0025;)</th>
<th align="center" valign="bottom">OVX&#x002B;E2</th>
<th align="center" valign="bottom">Difference between OVX and OVX&#x002B;E2 (&#x0025;)</th>
<th align="center" valign="bottom">OVX&#x002B;E2</th>
<th align="center" valign="bottom">Difference between OVX and OVX&#x002B;E2 (&#x0025;)</th>
<th align="center" valign="bottom">P-value<sub>treatment&#x002A;strain</sub></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Body weight (g)</td>
<td align="center" valign="top">24.60&#x00B1;0.491</td>
<td align="center" valign="top">&#x2212;8.3<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">25.59&#x00B1;0.42</td>
<td align="center" valign="top">&#x2212;1.1</td>
<td align="center" valign="top">31.167&#x00B1;0.83</td>
<td align="center" valign="top">&#x2212;6.8</td>
<td align="center" valign="top">43.257&#x00B1;1.008</td>
<td align="center" valign="top">&#x2212;4.8<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">Distal femur: trabecular</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;vBMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">0.118&#x00B1;0.005</td>
<td align="center" valign="top">26.8<sup><xref rid="tfn25-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.218&#x00B1;0.009</td>
<td align="center" valign="top">10.2</td>
<td align="center" valign="top">0.179&#x00B1;0.009</td>
<td align="center" valign="top">12.5</td>
<td align="center" valign="top">0.176&#x00B1;0.013</td>
<td align="center" valign="top">&#x2212;3.4</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BV/TV (&#x0025;)</td>
<td align="center" valign="top">4.394&#x00B1;0.451</td>
<td align="center" valign="top">53.5</td>
<td align="center" valign="top">11.570&#x00B1;1.009</td>
<td align="center" valign="top">18.8</td>
<td align="center" valign="top">12.421&#x00B1;1.772</td>
<td align="center" valign="top">12.4</td>
<td align="center" valign="top">11.433&#x00B1;1.284</td>
<td align="center" valign="top">&#x2212;4.9</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Th (mm)</td>
<td align="center" valign="top">0.078&#x00B1;0.003</td>
<td align="center" valign="top">14.2<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">0.087&#x00B1;0.002</td>
<td align="center" valign="top">13.7<sup><xref rid="tfn25-etm-0-0-5839" ref-type="table-fn">b</xref></sup></td>
<td align="center" valign="top">0.088&#x00B1;0.002</td>
<td align="center" valign="top">7.2</td>
<td align="center" valign="top">0.104&#x00B1;0.002</td>
<td align="center" valign="top">14.9<sup><xref rid="tfn26-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.N (mm<sup>&#x2212;1</sup>)</td>
<td align="center" valign="top">0.559&#x00B1;0.049</td>
<td align="center" valign="top">34.6<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.323&#x00B1;0.102</td>
<td align="center" valign="top">5.9</td>
<td align="center" valign="top">1.420&#x00B1;0.198</td>
<td align="center" valign="top">8.2</td>
<td align="center" valign="top">1.096&#x00B1;0.115</td>
<td align="center" valign="top">&#x2212;17.1</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Tb.Sp (mm)</td>
<td align="center" valign="top">0.429&#x00B1;0.015</td>
<td align="center" valign="top">&#x2212;31.9<sup><xref rid="tfn26-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.360&#x00B1;0.015</td>
<td align="center" valign="top">&#x2212;17.7<sup><xref rid="tfn27-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.357&#x00B1;0.031</td>
<td align="center" valign="top">&#x2212;14.4<sup><xref rid="tfn27-etm-0-0-5839" ref-type="table-fn">d</xref></sup></td>
<td align="center" valign="top">0.457&#x00B1;0.054</td>
<td align="center" valign="top">8.0<sup><xref rid="tfn28-etm-0-0-5839" ref-type="table-fn">e</xref></sup></td>
<td align="center" valign="top">0.02</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;SMI</td>
<td align="center" valign="top">2.947&#x00B1;0.036</td>
<td align="center" valign="top">8.1<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">2.350&#x00B1;0.074</td>
<td align="center" valign="top">3.3</td>
<td align="center" valign="top">2.358&#x00B1;0.083</td>
<td align="center" valign="top">2.6</td>
<td align="center" valign="top">2.481&#x00B1;0.034</td>
<td align="center" valign="top">10.2</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Conn.D (mm<sup>&#x2212;3</sup>)</td>
<td align="center" valign="top">15.932&#x00B1;2.532</td>
<td align="center" valign="top">25.2</td>
<td align="center" valign="top">30.063&#x00B1;3.984</td>
<td align="center" valign="top">&#x2212;33.4</td>
<td align="center" valign="top">44.729&#x00B1;7.660</td>
<td align="center" valign="top">4.7</td>
<td align="center" valign="top">21.349&#x00B1;3.498</td>
<td align="center" valign="top">&#x2212;27.9</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">Femoral midshaft: Cortical</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;BMD (mgHA/cm<sup>3</sup>)</td>
<td align="center" valign="top">1.154&#x00B1;0.005</td>
<td align="center" valign="top">2.0<sup><xref rid="tfn24-etm-0-0-5839" ref-type="table-fn">a</xref></sup></td>
<td align="center" valign="top">1.224&#x00B1;0.009</td>
<td align="center" valign="top">0.8</td>
<td align="center" valign="top">1.262&#x00B1;0.007</td>
<td align="center" valign="top">0.7</td>
<td align="center" valign="top">1.229&#x00B1;0.008</td>
<td align="center" valign="top">0.8</td>
<td align="center" valign="top">NS</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Cs.Th (mm)</td>
<td align="center" valign="top">0.181&#x00B1;0.002</td>
<td align="center" valign="top">9.5<sup><xref rid="tfn26-etm-0-0-5839" ref-type="table-fn">c</xref></sup></td>
<td align="center" valign="top">0.217&#x00B1;0.002</td>
<td align="center" valign="top">4.0</td>
<td align="center" valign="top">0.266&#x00B1;0.007</td>
<td align="center" valign="top">4.1</td>
<td align="center" valign="top">0.213&#x00B1;0.002</td>
<td align="center" valign="top">3.4</td>
<td align="center" valign="top">NS</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn23-etm-0-0-5839"><p>OVX&#x002B;E2 data in this table are compared with OVX data from <xref rid="tV-etm-0-0-5839" ref-type="table">Table V</xref>. Data are presented as the mean &#x00B1; standard error of the mean, unless otherwise stated. Difference between OVX&#x002B;E2 and OVX=(OVX &#x002B; E2<sub>mean</sub>-OVX<sub>mean</sub>)/OVX<sub>mean</sub>.</p></fn>
<fn id="tfn24-etm-0-0-5839"><label>a</label><p>P&#x003C;0.05</p></fn>
<fn id="tfn25-etm-0-0-5839"><label>b</label><p>P&#x003C;0.01</p></fn>
<fn id="tfn26-etm-0-0-5839"><label>c</label><p>P&#x003C;0.001 between OVX&#x002B;E2 and OVX groups.</p></fn>
<fn id="tfn27-etm-0-0-5839"><label>d</label><p>P&#x003C;0.01</p></fn>
<fn id="tfn28-etm-0-0-5839"><label>e</label><p>P&#x003C;0.05 vs. C57BL/6J. vBMD, volumetric bone mineral density; BV/TV, bone volume fraction; Tb.Th, trabecular thickness; Tb.N, trabecular number; Tb.Sp, trabecular separation; SMI, structure model index; Conn.D, connectivity density; Cs.Th, cross-sectional thickness; BMD, bone mineral density; HA, hydroxyapatite; OVX, ovariectomized; NS, not significant.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
