It is clinically relevant to be able to predict to what extent a patient will respond to PTH in order to determine the best treatment. In a clinical study, several characteristics like BMD before treatment and age were examined for correlations with the increase in BMD after PTH treatment; however, no strong correlations were found [44]. In our study, the best predictor of final bone mass and bone volume fraction in both the meta- and epiphysis

was bone mass and selleck products bone volume fraction at the start of the experiment, before ovariectomy. If these results would be translational to clinical practice, which needs to be tested, this would indicate that bone mineral density before menopause would predict bone mineral density after PTH treatment of osteoporotic patients. CX-4945 cell line Cortical bone mass increased linearly over time after PTH treatment in the meta- and MM-102 cost diaphysis while marrow cavity volume decreased. In several cross-sectional studies, in which the effect of between 8 weeks and 6 months of PTH treatment was evaluated in ovariectomized rats, an increase in cortical bone mass was found [6, 14, 38]. In a study in ovariectomized mice, it was found that

within 3 weeks of PTH treatment, cortical thickness was significantly increased in the metaphysis and after 7 weeks, cortical thickness was even higher [45]. Diaphyseal cortical thickness was significantly increased only after 7 weeks of treatment. In another study, the effects of PTH treatment on metaphyseal cortical thickness of the tibia in ovariectomized rats was studied over time by using peripheral quantitative computed tomography

(pQCT) [46]. A linear increase in cortical thickness was found until about 6 weeks, after which the effect reached a plateau. Taken together, our linear increase in dia- and metaphyseal cortical bone after PTH treatment agrees with the literature. In the metaphysis, no effect of ovariectomy was found on cortical bone parameters, which agrees with previous studies [47, 48]. Interestingly, cortical thickness and polar moment of inertia in the diaphysis increased after ovariectomy, which is in contrast to significant decreases [21, 49] and no significant Dichloromethane dehalogenase changes [50, 51] previously reported. It has previously been found that PTH leads to a predominance of endocortical over periosteal bone apposition in cortical bone [16–18, 52]. Based on registered images of weeks 8 and 14, before and after PTH treatment, we found that endosteal and periosteal bone apposition both took place in the meta- and diaphysis, with a slight predominance of endosteal formation in the former one and a slight predominance of periosteal formation in the latter one. This difference between the meta- and diaphysis could be related to the following.