Different types of therapeutic agents for osteoporosis are often simultaneously prescribed for the same patient, but limited experimental findings indicate the significance of combined treatment. In the present study, the inhibitory effect of combined vitamin K
2(K
2) and 1α-(OH)-vitamin D
3(D
3) treatment on bone loss was compared to that of K
2 or D
3 alone in overiectomized rats. Female rats (20-week-old) were ovariectomized and divided into 4 groups as follows: they were treated for 8 weeks with vehicle, K
2 (30 mg/kg), D
3 (0.3 μg/kg) and K
2 and D
3 (K
2+D
3) at the respective doses. K
2 was given as a dietary supplement and D
3 was orally administered 3 times a week. Bone density of the femurs was measured by peripheral quantitative computed tomography. Ovariectomy resulted in decreased bone density in proximal metaphysis, especially in the trabecular region, and treatment with K
2, D
3 or K
2+D
3 inhibited this decrease. Moreover, in the K
2+D
3 group, bone density and mineral content in the trabecular region in proximal metaphysis and cortical bone width in diaphysis were significantly higher than those in the D
3 group. Consistent with these observations, bone strength in the femoral midshaft tended to increase only in the K
2+D
3 group compared to that in the vehicle group. These findings indicate that combined K
2 and D
3 treatment is more effective for bone loss than that with K
2 or D
3 alone.
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