@article {Haas:2018:1072-3714:197, title = "Associations among circulating colony-stimulating factor-1, estrogen, and bone mineral density in postmenopausal women: results from a randomized placebo-controlled trial", journal = "Menopause", parent_itemid = "infobike://wk/gme", publishercode ="wk", year = "2018", volume = "25", number = "2", publication date ="2018-02-01T00:00:00", pages = "197-201", itemtype = "ARTICLE", issn = "1072-3714", eissn = "1530-0374", url = "https://www.ingentaconnect.com/content/wk/gme/2018/00000025/00000002/art00013", doi = "doi:10.1097/GME.0000000000000974", keyword = "Osteoporosis, Women, Colony-stimulating factor 1, Bone", author = "Haas, Andrea V. and Cong, Elaine and Simpson, Christine A. and Sukumar, Nitin and Deng, Yanhong and Insogna, Karl L.", abstract = " Objective: This study addresses the relationship between circulating levels of colony-stimulating factor 1 (CSF-1) and rates of postmenopausal bone loss. The purpose was to test the hypothesis that CSF-1 levels would correlate with the rate of bone loss in estrogen-deficient woman. We further hypothesized that estrogen replacement would eliminate this association.Methods: This was an ancillary study to the parent Kronos Early Estrogen Prevention Study (KEEPS)a 4-year randomized placebo-controlled study that evaluated the effects of estrogen therapy on cardiovascular endpoints. Women between of the ages of 42 and 58, who had been amenorrheic for 6 months and 36 months, were enrolled in KEEPS. Participants were randomized to conjugated equine estrogen 0.45mg daily, transdermal estradiol 50 micrograms weekly, or placebo.Results: There was no correlation between serum levels of CSF-1 and bone mineral density at the spine, hip, or femoral neck in estrogen-deficient women (correlation 0.0017, P=0.99 for spine; correlation 0.0010, P=0.0079 for hip, and correlation 0.0019, P=0.99 for femoral neck). There was also no significant correlation in the treatment group (correlation 0.0015, P=0.99; correlation 0.00024, P=0.99; correlation 0.0011, P=0.99 at spine, hip, and femoral neck respectively).Conclusions: This study did not demonstrate a meaningful relationship between circulating levels of CSF-1 and bone mineral density in either the placebo group or estrogen-treated group. Although CSF-1 is required for osteoclastic bone resorption, our data suggest that circulating levels of the cytokine may not reflect this process.", }