Skip to main content

Effects of estrogen deficiency during puberty on maxillary and mandibular growth and associated gene expression – an μCT study on rats



Estrogen is a well-known and important hormone involved in skeletal homeostasis, which regulates genes involved in bone biology. Some studies support that estrogen is important for craniofacial growth and development. Therefore this in vivo animal study aimed to investigate, whether and in which way low estrogen levels in the prepubertal period affect craniofacial development in the postpubertal stage and to quantify the gene expression of RANK, RANKL and OPG in cranial growth sites in ovariectomized estrogen-deficient rats during puberty.


Control (sham-operated, n = 18) and ovariectomy (OVX, n = 18) surgeries were performed on 21-days-old female Wistar rats. Animals euthanized at an age of 45 days (pubertal stage) were used for gene expression analyses (n = 6 per group) and immunohistochemistry of RANK, RANKL and OPG. Animals euthanized at 63 days of age (post-pubertal stage) were used for craniofacial two-dimensional and three-dimensional craniofacial measurements using μCT imaging (n = 12 per group).


In the μCT analysis of the mandible and maxilla many statistically significant differences between sham-operated and OVX groups were observed, such as increased maxillary and mandibular bone length in OVX animals (p < 0.05). Condylar volume was also significantly different between groups (p < 0.05). The sham-operated group showed a higher level of RANK expression in the midpalatal suture (p = 0.036) and the RANKL:OPG ratio levels were higher in the OVX group (p = 0.015).


Our results suggest that estrogen deficiency during the prepubertal period is associated with alterations in the maxillary and mandibular bone length and condylar growth.

Peer Review reports


Postnatal craniofacial skeletogenesis is a unique process, in which many factors can affect growth and development. Estrogen is an important hormone involved in the skeletal homeostasis that regulates different aspects of bone metabolism, development, modeling and remodeling. Endogenous levels of estrogen change according to age and gender [1]. During puberty, there is an increase in estrogen levels leading to the development of secondary sexual characteristics and a significant increase in growth rate [2]. During the pubertal growth spurt, this hormone plays an important role controlling growth plate acceleration and fusion [3]. Estrogen deficiency has been reported in syndromes and genetic conditions [4,5,6], menstrual disorders [7], primary ovarian insufficiencies [8], underweight [9], excessive exercise [10] and chemotherapy [11]. It is well known that estrogen deficiency can cause osteoporosis [12, 13], decrease mineral density in bones and delay the epiphyseal maturation [14].

It is well established that sex steroids, including estrogen, regulate the RANK (receptor activator of nuclear factor-κB), RANKL (receptor activator of nuclear factor-κB ligand) and OPG (osteoprotegerin) axis, members of the tumor-necrosis-factor superfamily. One of the most important downstream mediators of the action of estrogen on bone is RANKL [15], which is crucial for osteoclast differentiation, activation and survival. OPG is a soluble decoy receptor binding RANKL, inhibiting osteoclastogenesis via the RANK receptor on osteoclast precursor cells [16, 17]. RANKL, which is expressed membrane-bound by osteoblasts and can also be released in soluble form, acts via its receptor RANK, which is expressed on the cell membrane of osteoclasts and osteoclast precursor cells [18]. RANK, RANKL and OPG are essential, non-redundant factors for osteoclast biology [15].

Some studies using rodent animal models were conducted previously to describe, how estrogen affects growth and development of craniofacial structures [19,20,21,22,23] and a variety of outcomes were observed. Some studies demonstrated a growth inhibition of the craniofacial complex in estrogen-deficient newborn mice [14, 20, 21], while increased condyle dimensions were observed, when the estrogen deficiency was induced in 8-weeks-old mice [19]. In a study performed on rats with estrogen deficiency induced at an age of 30 days, no alterations in craniofacial growth were observed [1]. On the other hand, in our previous study with estrogen deficiency induced in the prepubertal stage (age: 21 days), estrogen-deficient animals presented increased maxillary and mandibular measurements [23]. In this previous project from our research group, the two-dimensional radiographic analysis performed suggested that estrogen deficiency from the prepubertal stage affects the dimensions of the maxilla and mandible in female rats [23]. Therefore, in the present study, we used high-resolution micro-computed tomography (μCT) to analyze the maxillary and mandibular skeletal dimensions of adult female rats, which were subjected to estrogen deficiency during the prepubertal stage, in three dimensions. We also evaluated, if estrogen deficiency affects craniofacial growth via the RANK, RANKL and OPG axis by investigating their expression at growth sites of both maxilla and mandible during puberty and estrogen deficiency.

Materials and methods

Ethical aspects

The present study was performed and reported in accordance with the ARRIVE guidelines [24]. The Ethical Committee in Animal Experimentation from the School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil, approved the protocol of this study (2014.1.721.58.7).

Sample selection

The sample size was calculated for the application of independent-measures t tests based on estimates from a pilot study in radiographic images (n = 5). Several calculations were performed considering the results on each comparison related to the measures evaluated in the morphometric analysis and gene expression analysis. The highest estimations of the outcomes analyzed were considered as the sample size required. The following parameters were considered for the highest sample size estimation for the morphometric analysis: effect size = 1.4, α = 0.05 (5% error), power = 0.8, number of groups = 2. Regarding the gene expression outcome, the effect size considered was 2.2 and the other parameters were the same to the above-mentioned. The calculation estimated a minimum total sample of 20 animals for morphometric analysis and 10 animals for gene expression (total n = 30). Considering the possibility of using non-parametric statistics and possible losses, an increase of 20% was performed, which resulted in the adjustment of the sample size for 36 animals (6 rats for gene expression and 12 rats for morphometric analysis, per group). The sample size calculation was performed in G*Power (version Posteriorly, the animals were randomly assigned into OVX and sham-operated control groups using sealed envelopes to ensure the allocation concealment.

The housing room was temperature and humidity controlled and rats had ad libitum access to food. Briefly, the rats were anesthetized using an intraperitoneal injection of 10% ketamine hydrochloride (55 mg/kg of gross body weight) and 2% xylazine hydrochloride (10 mg/kg of gross body weight). At an age of 21 days (prepubertal stage), bilateral ovariectomy was performed in the OVX group and placebo surgery was performed in the sham-operated group according to the protocol of Omori et al. [23]. At an age of 45 days (pubertal stage) animals were euthanized for gene expression analyses. At an age of 63 days (post-pubertal stage - young adult) the remaining rats were euthanized for morphometric μCT analyses. Ages/developmental stages were established according to Sengupta [25].

As previously described by Chen et al. [26] and Omori et al. [23], body weight and uterus atrophy were significantly higher in the OVX rats than in sham-operated rats at 63 days of age (p < 0.05), confirming the success of ovariectomy. In case that the uterus atrophy was not observed, the animal would be excluded from the analysis.

Morphometric μCT analysis

The entire maxilla and mandible of each rat was retrieved after euthanasia and scanned with the micro-CT system phoenix v|tome|x s 240/180 research edition from GE Sensing & Inspection Technologies GmbH in the Regensburg Center of Biomedical Engineering. Scanning parameters for the rats’ upper jaws were as follows: 60 kV voltage, 800 μA current, 333 ms time, 1500 images, voxel size 55 μm, fast scan; while for the rats’ lower jaws settings were as follows: 60 kV voltage, 600 μA current, 333 ms time, 1500 images, voxel size 37 μm, fast scan. Reconstructed volumes were processed using the corresponding manufacturer’s software phoenix datos|× 2 reconstruction 2.4.0 (GE Sensing & Inspection Technologies GmbH, Wunstorf, Germany).

The 3D data of the maxilla and mandible were both analyzed using VGSTUDIO MAX 3.3 – Voxel Data Analysis and Visualization (Volume Graphics GmbH, Heidelberg, Germany) and Image J software (National Institutes of Health, Bethesda, MD, USA). To perform the maxillary and mandibular morphometric measurements, the 3D jaw images obtained by μCT were aligned in dorsal, lateral and ventral view and standardized scaled 2D images were taken for all rats. Image J software was used to measure linear (mm) and angular (°) dimensions within these 2D images. The used landmarks for both maxilla and mandible are demonstrated in Fig. 1 and described in Table 1 and were selected based on Wei et al. [27], Fujita et al. [20], Corte et .al [28], Wang et al. [29] and Perilo et al. [30]. The linear and angular measurements evaluated here are described in Table 2. One single calibrated examiner blindly performed all morphometric analyses. Each measurement was taken three times and the mean of the three measurements was used to perform statistical analyses. To assess intra-examiner reliability, the Intra-class Correlation Coefficient (ICC) was calculated to assess the concordance of measurements.

Fig. 1

Landmarks used for maxillary and mandibular measurements. a Inferior view of maxilla. b Lateral view of skull. c Inferior view of mandible. d Frontal view of mandible. e Superior view of mandible. f Lateral view of mandible

Table 1 Description of maxillary and mandibular landmarks used
Table 2 Linear and angular measurements evaluated in this study

Condylar volume was also obtained using VGSTUDIO MAX 3.3. All mandibles were aligned in a lateral view of the right condyle, which was separated from the mandible using a specific software tool to measure its volume (mm3). The amount of bone selected to measure the volume was standardized by positioning a pre-sized square (12 mm × 12 mm) over the condyle, in a way that the superior edge of the square matched with the most superior border of the condyle, and the left edge of the square matched with the most posterior border of the condyle in order to select the region of interest (ROI) (Fig. 2 a and b).

Fig. 2

μCT imaging example illustrating the mandible. a Pre-sized square in the condyle. b Region of interest

Gene expression of RANK, RANKL and OPG

Gene expression analysis was performed in growth sites of the maxilla (midpalatal suture) and mandible (condyle, mandibular angle, symphysis/parasymphysis and coronoid process) at the pubertal stage. Bone samples were dissected after euthanasia at the age of 45 days and stored in RNAlater (Life Technologies Corporation – Carlsbad, CA, USA) at − 80 °C until processing. Total RNA was extracted using the mirVana™ miRNA Isolation kit (Ambion/Life Technologies™, USA). Complementary DNA (cDNA) was synthesized by reverse-transcription with a High Capacity kit (Applied Biosystems, Foster City, CA, USA).

Quantitative real-time polymerase chain reaction (RT-qPCR) was blindly performed using a StepOnePlus™ sequence detection system (Applied Biosystems™, Foster City, CA, USA). The thermal cycling was carried out by starting with a hold cycle of 95 °C for 20 min, followed by 40 amplification cycles of 95 °C for 1 min and 60 °C for 20 min. Pre-designed TaqMan® primers and probes (Thermo Fisher Scientific, MA, USA) for RANK (Rn 04340164-m1), RANKL (Rn 00589289-m1 RankL) and OPG (Rn 00563499-m1 OPG). GAPDH (Rn01462661-g1) and ACTB (Rn01412977-g1) were used as endogenous controls and confirmed to be stably expressed. The relative levels of mRNA expression were determined by the 2-∆∆CT method. GAPDH and ACTB genes were used for sample normalization according to Livak and Schmittgen [31] to calculate relative gene expression. All procedures were performed following the respective manufacturer’s instructions and according to established protocols.

Immunohistochemical analysis of RANK, RANKL and OPG

Immunohistochemical analysis was performed as previously described [32]. The slides were incubated over night at 4 °C with the primary antibodies diluted in 1% BSA: anti-RANK (polyclonal rabbit antibody H300 sc:9072; diluted 1:25; Santa Cruz Biotechnology Inc., Santa Cruz, CA, USA), anti-RANKL (polyclonal goat antibody sc:7628; diluted 1:25; Santa Cruz Biotechnology Inc., Santa Cruz, CA, USA), and anti-OPG (polyclonal goat antibody n-20 sc:8468; diluted 1:25; Santa Cruz Biotechnology Inc., Santa Cruz, CA, USA). Later, after being washed, the slides were incubated with a biotinylated secondary antibody (goat anti-rabbit IgG-B sc-2040 and rabbit anti-goat IgG-B sc-2774; Santa Cruz Biotechnology Inc., diluted 1:200) for 1 h at room temperature. The streptavidinbiotin-peroxidase complex (ABC kit, Vectastain; Vector Laboratories Inc., Burlingame, CA, USA) was subsequently added for 30 min, followed by the addition of chromogen 3,3′ diaminobenzidine tetrahydrochloride hydrate (DAB; Sigma-Aldrich Corp., St. Louis, MO, USA) with 3% hydrogen peroxide in PBS for 1 min. Finally, the slides were counterstained with Harris’ hematoxylin. The identification of RANK, RANKL and OPG was performed at a magnification of 20x under conventional light using a Olympus BX-BX61 microscope (Olympus, Tokio, Japan) equipped with a camera connected to a computer (DELL®, Dell Inc., Round Rock, USA) and the software DP2-BSW® (Olympus, Tokio, Japan). The results were expressed qualitatively, according to the presence/absence of immunostaining in the regions of interest.

Statistical analysis

Sample normality was analyzed by Shapiro-Wilk tests. The comparative analysis was performed by Student’s t tests to assess differences in morphometric measurements between OVX and sham-operated groups. For gene expression analyses Mann-Whitney U tests were used. Statistical significance was set at p ≤ 0.05. All analyses were performed using the Prism 8 software (Graph Pad Software Inc., San Diego, California, USA).


Intraexaminer reliability of measurements was good with ICC ≥ 0.78. Eight animals died during the experiment. All the remaining animals were included, as follow: For gene expression analysis, samples from 5 OVX rats and samples from 4 sham-operated rats were used. For morphometric analysis, 8 skulls of OVX rats and 11 skulls of sham-operated rats were evaluated.

The overall dimensions in millimeter (mm) of the reconstructed μCT images of the rats’ maxilla and mandible are presented in Table 3. The maxillary posterior segment length was smaller in the OVX group (p = 0.012), while the maxillary central incisor length was bigger in the OVX group (p = 0.010). In the mandibular sagittal plane, mandibular height (p = 0.006), upper mandibular length (p = 0.037), mandibular plane length (p = 0.019), diagonal mandibular length (p = 0.014), the distance between the condyle to mandibular angle (p = 0.025) and mandibular height (p = 0.004) were bigger in the OVX group. Also, the mandibular angle composed by the lines intersecting the landmarks 17–19 and 20–22 was higher in the OVX group (p = 0.009). In the mandibular transversal plane, the mandibular interdiastemal breadth (p = 0.002) and the thickness of the condylar process (p < 0.0001) were larger in the OVX group.

Table 3 Means and standard deviations of 2D and 3D measurements

The condyle volume (mm3) was significantly increased in the OVX group (mean = 10.10; SD = 0.54) compared to the sham-operated group (mean = 8.91; SD = 1.15) (p = 0.016).

Gene expression of RANK, RANKL, OPG and the RANKL:OPG ratio are presented in Table 4. The sham-operated group had a higher level of RANK expression in the midpalatal suture (p = 0.036). The RANKL:OPG ratio was higher in the mandibular condyle of the OVX group (p = 0.015).

Table 4 Gene expression in the growth sites assessed

The immunohistochemical analysis showed a pattern of results similar to that observed in gene expression tests (Fig. 3). Immunostaining for RANK was more intense in the midpalatal suture chondrocytes for the sham-operated group. RANKL staining was more pronounced in the proliferative and hypertrophic layers of the mandibular condyle for the OVX group, while, on the contrary, OPG staining was more intense in the condyle for the sham-operated group.

Fig. 3

Representative photomicrographs of the immunostaining for RANK, RANKL and OPG of the condyle and the midpalatal suture at 45 days of age. Magnification: 20x


Estrogen deficiency during (pre) pubertal stage may impact on the development of the facial complex. Our study using a rodent model suggested that estrogen is one of the factors involved in the maxillary and mandibular growth and development. Since low estrogen levels in women and teenage girls can be caused by different conditions and their effects depends on the individual’s age and general health, clinicians should be aware of the possible potential impact of estrogen deficiency in dental arch development of girls.

In animal models, it is well known that low levels of estrogen can lead to changes in bone microarchitecture in femurs and mandibles [33], osteoporosis [13] and alterations in the alveolar bone [34] as well as alterations in craniofacial development [14, 19,20,21, 23]. In our study, we were able to extend upon the radiographic two-dimensional cephalometric linear findings reported by Omori et al. [23], who found that estrogen deficiency during puberty led to alterations in maxillary and mandibular dimensions. The use of images from μCT in the present study allowed us to perform a more reliable and complete analysis, adding more landmarks and different view positions of both arches resulting in a more detailed description of the phenotypes. Radiographic cephalometric linear and angular analysis of murine skulls has been developed long ago [35] and is very similar to that used in humans, which has practical and successful clinical applications [27]. Although some landmarks are difficult to identify on two-dimensional radiographs of mouse and rat skulls, radiograph-based cephalometric has been used successfully to identify morphometric changes in estrogen models of mice [14, 20] and rats [23, 36]. However, μCT-based craniofacial measurements have the advantage of a high resolution and the ability to determine both morphology and volume.

In our study, the thickness of the condylar process, as well as condylar volume were bigger in the OVX group. Larger measurements of condyle breadth were found in mice, when estrogen deficiency was induced in eight-week-old mice [20], although a normal width, low trabecular bone volume of the condyle and reduction in bone mineral density were also found [12, 13, 21].

We were able to observe that although the posterior segment length of the maxilla was smaller in OVX group, the others measurements statistically different among the groups - maxillary dimension (maxillary central incisor length) and the mandibular dimensions - were bigger in the OVX group. The phenotype observed in the maxilla of OVX group, in which the posterior length was smaller, could reflect a maxillary retrusion in humans. On the other hand, in mandible, linear and angular measurements related to the mandibular height and mandibular length were bigger in OVX group. These growth patterns in humans could lead to a mandibular protrusion (in the sagittal plane) and also a brachyfacial biotype tendency.

An explanation for maxillary and mandibular differences could be the fact that estrogen performs two opposite functions in two distinct phases of puberty. During the prepubertal period, the activity of estrogen is systemic in accordance with growth hormone (GH) causing bone elongation [2]. After this period of growth comes the period known as postpubertal, when estrogen acts at the local level causing epiphyseal fusion, resulting in bone maturation [2, 33]. Estrogen is needed during bone growth and development for proper closure of epiphyseal growth plates both in females and in males. Also, within the young skeleton, estrogen deficiency leads to increased osteoclast formation and enhanced bone resorption [37]. It is important to emphasize that estrogen plays a role in bone via the RANK/RANKL/OPG triad.

Our gene expression results and immunohistochemical analysis demonstrated that estrogen deficiency during puberty might affect the expression of RANK, RANKL and OPG in the craniofacial growth sites. Mandibular condylar cartilage is known as the center of most pronounced growth in the mandible and the craniofacial complex, and is associated with morphogenesis of the craniofacial skeleton [38]. The RANKL:OPG ratio was higher in the condyle of the OVX group, which may indicate a higher bone remodeling activity in this group. However, this results should be interpreted with caution. Although gene expression analysis was performed in both groups at the same age, at 45 days-old OVX and sham-operated group could be in a different pubertal stages, once higher levels of estrogen accelerates puberty [2]. It is important to mention that the condylar cartilage is a heterogeneous tissue comprising cells at different stages of chondrogenic maturation. Condylar cartilage is designated as secondary cartilage and differs from primary cartilage in histological organization; modes of proliferation, differentiation and calcification [30]. Chondrocytes also express and produce RANK, RANKL and OPG [39, 40]. A study in a rodent model concluded that OPG plays a protective role in the postnatal survival of condylar chondrocytes [41]. A possible limitation of our study is that gene expression was evaluated only in one time-period, which not allowed us to evaluate how the levels of RANK, RANKL and OPG behave throughout craniofacial growth during puberty.

The midpalatal suture is an important growth site in the maxilla. RANK in the midpalatal suture was differentially expressed among groups. Mature osteoclasts have the RANK receptor for their activation. Once RANKL binds to RANK, this activates the process of bone resorption. Although we observed that RANK expression was higher in the sham-operated group, RANKL and OPG expression were not statistically different among the groups in the midpalatal suture. In order to start bone remodeling, RANKL should bind RANK [41]. Therefore, it is possible that the statistical difference observed here does not have a biological impact on bone remodeling.

Briefly, our results using an estrogen-deficient animal model support that estrogen is important for maxillary and mandibular development during puberty and could impact the expression of the RANK/RANKL/OPG system in growth sites of the facial complex. However, the role of high of estrogen levels (hyperestrogenism) in maxillary and mandibular growth, as well as the role of estrogen in contraceptives are still unknown. It is possible that an estrogen excess, which could occur when taking estrogen-based contraceptives during puberty, might have the opposite effect as detected in the OVX animals, that is an inhibiting effect on mandibular and maxillary growth as well as craniofacial growth in general. Further studies should elucidate the effect of high levels of estrogen during facial growth. The levels of RANK, RANKL and OPG in maxillary and mandibular growth sites during different periods of puberty should also be investigated.


Estrogen deficiency during puberty could be involved on maxillary and mandibular dimensions and on RANK/RANKL/OPG expression at important growth sites of the jaws.

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.







Receptor activator of nuclear factor-κB


Receptor Activator of NF-κB Ligand


Receptor Activator of NF-κB




Glyceraldehyde-3-phosphate dehydrogenase


Actin beta


Bovine serum albumin


Phosphate buffered saline


  1. 1.

    Cauley JA. Estrogen and bone health in men and women. Steroids. 2015;99:1115.

    Article  Google Scholar 

  2. 2.

    Perry RJ, Farquharson C, Ahmed SF. The role of sex steroids in controlling pubertal growth. Clin Endocrinol. 2008;68(1):4–15.

    CAS  Article  Google Scholar 

  3. 3.

    Khosla S, Melton LJ, Atkinson EJ, O'Fallon WM. Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men. J Clin Endocrinol Metab. 2001;8:3555–61.

    Article  Google Scholar 

  4. 4.

    Belgorosky A, Guercio G, Pepe C, Saraco N, Rivarola MA. Genetic and clinical spectrum of aromatase deficiency in infancy, childhood and adolescence. Horm Res. 2009;72(6):321–30.

    CAS  Article  PubMed  Google Scholar 

  5. 5.

    Smith EP, Boyd J, Frank GR, Takahashi H, Cohen RM, Specker B, et al. Estrogen resistance caused by a mutation in the estrogen-receptor gene in a man. N Engl J Med. 1994;331(16):1056–61.

    CAS  Article  PubMed  Google Scholar 

  6. 6.

    Wilson CA, Heinrichs C, Larmore KA, Craen M, Brown-Dawson J, Shaywitz S, et al. Estradiol levels in girls with Turner’s syndrome compared to normal prepubertal girls as determined by an ultrasensitive assay. J Pediatr Endocrinol Metab. 2003;1:91–6.

    Google Scholar 

  7. 7.

    Hickey M, Balen A. Menstrual disorders in adolescence: investigation and management. Hum Reprod Update. 2003;9(5):493–504.

    Article  PubMed  Google Scholar 

  8. 8.

    Baker VL. Primary ovarian insufficiency in the adolescent. Curr Opin Obstet Gynecol. 2013;25(5):375–81.

    Article  PubMed  Google Scholar 

  9. 9.

    Bachrach LK, Guido D, Katzman D, Litt IF, Marcus R. Decreased bone density in adolescent girls with anorexia nervosa. Pediatrics. 1990;86(3):440–7.

    CAS  PubMed  Google Scholar 

  10. 10.

    Warren MP, Chua AT. Exercise-induced amenorrhea and bone health in the adolescent athlete. Ann N Y Acad Sci. 2008;1135(1):244–52.

    Article  PubMed  Google Scholar 

  11. 11.

    Demeestere I, Brice P, Peccatori FA, Peccatori FA, Kentos A, Gaillard I, et al. Gonadotropin-releasing hormone agonist for the prevention of chemotherapy-induced ovarian failure in patients with lymphoma: 1-year follow-up of a prospective randomized trial. J Clin Oncol. 2013;31(7):903–9.

    CAS  Article  PubMed  Google Scholar 

  12. 12.

    Ejiri S, Tanaka M, Watanabe N, Anwar RB, Yamashita E, Yamada K, et al. Estrogen deficiency and its effect on the jaw bones. J Bone Miner Metab. 2008;26(5):409–15.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  13. 13.

    Hsu PY, Tsai MT, Wang SP, Chen YJ, Wu J, Hsu JT. Cortical bone morphological and trabecular bone microarchitectural changes in the mandible and femoral neck of ovariectomized rats; 2016. p. 29.

    Google Scholar 

  14. 14.

    Hernandez RA, Ohtani J, Fujita T, Sunagawa H, Kawata T, Kaku M, et al. Sex hormones receptors play a crucial role in the control of femoral and mandibular growth in newborn mice. Eur J Orthod. 2011;33(5):564–9.

    Article  Google Scholar 

  15. 15.

    Streicher C, Heyny A, Andrukhova O, Haigl B, Slavic S, Schüler C. Estrogen regulates bone turnover by targeting RANKL expression in bone lining cells. Sci Rep. 2017;7:1–14.

    CAS  Article  Google Scholar 

  16. 16.

    Lacey DL, Timms E, Tan HL, Kelley MJ, Dunstan CR, Burgess T, et al. Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell. 1998;17:165–76.

    Article  Google Scholar 

  17. 17.

    Kong YY, Yoshida H, Sarosi I, Tan HL, Timms E, Capparelli C, et al. OPGL is a key regulator of osteoclastogenesis, lymphocyte development and lymph-node organogenesis. Nature. 1999;28:315–23.

    Article  Google Scholar 

  18. 18.

    Li J, Sarosi I, Yan XQ, Morony S, Capparelli C, Tan HL, et al. RANK is the intrinsic hematopoietic cell surface receptor that controls osteoclastogenesis and regulation of bone mass and calcium metabolism. Proc Natl Acad Sci U S A. 2000;15:1566–71.

    Article  Google Scholar 

  19. 19.

    Fujita T, Kawata T, Tokimasa C, Tanne K. Influence of oestrogen and androgen on modelling of the mandibular condylar bone in ovariectomized and orchiectomized growing mice. Arch Oral Biol. 2001;46(1):57–65.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  20. 20.

    Fujita T, Ohtani J, Shigekawa M, Kawata T, Kaku M, Kohno S, et al. Effects of sex hormone disturbances on craniofacial growth in newborn mice. J Dent Res. 2004;83(3):250–4.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  21. 21.

    Fujita T, Ohtani J, Shigekawa M, Kawata T, Kaku M, Kohno S, et al. Influence of sex hormone disturbances on the internal structure of the mandible in newborn mice. Eur J Orthod. 2006;28(2):190–4.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  22. 22.

    Seifi M, Ashiri M, Hedayati M. Effect of sexual hormone elimination on the changes of craniofacial dimensions in rats. J Dent Sch. 2008;4:365–72.

    Google Scholar 

  23. 23.

    Omori MA, Marañón-Vásquez GA, Romualdo PC, Martins Neto EC, Stuani MBS, Matsumoto MAN, et al. Effect of ovariectomy on maxilla and mandible dimensions of female rats. Orthod Craniofac Res. 2020;23(3):342–50.

    Article  PubMed  PubMed Central  Google Scholar 

  24. 24.

    Kilkenny C, Browne WJ, Cuthill IC, Emerson M, Altman DG. Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research. PLoS Biol. 2010;8(6):e1000412.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  25. 25.

    Sengupta P. The laboratory rat: relating its age with Human's. Int J Prev Med. 2013;4(6):624–30.

    PubMed  PubMed Central  Google Scholar 

  26. 26.

    Chen GX, Zheng S, Qin S, Zhong ZM, Wu XH, Huang ZP, et al. Effect of low-magnitude whole-body vibration combined with alendronate in ovariectomized rats: a random controlled osteoporosis prevention study. PLoS One. 2014;9(5):e96181.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Wei X, Thomas N, Hatch NE, Hu M, Liu F. Postnatal craniofacial skeletal development of female C57BL/6NCrl mice. Front Physiol. 2017;14:697.

    Article  Google Scholar 

  28. 28.

    Corte GM, Hünigen H, Richardson KC, Niehues SM, Plendl J. Cephalometric studies of the mandible, its masticatory muscles and vasculature of growing Göttingen Minipigs—a comparative anatomical study to refine experimental mandibular surgery. PLoS One. 2019;14(4):e0215875.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  29. 29.

    Wang Q, Kessler MJ, Kensler TB, Dechow PC. The mandibles of castrated male rhesus macaques (M acaca mulatta): the effects of orchidectomy on bone and teeth. Am J Phys Ant. 2016;159(1):31–51.

    Article  Google Scholar 

  30. 30.

    Perillo L, De Rosa A, Iaselli F, d’Apuzzo F, Grassia V, Cappabianca S. Comparison between rapid and mixed maxillary expansion through an assessment of dento-skeletal effects on posteroanterior cephalometry. Prog Orth. 2014;15(1):46.

    Article  Google Scholar 

  31. 31.

    Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) Method. Methods. 2001;25:402–8 22.

    CAS  Article  Google Scholar 

  32. 32.

    Barreiros D, Pucinelli CM, de Oliveira KM, Paula-Silva WG, Nelson-Filho P, da Silva LAB, et al. Immunohistochemical and mRNA expression of RANK, RANKL, OPG, TLR2 and MyD88 during apical periodontitis progression in mice. J Appl Oral Sci. 2018;26:e20170512.

    Article  Google Scholar 

  33. 33.

    Emons J, Chagin AS, Sävendahl L, Karperien M, Wit JM. Mechanisms of growth plate maturation and epiphyseal fusion. Horm Res Paediatr. 2011;75(6):383–91.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  34. 34.

    Tanaka M, Ejiri S, Toyooka E, Kohno S, Ozawa H. Effects of ovariectomy on trabecular structures of rat alveolar bone. J Periodontal Res. 2002;37(2):161–5.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  35. 35.

    Spence J. Methods of studying the skull development of the living rat by serial cephalometric roentgenograms. Am J Orthod. 1940;10:127–39.

    Google Scholar 

  36. 36.

    Yang J, Farnell D, Devlin H, Horner K, Graham J. The effect of ovariectomy on mandibular cortical thickness in the rat. J Dent. 2005;33(2):123–9.

    Article  PubMed  Google Scholar 

  37. 37.

    Väänänen HK, Härkönen PL. Estrogen and bone metabolism. Maturitas. 1996;23:65–9.

    Article  Google Scholar 

  38. 38.

    Mizoguchi I, Toriya N, Nakao Y. Growth of the mandible and biological characteristics of the mandibular condylar cartilage. Jap Dent Sci Rev. 2013;49(4):139–50.

    Article  Google Scholar 

  39. 39.

    Chen D, Liu Y, Liu Z, Wang P. OPG is required for the postnatal maintenance of condylar cartilage. Calcif Tissue Int. 2019;104(4):461–74.

    CAS  Article  PubMed  Google Scholar 

  40. 40.

    Tat SK, Amiable N, Pelletier JP, Boileau C, Lajeunesse D, Duval N, et al. Modulation of OPG, RANK and RANKL by human chondrocytes and their implication during osteoarthritis. Rheumatology. 2009;48:1482–90.

    CAS  Article  Google Scholar 

  41. 41.

    Ono T, Hayashi M, Sasaki F, Nakashima T. RANKL biology: bone metabolism, the immune system, and beyond. Inflamm Regen. 2020;40:51–7.

    Article  Google Scholar 

Download references


We gratefully thank the RCBE (Regensburg Center of Biomedical Engineering) for the support by the μ-CT facility, Dr. Birgit Striegl for performing the μCT analyses and we acknowledge the support from the Deutsche Forschungsgemeinschaft (DFG) in the frame of the program “Forschungsgeräte” (INST 102/11 – 1 FUGG).

We also thank to São Paulo Research Foundation (FAPESP) (2015/06866-5), the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001 and the Alexander-von-Humboldt-Foundation (Küchler/Kirschneck accepted in July 4th, 2019) for their financial support.


Financial support was given by the São Paulo Research Foundation (FAPESP) (2015/06866–5), the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001 and the Alexander-von-Humboldt-Foundation (Küchler/Kirschneck accepted in July 4th, 2019). Open Access funding enabled and organized by Projekt DEAL.

Author information




ECK conceptualized the study, designed the experiments, coordinated and supervised the project, funding resource, data analysis and wrote the manuscript. RML performed the morphometric analysis and wrote the manuscript. MAO performed the animal experiments. GMV performed the immunohistochemical investigations. MBSS performed the immunohistochemical investigations and analyses. FBF performed the statistical analysis. PNF conceptualized the study, supervised the animal and laboratory experiments. AS coordinated and supervised the morphometric analysis. MBL revised the manuscript and contributed to data analysis and discussion. PP funding resource for the microtomography analysis and determined the craniofacial phenotypes. CK designed the experiment, funding resource for the microtomography analysis, determined the craniofacial phenotypes, performed data analysis and wrote the manuscript. All authors revised and approved the final manuscript.

Corresponding authors

Correspondence to Erika Calvano Küchler or Christian Kirschneck.

Ethics declarations

Ethics approval and consent to participate

The study was performed according to the ethical principles. The study was independently reviewed and approved by the Ethical Committee in Animal Experimentation from the School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil (2014.1.721.58.7).

Consent for publication

Not applicable.

Competing interests

There are no competing interests of any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Küchler, E.C., de Lara, R.M., Omori, M.A. et al. Effects of estrogen deficiency during puberty on maxillary and mandibular growth and associated gene expression – an μCT study on rats. Head Face Med 17, 14 (2021).

Download citation


  • Maxilla
  • Mandible
  • Tooth
  • Estrogen
  • Gene expression