SummaryThe purpose of the present study was to examine the effects of combined administration of alendronate (ALN) and alfacalcidol (ALF) on the cancellous and cortical bone mass of the tibia in orchidectomized rats. Fifty male Sprague-Dawley rats, 3 mo of age, were randomized by the stratified weight method into five groups: age-matched control, orchidectomy, and orchidectomy with administration of ALN (2.5 g/kg, s.c., 5 times a week), ALF (0.05 g/kg, p.o., 5 times a week), or ALN ϩ ALF. The total experimental period was 12 wk. Orchidectomy reduced the cancellous bone mass of the proximal tibial metaphysis and maturation-related cortical bone gain of the tibial diaphysis as a result of increased trabecular bone resorption and decreased periosteal bone formation and also increased endocortical bone erosion and formation. ALN suppressed trabecular bone resorption and endocortical bone erosion and formation and increased periosteal bone formation, while ALF increased the number of osteoblasts and suppressed trabecular bone resorption and markedly increased periosteal and endocortical bone formation. Thus, both ALN and ALF prevented the orchidectomy-induced reduction in the cancellous bone mass and maturation-related cortical bone gain. Combined administration of ALN and ALF increased the cancellous bone mass as compared with the values observed in age-matched controls by causing more marked suppression of trabecular bone resorption. The present study showed the beneficial effects of combined administration of ALN and ALF on the cancellous bone mass of the tibia in orchidectomized rats. Key Words orchidectomy, osteopenia, alendronate, alfacalcidol, rat Testosterone is important for skeletal growth during the period of linear growth in males, and is also responsible for maintenance of the skeletal mass in the later stage of life ( 1-3 ). Testosterone deficiency, caused by orchidectomy (ORX), has been reported to induce highturnover cancellous osteopenia and cortical osteopenia with decreased periosteal bone formation in rats ( 4 , 5 ). We clarified, based on the findings in bone specimens obtained from 3-mo-old male Sprague-Dawley (SD) rats, that ORX induced cancellous osteopenia of the proximal tibial metaphysis as a result of increased bone resorption, and reduced maturation-related gain in the cortical bone mass of the tibial diaphysis as a result of decreased periosteal bone formation ( 6 ).Bone growth, bone modeling, and Basic Multi-Cellular Unit (BMU)-based bone remodeling differ between the cortical and cancellous bones. Typically, bone growth and modeling drifts are predominant in cortical bone and can increase the bone mass, whereas bone remodeling occurs primarily in the cancellous bone, and can either conserve or remove bone in contact with the marrow in rats ( 7 ). Bone modeling may add bone mass but can never result in a reduction in the bone mass, whereas bone remodeling usually results in a zero or negative balance of the bone mass. Thus, it was suggested that ORX in 3-mo-old male SD rats resulted in ...