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一种不影响破骨细胞的双膦酸盐可预防糖皮质激素诱导的小鼠成骨细胞和骨细胞凋亡及骨强度丧失。

A bisphosphonate that does not affect osteoclasts prevents osteoblast and osteocyte apoptosis and the loss of bone strength induced by glucocorticoids in mice.

机构信息

Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, USA.

出版信息

Bone. 2011 Jul;49(1):122-7. doi: 10.1016/j.bone.2010.08.011. Epub 2010 Aug 22.


DOI:10.1016/j.bone.2010.08.011
PMID:20736091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3010455/
Abstract

Although a major effect of bisphosphonates on bone is inhibition of resorption resulting from their ability to interfere with osteoclast function, these agents also prevent osteoblast and osteocyte apoptosis in vitro and in vivo. However, the contribution of the latter property to the overall beneficial effects of the drugs on bone remains unknown. We compared herein the action on glucocorticoid-induced bone disease of the classical bisphosphonate alendronate with that of IG9402, a bisphosphonate analog that preserves osteoblast and osteocyte viability but does not induce osteoclast apoptosis in vitro. The bisphosphonates were injected daily (2.3 μmol/kg) to 5-month-old Swiss Webster mice (6-11 per group), starting 3 days before implantation of pellets releasing the glucocorticoid prednisolone (2.1 mg/kg/day). IG9402 did not affect levels of circulating C-telopeptide or osteocalcin, markers of resorption and formation, respectively, nor did it decrease mRNA levels of osteocalcin or collagen 1a1 in bone. On the other hand, alendronate decreased all these parameters. Moreover, IG9402 did not reduce cancellous mineralizing surface, mineral apposition rate, or bone formation rate, whereas alendronate induced a decrease in each of these bone formation measures. These findings demonstrate that, in contrast to alendronate, IG9402 does not inhibit bone turnover. Both alendronate and IG9402, on the other hand, activated survival kinase signaling in vivo, as evidenced by induction of ERK phosphorylation in bone. Furthermore, both bisphosphonates prevented the increase in osteoblast and osteocyte apoptosis as well as the decrease in vertebral bone mass and strength induced by glucocorticoids. We conclude that a bisphosphonate that does not affect osteoclasts prevents osteoblast and osteocyte apoptosis and the loss of bone strength induced by glucocorticoids in mice.

摘要

尽管双膦酸盐对骨骼的主要作用是通过干扰破骨细胞功能来抑制吸收,但这些药物也可以防止体外和体内成骨细胞和骨细胞凋亡。然而,后者对药物对骨骼整体有益作用的贡献尚不清楚。我们比较了经典双膦酸盐阿仑膦酸钠和双膦酸盐类似物 IG9402 对糖皮质激素诱导的骨病的作用,IG9402 可保留成骨细胞和骨细胞的活力,但不会诱导体外破骨细胞凋亡。双膦酸盐每天(2.3 μmol/kg)注射给 5 个月大的瑞士 Webster 小鼠(每组 6-11 只),从植入释放糖皮质激素泼尼松龙(2.1 mg/kg/天)的丸剂前 3 天开始。IG9402 不影响循环 C 端肽或骨钙素水平,分别是吸收和形成的标志物,也不降低骨中骨钙素或胶原 1a1 的 mRNA 水平。另一方面,阿仑膦酸钠降低了所有这些参数。此外,IG9402 并未减少松质骨矿化表面、矿化沉积率或骨形成率,而阿仑膦酸钠则会降低这些骨形成指标中的每一个。这些发现表明,与阿仑膦酸钠相反,IG9402 不会抑制骨转换。另一方面,阿仑膦酸钠和 IG9402 都激活了体内存活激酶信号,这可以通过骨中 ERK 磷酸化的诱导来证明。此外,两种双膦酸盐都可防止糖皮质激素诱导的成骨细胞和骨细胞凋亡增加以及椎骨骨量和强度下降。我们得出结论,一种不影响破骨细胞的双膦酸盐可防止糖皮质激素诱导的小鼠成骨细胞和骨细胞凋亡以及骨强度丧失。

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本文引用的文献

[1]
Intermittent parathyroid hormone administration counteracts the adverse effects of glucocorticoids on osteoblast and osteocyte viability, bone formation, and strength in mice.

Endocrinology. 2010-4-21

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N Engl J Med. 2009-1-1

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J Bone Miner Res. 2009-4

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Connexin 43 is required for the anti-apoptotic effect of bisphosphonates on osteocytes and osteoblasts in vivo.

J Bone Miner Res. 2008-11

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Bone. 2007-4

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Dissociation of the pro-apoptotic effects of bisphosphonates on osteoclasts from their anti-apoptotic effects on osteoblasts/osteocytes with novel analogs.

Bone. 2006-9

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J Bone Miner Res. 2006-4

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J Clin Invest. 2005-9

[9]
Bisphosphonates and estrogens inhibit osteocyte apoptosis via distinct molecular mechanisms downstream of extracellular signal-regulated kinase activation.

J Biol Chem. 2005-2-25

[10]
Fas/CD95 is associated with glucocorticoid-induced osteocyte apoptosis.

Life Sci. 2004-10-29

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