Shi Jun, Wang Long, Zhang Hongyang, Jie Qiang, Li Xiaojie, Shi Qiyue, Huang Qiang, Gao Bo, Han Yuehu, Guo Kai, Liu Jian, Yang Liu, Luo Zhuojing
Institute of Orthopedics, Xijing Hospital, Fourth Military Medical University, China.
Institute of Orthopedics, Xi'an Chinese Medicine Hospital, China.
Bone. 2015 Oct;79:222-32. doi: 10.1016/j.bone.2015.06.014. Epub 2015 Jun 24.
Whether glucocorticoids directly enhance or interrupt osteoclastogenesis is still a controversial subject. In this study, we ascertained the dose-dependent positive effects of glucocorticoids on osteoclastogenesis in vivo and in vitro as well as investigated the mechanism in vitro. As the dose of glucocorticoids increased, osteoclastogenesis was stimulated at 0.1 μM, a peak was achieved at 1 μM and a corresponding decrease occurred at 10 μM. Reactive oxygen species (ROS), which play a crucial role in osteoclastogenesis, and autophagy flux activity, a cellular recycling process, were consistently up-regulated along with the dose-dependent effects of the glucocorticoids on osteoclast formation and function. N-acetyl-cysteine (NAC), a ROS scavenger, abrogated the effects of the glucocorticoids on autophagy and osteoclastogenesis. Moreover, 3-methyladenine (3-MA), an autophagy inhibitor, interrupted osteoclastogenesis stimulation by the glucocorticoids. These results implied that with glucocorticoid administration, ROS and autophagy, as a downstream factor of ROS, played vital roles in osteoclast formation and function. 3-MA administration did not enhance ROS accumulation, so that autophagy had no effect on ROS induced by glucocorticoids. Our investigation demonstrated that glucocorticoids had dose-dependent positive effects on osteoclast formation and function via ROS and autophagy. These results provide support for ROS and autophagy as therapeutic targets in glucocorticoid-related bone loss diseases such as glucocorticoid-induced osteoporosis.
糖皮质激素是直接增强还是阻断破骨细胞生成仍是一个有争议的话题。在本研究中,我们确定了糖皮质激素在体内和体外对破骨细胞生成的剂量依赖性积极作用,并在体外研究了其机制。随着糖皮质激素剂量的增加,在0.1μM时破骨细胞生成受到刺激,在1μM时达到峰值,而在10μM时则出现相应下降。在破骨细胞生成中起关键作用的活性氧(ROS)以及作为细胞回收过程的自噬通量活性,随着糖皮质激素对破骨细胞形成和功能的剂量依赖性作用而持续上调。ROS清除剂N-乙酰半胱氨酸(NAC)消除了糖皮质激素对自噬和破骨细胞生成的影响。此外,自噬抑制剂3-甲基腺嘌呤(3-MA)阻断了糖皮质激素对破骨细胞生成的刺激作用。这些结果表明,在给予糖皮质激素时,ROS以及作为ROS下游因子的自噬在破骨细胞形成和功能中起着至关重要的作用。给予3-MA并没有增强ROS的积累,因此自噬对糖皮质激素诱导的ROS没有影响。我们的研究表明,糖皮质激素通过ROS和自噬对破骨细胞形成和功能具有剂量依赖性的积极作用。这些结果为ROS和自噬作为糖皮质激素相关骨质流失疾病(如糖皮质激素诱导的骨质疏松症)的治疗靶点提供了支持。