二甲双胍促进脂肪来源基质细胞的成骨分化,并发挥促进骨再生的促成骨作用。
Metformin Promotes Osteogenic Differentiation of Adipose-Derived Stromal Cells and Exerts Pro-Osteogenic Effect Stimulating Bone Regeneration.
作者信息
Smieszek Agnieszka, Tomaszewski Krzysztof A, Kornicka Katarzyna, Marycz Krzysztof
机构信息
Department of Experimental Biology, The Faculty of Biology and Animal Science, University of Environmental and Life Sciences Wroclaw 50-375, Poland.
Department of Anatomy, Jagiellonian University Medical College, 12 Kopernika Street, 31-034 Krakow, Poland.
出版信息
J Clin Med. 2018 Nov 26;7(12):482. doi: 10.3390/jcm7120482.
Metformin, the gold standard in type 2 diabetes treatment, is a drug with multi-faceted effects. Currently, metformin has gained much attention as an agent that may find application in regenerative medicine. In this study, we considered its pro-osteogenic function in the course of in vitro osteogenesis of multipotent stromal cells derived from rat adipose tissue (rASCs). In addition, we evaluated the effect of metformin treatment on bone metabolism in a model of cranial defect in nondiabetic rats. In vitro study showed that metformin that is introduced to the culture medium at concentration equal 500 µM may promote the differentiation of rASCs into bone-forming cells, which express mRNA and secrets proteins that are related to the functional tissue (namely, alkaline phosphatase and osteocalcin). Osteogenic effect of metformin, as determined using in vitro model, was also manifested with the formation of mineralized extracellular matrix rich calcium and phosphorous deposits. We have also found, that in undifferentiated rASCs, metformin significantly activates a critical regulatory factor for osteogenic differentiation, i.e., AMPK. Moreover, using in vivo model we showed metformin administration at a dose of 250 mg/kg/day accelerated bone healing and the formation of mature tissue at a fracture site in rat cranial defect model. The obtained results shed promising light on metformin application in regenerative orthopedics, both as an agent improving functionality of ASCs for therapeutic transplantation, as well as a medication enhancing the bone healing process.
二甲双胍是2型糖尿病治疗的金标准药物,具有多方面的作用。目前,二甲双胍作为一种可能应用于再生医学的药物备受关注。在本研究中,我们探讨了其在大鼠脂肪组织来源的多能基质细胞(rASCs)体外成骨过程中的促骨生成功能。此外,我们评估了二甲双胍治疗对非糖尿病大鼠颅骨缺损模型骨代谢的影响。体外研究表明,以500 μM的浓度加入培养基中的二甲双胍可促进rASCs向成骨细胞分化,这些成骨细胞表达与功能性组织相关的mRNA并分泌相关蛋白(即碱性磷酸酶和骨钙素)。使用体外模型确定的二甲双胍的成骨作用还表现为形成富含钙和磷沉积的矿化细胞外基质。我们还发现,在未分化的rASCs中,二甲双胍可显著激活成骨分化的关键调节因子,即AMPK。此外,使用体内模型我们表明,以250 mg/kg/天的剂量给予二甲双胍可加速大鼠颅骨缺损模型骨折部位的骨愈合和成熟组织的形成。所得结果为二甲双胍在再生骨科中的应用带来了希望,它既可以作为一种改善用于治疗性移植的ASCs功能的药物,也可以作为一种促进骨愈合过程的药物。
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