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他克莫司通过增强成骨作用和抑制脂肪生成来预防链脲佐菌素诱导的糖尿病大鼠的骨质流失。

FK506 prevented bone loss in streptozotocin-induced diabetic rats via enhancing osteogenesis and inhibiting adipogenesis.

作者信息

Ni Li-Hua, Tang Ri-Ning, Yuan Cheng, Song Kai-Yun, Wang Li-Ting, Wang Xiao-Chen, Zhang Yu-Xia, Zhang Xiao-Liang, Zhu Dong-Dong, Liu Bi-Cheng

机构信息

Institute of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing 210009, China.

Department of Nephrology, Nanjing Lishui People's Hospital, Zhongda Hospital Lishui Branch, Nanjing 10009, China.

出版信息

Ann Transl Med. 2019 Jun;7(12):265. doi: 10.21037/atm.2019.05.44.

Abstract

BACKGROUND

Type 1 diabetes mellitus (DM) is associated with severe osteoporosis, which is still a great challenge in the clinic. This work aimed to investigate the skeletal effects of FK506 in a rat model of streptozocin induced type 1 DM.

METHODS

Rats were divided into three groups: control (CTL), DM rats and DM rats treated with FK506. Dual energy X-ray absorption, micro-computed tomography, bone mechanics and bone histology were used for skeletal analysis. Bone marrow adipocytes infiltrations were detected by oil red O stain and H&E stain. In addition, the protein expression of adipocyte-specific makers (PPAR-γ, C/EBP-αβ), osteoblast-specific markers (Runx2, Osterix) and nuclear translocation of β-catenin in femurs were determined by western blot.

RESULTS

In the study, bone mineral density of femurs and lumbar vertebras in diabetic rats were increased after FK506 administration. FK506 treatment resulted in higher cancellous bone volume but had no significant effect on cortical bones in diabetic rats. The ultimate force and work to failure were increased in DM+FK506 group, while they were reduced in the DM group. Compared with the CTL, the infiltration of bone marrow adipocytes was significantly increased in the DM group, which was reduced after the treatment of FK506. Besides, the expression levels of Runx2 and Osterix were up-regulated, and that of PPAR-γ and C/EBP-α were down-regulated in diabetic rats after FK506 treatment. In addition, the nuclear translocation of β-catenin protein levels were increased in diabetic rats after the treatment of FK506.

CONCLUSIONS

Our study indicated that FK506 could alleviate bone loss in diabetic rats. This effects could be due to the results of enhancing osteogenesis and inhibiting adipogenesis, which might be regulated by activation the nuclear translocation of β-catenin.

摘要

背景

1型糖尿病(DM)与严重骨质疏松症相关,这在临床上仍然是一个巨大挑战。本研究旨在探讨FK506对链脲佐菌素诱导的1型糖尿病大鼠模型骨骼的影响。

方法

将大鼠分为三组:对照组(CTL)、糖尿病大鼠组和接受FK506治疗的糖尿病大鼠组。采用双能X线吸收法、显微计算机断层扫描、骨力学和骨组织学进行骨骼分析。通过油红O染色和苏木精-伊红染色检测骨髓脂肪细胞浸润情况。此外,采用蛋白质印迹法测定股骨中脂肪细胞特异性标志物(PPAR-γ、C/EBP-αβ)、成骨细胞特异性标志物(Runx2、Osterix)的蛋白表达以及β-连环蛋白的核转位情况。

结果

在本研究中,给予FK506后,糖尿病大鼠股骨和腰椎的骨密度增加。FK506治疗使糖尿病大鼠的松质骨体积增加,但对皮质骨无显著影响。DM+FK506组的最大力和破坏功增加,而DM组则降低。与CTL组相比,DM组骨髓脂肪细胞浸润显著增加,FK506治疗后减少。此外,FK506治疗后糖尿病大鼠Runx2和Osterix的表达水平上调,PPAR-γ和C/EBP-α的表达水平下调。另外,FK506治疗后糖尿病大鼠β-连环蛋白蛋白水平的核转位增加。

结论

我们的研究表明,FK506可减轻糖尿病大鼠的骨质流失。这种作用可能是由于增强成骨作用和抑制脂肪生成的结果,这可能是通过激活β-连环蛋白的核转位来调节的。

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