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长春西汀抑制 RANKL 诱导的破骨细胞生成,并减轻卵巢切除诱导的骨丢失。

Vinpocetine inhibits RANKL-induced osteoclastogenesis and attenuates ovariectomy-induced bone loss.

机构信息

Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China.

Institute of Neural Regeneration and Repair and Department of Neurology, The First Hospital of Yichang, Three Gorges University College of Medicine, Yichang, Hubei, 443000, China.

出版信息

Biomed Pharmacother. 2020 Mar;123:109769. doi: 10.1016/j.biopha.2019.109769. Epub 2019 Dec 15.

Abstract

Osteoporosis is a result of impaired bone formation and/or excessive bone resorption. Osteoclasts are the only cells in the body that have a bone resorption function. Inhibiting osteoclast activity and differentiation is a way to treat osteoporosis. The current pharmacological treatment for osteoporosis has many shortcomings, and more effective treatments are needed. Vinpocetine (Vinp), a derivative of the alkaloid vincamine, has been used to treat cerebrovascular disorders and cognitive impairment for a long time. Vinp inhibits mitogen-activated protein kinase (MAPK) and nuclear factor-κB (NF-κB)-dependent inflammatory responses and oxidative damage in which osteoclasts are often involved. However, the effects of Vinp on the regulation of osteoclast activity remain unknown. In this study, we found that Vinp significantly inhibited receptor activator of NF-κB ligand (RANKL)-induced osteoclast and F-actin formation and decreased osteoclastic bone resorption in vitro. Vinp also suppressed the expression of osteoclast-specific genes, including NFATc1, c-Fos, tartrate-resistant acid phosphatase (TRAP), matrix metalloproteinase-9 (MMP-9), and cathepsin K (CTSK) at both the mRNA and protein levels. Vinp reduced activation of NF-κB, MAPK, and AKT signaling during osteoclastogenesis and prevented the production of reactive oxygen species with increased nuclear factor erythroid 2-related factor 2, heme oxygenase 1, and NAD(P)H:quinone acceptor oxidoreductase 1 expression. Animal experiments consistently demonstrated that Vinp treatment significantly attenuated ovariectomy-induced bone loss with a decrease in the osteoclast number and decreases in serum levels of RANKL, TRAP, interleukin-1β, and tumor necrosis factor-alpha, as well as increased serum levels of osteoprotegerin. Taken together, our findings reveal that Vinp may be a potential pharmacological choice for preventing and treating osteoporosis.

摘要

骨质疏松症是由于骨形成受损和/或骨吸收过度所致。破骨细胞是体内唯一具有骨吸收功能的细胞。抑制破骨细胞的活性和分化是治疗骨质疏松症的一种方法。目前治疗骨质疏松症的药物有很多缺点,需要更有效的治疗方法。长春西汀(Vinp)是长春胺的生物碱衍生物,长期以来一直用于治疗脑血管疾病和认知障碍。长春西汀抑制丝裂原活化蛋白激酶(MAPK)和核因子-κB(NF-κB)依赖性炎症反应和氧化损伤,破骨细胞通常参与其中。然而,长春西汀对破骨细胞活性的调节作用尚不清楚。在这项研究中,我们发现长春西汀显著抑制核因子κB 受体激活剂配体(RANKL)诱导的破骨细胞和 F-肌动蛋白形成,并减少体外破骨细胞的骨吸收。长春西汀还抑制了破骨细胞特异性基因的表达,包括 NFATc1、c-Fos、抗酒石酸酸性磷酸酶(TRAP)、基质金属蛋白酶-9(MMP-9)和组织蛋白酶 K(CTSK)在 mRNA 和蛋白质水平上。长春西汀减少了破骨细胞发生过程中 NF-κB、MAPK 和 AKT 信号的激活,并通过增加核因子红细胞 2 相关因子 2、血红素加氧酶 1 和 NAD(P)H:醌氧化还原酶 1 的表达来防止活性氧的产生。动物实验一致表明,长春西汀治疗可显著减轻卵巢切除诱导的骨丢失,减少破骨细胞数量,并降低血清 RANKL、TRAP、白细胞介素-1β和肿瘤坏死因子-α水平,同时增加血清骨保护素水平。综上所述,我们的研究结果表明,长春西汀可能是预防和治疗骨质疏松症的一种潜在的药物选择。

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