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褪黑素通过激活Nrf2/过氧化氢酶信号通路抑制钛颗粒诱导的炎性骨溶解。

Melatonin suppresses Ti-particle-induced inflammatory osteolysis via activation of the Nrf2/Catalase signaling pathway.

作者信息

Zhu Xu, Zhang Yazhong, Yang Huilin, He Fan, Lin Jun

机构信息

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China; Orthopaedic Institute, Medical College, Soochow University, Suzhou 215007, China.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China; Orthopaedic Institute, Medical College, Soochow University, Suzhou 215007, China.

出版信息

Int Immunopharmacol. 2020 Nov;88:106847. doi: 10.1016/j.intimp.2020.106847. Epub 2020 Aug 6.

Abstract

Aseptic loosening induced by osteolysis is recognized as a late complication of joint replacement. Osteoclasts stimulated by Titanium (Ti) nanoparticles play a critical role in periprosthetic osteolysis. Emerging evidence indicates that melatonin, a hormone primarily synthesized by the pineal gland, has been shown an inhibitory effect on osteoclast formation. However, it is unclear whether melatonin could suppress Ti-particle-induced osteoclastogenesis and what the underlying mechanisms were involved in. Herein, we aimed to investigate the effect of melatonin on osteoclast differentiation and osteolysis stimulated by Ti particles. Our results showed that the in vitro osteoclastogenesis of mouse bone marrow monocytes (BMMs) stimulated by Ti particles was suppressed by melatonin treatments in a dose-dependent manner. Further experiments revealed that melatonin up-regulated the expression of the nuclear factor erythroid 2-related factor 2 (Nrf2) and catalase (CAT) at both the mRNA and protein levels. The role of the Nrf2/CAT signaling pathway was confirmed by the fact that silencing the expression of NRF2 by small interfering RNA (siRNA) counteracted the anti-osteolysis effects of melatonin. Furthermore, in vivo intraperitoneal injection of melatonin successfully attenuated periprosthetic osteolysis induced by Ti particles in a murine calvarial model. Our findings demonstrate that melatonin is a promising therapeutic agent for treating periprosthetic osteolysis by inhibiting the Ti-particle-stimulated osteoclastogenesis via activation of the Nrf2/Catalase signaling pathway.

摘要

由骨溶解引起的无菌性松动被认为是关节置换的晚期并发症。钛(Ti)纳米颗粒刺激的破骨细胞在假体周围骨溶解中起关键作用。新出现的证据表明,褪黑素是一种主要由松果体合成的激素,已被证明对破骨细胞形成具有抑制作用。然而,尚不清楚褪黑素是否能抑制Ti颗粒诱导的破骨细胞生成以及其中涉及的潜在机制。在此,我们旨在研究褪黑素对Ti颗粒刺激的破骨细胞分化和骨溶解的影响。我们的结果表明,褪黑素处理以剂量依赖性方式抑制了Ti颗粒刺激的小鼠骨髓单核细胞(BMMs)的体外破骨细胞生成。进一步的实验表明,褪黑素在mRNA和蛋白质水平上均上调了核因子红细胞2相关因子2(Nrf2)和过氧化氢酶(CAT)的表达。通过小干扰RNA(siRNA)沉默NRF2的表达抵消了褪黑素的抗骨溶解作用,这证实了Nrf2/CAT信号通路的作用。此外,在小鼠颅骨模型中,体内腹腔注射褪黑素成功减轻了Ti颗粒诱导的假体周围骨溶解。我们的研究结果表明,褪黑素是一种有前途的治疗剂,可通过激活Nrf2/过氧化氢酶信号通路抑制Ti颗粒刺激的破骨细胞生成,从而治疗假体周围骨溶解。

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