Mahmoud Mohamed A Aziz, Saleh Dalia O, Safar Marwa M, Agha Azza M, Khattab Mahmoud M
Department of Pharmacology, Medical Division, National Research Centre, Giza, Egypt.
Department of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo, Egypt.
Toxicol Rep. 2021 Feb 15;8:366-375. doi: 10.1016/j.toxrep.2021.02.007. eCollection 2021.
Chloroquine (CQ); a lysosomotropic agent used for decade ago as anti-malarial, was tested against aging induced osteoporosis. Osteoporosis in male rats was induced using d-galactose (D-gal) as a reducing sugar at a dose of 200 mg/kg/day; i.p. Osteoporotic rats were orally treated with CQ (10 mg/kg/day) for four successive weeks. Bone densitometry of tibia and femur were evaluated. Bone formation biomarkers; osteoprotegrin (OPG), bone specific alkaline phosphatse (BALP), and osteocalcin (OCN), and bone resorption biomarker; receptor activator of nuclear factor kappa-B ligand (RANKL), cathepsin-k (CTSK), tartrate-resistant acid phosphatase (TRAP) were estimated. Moreover, the expression of extracellular regulated kinase (ERK) in bone was determined. CQ ameliorated the bone detrimental changes induced by d-galactose. It enhanced bone health as revealed by measurement of bone densitometry, halted the activation of receptor activator of nuclear factor kappa-B ligand (RANKL) and reduced bone manifestation of ERK. Furthermore, CQ treatment abated serum cathepsin-k (CTSK) and serum tartrate-resistant acid phosphatase (TRAP) thus inhibited osteoclastogenesis and consequently restored the RANKL/OPG ratio. CQ demonstrated an antioxidant effect in bone where it increased both Catalase (CAT) and Superoxide dismutase (SOD). These CQ preserving effect in rats treated with d-galactose were confirmed by the histopathological examination. The present study points to the potential therapeutic effect of CQ as anti-osteoporotic agent possibly through its antioxidant effects and suppression of ERK associated osteoclastogenesis.
氯喹(CQ);一种十年前用作抗疟疾药物的溶酶体亲和剂,被用于测试对抗衰老诱导的骨质疏松症。以200mg/kg/天的剂量腹腔注射d-半乳糖(D-gal)作为还原糖,诱导雄性大鼠患骨质疏松症。对骨质疏松大鼠连续四周口服给予CQ(10mg/kg/天)。评估胫骨和股骨的骨密度。测定骨形成生物标志物;骨保护素(OPG)、骨特异性碱性磷酸酶(BALP)和骨钙素(OCN),以及骨吸收生物标志物;核因子κB受体活化剂配体(RANKL)、组织蛋白酶k(CTSK)、抗酒石酸酸性磷酸酶(TRAP)。此外,还测定了骨中细胞外调节激酶(ERK)的表达。CQ改善了d-半乳糖诱导的骨损伤变化。通过骨密度测量显示,它增强了骨骼健康,阻止了核因子κB受体活化剂配体(RANKL)的激活,并降低了ERK的骨表现。此外,CQ治疗降低了血清组织蛋白酶k(CTSK)和血清抗酒石酸酸性磷酸酶(TRAP),从而抑制了破骨细胞生成,进而恢复了RANKL/OPG比值。CQ在骨中表现出抗氧化作用,它增加了过氧化氢酶(CAT)和超氧化物歧化酶(SOD)。组织病理学检查证实了CQ对d-半乳糖处理大鼠的这些保护作用。本研究指出,CQ作为抗骨质疏松剂可能具有潜在的治疗作用,可能是通过其抗氧化作用和抑制ERK相关的破骨细胞生成。