Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan.
BMC Musculoskelet Disord. 2021 Jun 5;22(1):519. doi: 10.1186/s12891-021-04398-z.
Dehydroepiandrosterone (DHEA), an adrenal steroid, has a protective role against diabetes. This study aimed to investigate the in vitro and in vivo protective effects of DHEA against high glucose-induced oxidative stress in tenocytes and tendons.
Tenocytes from normal Sprague-Dawley rats were cultured in low-glucose (LG) or high-glucose (HG) medium with or without DHEA. The experimental groups were: control group (LG without DHEA), LG with DHEA, HG without DHEA, and HG with DHEA. Reactive oxygen species (ROS) production, apoptosis, and messenger RNA (mRNA) expression of NADPH oxidase (NOX) 1 and 4, and interleukin-6 (IL-6) were determined. Further, diabetic rats were divided into a control group and a DHEA-injected group (DHEA group). NOX1 and NOX4 protein expression and mRNA expression of NOX1, NOX4, IL-6, matrix metalloproteinase (MMP)-2, tissue inhibitors of matrix metalloproteinase (TIMP)-2, and type I and III collagens in the Achilles tendon were determined.
In rat tenocytes, DHEA decreased the expression of NOX1 and IL-6, ROS accumulation, and apoptotic cells. In the diabetic rat Achilles tendon, NOX1 protein expression and mRNA expression of NOX1, IL-6, MMP-2, TIMP-2, and type III collagen were significantly lower while type I collagen expression was significantly higher in the DHEA group than in the control group.
DHEA showed antioxidant and anti-inflammatory effects both in vitro and in vivo. Moreover, DHEA improved tendon matrix synthesis and turnover, which are affected by hyperglycemic conditions. DHEA is a potential preventive drug for diabetic tendinopathy.
脱氢表雄酮(DHEA)是一种肾上腺类固醇,具有抵抗糖尿病的保护作用。本研究旨在探讨 DHEA 对肌腱细胞和肌腱中高糖诱导的氧化应激的体外和体内保护作用。
正常 Sprague-Dawley 大鼠的肌腱细胞在低糖(LG)或高糖(HG)培养基中培养,有或没有 DHEA。实验组为:对照组(LG 无 DHEA)、LG 加 DHEA、HG 无 DHEA 和 HG 加 DHEA。测定活性氧(ROS)产生、凋亡以及 NADPH 氧化酶(NOX)1 和 4 和白细胞介素 6(IL-6)的信使 RNA(mRNA)表达。此外,糖尿病大鼠分为对照组和 DHEA 注射组(DHEA 组)。测定 NOX1 和 NOX4 蛋白表达以及 NOX1、NOX4、IL-6、基质金属蛋白酶(MMP)-2、基质金属蛋白酶抑制剂(TIMP)-2 和 I 型和 III 型胶原的 mRNA 表达。
在大鼠肌腱细胞中,DHEA 降低了 NOX1 和 IL-6 的表达、ROS 积累和凋亡细胞。在糖尿病大鼠跟腱中,DHEA 组的 NOX1 蛋白表达和 NOX1、IL-6、MMP-2、TIMP-2 和 III 型胶原的 mRNA 表达明显低于对照组,而 I 型胶原表达明显高于对照组。
DHEA 在体外和体内均具有抗氧化和抗炎作用。此外,DHEA 改善了高糖条件下受影响的肌腱基质合成和转化。DHEA 是一种有潜力的预防糖尿病性肌腱病的药物。