培伐他汀通过调节破骨细胞吸收和成骨细胞形成来预防去卵巢诱导的骨质疏松症。
Pitavastatin prevents ovariectomy-induced osteoporosis by regulating osteoclastic resorption and osteoblastic formation.
机构信息
Musculoskeletal and Immune Disease Research Institute, School of Medicine, Wonkwang University, 460 Iksandae-ro, Iksan, Jeonbuk 54538, Republic of Korea.
Musculoskeletal and Immune Disease Research Institute, School of Medicine, Wonkwang University, 460 Iksandae-ro, Iksan, Jeonbuk 54538, Republic of Korea; Division of Rheumatology, Department of Internal Medicine, Wonkwang University Hospital, 460 Iksandae-ro, Iksan, Jeonbuk 54538, Republic of Korea.
出版信息
Biomed Pharmacother. 2021 Jul;139:111697. doi: 10.1016/j.biopha.2021.111697. Epub 2021 May 13.
Excessive osteoclast activity, along with relatively weak osteoblast function, is strongly associated with bone disease. Therefore, studies to identify novel anti-osteoporosis candidates with dual actions of inhibiting osteoclastogenesis and increasing osteoblastogenesis may provide an ideal approach for treating osteoporosis. Pitavastatin, an inhibitor of 3-hydroxy-3 methyl-glutaryl coenzyme A reductase, has demonstrated various pharmacological activities, including anti-inflammation, bone anabolic effects, vasodilation, and inhibition of revascularization; however, the precise effects and mechanisms of pitavastatin on the regulation of osteoblast and osteoclast activity need to be comprehensively elucidated. Herein, we demonstrated that pitavastatin is a potential candidate for treating osteoporosis by enhancing osteoblast differentiation and bone growth and inhibiting osteoclast differentiation and bone resorption. Pitavastatin exerted dose-dependent inhibitory effects on receptor activator of nuclear factor kappa-B ligand-induced osteoclast formation, bone resorption, and osteoclast-specific marker gene expression. These inhibitory effects were achieved by inhibiting the Akt, NF-κB, and mitogen-activated protein kinase (p38, ERK, and JNK) signaling pathways, resulting in the downregulation of major transcription factors c-Fos and NFATc1. Furthermore, pitavastatin potentially stimulated osteoblast differentiation by activating alkaline phosphatase (ALP), enhancing mineralization by Alizarin Red S, and increasing the expression of osteoblastogenic marker genes such as runt-related transcription factor 2, ALP, osteocalcin, and collagen type 1 alpha. Furthermore, we evaluated the therapeutic potential of pitavastatin in ovariectomy-induced systematic bone loss based on micro-computed tomography and histological analysis of femurs. Our findings demonstrated a new function and mechanism for pitavastatin in bone remodeling, indicating its potential as a therapeutic candidate in treating osteoporosis by inhibiting osteoclastic resorption and promoting osteoblastic formation.
破骨细胞活性过度增强,而相对较弱的成骨细胞功能,与骨疾病密切相关。因此,寻找具有抑制破骨细胞生成和促进成骨细胞生成双重作用的新型抗骨质疏松候选药物的研究,可能为骨质疏松症的治疗提供一种理想的方法。匹伐他汀是 3-羟基-3-甲基戊二酰基辅酶 A 还原酶的抑制剂,具有多种药理活性,包括抗炎、促进骨形成、血管扩张和抑制血管新生;然而,匹伐他汀对调节成骨细胞和破骨细胞活性的确切作用和机制仍需要全面阐明。在此,我们证明了匹伐他汀通过增强成骨细胞分化和骨生长以及抑制破骨细胞分化和骨吸收,是一种治疗骨质疏松症的潜在候选药物。匹伐他汀对核因子κB 受体激活剂配体诱导的破骨细胞形成、骨吸收和破骨细胞特异性标记基因表达具有剂量依赖性抑制作用。这些抑制作用是通过抑制 Akt、NF-κB 和丝裂原激活的蛋白激酶(p38、ERK 和 JNK)信号通路实现的,导致主要转录因子 c-Fos 和 NFATc1 的下调。此外,匹伐他汀通过激活碱性磷酸酶(ALP)促进成骨细胞分化,通过茜素红 S 增强矿化,增加成骨标记基因如 runt 相关转录因子 2、ALP、骨钙素和胶原类型 1 ɑ的表达,从而潜在地刺激成骨细胞分化。此外,我们基于股骨的 micro-CT 和组织学分析评估了匹伐他汀在卵巢切除诱导的系统性骨丢失中的治疗潜力。我们的研究结果揭示了匹伐他汀在骨重塑中的新功能和机制,表明其作为一种通过抑制破骨细胞吸收和促进成骨细胞形成来治疗骨质疏松症的治疗候选药物的潜力。