Chen Chung-Hwan, Cheng Tsung-Lin, Chang Chi-Fen, Huang Hsuan-Ti, Lin Sung-Yen, Wu Meng-Hsing, Kang Lin
Orthopaedic Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung 80701, Taiwan.
Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80701, Taiwan.
Biomedicines. 2021 Aug 30;9(9):1114. doi: 10.3390/biomedicines9091114.
Osteoarthritis (OA) and osteoporosis (OP) are common among older women, especially postmenopausal women. Glucosamine (GlcN) is a common medication for OA, but it may induce insulin resistance and β-cell dysfunction, especially if ovarian hormones are lacking. Raloxifene (RLX) is a selective estrogen receptor modulator and also an OP drug. Previously, we found that estrogen could improve GlcN-induced insulin resistance in ovariectomized (OVX) rats. Here, we further hypothesized that RLX, similarly to estrogen, can ameliorate GlcN-induced insulin resistance in OVX rats. We used GlcN to induce insulin resistance in OVX rats as a model for evaluating the protective effects of RLX in vivo. We used a pancreatic β-cell line, MIN-6, to study the mechanisms underlying the effect of RLX in GlcN-induced β-cell dysfunction in vitro. Increases in fasting plasma glucose, insulin, and homeostasis model assessments of insulin resistance in OVX Sprague Dawley rats treated with GlcN were reversed by RLX treatment ( = 8 in each group). Skeletal muscle GLUT-4 increased, liver PEPCK decreased, pancreatic islet hypertrophy, and β-cell apoptosis in OVX rats treated with GlcN was ameliorated by RLX. The negative effects of GlcN on insulin secretion and cell viability in MIN-6 cells were related to the upregulation of reticulum (ER) stress-associated proteins (C/EBP homologous protein, phospho-extracellular signal-regulated kinase, phospho-c-JunN-terminal kinase), the expression of which was reduced by RLX. Pretreatment with estrogen receptor antagonists reversed the protective effects of RLX. GlcN can induce insulin resistance, β-cell dysfunction, and apoptosis in OVX rats and increase ER stress-related proteins in β-cells, whereas RLX can reverse these adverse effects. The effects of RLX act mainly through estrogen receptor α; therefore, RLX may be a candidate drug for postmenopausal women with OA and OP.
骨关节炎(OA)和骨质疏松症(OP)在老年女性中很常见,尤其是绝经后女性。氨基葡萄糖(GlcN)是治疗OA的常用药物,但它可能会诱导胰岛素抵抗和β细胞功能障碍,特别是在缺乏卵巢激素的情况下。雷洛昔芬(RLX)是一种选择性雌激素受体调节剂,也是一种治疗OP的药物。此前,我们发现雌激素可以改善去卵巢(OVX)大鼠中GlcN诱导的胰岛素抵抗。在此,我们进一步假设,与雌激素类似,RLX可以改善OVX大鼠中GlcN诱导的胰岛素抵抗。我们使用GlcN诱导OVX大鼠产生胰岛素抵抗,以此作为评估RLX体内保护作用的模型。我们使用胰腺β细胞系MIN-6来研究RLX在体外对GlcN诱导的β细胞功能障碍作用的潜在机制。用RLX治疗可逆转给予GlcN的OVX斯普拉格-道利大鼠空腹血糖、胰岛素及胰岛素抵抗稳态模型评估值的升高(每组n = 8)。RLX改善了给予GlcN的OVX大鼠骨骼肌中葡萄糖转运蛋白4(GLUT-4)增加、肝脏中磷酸烯醇式丙酮酸羧激酶(PEPCK)减少、胰岛肥大及β细胞凋亡的情况。GlcN对MIN-6细胞胰岛素分泌和细胞活力的负面影响与内质网(ER)应激相关蛋白(C/EBP同源蛋白、磷酸化细胞外信号调节激酶、磷酸化c-Jun氨基末端激酶)的上调有关,而RLX可降低这些蛋白的表达。用雌激素受体拮抗剂预处理可逆转RLX的保护作用。GlcN可诱导OVX大鼠产生胰岛素抵抗、β细胞功能障碍和凋亡,并增加β细胞中ER应激相关蛋白,而RLX可逆转这些不良反应。RLX的作用主要通过雌激素受体α;因此,RLX可能是患有OA和OP的绝经后女性的候选药物。