Department of Veterinary Clinical Science, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China.
Cells. 2022 Dec 7;11(24):3945. doi: 10.3390/cells11243945.
Steroid-induced osteonecrosis of femoral head (SONFH) is one of the most common bone disorders in humans. Statin treatment is beneficial in preventing the development of SONFH through anti-inflammation effects and inhibition of the glucocorticoid receptor (GR). However, potential mechanisms of statin action remain to be determined. In this study, pulse methylprednisolone (MP) treatment was used to induce SONFH in broilers, and then MP-treated birds were administrated with simvastatin simultaneously to investigate the changes in cartilage homeostasis. Meanwhile, chondrocytes were isolated, cultured, and treated with MP, simvastatin, or GR inhibitor in vitro. The changes in serum homeostasis factors, cell viability, and expression of GR were analyzed. The results showed that the morbidity of SONFH in the MP-treated group increased significantly compared with the simvastatin-treated and control group. Furthermore, MP treatment induced apoptosis and high-level catabolism and low-level anabolism in vitro and vivo, while simvastatin significantly decreased catabolism and slightly recovered anabolism via inhibiting GR and the hypoxia-inducible factor (HIF) pathway. The GR inhibitor or its siRNA mainly affected the catabolism of cartilage homeostasis in vitro. In conclusion, the occurrence of SONFH in broilers was related to the activation of GR and HIF pathway, and imbalance of cartilage homeostasis. Simvastatin and GR inhibitor maintained cartilage homeostasis via GR and the HIF pathway.
激素诱导性股骨头坏死(SONFH)是人类最常见的骨骼疾病之一。他汀类药物治疗通过抗炎作用和抑制糖皮质激素受体(GR)对预防 SONFH 的发展有益。然而,他汀类药物作用的潜在机制仍有待确定。在这项研究中,使用脉冲甲基强的松龙(MP)治疗来诱导肉鸡发生 SONFH,然后同时给予 MP 治疗的鸟类辛伐他汀,以研究软骨稳态的变化。同时,分离、培养软骨细胞,并在体外用 MP、辛伐他汀或 GR 抑制剂进行处理。分析血清稳态因子、细胞活力和 GR 表达的变化。结果表明,与辛伐他汀治疗组和对照组相比,MP 治疗组的 SONFH 发病率显著增加。此外,MP 处理在体外和体内诱导细胞凋亡和高水平的分解代谢以及低水平的合成代谢,而辛伐他汀通过抑制 GR 和低氧诱导因子(HIF)途径显著降低分解代谢并轻微恢复合成代谢。GR 抑制剂或其 siRNA 主要影响软骨稳态的体外分解代谢。总之,肉鸡 SONFH 的发生与 GR 和 HIF 途径的激活以及软骨稳态失衡有关。辛伐他汀和 GR 抑制剂通过 GR 和 HIF 途径维持软骨稳态。
J Huazhong Univ Sci Technolog Med Sci. 2014-10