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辛伐他汀通过抑制糖皮质激素受体对激素性股骨头坏死软骨稳态的影响。

Effects of Simvastatin on Cartilage Homeostasis in Steroid-Induced Osteonecrosis of Femoral Head by Inhibiting Glucocorticoid Receptor.

机构信息

Department of Veterinary Clinical Science, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, China.

出版信息

Cells. 2022 Dec 7;11(24):3945. doi: 10.3390/cells11243945.


DOI:10.3390/cells11243945
PMID:36552711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9777187/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fdd/9777187/33dc507f8e7e/cells-11-03945-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fdd/9777187/7547e52b88d9/cells-11-03945-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fdd/9777187/33dc507f8e7e/cells-11-03945-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fdd/9777187/7547e52b88d9/cells-11-03945-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fdd/9777187/33dc507f8e7e/cells-11-03945-g003.jpg

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[3]
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引用本文的文献

[1]
Hip joint-preserving strategies for treating osteonecrosis of the femoral head: From nonoperative to operative procedures.

J Orthop Translat. 2025-3-19

[2]
Enhancing auricular reconstruction: A biomimetic scaffold with 3D-printed multiscale porous structure utilizing chondrogenic activity ink.

Mater Today Bio. 2025-1-24

[3]
Identification and validation of endoplasmic reticulum stress-related genes in patients with steroid-induced osteonecrosis of the femoral head.

Sci Rep. 2024-9-16

[4]
The effect of salidroside on the bone and cartilage properties in broilers.

Poult Sci. 2024-12

[5]
A Molecular Troika of Angiogenesis, Coagulopathy and Endothelial Dysfunction in the Pathology of Avascular Necrosis of Femoral Head: A Comprehensive Review.

Cells. 2023-9-14

本文引用的文献

[1]
Homeostatic Regulation of Glucocorticoid Receptor Activity by Hypoxia-Inducible Factor 1: From Physiology to Clinic.

Cells. 2021-12-7

[2]
Steroid-Induced Osteonecrosis of the Femoral Head: Novel Insight Into the Roles of Bone Endothelial Cells in Pathogenesis and Treatment.

Front Cell Dev Biol. 2021-11-30

[3]
ARG2, MAP4K5 and TSTA3 as Diagnostic Markers of Steroid-Induced Osteonecrosis of the Femoral Head and Their Correlation With Immune Infiltration.

Front Genet. 2021-7-26

[4]
Preliminary study of icariin indicating prevention of steroid-induced osteonecrosis of femoral head by regulating abnormal expression of miRNA-335 and protecting the functions of bone microvascular endothelial cells in rats.

Gene. 2020-9-7

[5]
Cartilage Homeostasis Affects Femoral Head Necrosis Induced by Methylprednisolone in Broilers.

Int J Mol Sci. 2020-7-8

[6]
PTEN inhibitor VO-OHpic attenuates GC-associated endothelial progenitor cell dysfunction and osteonecrosis of the femoral head via activating Nrf2 signaling and inhibiting mitochondrial apoptosis pathway.

Stem Cell Res Ther. 2020-3-30

[7]
Glucocorticoids inhibit macrophage differentiation towards a pro-inflammatory phenotype upon wounding without affecting their migration.

Dis Model Mech. 2019-5-30

[8]
HIF-1α metabolically controls collagen synthesis and modification in chondrocytes.

Nature. 2019-1-16

[9]
Effect of psoralen on the expression of PPARγ, osteocalcin, and trabecular bone area in rabbits with steroid-induced avascular necrosis of the femoral head.

J Orthop Surg Res. 2019-1-8

[10]
Early diagnosis and treatment of steroid-induced osteonecrosis of the femoral head.

Int Orthop. 2018-6-6

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