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小檗碱和阿司匹林通过抑制 BMP 信号通路和成骨分化来预防创伤性异位骨化。

Berberine and aspirin prevent traumatic heterotopic ossification by inhibition of BMP signalling pathway and osteogenic differentiation.

机构信息

Jiangxi Province Key Laboratory of Tumor Pathogenesis and Molecular Pathology, Department of Pathophysiology, School of Basic Medical Sciences, Nanchang University, Nanchang, China.

出版信息

J Cell Mol Med. 2023 Nov;27(22):3491-3502. doi: 10.1111/jcmm.17919. Epub 2023 Aug 22.

Abstract

Heterotopic ossification (HO) is a pathological process that often occurs in soft tissues following severe trauma. There is no effective therapy for HO. The BMP signalling pathway plays an essential role in the pathogenesis of HO. Our previous study showed that AMPK negatively regulates the BMP signalling pathway and osteogenic differentiation. The present study aims to study the effect of two AMPK activators berberine and aspirin on osteogenic differentiation and HO induced by traumatic injury. The effects of two AMPK activators, berberine and aspirin, on BMP signalling and osteogenic differentiation were measured by western blot, ALP and Alizarin red S staining in C3H10T1/2 cells. A mouse model with Achilles tenotomy was employed to assess the effects of berberine and aspirin on HO using μCT and histological analysis. First, our study showed that berberine and aspirin inhibited phosphorylation of Smad1/5 induced by BMP6 and the inhibition was attributed to the down-regulation of ALK2 expression. Second, the combination of berberine and aspirin yielded more potent effects on BMP signalling. Third, we further found that there was an additive effect of berberine and aspirin combination on osteogenic differentiation. Finally, we found that berberine and aspirin blocked trauma-induced ectopic bone formation in mice, which may be through suppression of phosphorylation of Smad1/5 in injured tissues. Collectively, these findings indicate that berberine and aspirin inhibit osteogenic differentiation in C3H10T1/2 cells and traumatic HO in mice, possibly through the down-regulation of the BMP signalling pathway. Our study sheds a light on prevention and treatment of traumatic HO using AMPK pharmacological activators berberine and aspirin.

摘要

异位骨化(HO)是一种常见于严重创伤后软组织中的病理性过程。目前尚无有效的治疗方法。BMP 信号通路在 HO 的发病机制中起着至关重要的作用。我们之前的研究表明,AMPK 负调控 BMP 信号通路和成骨分化。本研究旨在研究两种 AMPK 激活剂小檗碱和阿司匹林对创伤性损伤诱导的成骨分化和 HO 的影响。通过 Western blot、碱性磷酸酶(ALP)和茜素红 S 染色测定两种 AMPK 激活剂小檗碱和阿司匹林对 C3H10T1/2 细胞中 BMP 信号和成骨分化的影响。使用跟腱切断术的小鼠模型,通过 μCT 和组织学分析评估小檗碱和阿司匹林对 HO 的影响。首先,我们的研究表明,小檗碱和阿司匹林抑制 BMP6 诱导的 Smad1/5 磷酸化,这种抑制归因于 ALK2 表达的下调。其次,小檗碱和阿司匹林联合使用对 BMP 信号具有更强的抑制作用。第三,我们进一步发现小檗碱和阿司匹林联合使用对成骨分化具有相加作用。最后,我们发现小檗碱和阿司匹林阻断了小鼠创伤引起的异位骨形成,这可能是通过抑制损伤组织中 Smad1/5 的磷酸化实现的。总之,这些发现表明,小檗碱和阿司匹林抑制 C3H10T1/2 细胞中的成骨分化和小鼠创伤性 HO 的形成,可能是通过下调 BMP 信号通路实现的。我们的研究为使用 AMPK 药理学激活剂小檗碱和阿司匹林预防和治疗创伤性 HO 提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/171d/10660630/6b12220b30c8/JCMM-27-3491-g006.jpg

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