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衰老细胞清除疗法通过与细胞衰老相关的炎症信号通路改善骨再生失败。

Senolytics ameliorate the failure of bone regeneration through the cell senescence-related inflammatory signalling pathway.

机构信息

Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Institute of Stomatological Research, Sun Yat-sen University, Guangzhou, Guangdong, China; Department of Orthodontics, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata, Osaka 573-1121, Japan.

Department of Orthodontics, Osaka Dental University, 8-1 Kuzuhahanazonocho, Hirakata, Osaka 573-1121, Japan; Department of Stomatological Research Center, Affiliated Hospital of Yunnan University, Kunming, Yunnan, China.

出版信息

Biomed Pharmacother. 2024 Jun;175:116606. doi: 10.1016/j.biopha.2024.116606. Epub 2024 Apr 25.

Abstract

Stress-induced premature senescent (SIPS) cells induced by various stresses deteriorate cell functions. Dasatinib and quercetin senolytics (DQ) can alleviate several diseases by eliminating senescent cells. α-tricalcium phosphate (α-TCP) is a widely used therapeutic approach for bone restoration but induces bone formation for a comparatively long time. Furthermore, bone infection exacerbates the detrimental prognosis of bone formation during material implant surgery due to oral cavity bacteria and unintentional contamination. It is essential to mitigate the inhibitory effects on bone formation during surgical procedures. Little is known that DQ improves bone formation in Lipopolysaccharide (LPS)-contaminated implants and its intrinsic mechanisms in the study of maxillofacial bone defects. This study aims to investigate whether the administration of DQ ameliorates the impairments on bone repair inflammation and contamination by eliminating SIPS cells. α-TCP and LPS-contaminated α-TCP were implanted into Sprague-Dawley rat calvaria bone defects. Simultaneously, bone formation in the bone defects was investigated with or without the oral administration of DQ. Micro-computed tomography and hematoxylin-eosin staining showed that senolytics significantly enhanced bone formation at the defect site. Histology and immunofluorescence staining revealed that the levels of p21- and p16-positive senescent cells, inflammation, macrophages, reactive oxygen species, and tartrate-resistant acid phosphatase-positive cells declined after administering DQ. DQ could partially alleviate the production of senescent markers and senescence-associated secretory phenotypes in vitro. This study indicates that LPS-contaminated α-TCP-based biomaterials can induce cellular senescence and hamper bone regeneration. Senolytics have significant therapeutic potential in reducing the adverse osteogenic effects of biomaterial-related infections and improving bone formation capacity.

摘要

各种应激诱导的过早衰老(SIPS)细胞会恶化细胞功能。达沙替尼和槲皮素(DQ)等衰老细胞清除剂可以通过清除衰老细胞来缓解多种疾病。α-磷酸三钙(α-TCP)是一种广泛用于骨修复的治疗方法,但由于口腔细菌和无意污染,它会导致骨形成时间相对较长。此外,在材料植入手术中,骨感染会加剧骨形成的不利预后。减轻手术过程中对骨形成的抑制作用至关重要。目前已知 DQ 可改善脂多糖(LPS)污染植入物中的骨形成,但其在颌骨骨缺损研究中的内在机制尚不清楚。本研究旨在探讨 DQ 是否通过消除 SIPS 细胞来改善 LPS 污染植入物的骨修复炎症和污染损伤。将 α-TCP 和 LPS 污染的 α-TCP 植入 Sprague-Dawley 大鼠颅骨骨缺损中。同时,研究了在不给予和给予 DQ 的情况下,骨缺损处的骨形成情况。微计算机断层扫描和苏木精-伊红染色显示,衰老细胞清除剂可显著增强缺陷部位的骨形成。组织学和免疫荧光染色显示,给予 DQ 后,p21-和 p16 阳性衰老细胞、炎症、巨噬细胞、活性氧和抗酒石酸酸性磷酸酶阳性细胞的水平下降。DQ 可以部分减轻体外衰老标志物和衰老相关分泌表型的产生。本研究表明,基于 LPS 污染的 α-TCP 生物材料可诱导细胞衰老并阻碍骨再生。衰老细胞清除剂在减轻生物材料相关感染对成骨的不良影响和提高骨形成能力方面具有重要的治疗潜力。

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