Wang Zengguang, Dong Zhenglin, Li Yiming, Jiao Xin, Liu Yihao, Chang Hanwen, Gan Yaokai
Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, No. 639 Zhi Zao Ju Road, Huangpu District, Shanghai 200011, China.
Biomedicines. 2024 Apr 18;12(4):904. doi: 10.3390/biomedicines12040904.
Tendinopathy is a prevalent condition in orthopedics patients, exerting a profound impact on tendon functionality. However, its underlying mechanism remains elusive and the efficacy of pharmacological interventions continues to be suboptimal. Verapamil is a clinically used medicine with anti-inflammation and antioxidant functions. This investigation aimed to elucidate the impact of verapamil in tendinopathy and the underlying mechanisms through which verapamil ameliorates the severity of tendinopathy. In in vitro experiments, primary tenocytes were exposed to interleukin-1 beta (IL-1β) along with verapamil at a concentration of 5 μM. In addition, an in vivo rat tendinopathy model was induced through the localized injection of collagenase into the Achilles tendons of rats, and verapamil was injected into these tendons at a concentration of 5 μM. The in vitro findings highlighted the remarkable ability of verapamil to attenuate extracellular matrix degradation and apoptosis triggered by inflammation in tenocytes stimulated by IL-1β. Furthermore, verapamil was observed to significantly suppress the inflammation-related MAPK/NFκB pathway. Subsequent investigations revealed that verapamil exerts a remediating effect on mitochondrial dysfunction, which was achieved through activation of the Nrf2/HO-1 pathway. Nevertheless, the protective effect of verapamil was nullified with the utilization of the Nrf2 inhibitor ML385. In summary, the in vivo and in vitro results indicate that the administration of verapamil profoundly mitigates the severity of tendinopathy through suppression of inflammation and activation of the Nrf2/HO-1 pathway. These findings suggest that verapamil is a promising therapeutic agent for the treatment of tendinopathy, deserving further and expanded research.
肌腱病是骨科患者中的一种常见病症,对肌腱功能产生深远影响。然而,其潜在机制仍不清楚,药物干预的疗效也一直不尽人意。维拉帕米是一种临床使用的具有抗炎和抗氧化功能的药物。本研究旨在阐明维拉帕米对肌腱病的影响以及维拉帕米改善肌腱病严重程度的潜在机制。在体外实验中,将原代肌腱细胞与浓度为5 μM的维拉帕米一起暴露于白细胞介素-1β(IL-1β)。此外,通过向大鼠跟腱局部注射胶原酶诱导建立体内大鼠肌腱病模型,并以5 μM的浓度向这些肌腱中注射维拉帕米。体外研究结果突出了维拉帕米在减轻IL-1β刺激的肌腱细胞中由炎症引发的细胞外基质降解和细胞凋亡方面的显著能力。此外,观察到维拉帕米能显著抑制炎症相关的MAPK/NFκB通路。随后的研究表明,维拉帕米通过激活Nrf2/HO-1通路对线粒体功能障碍发挥修复作用。然而,使用Nrf2抑制剂ML385使维拉帕米的保护作用失效。总之,体内和体外结果表明,维拉帕米的给药通过抑制炎症和激活Nrf2/HO-1通路显著减轻了肌腱病的严重程度。这些发现表明维拉帕米是一种有前景的治疗肌腱病的药物,值得进一步深入研究。
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