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蛋白激酶 G2 的激活可恢复糖皮质激素诱导的骨质疏松症小鼠中的 Wnt 信号和骨量。

Protein kinase G2 activation restores Wnt signaling and bone mass in glucocorticoid-induced osteoporosis in mice.

机构信息

Department of Medicine and.

Department of Bioengineering, UCSD, La Jolla, California, USA.

出版信息

JCI Insight. 2024 Jun 17;9(14):e175089. doi: 10.1172/jci.insight.175089.

Abstract

Osteoporotic fractures are a major complication of long-term glucocorticoid therapy. Glucocorticoids transiently increase bone resorption, but they predominantly inhibit bone formation and induce osteocyte apoptosis, leading to bone loss. Current treatments of glucocorticoid-induced osteoporosis aim mainly at reducing bone resorption and are, therefore, inadequate. We previously showed that signaling via the NO/cGMP/protein kinase G pathway plays a key role in skeletal homeostasis. Here, we show that pharmacological PKG activation with the guanylyl cyclase-1 activator cinaciguat or expression of a constitutively active, mutant PKG2R242Q restored proliferation, differentiation, and survival of primary mouse osteoblasts exposed to dexamethasone. Cinaciguat treatment of WT mice or osteoblast-specific expression of PKG2R242Q in transgenic mice prevented dexamethasone-induced loss of cortical bone mass and strength. These effects of cinaciguat and PKG2R242Q expression were due to preserved bone formation parameters and osteocyte survival. The basis for PKG2's effects appeared to be through recovery of Wnt/β-catenin signaling, which was suppressed by glucocorticoids but critical for proliferation, differentiation, and survival of osteoblast-lineage cells. Cinaciguat reduced dexamethasone activation of osteoclasts, but this did not occur in the PKG2R242Q transgenic mice, suggesting a minor role in osteoprotection. We propose that existing PKG-targeting drugs could represent a novel therapeutic approach to prevent glucocorticoid-induced osteoporosis.

摘要

骨质疏松性骨折是长期糖皮质激素治疗的主要并发症。糖皮质激素短暂增加骨吸收,但主要抑制骨形成并诱导骨细胞凋亡,导致骨丢失。目前糖皮质激素性骨质疏松症的治疗主要针对减少骨吸收,因此是不够的。我们之前表明,NO/cGMP/蛋白激酶 G 信号通路的信号传导在骨骼平衡中起着关键作用。在这里,我们表明,用鸟苷酸环化酶-1 激活剂西那卡吉或组成型激活突变 PKG2R242Q 进行药理学 PKG 激活恢复了暴露于地塞米松的原代小鼠成骨细胞的增殖、分化和存活。西那卡吉治疗 WT 小鼠或 PKG2R242Q 在转基因小鼠中的成骨细胞特异性表达可预防地塞米松诱导的皮质骨量和强度丧失。西那卡吉和 PKG2R242Q 表达的这些作用是由于保留了骨形成参数和骨细胞存活。PKG2 作用的基础似乎是通过恢复 Wnt/β-连环蛋白信号转导来实现的,糖皮质激素抑制了这种信号转导,而 Wnt/β-连环蛋白信号转导对于成骨细胞谱系细胞的增殖、分化和存活至关重要。西那卡吉减少了地塞米松对破骨细胞的激活,但在 PKG2R242Q 转基因小鼠中并未发生这种情况,这表明在骨保护中作用较小。我们提出,现有的 PKG 靶向药物可能代表预防糖皮质激素性骨质疏松症的一种新的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfba/11383176/f96cfd8606e0/jciinsight-9-175089-g079.jpg

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