Zhou Chunhao, Hu Guanyu, Li Yikai, Zheng Sheng
Department of Orthopedics, Division of Spine Surgery, Nanfang Hospital, Southern Medical University.
Department of Traditional Chinese Orthopedics and Traumatology, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, People's Republic of China.
Int J Surg. 2025 Jan 1;111(1):411-425. doi: 10.1097/JS9.0000000000002075.
Polydatin (POL), a natural stilbenoid, has multiple pharmacological activities. However, its effect on osteoporotic bone defects has not yet been examined. This study was designed to explore the unknown role of POL on osteoporotic bone repair.
The effect of POL on osteogenesis and angiogenesis were investigated firstly. Then a series of angiogenesis-related assays were carried out to explore the relationship between osteogenesis and angiogenesis of POL, and the underlying mechanism was further explored. Whereafter, ovariectomy-induced osteoporosis rats with bone defect were treated with POL or placebo, the imageological and histological examinations were conducted to assess the effect of POL on osteoporotic bone repair.
The moderate concentrations (1 μM and 10 μM) of POL enhanced the osteogenesis of bone marrow mesenchymal stem cells (BMSCs) and elevated the expression of angiogenic-specific markers. Further research found that POL-induced human umbilical vein endothelial cells migration and tube formation through the osteogenesis-angiogenesis coupling of BMSCs, and the POL-induced osteogenesis-angiogenesis coupling was reversed after co-cultured with LY294002. Mechanistically, this was conducted via activating PI3K/AKT/GSK-3β/β-catenin pathway. After that, using the osteoporotic bone defect rat model, the authors, observed that POL facilitated osteoporotic bone repair through enhancing osteogenesis and CD31 hi EMCN hi type H-positive vessels formation via the PI3K/AKT/GSK-3β/β-catenin pathway.
The data above indicated that POL could accelerate osteoporotic bone repair by inducing the osteogenesis-angiogenesis coupling of BMSCs via the PI3K/AKT/GSK-3β/β-catenin pathway, which provided new insight and strategy for osteoporotic bone repair.
白藜芦醇苷(POL)是一种天然的芪类化合物,具有多种药理活性。然而,其对骨质疏松性骨缺损的影响尚未得到研究。本研究旨在探索POL在骨质疏松性骨修复中的未知作用。
首先研究POL对成骨和血管生成的影响。然后进行一系列与血管生成相关的试验,以探讨POL的成骨与血管生成之间的关系,并进一步探究其潜在机制。此后,对卵巢切除诱导的骨质疏松性骨缺损大鼠用POL或安慰剂进行治疗,进行影像学和组织学检查,以评估POL对骨质疏松性骨修复的作用。
中等浓度(1μM和10μM)的POL可增强骨髓间充质干细胞(BMSC)的成骨作用,并提高血管生成特异性标志物的表达。进一步研究发现,POL通过BMSC的成骨-血管生成偶联诱导人脐静脉内皮细胞迁移和管腔形成,与LY294002共培养后,POL诱导的成骨-血管生成偶联被逆转。机制上,这是通过激活PI3K/AKT/GSK-3β/β-连环蛋白通路实现的。在此之后,使用骨质疏松性骨缺损大鼠模型,作者观察到POL通过PI3K/AKT/GSK-3β/β-连环蛋白通路增强成骨作用和CD31高EMCN高H型阳性血管形成,从而促进骨质疏松性骨修复。
上述数据表明,POL可通过PI3K/AKT/GSK-3β/β-连环蛋白通路诱导BMSC的成骨-血管生成偶联,从而加速骨质疏松性骨修复,这为骨质疏松性骨修复提供了新的见解和策略。