[1]张亮亮,赵程锦,周煜虎,等.积雪草酸对大鼠绝经后骨质疏松症的治疗作用及机制研究[J].陕西医学杂志,2023,52(12):1624-1630.[doi:DOI:10.3969/j.issn.1000-7377.2023.12.002]
 ZHANG Liangliang,ZHAO Chengjin,ZHOU Yuhu,et al.Therapeutic effect and mechanism of asiatic acid on postmenopausal osteoporosis in rats[J].,2023,52(12):1624-1630.[doi:DOI:10.3969/j.issn.1000-7377.2023.12.002]
点击复制

积雪草酸对大鼠绝经后骨质疏松症的治疗作用及机制研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
52
期数:
2023年12期
页码:
1624-1630
栏目:
基础研究
出版日期:
2023-12-05

文章信息/Info

Title:
Therapeutic effect and mechanism of asiatic acid on postmenopausal osteoporosis in rats
作者:
张亮亮赵程锦周煜虎曹 博段明明冯阳阳
(延安大学附属医院创伤骨科,陕西 延安 716000)
Author(s):
ZHANG LiangliangZHAO ChengjinZHOU YuhuCAO BoDUAN MingmingFENG Yangyang
(Department of Traumatic Orthopedics,Affiliated Hospital of Yan'an University,Yan'an 716000,China)
关键词:
骨质疏松症 积雪草酸 Hedgehog信号通路 骨代谢 微结构 大鼠
Keywords:
Osteoporosis Asiatic acid Hedgehog signaling pathway Bone metabolism Microstructure Rat
分类号:
R 580
DOI:
DOI:10.3969/j.issn.1000-7377.2023.12.002
文献标志码:
A
摘要:
目的:探讨积雪草酸对大鼠绝经后骨质疏松症(OP)的治疗作用及相关机制。方法:采用一次性手术摘除双侧卵巢方式构建绝经后OP大鼠模型,分为模型组(9只)、雌二醇组(10只)、积雪草酸低剂量组(10只)、积雪草酸中剂量组(10只)和积雪草酸高剂量组(10只)。另取9只大鼠作为假手术组。观察骨组织病理改变、骨密度及微结构,以及血清骨代谢指标、骨代谢相关基因及蛋白表达。结果:雌二醇组和积雪草酸低、中、高剂量组均可减轻骨组织病理改变,增加骨密度,改善骨微结构。与假手术组比较,模型组大鼠股骨骨密度(BMD)、骨体积分数(BV/TV)、骨小梁数目(Tb.N)、骨小梁厚度(Tb.Th)下降,结构模式指数(SMI)和骨小梁分离度(Tb.Sp)上升,血清骨碱性磷酸酶(BALP)水平下降,Ⅰ型胶原交联氨基端肽(NTX-Ⅰ)和抗酒石酸酸性磷酸酶(TRAP)水平上升,骨组织音猬因子(SHH)、细胞表面跨膜蛋白Patched1(Ptc1)、7次跨膜蛋白(Smo)、Gli家族锌指蛋白-1(Gli1)、矮小相关转录因子2(Runx2)、骨保护素(OPG)、成骨细胞特异性转录因子(Osx)mRNA和蛋白表达下降,细胞核因子-κB受体活化因子(RANKL)mRNA和蛋白表达上升(均P<0.05)。与模型组比较,雌二醇组和积雪草酸低、中、高剂量组大鼠股骨BMD、BV/TV、Tb.N、Tb.Th上升,SMI和Tb.Sp下降,血清BALP水平上升,NTX-Ⅰ和TRAP水平下降,骨组织SHH、Ptc1、Smo、Gli1、Runx2、OPG、Osx mRNA和蛋白表达上升,RANKL mRNA和蛋白表达下降(均P<0.05)。雌二醇组和积雪草酸低剂量组上述指标比较差异无统计学意义(均P>0.05)。积雪草酸低、中、高剂量组上述指标呈剂量依赖性(均P<0.05)。结论:积雪草酸可治疗绝经后OP,可能与激活Hedgehog信号通路相关。
Abstract:
Objective:To investigate the therapeutic effect of asiatic acid on postmenopausal osteoporosis(OP)rats and its related mechanism.Methods:Postmenopausal OP rats model was constructed by using disposable surgical excision bilateral ovaries,and divided into model group(9 rats),estradiol group(10 rats),asiatic acid low-dose group(10 rats),asiatic acid medium-dose group(10 rats)asiatic acid high-dose group(10 rats),another 9 rats were enrolled sham-operation group.The pathological changes,bone density and microstructure of bone tissue,serum bone metabolism indexes,and the expression of bone metabolism-related genes and proteins were observed.Results:The estradiol group and the asiatic acid low-,medium-,and high-dose groups could reduce the pathological changes of bone tissue,increase bone mineral density,and improve bone microstructure.Compared with the sham-operation group,in the model group,the femoral BMD,BV/TV,Tb.N,Tb.Th decreased,SMI and Tb.Sp increased,and serum BALP level decreased,NTX-Ⅰ and TRAP increased,and the mRNA and protein expressions of SHH,Ptc1,Smo,Gli1,Runx2,OPG,Osx in bone tissue decreased,RANKL mRNA and protein expression increased(all P<0.05).Compared with the model group,in the estradiol group and the asiatic acid low-,medium-,and high-dose groups,BMD,BV/TV,Tb.N,Tb.Th increased,SMI and Tb.Sp decreased,serum BALP level increased,and NTX-Ⅰ and TRAP levels decreased,and the mRNA and protein expressions of SHH,Ptc1,Smo,Gli1,Runx2,OPG,and Osx in bone tissue increased,while RANKL mRNA and protein expression decreased(all P<0.05).There was no significant difference in the above indicators between the estradiol group and the asiatic acid low-dose group(all P>0.05).The above indicators in the asiatic acid low-,medium- and high-dose groups showed a dose-dependent manner(all P<0.05).Conclusion:Asiatic acid can treat osteoporosis,which may be related to activating Hedgehog signaling pathway.

参考文献/References:

[1] 王建武,李晓妮,赵 强,等.调控miR-152对骨质疏松大鼠模型骨生物力学、骨重建平衡及骨组织Hedgehog信号通路的影响[J].陕西医学杂志,2022,51(8):944-947.
[2] Cheng X,Zhao K,Zha X,et al.Opportunistic screening using low-dose CT and the prevalence of osteoporosis in China:A nationwide,multicenter study[J].J Bone Miner Res,2021,36(3):427-435.
[3] 吴少科,陈晓驷,陈海聪,等.积雪草酸抑制去卵巢大鼠骨质疏松的作用[J].实用医学杂志,2019,35(13):2051-2055.
[4] 黄 颖,马武开,王 莹,等.苗药金乌健骨胶囊对糖皮质性骨质疏松模型大鼠Hedgehog信号的影响[J].中药材,2021,44(11):2683-2686.
[5] 赖丽金,莫浩轩.芹菜素治疗去卵巢骨质疏松模型大鼠的作用与剂量[J].中国组织工程研究,2020,24(2):171-175.
[6] 乔 梁,李珠华.针刺通过调节DKK1通路调控骨代谢改善去卵巢模型大鼠骨质疏松的机制研究[J].颈腰痛杂志,2021,42(2):145-150.
[7] 赵艺芳,廖 垚,朱惠征,等.李佑生主任医师从“胆”论治肾性骨营养不良[J].陕西中医,2022,43(8):1091-1094,1098.
[8] 吴兴净,陶周善,龚延海,等.鲑鱼降钙素联合骨化三醇治疗老年椎体压缩性骨折伴慢性肾功能不全患者椎体成形术后骨质疏松疗效观察[J].陕西医学杂志,2022,51(9):1133-1136,1162.
[9] 岳建彪,苟 静,魏翾娣,等.中医综合疗法联合运动干预治疗老年绝经后骨质疏松症临床研究[J].陕西中医,2022,43(10):1380-1383.
[10] 郭建邦,李晓彬,王 仁,等.中药组方联合阿伦磷酸钠治疗绝经后骨质疏松症的临床研究[J].中国医院用药评价与分析,2021,21(9):1057-1060.
[11] Alrowaili MG,Hussein AM,Eid EA,et al.Effect of intermittent fasting on glucose homeostasis and bone remodeling in glucocorticoid-induced osteoporosis rat model[J].J Bone Metab,2021,28(4):307-316.
[12] Yildirim M,Saral S,Mercantepe T,et al.White tea reduced bone loss by suppressing the TRAP/CTX pathway in ovariectomy-induced osteoporosis model rats[J].Cells Tissues Organs,2020,209(1):64-74.
[13] Jeng KS,Chang CF,Lin SS.Sonic hedgehog signaling in organogenesis,tumors,and tumor microenvironments[J].Int J Mol Sci,2020,21(3):758.
[14] 高举会,林庶茹,尚德阳.左归丸对去卵巢致骨质疏松症大鼠Hedgehog/Smo/GLI1表达的影响[J].时珍国医国药,2020,31(3):549-551.
[15] Takebe H,Shalehin N,Hosoya A,et al.Sonic hedgehog regulates bone fracture healing[J].Int J Mol Sci,2020,21(2):677.
[16] 宋 斌,陈向东,邹光文,等.miR-152基于Hedgehog信号通路对骨质疏松大鼠骨生物力学、骨重建平衡的影响[J].中国老年学杂志,2021,41(22):5045-5049.
[17] Deng C,Xu L,Zhang Y,et al.The value of the hedgehog signal in osteoblasts in fluoride-induced bone-tissue injury[J].J Orthop Surg Res,2021,16(1):160.
[18] Zhang L,Yang Y,Liao Z,et al.Genetic and pharmacological activation of hedgehog signaling inhibits osteoclastogenesis and attenuates titanium particle-induced osteolysis partly through suppressing the JNK/c-Fos-NFATc1 cascade[J].Theranostics,2020,10(15):6638-6660.
[19] 杨 帆,范彦利,张可娟,等.基于PI3K/Akt通路探讨积雪草酸对健康人牙周膜细胞增殖、凋亡及成骨分化的作用机制研究[J].现代药物与临床,2021,36(11):2231-2237.
[20] 陈晓驷,谭小艳,刘田丰,等.积雪草酸对骨质疏松模型大鼠生物力学特性与骨小梁面积及Runx2蛋白的影响[J].中国组织工程研究,2023,27(2):246-251.

相似文献/References:

[1]李 洺,赵 宇△,马 丁,等.女性绝经后骨质疏松症患者血清铁蛋白、同源拮抗物表达水平及临床意义*[J].陕西医学杂志,2020,49(10):1266.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.017]
 LI Ming,ZHAO Yu,MA Ding,et al.Expression and clinical significance of serum ferritin and B-cell lymphoma factor 2 homologous antagonist in postmenopausal women with osteoporosis[J].,2020,49(12):1266.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.017]
[2]昌 震,李大同,杨小彬,等.奇壬醇对骨质疏松症的治疗作用及机制研究进展[J].陕西医学杂志,2022,51(9):1167.[doi:DOI:10.3969/j.issn.1000-7377.2022.09.029]
 CHANG Zhen,LI Datong,YANG Xiaobin,et al.Research progress on therapeutic effect and mechanism of Kirenol on osteoporosis[J].,2022,51(12):1167.[doi:DOI:10.3969/j.issn.1000-7377.2022.09.029]
[3]彭 赛,卢丛兰,孙中洋.人工智能在骨质疏松症诊疗中的应用进展[J].陕西医学杂志,2024,(3):425.[doi:DOI:10.3969/j.issn.1000-7377.2024.03.030]
 PENG Sai,LU Conglan,SUN Zhongyang.Advances in application of artificial intelligence in diagnosis and treatment of osteoporosis[J].,2024,(12):425.[doi:DOI:10.3969/j.issn.1000-7377.2024.03.030]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(82160431)
更新日期/Last Update: 2023-12-05