Abstract

Postmenopausal osteoporosis is caused by the deficiency of estrogen, which breaks bone homeostasis and induces levels of pro-inflammatory cytokines. Muscone is a potent anti-inflammatory agent and is used to treat bone fracture in traditional Chinese medicine. However, its anti-osteoclastogenic effects remain unclear. For in vitro study, morphology tests of osteoclastogenesis were firstly performed. And then, factors in RANK-induced NF-κB and MAPK pathways were examined by RT-PCR and Western blot, and the binding of TNF receptor–associated factor (TRAF)6 to RANK was inspected by coimmunoprecipitation and immunofluorescence staining. For in vivo experiments, C57BL/6 ovariectomized (OVX) mice were used for detection, including H&E staining, TRAP staining, and micro CT. As a result, muscone reduced OVX-induced bone loss in mice and osteoclast differentiation in vitro, by inhibiting TRAF6 binding to RANK, and then suppressed NF-κB and MAPK signaling pathways. The expression of the downstream biomarkers was finally inhibited, including NFATc1, CTR, TRAP, cathepsin K, and MMP-9. The inflammatory factors, TNF-a and IL-6, were also reduced by muscone. Taken together, muscone inhibited the binding of TRAF6 to RANK induced by RANKL, thus blocking NF-kB and MAPK pathways, and down-regulating related gene expression. Finally, muscone inhibited osteoclastogenesis and osteoclast function by blocking RANK-TRAF6 binding, as well as downstream signaling pathways in vitro. Muscone also reduced ovariectomy-induced bone loss in vivo.

Highlights

  • Postmenopausal osteoporosis (PMOP) has become a major public health burden in the aging society (Qiu et al, 2018), and strategies for the prevention and treatment are mainly focused on regulating bone homeostasis by increasing osteoblasts and suppressing osteoclasts (Gao et al, 2018; Mediero et al, 2018)

  • The results indicate that osteoclast differentiation is remarkably inhibited when muscone is treated on the early stage after receptor activator of nuclear factor-kB ligand (RANKL)

  • We demonstrated that muscone suppressed osteoclastogenesis in vitro and reversed OVX-induced bone loss in vivo

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Summary

Introduction

Postmenopausal osteoporosis (PMOP) has become a major public health burden in the aging society (Qiu et al, 2018), and strategies for the prevention and treatment are mainly focused on regulating bone homeostasis by increasing osteoblasts and suppressing osteoclasts (Gao et al, 2018; Mediero et al, 2018). Given its promoting healing of the fractures and anti-inflammatory effects, muscone might prevent ovariectomy (OVX)-induced bone loss, and even serve as a potential alternative option on postmenopausal osteoporosis. This study aimed to investigate the Abbreviations: PMOP, postmenopausal osteoporosis; M-CSF, macrophage colony-stimulating factor; RANKL, receptor activator for NF-kB ligand; BMMs, bone marrow monocytes; TRAF, TNF receptor–associated factor; NF-kB, nuclear factor-kB; MAPK, mitogen-activated protein kinase; NFATc1, nuclear factor of activated T-cell cytoplasmic 1; MMP-9, matrix metalloproteinase 9; CTR, calcitonin receptor; TRAP, tartrate-resistant acid phosphatase; OVX, ovariectomy; FBS, fetal bovine serum; CT, computed tomography; BMD, bone mineral density; BS/TV, bone surface area/total value; BV/TV, bone value/total value; Tb.N, Trabecular number; EMSA, electrophoretic mobility shift assay; H&E, hematoxylin and eosin; TNF, tumor necrosis factor; IL, interleukin; CTX1, C-telopeptide of type I collagen; TRAP, tartrate-resistant acid phosphatase; MUS, muscone; ALP, Alkaline phosphatase; ARS, alizarin red; ZOL, zoledronic acid

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