Abstract

This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology. Postmenopausal osteoporosis (PMOP), which increases the risk of fracture, is the most common bone disease in women. PMOP not only increases the risk of death but also imposes a financial burden on countless families. At present, most of the drugs used to treat osteoporosis have significant side effects, so it is important to find effective anti-osteoporosis medications without major side effects. Sesamolin (Ses) is a kind of natural lignan extracted from sesame oil. Many researches have shown that Ses has anti-inflammatory, antioxidative, and anticancer effects, however it is still unknown whether it has any effect on osteoporosis. In this research, we explored the therapeutic effect of Ses in the process of osteoclast formation and bone resorption and found that Ses effectively inhibited osteoclast formation in vitro through TRAcP staining and hydroxyapatite resorption assays. Through Western blot analysis of the NF-κB pathway, MAPK pathway, c-Fos and NFATc1, it was found that Ses not only effectively inhibited the activation of NF-κB and MAPK signaling pathways induced by RANKL but also significantly reduced the protein expression of c-Fos and NFATc1. Several genes specifically expressed in osteoclasts were determined by qPCR, and Ses was also found to play a significant inhibitory role on the expression of these genes. Besides, an osteoporosis model induced in ovariectomized (OVX) mice was employed to verify that Ses could effectively reduce bone loss caused by estrogen deficiency in vivo. In conclusion, Ses showed promise as a new treatment for postmenopausal osteoporosis.

Highlights

  • Osteoporosis is a systemic bone disease with global public health effects, and it most commonly affects postmenopausal women

  • After allowing the cells to adhere to the bottom, BMMs were induced by RANKL stimulation with or without Ses (0, 2.5, 5, 10 μM), and the culture medium was changed every 2 days for more than 5 days until osteoclasts formed

  • To investigate whether Ses can affect the actin cytoskeleton in osteoclasts, BMMs were induced by RANKL stimulation with or without Ses (0, 5, 10 μM)

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Summary

Introduction

Osteoporosis is a systemic bone disease with global public health effects, and it most commonly affects postmenopausal women. In 2017, the total direct cost of osteoporosis caused by osteopenia and fractures in Australia was as high as US $2.77 billion; fracture treatment accounted for 68% of this spending, and the most common recipients of treatment for fractures were women aged 70 and over (Tatangelo et al, 2019). There are two main types of drugs used for the treatment of osteoporosis: antiresorption drugs that slow bone resorption, and pro-anabolic drugs that promote bone formation. Many of these drugs are not ideal, because most of them have significant side effects, such as the bisphosphonate as an anti-resorption drug that can cause mandibular necrosis and esophageal irritation; raloxifene, which can cause thromboembolic disease; teriparatide, which can cause hypercalcemia (Rachner et al, 2011). We urgently need to find new drugs for the treatment of osteoporosis to improve the limitations of the current therapeutic options

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