糖皮质激素通过nr3c1受体依赖和非依赖途径介导骨质疏松症的机制
Study on the mechanism of glucocorticoids-induced osteoporosis through nr3c1 receptor dependent and independent pathways
  
DOI:10.3969/j.issn.1006-7108.2022.08.010
中文关键词:  糖皮质激素  糖皮质激素性骨质疏松症  糖皮质激素受体  成骨细胞  
英文关键词:glucocorticoid  glucocorticoid-induced osteoporosis  glucocorticoid receptor  osteoblast  bone
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作者单位
袁涛1 姜宇2* 1.南京医科大学附属无锡第二人民医院骨科 2.南京医科大学附属无锡第二人民医院普内科 
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中文摘要:
      摘要:目的 糖皮质激素(glucocorticoids,GCs)在临床上被广泛应用于炎症相关疾病的治疗,然而GCs的长期应用会导致骨质疏松和骨质疏松相关性骨折,称之为糖皮质激素性骨质疏松症(glucocorticoid-induced osteoporosis,GIOP)。nr3c1是主要的糖皮质激素受体,其下游信号通路参与细胞内多种生理过程的调节,本研究探讨其在GIOP中的作用机制。方法 选取斑马鱼幼体,随机分为WT组、25μmol/L PN处理组、nr3c1-/-突变组和25μmol/L PN处理的nr3c1-/-突变组。受精后24 h用PN(25μmol/L)处理,对照组用等量二甲基亚砜(0.01%)处理同胞幼体。在受精后8 d(DPF)采集标本进行整体骨骼染色,在受精后5 d和8 d采集标本进行qRT-PCR分析,并评估nr3c1突变对软骨发育及骨矿化的影响、骨代谢相关基因的表达。结果 在nr3c1-突变体中,细胞外基质、成骨细胞和破骨细胞相关基因的表达均发生变化。进一步实验表明,GCs和Nr3c1在转录水平上可以调节基质金属蛋白酶9(MMP9)、碱性磷酸酶(ALP)和酸性磷酸酶5a(Acp5a)。结论 本研究揭示了GCs/NR3C1对骨代谢相关基因表达的影响,为研究GIOP和Nr3c1在骨代谢和骨发育中的作用提供了依据。此外,也为临床上糖皮质激素性骨质疏松症的治疗确定了新的效应靶点。
英文摘要:
      Abstract: Objective Glucocorticoids (GCs) are widely used clinically in the treatment of inflammation-related diseases, but the long-term application of GCs leads to osteoporosis and osteoporosis-related fractures, known as glucocorticoid-induced osteoporosis (GIOP). Nr3c1 is the major glucocorticoid receptor. Its downstream signaling pathways are involved in regulating various intracellular physiological processes. The purpose of this study is to investigate the mechanism in glucocorticoid-induced osteoporosis (GIOP). Methods Zebrafish larvae were selected and randomly divided into WT group, 25 μmol/L PN treatment group, nr3c1-/-mutant group, and 25 μmol/L PN-treated nr3c1-/-mutant group, respectively. After 24 h fertilization, they were treated with PN (25 μmol/L). The sibling larvaeand in the control group received same amount of dimethyl sulfoxide (0.01%). The specimens were collected after 8 d fertilization (DPF) for overall bone staining. After 5 d and 8 d fertilization, the specimens were collected for quantitative reverse transcription (qRT-PCR) analysis. The effects of nr3c1 mutation on cartilage development and bone mineralization, and the expression of bone metabolism-related genes were evaluated. Results The expressions of extracellular matrix-, osteoblast-, and osteoclast-related genes were altered in the nr3c1-mutant. Further experiments revealed that GCs and Nr3c1 transcriptionally regulated matrix metallo-proteinase 9 (MMP9), alkaline phosphatase (ALP), and acid phosphatase 5a (ACP5a). Conclusion This study reveals that GCs/Nr3c1 affects the expression of genes involved in bone metabolism and provides a basis to determine the role of GIOP and Nr3c1 in bone metabolism and development. We also identified a new effector target for the clinical treatment of GIOP.
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