温肾益髓汤含药血清对RANKL诱导的破骨细胞分化的影响
Effect of Wen Shen Yi Sui Decoction-containing serum on RANKL-induced osteoclast differentiation
  
DOI:10.3969/j.issn.1006-7108.2025.10.005
中文关键词:  温肾益髓汤  骨质疏松症  破骨细胞  RANKL  MAPK信号通路
英文关键词:Wen Shen Yi Sui Decoction  Osteoporosis  Osteoclasts  RANKL  MAPK Signaling pathway
基金项目:[基金项目:杨凤云全国名老中医专家传承工作室建设项目(国中医药人教函〔2022〕75号);国家自然科学基金项目(No.82260946);江西省临床医学研究中心建设项目(20212BCG74004);江西省自然科学基金项目(20232BAB216116);江西省中医药标委会标准化项目(2024A11);国家级和江西省大学生创新创业训练项目(202410412030、S202310412058)
作者单位
杨智军1,杨文龙2,夏汉庭2,李典1,刘敏2,吴凡2,杨佛3,曹端广2,杨凤云2* 1.江西中医药大学 南昌 330004 2.江西中医药大学附属医院 南昌 330006 3.南昌市洪都中医院 南昌 330006 
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中文摘要:
      目的 探究温肾益髓汤((wen shen yi sui decoction, WSYSD)含药血清对RANKL诱导的破骨细胞(osteoclast, OC)分化的影响及作用机制。方法 采用不同质量分数的WSYSD含药血清干预骨髓单核细胞,CCK-8法筛选无细胞毒性的含药血清进行后续实验。设置对照组、RANKL诱导组、RANKL+不同质量分数的WSYSD含药血清组,各组进行相应干预后,TRAP染色和甲苯胺蓝染色观察观察OC及骨陷窝形成,RT-qPCR和Western blot检测TRAP、c-FOS和CTR mRNA及蛋白表达,Western blot检测MAPK通路中ERK、JNK和p38蛋白磷酸化水平。结果 与对照组相比,质量分数为5%、10%和15%的WSYSD含药血清未降低细胞存活率(P>0.05)。与RANKL诱导组相比,WSYSD含药血清组(5%、10%和15%)抑制OC分化和骨陷窝形成,并降低TRAP、c-FOS和CTR mRNA表达,作用效果呈质量分数依赖性,以15%最佳(P<0.01,P<0.01,P<0.01)。与RANKL诱导组相比,WSYSD含药血清组(15%)抑制TRAP、c-FOS和CTR蛋白表达,作用效果呈时间依赖性,以第5 d最明显(P<0.01)。此外,与RANKL诱导组相比,WSYSD含药血清组(15%)抑制MAPK通路中ERK、JNK和p38蛋白磷酸化,作用效果也呈时间依赖性,以第60 min最明显(P<0.01)。结论 WSYSD含药血清可抑制RANKL诱导的OC分化,作用机制可能与抑制MAPK通路的激活有关。
英文摘要:
      Objective To investigate the effect and mechanism of Wen Shen Yi Sui Decoction(WSYSD)-containing serum on RANKL-induced osteoclast (OC) differentiation. Methods Bone marrow mononuclear cells(BMMs) were intervened with different mass fractions of WSYSD-containing serum, and the drug-containing serum without cytotoxicity was screened by CCK-8 method for subsequent experiments. The control group, RANKL-induced group, and RANKL+WSYSD-containing serum of different mass fractions were set up, and after the corresponding interventions in each group, TRAP staining and toluidine blue staining were used to observe the OC and the formation of bone trap fossa, RT-qPCR and Western blot were used to detect the expression of mRNA and protein of TRAP, c-FOS, and CTR, and Western blot was used to detect the phosphorylation levels of ERK, JNK and p38 proteins in MAPK pathway. Results WSYSD-containing serum with mass fractions of 5%, 10%, and 15% did not reduce cell survival compared with the control group (P>0.05). Compared with the RANKL-induced group, the WSYSD-containing serum group (5%, 10%, and 15%) inhibited OC differentiation and bone trap formation, and decreased TRAP, c-FOS, and CTR mRNA expression, with mass fraction-dependent effects, with 15% being the best (P<0.01, P<0.01, and P<0.01). Compared with the RANKL-induced group, the WSYSD-containing serum group (15%) inhibited TRAP, c-FOS, and CTR protein expression, with a time-dependent effect, which was most pronounced on the 5th d (P<0.01). In addition, compared with the RANKL-induced group, the WSYSD-containing serum group (15%) inhibited the phosphorylation of ERK, JNK, and p38 proteins in the MAPK pathway, and the effect was also time-dependent, with the most obvious effect at the 60th min (P<0.01). Conclusion WSYSD-containing serum inhibited RANKL-induced OC differentiation, and the mechanism of action may be related to the inhibition of MAPK pathway activation.
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