Orthopaedic Surgery,
Journal Year:
2024,
Volume and Issue:
16(3), P. 733 - 744
Published: Feb. 21, 2024
Objective
Glucocorticoid
(GC)
overuse
is
strongly
associated
with
steroid‐induced
osteonecrosis
of
the
femoral
head
(SINFH).
However,
underlying
mechanism
SINFH
remains
unclear.
This
study
aims
to
investigate
effect
dexamethasone
(Dex)‐induced
oxidative
stress
on
osteocyte
apoptosis
and
mechanisms.
Methods
Ten
patients
10
developmental
dysplasia
hips
(DDH)
were
enrolled
in
our
study.
Sixty
rats
randomly
assigned
Control,
Dex,
Dex
+
N‐Acetyl‐L‐cysteine
(NAC),
Dibenziodolium
chloride
(DPI),
NAC,
DPI
groups.
Magnetic
resonance
imaging
(MRI)
was
used
examine
edema
rats.
Histopathological
staining
performed
assess
osteonecrosis.
Immunofluorescence
TUNEL
8‐OHdG
conducted
evaluate
damage.
Immunohistochemical
carried
out
detect
expression
NOX1,
NOX2,
NOX4.
Viability
MLO‐Y4
cells
measured
using
CCK‐8
assay
staining.
stress.
2′,7′‐Dichlorodihydrofluorescein
diacetate
(DCFH‐DA)
measure
reactive
oxygen
species
(ROS).
The
NOX4
analyzed
by
Western
blotting.
Multiple
comparisons
one‐way
analysis
variance
(ANOVA).
Results
In
rat
model,
hematoxylin–eosin
(HE)
revealed
a
significantly
higher
rate
empty
lacunae
group
than
DDH
group.
indicated
significant
increase
TUNEL‐positive
8‐OHdG‐positive
compared
demonstrated
proteins
patients.
Moreover,
immunohistochemical
showed
proportion
NOX2‐positive
Control
vitro,
inhibited
viability
induced
apoptosis.
After
treatment,
intracellular
ROS
level
increased.
treatment
did
not
alter
NOX
vitro.
Additionally,
NAC
generation
partially
alleviated
vivo
Conclusion
demonstrates
that
GC
promotes
through
ROS‐induced
Furthermore,
we
found
increased
NOXs
serves
as
an
important
source
generation.
Biomedicine & Pharmacotherapy,
Journal Year:
2023,
Volume and Issue:
161, P. 114461 - 114461
Published: March 6, 2023
Secondary
osteoporosis
is
commonly
caused
by
long-term
intake
of
glucocorticoids
(GCs),
such
as
dexamethasone
(DEX).
Diosmin,
a
natural
substance
with
potent
antioxidant
and
anti-inflammatory
properties,
clinically
used
for
treating
some
vascular
disorders.
The
current
work
targeted
exploring
the
protective
properties
diosmin
to
counteract
DEX-induced
in
vivo.
Rats
were
administered
DEX
(7
mg/kg)
once
weekly
5
weeks,
second
week,
vehicle
or
(50
100
mg/kg/day)
next
four
weeks.
Femur
bone
tissues
collected
processed
histological
biochemical
examinations.
study
findings
showed
that
alleviated
impairments
DEX.
In
addition,
upregulated
expression
Runt-related
transcription
factor
2
(Runx2)
phosphorylated
protein
kinase
B
(p-AKT)
mRNA
transcripts
Wingless
(Wnt)
osteocalcin.
Furthermore,
counteracted
rise
levels
receptor
activator
nuclear
factor-kB
ligand
(RANKL)
reduction
osteoprotegerin
(OPG),
both
induced
Diosmin
restored
oxidant/antioxidant
equilibrium
exerted
significant
antiapoptotic
activity.
aforementioned
effects
more
pronounced
at
dose
level
mg/kg.
Collectively,
has
proven
protect
rats
against
augmenting
osteoblast
development
while
hindering
osteoclast
resorption.
Our
could
be
stand
recommending
supplementation
patients
chronically
using
GCs.
Frontiers in Endocrinology,
Journal Year:
2023,
Volume and Issue:
14
Published: May 5, 2023
Osteoporosis
is
an
age-related
disease
of
bone
metabolism
marked
by
reduced
mineral
density
and
impaired
strength.
The
causes
the
bones
to
weaken
break
more
easily.
Osteoclasts
participate
in
resorption
than
osteoblasts
formation,
disrupting
homeostasis
leading
osteoporosis.
Currently,
drug
therapy
for
osteoporosis
includes
calcium
supplements,
vitamin
D,
parathyroid
hormone,
estrogen,
calcitonin,
bisphosphates,
other
medications.
These
medications
are
effective
treating
but
have
side
effects.
Copper
a
necessary
trace
element
human
body,
studies
shown
that
it
links
development
Cuproptosis
recently
proposed
new
type
cell
death.
Copper-induced
death
regulates
lipoylated
components
mediated
via
mitochondrial
ferredoxin
1;
is,
copper
binds
directly
tricarboxylic
acid
cycle,
resulting
protein
accumulation
subsequent
loss
iron-sulfur
cluster
proteins,
proteotoxic
stress
eventually
Therapeutic
options
tumor
disorders
include
targeting
intracellular
toxicity
cuproptosis.
hypoxic
environment
metabolic
pathway
glycolysis
provide
energy
cells
can
inhibit
cuproptosis,
which
may
promote
survival
proliferation
various
cells,
including
osteoblasts,
osteoclasts,
effector
T
macrophages,
thereby
mediating
process.
As
result,
our
group
tried
explain
relationship
between
role
cuproptosis
its
essential
regulatory
genes,
as
well
pathological
mechanism
effects
on
cells.
This
study
intends
investigate
treatment
approach
clinical
beneficial
Orthopaedic Surgery,
Journal Year:
2024,
Volume and Issue:
16(3), P. 733 - 744
Published: Feb. 21, 2024
Objective
Glucocorticoid
(GC)
overuse
is
strongly
associated
with
steroid‐induced
osteonecrosis
of
the
femoral
head
(SINFH).
However,
underlying
mechanism
SINFH
remains
unclear.
This
study
aims
to
investigate
effect
dexamethasone
(Dex)‐induced
oxidative
stress
on
osteocyte
apoptosis
and
mechanisms.
Methods
Ten
patients
10
developmental
dysplasia
hips
(DDH)
were
enrolled
in
our
study.
Sixty
rats
randomly
assigned
Control,
Dex,
Dex
+
N‐Acetyl‐L‐cysteine
(NAC),
Dibenziodolium
chloride
(DPI),
NAC,
DPI
groups.
Magnetic
resonance
imaging
(MRI)
was
used
examine
edema
rats.
Histopathological
staining
performed
assess
osteonecrosis.
Immunofluorescence
TUNEL
8‐OHdG
conducted
evaluate
damage.
Immunohistochemical
carried
out
detect
expression
NOX1,
NOX2,
NOX4.
Viability
MLO‐Y4
cells
measured
using
CCK‐8
assay
staining.
stress.
2′,7′‐Dichlorodihydrofluorescein
diacetate
(DCFH‐DA)
measure
reactive
oxygen
species
(ROS).
The
NOX4
analyzed
by
Western
blotting.
Multiple
comparisons
one‐way
analysis
variance
(ANOVA).
Results
In
rat
model,
hematoxylin–eosin
(HE)
revealed
a
significantly
higher
rate
empty
lacunae
group
than
DDH
group.
indicated
significant
increase
TUNEL‐positive
8‐OHdG‐positive
compared
demonstrated
proteins
patients.
Moreover,
immunohistochemical
showed
proportion
NOX2‐positive
Control
vitro,
inhibited
viability
induced
apoptosis.
After
treatment,
intracellular
ROS
level
increased.
treatment
did
not
alter
NOX
vitro.
Additionally,
NAC
generation
partially
alleviated
vivo
Conclusion
demonstrates
that
GC
promotes
through
ROS‐induced
Furthermore,
we
found
increased
NOXs
serves
as
an
important
source
generation.