Department of Arts and Science, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osakasayama, Osaka, 589-8511, Japan.
Department of Physiology and Regenerative Medicine, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osakasayama, Osaka, 589-8511, Japan.
J Bone Miner Metab. 2024 May;42(3):282-289. doi: 10.1007/s00774-024-01510-w. Epub 2024 May 4.
Glucocorticoids delay fracture healing and induce osteoporosis. Angiogenesis plays an important role in bone repair after bone injury. Plasminogen activator inhibitor-1 (PAI-1) is the principal inhibitor of plasminogen activators and an adipocytokine that regulates metabolism. However, the mechanisms by which glucocorticoids delay bone repair remain unclear.
Therefore, we herein investigated the roles of PAI-1 and angiogenesis in glucocorticoid-induced delays in bone repair after femoral bone injury using PAI-1-deficient female mice intraperitoneally administered dexamethasone (Dex).
PAI-1 deficiency significantly attenuated Dex-induced decreases in the number of CD31-positive vessels at damaged sites 4 days after femoral bone injury in mice. PAI-1 deficiency also significantly ameliorated Dex-induced decreases in the number of CD31- and endomucin-positive type H vessels and CD31-positive- and endomucin-negative vessels at damaged sites 4 days after femoral bone injury. Moreover, PAI-1 deficiency significantly mitigated Dex-induced decreases in the expression of vascular endothelial growth factor as well as hypoxia inducible factor-1α, transforming growth factor-β1, and bone morphogenetic protein-2 at damaged sites 4 days after femoral bone injury.
The present results demonstrate that Dex-reduced angiogenesis at damaged sites during the early bone-repair phase after femoral bone injury partly through PAI-1 in mice.
糖皮质激素延迟骨折愈合并导致骨质疏松。血管生成在骨损伤后的骨修复中起着重要作用。纤溶酶原激活物抑制剂-1(PAI-1)是纤溶酶原激活物的主要抑制剂,也是一种调节代谢的脂肪细胞因子。然而,糖皮质激素延迟骨修复的机制尚不清楚。
因此,我们使用腹腔内给予地塞米松(Dex)的 PAI-1 缺陷雌性小鼠,研究了 PAI-1 和血管生成在糖皮质激素诱导的股骨损伤后骨修复延迟中的作用。
PAI-1 缺陷显著减弱了 Dex 诱导的股骨损伤后 4 天受损部位 CD31 阳性血管数量的减少。PAI-1 缺陷还显著改善了 Dex 诱导的股骨损伤后 4 天受损部位 CD31 和内粘蛋白阳性 H 型血管以及 CD31 阳性和内粘蛋白阴性血管数量的减少。此外,PAI-1 缺陷显著减轻了 Dex 诱导的血管内皮生长因子以及缺氧诱导因子-1α、转化生长因子-β1 和骨形态发生蛋白-2 在股骨损伤后 4 天受损部位表达的减少。
本研究结果表明,Dex 在股骨损伤后早期骨修复阶段通过 PAI-1 减少了受损部位的血管生成。