文章摘要
曾照辉,刘 怡,王国梁,唐晓恒,刘 玮,闫 康.姜黄素通过激活Wnt/β-catenin信号通路促进骨折愈合[J].,2021,(16):3011-3017
姜黄素通过激活Wnt/β-catenin信号通路促进骨折愈合
Curcumin Promotes Fracture Healing by Activating Wnt/β-catenin Signal Pathway
投稿时间:2020-12-31  修订日期:2021-01-27
DOI:10.13241/j.cnki.pmb.2021.16.003
中文关键词: 姜黄素  胫骨骨折  骨折愈合  成骨细胞  Wnt/β-catenin信号通路
英文关键词: Curcumin  Tibial fracture  Fracture healing  Osteoblast  Wnt/β-catenin signal pathway
基金项目:国家自然科学基金项目(81702660);空军军医大学科技发展基金项目(2019XB039)
作者单位E-mail
曾照辉 空军军医大学唐都医院骨科 陕西 西安 710038 Xuexl71@163.com 
刘 怡 空军军医大学唐都医院骨科 陕西 西安 710038  
王国梁 空军军医大学唐都医院骨科 陕西 西安 710038  
唐晓恒 空军军医大学唐都医院骨科 陕西 西安 710038  
刘 玮 空军军医大学唐都医院骨科 陕西 西安 710038  
闫 康 空军军医大学唐都医院骨科 陕西 西安 710038  
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中文摘要:
      摘要 目的:探讨姜黄素治疗骨折的潜在应用价值及其对Wnt/β-catenin信号通路的可能影响。方法:本研究建立了胫骨骨折SD大鼠模型(模型组),然后应用不同剂量的姜黄素(50、100和200 mg/kg/d)治疗胫骨骨折大鼠4周。治疗4周后,通过苏木精和伊红(HE)染色评价骨折区域的形态,通过ELISA法测定大鼠血清中TGF-β、BMP-2、OC和CTX-I水平。应用不同浓度的姜黄素(0、5、10、20、和50 μM)或Wnt/β-catenin信号通路抑制剂ICG-001(10 μM)处理成骨细胞3 d,然后检测细胞的ALP活性、PCNA和COL-1的含量及Wnt /β-catenin信号通路相关分子的表达水平。结果:不同剂量的姜黄素处理组大鼠的小梁状骨和胶原明显增多。与模型组相比,不同剂量的姜黄素处理组大鼠血清中的TGF-β、BMP-2和OC水平均升高,而CTX-I水平降低(P<0.05);与模型组相比,不同剂量的姜黄素处理组大鼠骨折区域中的COL-1阳性率升高(P<0.05),而COL-2水平未发生显著变化(P>0.05)。在药物干预3 d后,10和20 μM的姜黄素促进了细胞增殖,而100和200 μM的姜黄素抑制了细胞增殖(P<0.05)。与0 μM组比较,10 μM和20 μM的姜黄素组成骨细胞上清液中PCNA和COL-1水平及ALP活性水平均显著升高(P<0.05)。与模型组相比,不同剂量的姜黄素处理组大鼠骨折区域中的Wnt-3a和β-catenin mRNA和蛋白表达水平升高,而GSK-3β降低(P<0.05)。与姜黄素组相比,ICG-001处理后成骨细胞活力、ALP活性和β-catenin的表达水平均显著下降(P<0.05)。结论:姜黄素通过激活Wnt/β-catenin信号通路促进骨折愈合并刺激成骨细胞的增殖和分化。
英文摘要:
      ABSTRACT Objective: To explore the potential application value of curcumin in the treatment of fracture and its possible effect on Wnt/β-catenin signal pathway. Methods: In this study, the SD rat model of tibial fracture (Model group) was established, and then different doses of curcumin (50, 100 and 200 mg/kg/d) were used to treat tibial fracture rats for 4 weeks. After 4 weeks of treatment, the morphology of the fracture area was evaluated by hematoxylin and eosin (HE) staining. The levels of TGF-β, BMP-2, OC and CTX-I in serum of rats were determined by ELISA method. In addition, osteoblasts were treated with different concentrations of curcumin (0, 5, 10, 20, and 50 μM) or Wnt/β-catenin signal pathway inhibitor ICG-001 (10 μM) for 3 d, and then the ALP activity, PCNA and COL-1 content and the expression of Wnt/β-catenin signal pathway related molecules were detected. Results: The number of trabecular bone and collagen increased significantly in different doses of curcumin treatment group (P<0.05). Compared with model group, the levels of TGF-β, BMP-2 and OC in serum of rats treated with different doses of curcumin increased, while the level of CTX-I decreased (P<0.05). Compared with model group, the positive rate of COL-1 in fracture area of rats treated with different doses of curcumin increased (P<0.05), but the level of COL-2 did not change significantly (P>0.05). After 3 d of drug intervention, 10 and 20 μM curcumin promoted cell proliferation, while 100 and 200 μM curcumin inhibited cell proliferation (P<0.05). Compared with 0 μM group, the levels of PCNA and COL-1 and the activity of ALP in the supernatant of osteoblasts of 10 μM and 20 μM curcumin increased significantly (P<0.05). Compared with model group, the expression of Wnt-3a and β-catenin mRNA and protein in the fracture area of the rats treated with different doses of curcumin increased, while the expression of GSK-3β decreased (P<0.05). Compared with curcumin group, osteoblast viability, ALP activity and β-catenin expression levels decreased significantly after ICG-001 treatment (P<0.05). Conclusion: Curcumin promotes fracture healing and stimulates osteoblast proliferation and differentiation by activating Wnt/β-catenin signal pathway.
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