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Updated: Feb 15, 2026

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Blocking PI3K/AKT signaling inhibits bone sclerosis in subchondral bone and attenuates post-traumatic osteoarthritis
Chuangxin Lin1,2,3, Yan Shao1,2,3, Chun Zeng1,2,3
1Department of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, China.
Abstract:
PI3K/AKT signaling is essential in regulating pathophysiology of osteoarthritis (OA). However, its potential modulatory role in early OA progression has not been investigated yet. Here, a mouse destabilization OA model in the tibia was used to investigate roles of PI3K/AKT signaling in the early subchondral bone changes and OA pathological process. We revealed a significant increase in PI3K/AKT signaling activation which was associated with aberrant bone formation in tibial subchondral bone following destabilizing the medial meniscus (DMM), which was effectively prevented by treatment with PI3K/AKT signaling inhibitor LY294002. PI3K/AKT signaling inhibition attenuated articular cartilage degeneration. Serum and bone biochemical analyses revealed increased levels of MMP-13, which was found expressed mainly by osteoblastic cells in subchondral bone. However, this MMP-13 induction was attenuated by LY294002 treatment. Furthermore, PI3K/AKT signaling was found to enhance preosteoblast proliferation, differentiation, and expression of MMP-13 by activating NF-κB pathway. In conclusion, inhibition of PI3K/AKT/NF-κB axis was able to prevent aberrant bone formation and attenuate cartilage degeneration in OA mice.
Insights
Inhibiting the PI3K/AKT signaling pathway can prevent abnormal bone growth and reduce cartilage damage in osteoarthritis (OA). This pathway
Area of Science:
- Biomedical research
- Orthopedics
- Molecular biology
Background:
- Osteoarthritis (OA) pathophysiology involves PI3K/AKT signaling.
- The role of PI3K/AKT in early OA progression and subchondral bone changes remains unclear.
Purpose of the Study:
- Investigate the role of PI3K/AKT signaling in early OA.
- Examine its impact on subchondral bone and cartilage degeneration.
- Assess the therapeutic potential of PI3K/AKT inhibition.
Main Methods:
- Utilized a destabilization of the medial meniscus (DMM) mouse model for OA.
- Administered PI3K/AKT signaling inhibitor LY294002.
- Analyzed subchondral bone changes, cartilage degeneration, and serum/bone markers.
- Investigated the involvement of the NF-κB pathway.
Main Results:
- DMM induced increased PI3K/AKT signaling and aberrant subchondral bone formation.
- LY294002 treatment prevented these bone changes and attenuated cartilage degeneration.
- Elevated MMP-13 levels, primarily in osteoblastic cells, were reduced by LY294002.
- PI3K/AKT signaling promoted preosteoblast proliferation, differentiation, and MMP-13 expression via NF-κB activation.
Conclusions:
- PI3K/AKT signaling drives aberrant subchondral bone formation and cartilage degeneration in early OA.
- Inhibition of the PI3K/AKT/NF-κB axis is a promising therapeutic strategy for OA.
- Targeting this pathway may prevent bone abnormalities and slow OA progression.
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