PAI-1 is involved in delayed bone repair induced by glucocorticoids in mice

Kiyotaka Okada1, Takahiro Okamoto2, Katsumi Okumoto3

  • 1Department of Arts and Science, Kindai University Faculty of Medicine, Osaka-Sayama, Osaka 589-8511, Japan; Department of Physiology and Regenerative Medicine, Kindai University Faculty of Medicine, Osaka-Sayama, Osaka 589-8511, Japan.

Bone
|March 7, 2020
PubMed

Insights

Glucocorticoid (GC) treatment delays bone repair by increasing plasminogen activator inhibitor-1 (PAI-1). PAI-1 deficiency blunts this delay, suggesting PAI-1 is crucial for GC-impaired bone healing.

Area of Science:

  • Bone biology
  • Endocrinology
  • Cellular and molecular medicine

Background:

  • Glucocorticoids (GCs) are known to induce osteoporosis and may impair bone repair.
  • The precise mechanisms underlying GC-induced delayed bone healing remain incompletely understood.
  • Plasminogen activator inhibitor-1 (PAI-1) is implicated in various biological processes, including tissue repair.

Purpose of the Study:

  • To investigate the role of PAI-1 in glucocorticoid-induced delayed bone repair following femoral injury in mice.
  • To elucidate the molecular mechanisms by which PAI-1 influences GC effects on bone healing.

Main Methods:

  • Utilized female mice with PAI-1 deficiency and wild-type littermates subjected to femoral bone injury.
  • Administered Dexamethasone (Dex), a synthetic GC, to assess its effects on bone repair and PAI-1 levels.
  • Quantified PAI-1 mRNA and protein levels, Runx2 mRNA expression, and osteoblast apoptosis at the injury site.
  • Evaluated adipogenic gene expression in response to Dex treatment.

Main Results:

  • Dexamethasone increased plasma PAI-1 levels and PAI-1 mRNA in adipose and muscle tissues of wild-type mice.
  • PAI-1 deficiency significantly ameliorated Dexamethasone-induced delayed bone repair.
  • PAI-1 deficiency reversed Dexamethasone-induced suppression of Runx2 mRNA levels and osteoblast apoptosis.
  • PAI-1 deficiency did not alter Dexamethasone-enhanced adipogenic gene expression at the injury site.

Conclusions:

  • PAI-1 plays a significant role in mediating glucocorticoid-induced delayed bone repair in mice.
  • PAI-1 may impact early osteoblast differentiation and apoptosis during the bone healing process.
  • Targeting PAI-1 could be a potential therapeutic strategy to counteract GC-induced bone repair deficits.

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