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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.
Abstract:
Glucocorticoid (GC) treatments induce osteoporosis and chronic GC treatments have been suggested to induce delayed bone repair; however, the mechanisms by which GC induces delayed bone repair remain unclear. We herein investigated the roles of plasminogen activator inhibitor-1 (PAI-1) in GC-induced effects on bone repair after femoral bone injury using female mice with a PAI-1 deficiency and their wild-type counterparts. Dexamethasone (Dex) increased plasma PAI-1 levels as well as PAI-1 mRNA levels in the adipose tissues and muscles of wild-type mice. PAI-1 deficiency significantly blunted Dex-induced delayed bone repair in mice. Moreover, PAI-1 deficiency significantly blunted Runx2 mRNA levels suppressed by Dex as well as Dex-induced osteoblast apoptosis at the damaged site 7 days after bone injury in mice. On the other hand, PAI-1 deficiency did not affect adipogenic gene expression enhanced by Dex at the damaged site 7 days after bone injury in mice. In conclusion, we herein showed for the first time that PAI-1 is involved in delayed bone repair after bone injury induced by GC in mice. PAI-1 may influence early stage osteoblast differentiation and apoptosis during the osteoblastic restoration phase of the bone repair process.
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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