Effects of different concentrations of metformin on osteoclast differentiation and apoptosis and its mechanism

Feng Bian1, Yufeng Zhang1, YuanLong Xie1

  • 1Department of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, People's Republic of China.

Die Pharmazie
|June 3, 2021
PubMed

Insights

Metformin affects bone health by influencing osteoclasts. Low doses inhibit osteoclast differentiation, while high doses promote osteoclast apoptosis, impacting bone structure and density.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Osteoclasts are crucial for bone remodeling.
  • Dysregulated osteoclast activity contributes to bone diseases.
  • Metformin is a widely used antidiabetic drug with potential pleiotropic effects.

Purpose of the Study:

  • To investigate the dual effects of metformin on osteoclast differentiation and apoptosis.
  • To elucidate the underlying molecular mechanisms and signaling pathways involved.

Main Methods:

  • In vitro studies on osteoclast differentiation.
  • In vivo assessment of bone microarchitecture following metformin administration.
  • Western blot analysis to evaluate protein phosphorylation in signaling pathways.

Main Results:

  • Low metformin concentrations inhibited osteoclast differentiation markers (TRAP, RANK, NFATC-1, MMP-9).
  • High metformin concentrations induced osteoclast apoptosis (Bax/Bcl-2, caspase-3).
  • Metformin treatment improved bone parameters (BV/TV, BMD) and modulated signaling pathways (PI3K/Akt, MAPK).

Conclusions:

  • Metformin exhibits concentration-dependent effects on osteoclasts.
  • Low-dose metformin suppresses osteoclastogenesis via PI3K/Akt and MAPK/ERK pathways.
  • High-dose metformin promotes osteoclast apoptosis through PI3K/Akt and ERK signaling.

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