Glucocorticoid-induced activation of NOX/ROS/NF-κB signaling in MSCs contributes to the development of GONFH

Huihui Xu1,2,3, Qinghe Zeng1,2,3, Kaiao Zou1,2,3

  • 1The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, 310006, China.

Abstract

Insights

Glucocorticoids (GCs) induce femoral head osteonecrosis by promoting oxidative stress in mesenchymal stem cells (MSCs). This pathway, involving NOX/ROS/NF-κB, leads to cell death and differentiation imbalance, contributing to GONFH pathogenesis.

Area of Science:

  • Biomedical research
  • Cell biology
  • Pathogenesis studies

Background:

  • Glucocorticoids (GCs) are associated with osteonecrosis of the femoral head (GONFH).
  • The precise mechanisms underlying GC-induced GONFH require further elucidation.
  • Understanding the role of mesenchymal stem cells (MSCs) in this process is critical.

Purpose of the Study:

  • To investigate the pathogenic factors and underlying mechanisms of glucocorticoids (GCs)-induced osteonecrosis of the femoral head (GONFH).
  • To explore the role of oxidative stress and MSCs in GC-induced bone damage.
  • To identify potential therapeutic targets for GONFH.

Main Methods:

  • In vivo and in vitro studies using GONFH patients and rat models.
  • Utilized techniques including µCT scanning, histopathology, immunohistochemistry, ROS and TUNEL staining.
  • Employed flow cytometry, gene expression (RT-qPCR), and protein analysis (Western blotting) to assess cellular mechanisms.

Main Results:

  • GCs significantly increased reactive oxygen species (ROS) and aggravated oxidative stress (OS) in MSCs.
  • GCs promoted MSC apoptosis and an imbalance in osteogenic/lipogenic differentiation.
  • NOX family proteins were identified as key mediators of ROS production by GCs.

Conclusions:

  • GCs induce GONFH by promoting an OS microenvironment in MSCs via the NOX/ROS/NF-κB pathway.
  • This leads to MSC apoptosis and impaired differentiation, crucial factors in GONFH pathogenesis.
  • Inhibitors of NOX and NF-κB show potential in ameliorating GC-induced MSC damage.

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