Cardenolides; calotropin and gomphogenin from Calotropis procera (Aiton) mitigate bone turnover in ovariectomized

Walaa S A Mettwally1, Rehab A Hussein2, Gehad A Abdel Jaleel3

  • 1Chemistry of Natural and Microbial Products Department, Pharmaceutical and Drug Industries Research Institute, National Research Centre, Dokki, Giza 12622, Egypt.

Fitoterapia
|September 25, 2024
PubMed

Insights

Calotropis procera extract, calotropin (CLT), and gomphogenin (GPG) show potential in treating osteoporosis by regulating bone turnover and increasing mineralization. Calotropin demonstrated superior efficacy in preventing bone loss in ovariectomized rats.

Area of Science:

  • Pharmacology
  • Biochemistry
  • Osteoporosis Research

Background:

  • Osteoporosis is a significant skeletal disorder characterized by decreased bone mineral density and increased fracture risk.
  • Ovariectomy-induced osteoporosis in rats serves as a standard preclinical model to evaluate potential therapeutic agents.
  • Calotropis procera and its cardenolides are investigated for their potential bone-protective effects.

Purpose of the Study:

  • To investigate the efficacy of Calotropis procera extract, calotropin (CLT), and gomphogenin (GPG) in an ovariectomy-induced osteoporosis rat model.
  • To elucidate the underlying mechanisms, including effects on bone turnover biomarkers and hormonal levels.

Main Methods:

  • Ovariectomized rats were treated with C. procera extract, CLT, or GPG for 14 days.
  • Bone resorption/formation biomarkers (BALP, OPG, RANKL), serum calcium, phosphorus, estradiol (E2), and catalase were assessed.
  • Histopathological, histomorphometric, and immunohistochemical analyses were performed; molecular docking was utilized.

Main Results:

  • C. procera extract, CLT, and GPG treatments restored estradiol levels and regulated the RANKL/OPG axis.
  • Serum calcium and phosphorus levels increased, while bone-specific alkaline phosphatase (BALP) decreased.
  • Calotropin (CLT) exhibited superior efficacy compared to gomphogenin (GPG) and the C. procera extract, supported by molecular docking studies.

Conclusions:

  • Calotropis procera, particularly calotropin and gomphogenin, effectively suppresses bone turnover and enhances mineralization in osteoporotic rats.
  • The compounds act by decreasing osteoclastic activity and increasing calcium mineralization, potentially via binding to ER-α and the RANKL/OPG complex.
  • These findings suggest therapeutic potential for C. procera constituents in managing osteoporosis.

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