Songorine protects cartilage in osteoarthritis by targeting PFKFB3 to disrupt the glycolysis-inflammation positive feedback loop
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Updated: Jan 16, 2026

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Xixi He1, Qiongqian Xu1, Kai Qiu1
1Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Background:
Metabolic reprogramming has recently been recognized as a critical driver in the development and progression of osteoarthritis (OA). While Songorine has been shown to modulate macrophage metabolism, its direct effects on chondrocyte metabolism and inflammation remain poorly understood.
Purpose:
This study set out to explore how Songorine regulates glycolysis-driven inflammation in OA chondrocytes and to elucidate a novel mechanism linking metabolic reprogramming, histone lactylation, and inflammatory signaling.
Study Design:
We utilized both in vivo OA rat models and in vitro IL-1β-induced chondrocyte inflammation models to assess Songorine's metabolic and anti-inflammatory effects.
Methods:
Histological and biochemical analyses were performed on OA rat joints to evaluate cartilage degeneration, metabolic alterations, and inflammatory markers. RNA sequencing, ¹³C-glucose metabolic flux assays, and Seahorse extracellular flux analysis were used to characterize glycolytic activity. Histone lactylation levels were assessed by immunoblotting and CUT&Tag. The binding between Songorine and PFKFB3 was evaluated by molecular docking and surface plasmon resonance (SPR).
Results:
OA cartilage exhibited elevated glycolysis and inflammation, while Songorine treatment significantly restored metabolic homeostasis and alleviated inflammation. In IL-1β-stimulated chondrocytes, Songorine suppressed glycolytic flux, reduced lactate production and histone H4K12 lactylation. Lactate-induced H4K12 lactylation promoted the transcription of pro-inflammatory genes and reinforced a PFKFB3-mediated positive feedback loop that sustained glycolysis and inflammation. SPR confirmed that Songorine directly binds to and inhibits PFKFB3, thereby disrupting this loop.
Conclusion:
Songorine protects cartilage by directly targeting PFKFB3, thereby limiting glycolytic-driven lactate production, histone lactylation, and downstream inflammatory signaling. These findings uncover a novel glycolysis-lactylation-inflammation axis in OA and support Songorine as a promising metabolic modulator for OA therapy.
Insights
Songorine combats osteoarthritis (OA) by targeting PFKFB3, reducing inflammation and metabolic reprogramming. This study reveals a new glycolysis-lactylation-inflammation pathway in OA, highlighting Songorine
Area of Science:
- Investigates the intersection of metabolic reprogramming, epigenetic modifications, and inflammatory signaling in osteoarthritis pathogenesis.
- Focuses on the role of glycolysis and histone lactylation in chondrocyte inflammation.
- Explores the therapeutic potential of Songorine as a metabolic modulator for osteoarthritis.
Background:
- Osteoarthritis (OA) pathogenesis is increasingly linked to metabolic reprogramming within chondrocytes.
- While Songorine's effects on macrophage metabolism are known, its impact on chondrocyte metabolism and inflammation is unclear.
- Understanding Songorine's chondrocyte-specific mechanisms is crucial for developing targeted OA therapies.
Purpose of the Study:
- To investigate how Songorine regulates glycolysis-driven inflammation in OA chondrocytes.
- To elucidate a novel mechanism involving metabolic reprogramming, histone lactylation, and inflammatory signaling in OA.
- To evaluate Songorine's therapeutic potential by assessing its effects on chondrocyte metabolism and inflammation.
Main Methods:
- Utilized in vivo OA rat models and in vitro IL-1β-induced chondrocyte inflammation models.
- Performed histological, biochemical analyses, RNA sequencing, ¹³C-glucose metabolic flux, and Seahorse extracellular flux assays.
- Assessed histone lactylation via immunoblotting and CUT&Tag; evaluated Songorine-PFKFB3 interaction using molecular docking and SPR.
Main Results:
- OA cartilage showed elevated glycolysis and inflammation; Songorine treatment restored metabolic homeostasis and reduced inflammation.
- Songorine suppressed glycolytic flux, lactate production, and histone H4K12 lactylation in stimulated chondrocytes.
- Direct binding and inhibition of PFKFB3 by Songorine disrupted a positive feedback loop sustaining glycolysis and inflammation.
Conclusions:
- Songorine protects cartilage by directly targeting PFKFB3, inhibiting glycolysis-driven lactate production and histone lactylation.
- Identified a novel glycolysis-lactylation-inflammation axis critical in OA.
- Songorine demonstrates promise as a metabolic modulator for osteoarthritis therapy.
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