Dexamethasone reduces osteogenic potential through suppressing retinoic acid signaling via NF-κB/CYP26B1 axis in

Ai-Hua Ye1,2, Yu-Mei Wang3,4, Xin-Yue Wan3,4

  • 1Key Laboratory of Biochemistry and Molecular Pharmacology of Chongqing, Chongqing Medical University, Chongqing, 400016, People's Republic of China.

Abstract

Insights

Dexamethasone (DEX) inhibits bone formation by increasing Cyp26b1, an enzyme that degrades retinoic acid. This study reveals how DEX affects Cyp26b1 expression and retinoic acid signaling in mesenchymal stem cells, offering insights into glucocorticoid-induced osteoporosis.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Endocrinology

Background:

  • Glucocorticoid-induced osteoporosis (GIOP) is a common secondary osteoporosis characterized by reduced bone strength and increased fracture risk.
  • The precise pathogenic mechanisms underlying GIOP remain incompletely understood.
  • Cyp26b1 plays a crucial role in the degradation of all-trans retinoic acid (ATRA).

Purpose of the Study:

  • To investigate the effect of Cyp26b1 on the osteogenic inhibitory effects of dexamethasone (DEX) in mesenchymal stem cells (MSCs).
  • To elucidate the mechanism by which DEX regulates Cyp26b1 expression.
  • To explore the role of retinoic acid signaling in DEX-induced osteogenic inhibition.

Main Methods:

  • Established an in vitro osteogenic model using MSCs treated with DEX (10⁻⁶ M).
  • Assessed ATRA content, osteogenic markers (using RT-PCR, Western blot, immunofluorescence), and Cyp26b1 expression.
  • Utilized ChIP assays, Cyp26b1 knockdown/overexpression, NF-κB inhibitors, and a rat GIOP model with µ-CT and histological analysis.

Main Results:

  • DEX (10⁻⁶ M) reduced osteogenic markers in MSCs, an effect reversed by ATRA but abolished by Cyp26b1 overexpression.
  • DEX significantly increased Cyp26b1 mRNA expression and decreased intracellular ATRA, while Cyp26b1 knockdown recovered osteogenesis.
  • DEX activated NF-κB signaling, contributing to osteogenic inhibition, an effect modulated by Cyp26b1 expression levels.

Conclusions:

  • DEX-induced osteogenic inhibition is linked to the disruption of retinoic acid signaling, mediated by Cyp26b1.
  • DEX upregulates Cyp26b1 expression at both low and high concentrations, but only high concentrations inhibit its degradation.
  • DEX's effect on Cyp26b1 expression in MSCs is partially mediated by NF-κB signaling activation.