Cajaninstilbene Acid targets TNF-α-mediated mitochondrial translocation to restore osteogenic-osteoclastic coupling

Benlu Chen1, Hongduo Lu2, Jiayu Gan3

  • 1State Key Laboratory of Traditional Chinese Medicine Syndromes, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China; The Laboratory of Orthopaedics and Traumatology of Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.

Abstract

Insights

Cajaninstilbene acid (CSA) effectively treats osteoporosis by blocking TNF-α and restoring mitochondrial transfer, promoting bone formation and inhibiting resorption. This natural compound offers a promising therapeutic approach for bone health.

Area of Science:

  • Biochemistry and Molecular Biology
  • Cell Biology
  • Pharmacology

Background:

  • Oestrogen-deficient osteoporosis is characterized by imbalanced bone metabolism, with excessive osteoclast activity and reduced osteoblast function.
  • Natural small molecules that can bidirectionally regulate bone metabolism are scarce.
  • Cajaninstilbene acid (CSA) shows potential but its mechanism in restoring bone homeostasis via intercellular mitochondrial transfer is unclear.

Purpose of the Study:

  • To investigate the therapeutic effect of CSA on oestrogen-deficient osteoporosis.
  • To elucidate the molecular mechanism of CSA, focusing on TNF-α-mediated mitochondrial transfer in rebalancing osteogenesis and osteoclastogenesis.

Main Methods:

  • Ovariectomized (OVX) mice were treated with CSA to assess bone microstructure and metabolism.
  • In vitro studies utilized primary bone marrow macrophages (BMMs) and mesenchymal stem cells (BMSCs) to evaluate osteoclast and osteoblast differentiation.
  • Transcriptomic analysis, molecular docking, surface plasmon resonance, and mitochondrial activity assays were employed to identify and validate key molecular targets and mechanisms.

Main Results:

  • CSA treatment significantly improved bone mineral density and trabecular microarchitecture in OVX mice without toxicity.
  • In vitro, CSA suppressed osteoclastogenesis and enhanced osteoblast differentiation by regulating key transcription factors and enzymes.
  • CSA was found to directly inhibit TNF-α, upregulate the mitochondrial transporter MIRO1, and restore mitochondrial transfer between osteoblasts and osteoclasts.

Conclusions:

  • CSA effectively ameliorates oestrogen-deficient osteoporosis by inhibiting bone resorption and promoting bone formation.
  • The mechanism involves blocking TNF-α signaling and restoring MIRO1-mediated mitochondrial transfer, rebalancing bone metabolism.
  • CSA presents a promising natural therapeutic candidate for osteoporosis with novel mechanistic insights.

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