We investigated the effect of puerarin on bone mass and marrow adiposity in ovariectomy (OVX)-induced osteoporosis. The rats were divided into four groups: control; OVX; OVX estradiol (OVX-E); and OVX puerarin treatment (OVX-GE). In vivo, bone mineral density (BMD) and histomorphometry were measured under microCT. The mechanical properties of tibia were obtained in 3-point bending test. Plasma osteocalcin and adiponectin were determined using enzyme-linked immunosorbent assay (ELISA). Alkaline phosphatase (ALP) were measured using biochemical methods. In vitro, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and Oil Red O staining were used to compare osteoblast proliferation and adipocyte differentiation, respectively. Osteocalcin and adiponectin in culture supernatants were determined using ELISA. The results showed that puerarin significantly enhanced bone volume density and trabecular number compared with OVX and OVX-E groups (p<0.05, p<0.05, respectively). Puerarin increased energy to ultimate load, plasma osteocalcin and ALP (p<0.01). However, BMD in OVX-GE group was less than that in control (p<0.01) and OVX-E groups (p<0.05). The culture supernatants from OVX-GE group showed increased osteocalcin compared with those from OVX ( p<0.01) and OVX-E groups ( p<0.05). Puerarin lowered adiponectin in culture supernatant compared with supernatant from OVX group and inhibited the increase in adipocytes caused by OVX (p<0.01). However, the amount of lipids did not differ between OVX-GE and OVX groups. These findings suggest that puerarin likely enhances bone formation by stimulating the proliferation and differentiation of osteoblasts while slightly inhibiting the adipotic differentiation.Key words puerarin; bone mass; bone formation; adiposity; osteoporosis Puerariae radix, the root of Pueraria lobata (WILD.) OTRWI, a wild creeper leguminous plant, is one of the earliest and most important crude herbs used in Chinese medicine for various medicinal purposes. For the near decade, it has been reported using osteoporosis animal model that total isoflavones of puerariae isoflavone could protect osteoporosis induced by ovariectomized rats 1,2) and could inhibit the secondary osteoporosis induced by dexamethasone in rats.3) As a kind of phytoestrogen, puerarin is regarded as one of isoflavone extract which exerting preventive effect on bone loss in ovariectomized rats.4) However, all the related animal experiment used total isoflavones of Pueraria lobata (WILD.) OTRWI. Their results were the comprehensive effects of daidzein, genistein and puerarin. We couldn't judge the independent effect of puerarin on bone gain.Puerarin is an active component extracted from the Chinese traditional medicine Pueraria lobata (WILD.) OTRWI. Structurely, puerarin is similar to estrogen. It has three -OH, where they combine with estradiol receptors and then exhibit estrogenic action. Therefore, it's believed to exhibit beneficial effect on bone tissue by mimicking the biological responses of estrogens.5,6) Previously, we...