Osteoporosis (OP) results from the impaired function of endogenous bone marrow mesenchymal stem cells (BMSCs). Icariin (ICA) has shown potential osteoprotective effects. However, the molecular mechanism for the anabolic action of ICA remains largely unknown. The objective of the present study is to investigate whether ICA prevents bone loss by acting on BMSCs via affecting the level of autophagy after ovariectomy (OVX). The BMSCs were extracted from BALB/c mice treated with ICA, chloroquine (CQ, an autophagy inhibitor) or ICA + CQ. The OVX mice were injected with ICA, CQ, or ICA + CQ for 1 month. We performed Alizarin Red staining and alkaline phosphatase staining to detect osteogenic differentiation of BMSCs. Micro-CT, hematoxylin and eosin staining, Oil Red O staining, and tartrate-resistant acid phosphatase staining were used to assess the bone mass, lipid droplets and osteoclasts in femurs. Autophagy activity in BMSCs from different groups was evaluated by Western blot analysis. The osteogenic differentiation of BMSCs from OVX-induced OP mice was decreased. Treatment with ICA reduced bone loss and formation of osteoclasts and increased osteogenic differentiation of BMSCs in vitro and vivo. In addition, autophagy was enhanced in BMSCs of OVX mice treated with ICA. Our results indicate that ICA prevents OVX-induced bone loss possibly by strengthening the osteogenic differentiation of BMSCs via increasing autophagic activity.
K E Y W O R D S autophagy, bone marrow mesenchymal stem cells, chloroquine, icariin, osteoporosis
| INTRODUCTIONWith the increasing of the aging population, osteoporosis (OP) is becoming a clinically significant problem worldwide, 1 and it is estimated that one in three women and one in five men are affected with OP. OP is characterized by the reduction of bone mass and disorganization of the trabecular architecture, resulting in weakening of the bone. OP mainly affects postmenopausal women and elderly people resulting in hip and vertebral fracture. [2][3][4][5] Bisphosphonates, denosumab, and PTH analogs have been applied during the past few decades, which are inhibitors of bone resorption or stimulators of bone formation. 6 Besides this, many kinds of traditional Chinese medicine have been applied proverbially and have a significant effect on treating OP. Icariin (ICA, C 33 H 40 O 15 , molecular weight: 676.67) is a natural flavonoid glycoside isolated from Herba Epimedii, J Cell Biochem. 2019;120:13121-13132.wileyonlinelibrary.com/journal/jcb