1. Iguratimod suppresses sclerostin and receptor activator of NF-κB ligand production via the extracellular signal-regulated kinase/early growth response protein 1/tumor necrosis factor alpha pathway in osteocytes and ameliorates disuse osteoporosis in mice.
- Author
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Miura T, Etani Y, Noguchi T, Hirao M, Takami K, Goshima A, Kurihara T, Fukuda Y, Ochiai N, Kanamoto T, Nakata K, Okada S, and Ebina K
- Subjects
- Animals, Humans, Osteocytes metabolism, Receptor Activator of Nuclear Factor-kappa B metabolism, Extracellular Signal-Regulated MAP Kinases metabolism, Cell Line, Early Growth Response Protein 1 metabolism, Early Growth Response Protein 1 pharmacology, Ligands, Osteoclasts metabolism, NF-kappa B metabolism, RANK Ligand metabolism, Tumor Necrosis Factor-alpha metabolism, Osteoporosis drug therapy, Osteoporosis metabolism, Chromones, Sulfonamides
- Abstract
Disuse osteoporosis is a prevalent complication among patients afflicted with rheumatoid arthritis (RA). Although reports have shown that the antirheumatic drug iguratimod (IGU) ameliorates osteoporosis in RA patients, details regarding its effects on osteocytes remain unclear. The current study examined the effects of IGU on osteocytes using a mouse model of disuse-induced osteoporosis, the pathology of which crucially involves osteocytes. A reduction in distal femur bone mass was achieved after 3 weeks of hindlimb unloading in mice, which was subsequently reversed by intraperitoneal IGU treatment (30 mg/kg; five times per week). Histology revealed that hindlimb-unloaded (HLU) mice had significantly increased osteoclast number and sclerostin-positive osteocyte rates, which were suppressed by IGU treatment. Moreover, HLU mice exhibited a significant decrease in osteocalcin-positive cells, which was attenuated by IGU treatment. In vitro, IGU suppressed the gene expression of receptor activator of NF-κB ligand (RANKL) and sclerostin in MLO-Y4 and Saos-2 cells, which inhibited osteoclast differentiation of mouse bone marrow cells in cocultures. Although IGU did not affect the nuclear translocation or transcriptional activity of NF-κB, RNA sequencing revealed that IGU downregulated the expression of early growth response protein 1 (EGR1) in osteocytes. HLU mice showed significantly increased EGR1- and tumor necrosis factor alpha (TNFα)-positive osteocyte rates, which were decreased by IGU treatment. EGR1 overexpression enhanced the gene expression of TNFα, RANKL, and sclerostin in osteocytes, which was suppressed by IGU. Contrarily, small interfering RNA-mediated suppression of EGR1 downregulated RANKL and sclerostin gene expression. These findings indicate that IGU inhibits the expression of EGR1, which may downregulate TNFα and consequently RANKL and sclerostin in osteocytes. These mechanisms suggest that IGU could potentially be used as a treatment option for disuse osteoporosis by targeting osteocytes., Competing Interests: Declaration of competing interest The iguratimod was kindly provided by Toyama Chemical Co., Ltd. (Tokyo, Japan). K. Ebina has received research grants and lecture fees from Eisai Co., Ltd. K. Ebina, Y. Etani, and N. Ochiai are affiliated with, and K. Nakata supervises the Department of Musculoskeletal Regenerative Medicine, Osaka University Graduate School of Medicine, which is supported by Taisho Pharmaceutical Co., Ltd. N. Ochiai is an employee of Taisho Pharmaceutical Co., Ltd. These companies had no role in the study design, decision to publish, or preparation of the manuscript. T. Miura, M. Hirao, K. Takami, A. Goshima, T. Kurihara, Y. Fukuda, Y. Kanamoto, and S. Okada declare that they have no conflicts of interest., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
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