[1]刘启明,张沂,徐中海,等.染料木素对骨关节炎软骨细胞凋亡的影响及其作用机制[J].中医正骨,2025,37(10):15-22.
 LIU Qiming,ZHANG Yi,XU Zhonghai,et al.Effects of genistein on chondrocyte apoptosis in osteoarthritis and its underlying mechanisms[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2025,37(10):15-22.
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染料木素对骨关节炎软骨细胞凋亡的影响及其作用机制()

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第37卷
期数:
2025年10期
页码:
15-22
栏目:
基础研究
出版日期:
2025-10-20

文章信息/Info

Title:
Effects of genistein on chondrocyte apoptosis in osteoarthritis and its underlying mechanisms
作者:
刘启明张沂徐中海穆中杰柴君雷
杭州市富阳中医骨伤医院,浙江 杭州 311400
Author(s):
LIU QimingZHANG YiXU ZhonghaiMU ZhongjieCHAI Junlei
Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine,Hangzhou 311400,Zhejiang,China
关键词:
骨关节炎 软骨细胞 染料木黄酮 细胞凋亡 线粒体自噬 Pink1-Parkin信号通路
Keywords:
osteoarthritis chondrocytes genistein apoptosis mitophagy Pink1-Parkin signaling pathway
摘要:
目的:探讨染料木素对骨关节炎(osteoarthritis,OA)软骨细胞凋亡的影响及其作用机制。方法:将处于对数生长期的人软骨细胞,分为对照组、模型组、染料木素组、染料木素联合G1组和染料木素联合G15组。模型组、染料木素组、染料木素联合G1组和染料木素联合G15组软骨细胞,加入终浓度为10 ng·mL-1的白细胞介素-1β诱导建立OA软骨细胞模型; 染料木素联合G1组和染料木素联合G15组软骨细胞,分别加入终浓度为1×108 mol·L-1的G蛋白偶联雌激素受体(G protein-coupled estrogen receptor,GPER)激动剂G1和抑制剂G15,培养48 h; 染料木素组、染料木素联合G1组和染料木素联合G15组软骨细胞,加入终浓度为100 μg·mL-1的染料木素,培养72 h。收集各组细胞,采用流式细胞仪检测各组软骨细胞凋亡率,采用溶酶体与线粒体共定位实验检测软骨细胞线粒体自噬情况,采用Western Blot法检测软骨细胞中Ⅱ型胶原、聚集蛋白聚糖、基质金属蛋白酶(matrix metalloproteinase,MMP)-13、半胱氨酸天冬氨酸蛋白酶(cysteine aspartic acid specific protease,Caspase)3、活化的半胱氨酸天冬氨酸蛋白酶(cleaved-cysteine aspartic acid specific protease,Cleaved-Caspase)3、GPER、Pink1和Parkin的蛋白表达水平。结果:①软骨细胞凋亡率检测结果。模型组软骨细胞凋亡率高于对照组(P=0.001),染料木素组和染料木素联合G1组软骨细胞凋亡率低于模型组(P=0.001,P=0.001),染料木素联合G15组软骨细胞凋亡率与模型组的差异无统计学意义(P=0.142)。②软骨细胞中细胞外基质代谢相关基因的蛋白表达水平检测结果。模型组软骨细胞中Ⅱ型胶原、聚集蛋白聚糖的蛋白相对表达量均低于对照组(P=0.000,P=0.000),MMP-13、Caspase3和Cleaved-Caspase3的蛋白相对表达量均高于对照组(P=0.000,P=0.000,P=0.000); 染料木素组和染料木素联合G1组软骨细胞中Ⅱ型胶原、聚集蛋白聚糖的蛋白相对表达量均高于模型组(P=0.001,P=0.001; P=0.001,P=0.001),MMP-13、Caspase3和Cleaved-Caspase3的蛋白相对表达量均低于模型组(P=0.000,P=0.000,P=0.000; P=0.000,P=0.000,P=0.000); 染料木素联合G15组软骨细胞中Ⅱ型胶原、聚集蛋白聚糖、MMP-13、Caspase3和Cleaved-Caspase3的蛋白相对表达量与模型组的差异均无统计学意义(P=0.965,P=0.999,P=0.999,P=0.999,P=0.999)。③软骨细胞中GPER蛋白表达水平检测结果。模型组软骨细胞中GPER的蛋白相对表达量低于对照组(P=0.001),染料木素组和染料木素联合G1组软骨细胞中GPER的蛋白相对表达量均高于模型组(P=0.001,P=0.001),染料木素联合G15组软骨细胞中GPER的蛋白相对表达量与模型组的差异无统计学意义(P=0.965)。④软骨细胞线粒体自噬情况检测结果。对照组有黄色荧光标记,模型组和染料木素联合G15组几乎无黄色荧光标记,染料木素组和染料木素联合G1组黄色荧光标记较模型组增多。⑤软骨细胞中线粒体自噬相关基因的蛋白表达水平检测结果。模型组软骨细胞中Pink1、Parkin的蛋白相对表达量均低于对照组(P=0.001,P=0.001),染料木素组和染料木素联合G1组软骨细胞中Pink1、Parkin的蛋白相对表达量均高于模型组(P=0.001,P=0.001; P=0.001,P=0.001),染料木素联合G15组软骨细胞中Pink1、Parkin的蛋白相对表达量与模型组的差异均无统计学意义(P=0.999,P=0.999)。结论:染料木素能够抑制OA软骨细胞凋亡,其作用机制可能与促进Ⅱ型胶原、聚集蛋白聚糖、GPER表达,抑制MMP-13、Caspase3和Cleaved-Caspase3表达及激活Pink1-Parkin信号通路促进线粒体自噬有关。
Abstract:
Objective:To investigate the effects of genistein on chondrocyte apoptosis in osteoarthritis(OA),and to explore its underlying mechanism.Methods:The human chondrocytes in the logarithmic growth phase were selected and divided into control group,model group,genistein group,genistein combined with G1 group,and genistein combined with G15 group.All the chondrocytes but the ones in control group were induced by interleukin-1β(IL-1β)at a final concentration of 10 ng/mL to establish OA chondrocyte models.Concurrently,the chondrocytes in genistein combined with G1 group and genistein combined with G15 group were further intervened with the G protein-coupled estrogen receptor(GPER)agonist G1 and antagonist G15,respectively,at a final concentration of 1×108 mol/L for consecutive 48 hours.Following the 48-hour incubation,the chondrocytes in genistein group,genistein combined with G1 group,and genistein combined with G15 group were further intervened with genistein at a final concentration of 100 μg/mL for another 72 hours.After the end of intervention,the incubated-chondrocytes were collected from each group.The apoptosis rate of chondrocytes in each group was determined by flow cytometry,the mitochondrial autophagy was evaluated by lysosomal and mitochondrial co-localization assays,and the protein expression levels of TypeⅡcollagen,aggrecan,matrix metalloproteinase(MMP)-13,cysteine aspartic acid specific protease(Caspase)-3,cleaved-cysteine aspartic acid specific protease(cleaved-Caspase)-3,GPER,Pink1,and Parkin in the incubated-chondrocytes were detected by Western Blot.Results:①The chondrocyte apoptosis rate.The apoptosis rate of chondrocytes was higher in model group compared to control group(P=0.001),conversely,it was lower in genistein group and genistein combined with G1 group compared to model group(P=0.001,P=0.001),but not different between genistein combined with G15 group and model group(P=0.142).②The protein expression levels of extracellular matrix metabolism-related genes in chondrocytes.The relative protein expression levels of TypeⅡcollagen and aggrecan in chondrocytes were lower,while those of MMP-13,Caspase-3,and cleaved-Caspase-3 were higher in model group compared to control group(P=0.000,P=0.000,P=0.000,P=0.000,P=0.000).The relative protein expression levels of TypeⅡcollagen and aggrecan in chondrocytes were higher,while those of MMP-13,Caspase-3,and cleaved-Caspase-3 were lower in genistein group and genistein combined with G1 group compared to model group(P=0.001,P=0.001; P=0.001,P=0.001; P=0.000,P=0.000,P=0.000; P=0.000,P=0.000,P=0.000),while all these markers showed no significant difference between genistein combined with G15 group and model group(P=0.965,P=0.999,P=0.999,P=0.999,P=0.999).③The protein expression level of GPER in chondrocytes.The relative protein expression level of GPER in chondrocytes was lower in model group compared to control group(P=0.001),conversely,it was higher in genistein group and genistein combined with G1 group compared to model group(P=0.001,P=0.001),but not different between genistein combined with G15 group and model group(P=0.965).④The mitochondrial autophagy in chondrocytes.The control group exhibited yellow fluorescence(colocalization signal),which was nearly absent in model group and genistein combined with G15 group,conversely,both genistein group and genistein combined with G1 group demonstrated increased yellow fluorescence compared to the model group.⑤The protein expression levels of mitochondrial autophagy-related genes in chondrocytes.The relative protein expression levels of Pink1 and Parkin in chondrocytes were lower in model group compared to control group(P=0.001,P=0.001),conversely,they were higher in genistein group and genistein combined with G1 group compared to model group(P=0.001,P=0.001; P=0.001,P=0.001),but not different between genistein combined with G15 group and model group(P=0.999,P=0.999).Conclusion:Genistein can inhibit chondrocyte apoptosis in OA.It may work by up-regulating the expressions of typeⅡcollagen,aggrecan,and GPER,suppressing the expressions of MMP-13,caspase-3,and cleaved caspase-3,as well as promoting the mitochondrial autophagy via activating the Pink-Parkin signaling pathway.

参考文献/References:

[1] 贾笛,韦佳佳,段修权,等.基于全球视角的中国骨关节炎疾病负担分析[J].现代预防医学,2022,49(13):2312-2316.
[2] 牟利民,张文豪,张思平,等.绝经后女性退变性膝骨关节炎疼痛与性激素水平及关节液炎性因子的相关性研究[J].中国全科医学,2022,25(29):3652-3657.
[3] SHETE V,MAHAJAN N M,SHIVHARE R,et al.Genistein:a promising phytoconstituent with reference to its bioactivi-ties[J].Phytother Res,2024,38(8):3935-3953.
[4] 朱浩玮,史德军,李盛州.染料木素通过激活PI3K/AKT/mTOR信号通路抑制骨性关节炎兔软骨细胞退变[J].武汉大学学报(医学版),2022,43(3):394-398.
[5] HUANG X S,GENG K,LUO S Y,et al.Mechanism of action of acupotomy in inhibiting chondrocyte apoptosis in rabbits with KOA through the PI3K/Akt signaling pathway[J].Evid Based Complement Alternat Med,2020,2020:4241917.
[6] 佘泽宇.基于Pink1/Parkin通路探讨针刀干预膝骨关节炎兔软骨细胞线粒体自噬的作用机制[D].合肥:安徽中医药大学,2023.
[7] 李科,曹玉净,钱亚男,等.川芎嗪对白细胞介素-1β诱导的软骨细胞凋亡和氧化应激的影响及作用机制研究[J].中医正骨,2025,37(2):21-27.
[8] 张晨颖,石丹宁,赵丕文.基于GPER介导的EGFR/MEK/ERK途径探讨四物汤含药血清促进成骨细胞增殖的分子机制[J].中华中医药杂志,2022,37(9):5100-5103.
[9] 胡炯,王国强,刘启明,等.染料木素对人骨关节炎软骨细胞增殖活性和蛋白分泌的影响[J].实用药物与临床,2018,21(7):737-740.
[10] 王美娟,饶毅,龚文娟,等.长链非编码RNA在关节炎发病机制中的调控作用研究进展[J].中华中医药杂志,2024,39(12):6633-6640.
[11] 王安宁,黄婷婷,于朗清,等.中药调控软骨细胞外基质代谢防治骨关节炎的研究进展[J].中医正骨,2025,37(6):35-39.
[12] CAN Y,JIANJUN W.Effect of Toddalia asiatica extract combined with miR-483 on proliferation,apoptosis and inflammatory factors expression of osteoarthritis chondrocyte[J].Pak J Pharm Sci,2020,33(3):1333-1340.
[13] 古丽娜·沙德克,史黎,马海蓉,等.17β-雌二醇对脂多糖诱导炎性软骨细胞的保护和治疗作用研究[J].新疆医科大学学报,2023,46(3):312-317.
[14] ONUORA S.Oestrogens implicated in progression to arthritis[J].Nat Rev Rheumatol,2025,21(6):321.
[15] HUANG K,WU B,HOU Z,et al.Psoralen downregulates osteoarthritis chondrocyte inflammation via an estrogen-like effect and attenuates osteoarthritis[J].Aging,2022,14(16):6716-6726.
[16] ZHANG Y,LI X,WANG J,et al.Daidzein as a phytoestrogen:molecular mechanisms and therapeutic potential[J].Front Endocrinol,2023,14:112345.
[17] SUN Y,LIU H,ZHANG X,et al.G protein coupled estrogen receptor attenuates mechanical stress mediated apoptosis of chondrocyte in osteoarthritis via suppression of Piezo1[J].Mol Med,2021,27(1):96.
[18] 刘启明,黎键,杨炯,等.G蛋白偶联受体在骨关节炎治疗中的研究进展[J].中国中西医结合外科杂志,2025,31(4):622-626.
[19] 赵振.雌激素受体GPR30通过抑制铁死亡和滑膜炎症用于骨性关节炎治疗及其机制研究[D].西安:中国人民解放军空军军医大学,2024.
[20] GAN Z Y,CALLEGARI S,COBBOLD S A,et al.Activation mechanism of Pink1[J].Nature,2022,602(7896):328-335.
[21] 袁子阳,张艳,张伟,等.基于Pink1/Parkin通路探讨线粒体自噬防治心力衰竭作用及中医药治疗进展[J].中国实验方剂学杂志,2024,30(24):262-271.
[22] XING L,CHEN X,GUO C,et al.Electroacupuncture exerts chondroprotective effect in knee osteoarthritis of rabbits through the mitophagy pathway[J].J Pain Res,2023,16:2871-2882.
[23] 李开晃.WGCNA筛选炎症相关基因PTTG1在骨性关节炎中作用与机制研究[D].南昌:南昌大学,2023.
[24] KANG J,JIE L,FU H,et al.Adipose mesenchymal stem cells derived exosomes ameliorates KOA cartilage damage and inflammation by activation of Pink1-mediated mitochondrial autophagy[J].FASEB J,2025,39(14):e70811.
[25] 李捷,郑雅峰,徐云生.Pink1/Parkin线粒体自噬-NLRP3炎症小体信号途径与糖尿病肾病足细胞功能的关系及中医药研究进展[J].中国老年学杂志,2025,45(13):3297-3301.

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[17]郑文伟,何晓娟,贾良良,等.跳骨片含药血清抑制脂多糖诱导的软骨细胞炎症反应的作用机制研究[J].中医正骨,2017,29(08):8.
 ZHENG Wenwei,HE Xiaojuan,JIA Liangliang,et al.Study on mechanism of action of Tiaogu Pian(跳骨片)medicated serum in inhibiting inflammatory reaction induced by lipopolysaccharides in chondrocytes[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(10):8.
[18]陈世宣,刘益杰,胡笑燊,等.基于瞬时受体电位香草素亚家族4信号通路探讨牛蒡子苷元对体外培养软骨细胞增殖及Ⅱ型胶原蛋白和软骨蛋白聚糖表达的影响[J].中医正骨,2017,29(10):13.
 CHEN Shixuan,LIU Yijie,HU Xiaoshen,et al.An experimental study of effect of arctigenin on proliferation of chondrocyte cultured in vitro and expression of typeⅡcollagen protein and aggrecan based on the transient receptor potential vanilloid 4 signaling pathway[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(10):13.
[19]陈俊,吴广文,许惠凤,等.独活寄生汤含药血清对大鼠退变软骨细胞蛋白激酶 R样内质网激酶/免疫球蛋白结合蛋白信号通路的影响[J].中医正骨,2018,30(08):1.
 CHEN Jun,WU Guangwen,XU Huifeng,et al.Effect of Duhuo Jisheng Tang(独活寄生汤)medicated serum on protein kinase R-like endoplasmic reticulum kinase/immunoglobulin-binding protein signaling pathway in degenerated chondrocytes of rats[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(10):1.
[20]许丽梅,李慧,许云腾,等.基于NF-κB信号通路探讨独活寄生汤抑制脂多糖诱导的软骨细胞炎症反应的作用机制[J].中医正骨,2019,31(07):9.
 XU Limei,LI Hui,XU Yunteng,et al.An experimental study of mechanism of action of Duhuo Jisheng Tang(独活寄生汤)in inhibiting inflammatory reaction induced by lipopolysaccharide in chondrocytes based on NF-κB signaling pathway[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(10):9.

备注/Memo

备注/Memo:
基金项目:浙江省卫生健康科技计划项目(2021KY971)
通讯作者:柴君雷 E-mail:286779764@qq.com
更新日期/Last Update: 1900-01-01