The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats

Abstract Background Castration of adult male rats led to the development of osteoporosis. Oxidative stress and inflammatory factors have been identified as potential causative factors. Notably, oxymatrine (OMT) possesses potent anti-inflammatory and antioxidant activities. This study aims to elucida...

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Main Authors: Anwaar M. Shaban, Eman A. Ali, Sara G. Tayel, Sara Kamal Rizk, Dalia F. El Agamy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Orthopaedic Surgery and Research
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Online Access:https://doi.org/10.1186/s13018-024-05344-0
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author Anwaar M. Shaban
Eman A. Ali
Sara G. Tayel
Sara Kamal Rizk
Dalia F. El Agamy
author_facet Anwaar M. Shaban
Eman A. Ali
Sara G. Tayel
Sara Kamal Rizk
Dalia F. El Agamy
author_sort Anwaar M. Shaban
collection DOAJ
description Abstract Background Castration of adult male rats led to the development of osteoporosis. Oxidative stress and inflammatory factors have been identified as potential causative factors. Notably, oxymatrine (OMT) possesses potent anti-inflammatory and antioxidant activities. This study aims to elucidate the antiosteoporotic effects of OMT compared to testosterone in an orchiectomized (ORX) rat model of osteoporosis. Methods A total of 60 Wistar male rats were divided into the following groups: control (CTRL), surgery + no orchiectomy (SHAM), ORX, ORX + testosterone, and ORX + OMT. Urinary deoxypyridinoline (DPD), calcium (Ca), and phosphorus (P), as well as serum testosterone, parathormone (PTH), alkaline phosphatase (ALP), osteocalcin, N-telopeptide of type I collagen (NTX I), tartrate resistance acid phosphatase (TRAP), and total Ca and P levels were evaluated. Bone was assessed for malondialdehyde (MDA), reduced glutathione (GSH), interleukin 6 (IL-6), Kelch-like ECH-associated protein 1 (Keap1), nuclear factor erythroid 2-related factor 2 (Nrf2), heme oxygenase 1 (HO-1) expression, and receptor activator of nuclear factor κB ligand/ osteoprotegerin (RANKL/OPG) ratio. Bone dual-energy X-ray absorptiometry (DEXA) scan and histological and immunohistochemical studies were performed. Results Testosterone or OMT treatment ameliorated the reduced bone mineral density (BMD) and bone mineral content (BMC) in the DEXA scan and the changes in PTH and Ca levels. Compared to the ORX group, bone formation, and turnover markers were also significantly reversed in the treatment groups. Treatment with testosterone or OMT significantly reduced bone MDA, IL-6, Keap1, RANKL, and RANKL/OPG ratio, and significantly elevated bone GSH, Nrf2, and HO-1. Moreover, testosterone or OMT treatment has restored cortical bone thickness and osteocyte number and reduced bone levels of TNF-α in ORX rats. Consequently, treatment with either testosterone or OMT exhibited nearly equal therapeutic efficacy; however, neither of them could normalize the measured parameters. Conclusion OMT treatment showed equal efficacy compared to testosterone in ameliorating osteoporosis in ORX rats, possibly by improving some inflammatory and oxidative stress parameters.
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spelling doaj-art-9963703d6beb45b49336bdac4e7c8f562025-01-12T12:32:38ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-0120111810.1186/s13018-024-05344-0The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized ratsAnwaar M. Shaban0Eman A. Ali1Sara G. Tayel2Sara Kamal Rizk3Dalia F. El Agamy4Medical Physiology Department, Faculty of Medicine, Menoufia UniversityClinical Pharmacology Department, Faculty of Medicine, Menoufia UniversityAnatomy and Embryology Department, Faculty of Medicine, Menoufia UniversityMedical Biochemistry and Molecular Biology Department, Faculty of Medicine, Menoufia UniversityMedical Physiology Department, Faculty of Medicine, Menoufia UniversityAbstract Background Castration of adult male rats led to the development of osteoporosis. Oxidative stress and inflammatory factors have been identified as potential causative factors. Notably, oxymatrine (OMT) possesses potent anti-inflammatory and antioxidant activities. This study aims to elucidate the antiosteoporotic effects of OMT compared to testosterone in an orchiectomized (ORX) rat model of osteoporosis. Methods A total of 60 Wistar male rats were divided into the following groups: control (CTRL), surgery + no orchiectomy (SHAM), ORX, ORX + testosterone, and ORX + OMT. Urinary deoxypyridinoline (DPD), calcium (Ca), and phosphorus (P), as well as serum testosterone, parathormone (PTH), alkaline phosphatase (ALP), osteocalcin, N-telopeptide of type I collagen (NTX I), tartrate resistance acid phosphatase (TRAP), and total Ca and P levels were evaluated. Bone was assessed for malondialdehyde (MDA), reduced glutathione (GSH), interleukin 6 (IL-6), Kelch-like ECH-associated protein 1 (Keap1), nuclear factor erythroid 2-related factor 2 (Nrf2), heme oxygenase 1 (HO-1) expression, and receptor activator of nuclear factor κB ligand/ osteoprotegerin (RANKL/OPG) ratio. Bone dual-energy X-ray absorptiometry (DEXA) scan and histological and immunohistochemical studies were performed. Results Testosterone or OMT treatment ameliorated the reduced bone mineral density (BMD) and bone mineral content (BMC) in the DEXA scan and the changes in PTH and Ca levels. Compared to the ORX group, bone formation, and turnover markers were also significantly reversed in the treatment groups. Treatment with testosterone or OMT significantly reduced bone MDA, IL-6, Keap1, RANKL, and RANKL/OPG ratio, and significantly elevated bone GSH, Nrf2, and HO-1. Moreover, testosterone or OMT treatment has restored cortical bone thickness and osteocyte number and reduced bone levels of TNF-α in ORX rats. Consequently, treatment with either testosterone or OMT exhibited nearly equal therapeutic efficacy; however, neither of them could normalize the measured parameters. Conclusion OMT treatment showed equal efficacy compared to testosterone in ameliorating osteoporosis in ORX rats, possibly by improving some inflammatory and oxidative stress parameters.https://doi.org/10.1186/s13018-024-05344-0OrchiectomyOsteoporosisOxymatrineTestosterone
spellingShingle Anwaar M. Shaban
Eman A. Ali
Sara G. Tayel
Sara Kamal Rizk
Dalia F. El Agamy
The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
Journal of Orthopaedic Surgery and Research
Orchiectomy
Osteoporosis
Oxymatrine
Testosterone
title The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
title_full The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
title_fullStr The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
title_full_unstemmed The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
title_short The antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
title_sort antiosteoporotic effect of oxymatrine compared to testosterone in orchiectomized rats
topic Orchiectomy
Osteoporosis
Oxymatrine
Testosterone
url https://doi.org/10.1186/s13018-024-05344-0
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