PMID- 26622487 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220310 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 10 IP - 4 DP - 2015 Oct TI - Rapamycin-induced autophagy activity promotes bone fracture healing in rats. PG - 1327-1333 AB - Autophagy is a crucial mediating process for normal bone cell function and metabolism in physiology or pathology. Rapamycin has been demonstrated to induce the autophagy pathway by inhibiting the mammalian target of rapamycin (mTOR) pathway. However, the contribution of autophagy in orthopedic diseases is rarely reported. The aim of the present study was to evaluate the capacity of pharmacologically induced autophagy to modify disease function in a rat model of bone fracture. A femur fracture model was established via surgery in adult male Sprague-Dawley rats. Rapamycin (n=63 rats) or dimethyl sulfoxide (DMSO) vehicle control (n=63 rats) was administered intraperitoneally for 2, 4 and 6 weeks, and 21 randomly selected rats were sacrificed in each group at each time point. X-ray micro-computed tomography and hematoxylin and eosin staining were used to evaluate the extent of fracture healing in each group. The effects of rapamycin on autophagy, mTOR signaling and the expression levels of vascular endothelial growth factor (VEGF) and proliferating cell nuclear antigen (PCNA) were analyzed using immunohistochemistry, immunofluorescence staining and western blot analysis. Rapamycin affected the mTOR signaling pathway in rats following fracture, as indicated by the inhibition of the phosphorylation of ribosomal protein S6, a target of mTOR, and activation of microtubule-associated protein 2 light chain 3, a key marker of autophagy. Histomorphometry and image examination indicated that the number of osteoblasts in each section was significantly (P<0.01) increased in the rapamycin group compared with the control group, and this was associated with a significant (P<0.05) increase in mineralized callus fraction. Furthermore, rapamycin treatment increased the expression levels of VEGF and PCNA in the rat callus tissue. These results suggest that rapamycin may serve a beneficial function in fracture healing, and that the underlying mechanism may involve the activation of autophagy. FAU - Yang, G E AU - Yang GE AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Duan, Xunhong AU - Duan X AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Lin, Dasheng AU - Lin D AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Li, Ten AU - Li T AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Luo, Deqing AU - Luo D AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Wang, Lei AU - Wang L AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. FAU - Lian, Kejian AU - Lian K AD - Department of Orthopedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Orthopedic Center of People's Liberation Army, Zhangzhou, Fujian 363000, P.R. China. LA - eng PT - Journal Article DEP - 20150727 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 EIN - Exp Ther Med. 2021 Apr;21(4):318. PMID: 33868465 PMC - PMC4577952 OTO - NOTNLM OT - autophagy OT - bone fracture healing OT - rapamycin EDAT- 2015/12/02 06:00 MHDA- 2015/12/02 06:01 PMCR- 2015/07/27 CRDT- 2015/12/02 06:00 PHST- 2014/08/23 00:00 [received] PHST- 2015/06/01 00:00 [accepted] PHST- 2015/12/02 06:00 [entrez] PHST- 2015/12/02 06:00 [pubmed] PHST- 2015/12/02 06:01 [medline] PHST- 2015/07/27 00:00 [pmc-release] AID - ETM-0-0-2660 [pii] AID - 10.3892/etm.2015.2660 [doi] PST - ppublish SO - Exp Ther Med. 2015 Oct;10(4):1327-1333. doi: 10.3892/etm.2015.2660. Epub 2015 Jul 27.