PMID- 33454992 OWN - NLM STAT- MEDLINE DCOM- 20211213 LR - 20211214 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1503 IP - 1 DP - 2021 Nov TI - Resveratrol prevents steroid-induced osteonecrosis of the femoral head via miR-146a modulation. PG - 23-37 LID - 10.1111/nyas.14555 [doi] AB - The purpose of this study was to investigate the possible use of resveratrol (Res) to reverse abnormal osteogenesis/osteoclastogenesis activity that occurs during femoral head osteonecrosis and to explore the detailed mechanisms. Application of Res to bone marrow-derived mesenchymal stem cells in vitro promoted survival, inhibited apoptosis, and downregulated expression of reactive oxygen species expression. Moreover, Res application was associated with elevated microRNA-146a (miR-146a) expression, osteogenic differentiation, and suppressed osteoclastic differentiation, which were markedly reversed by miR-146a inhibitor. Histopathological observations and micro-computed tomography scanning results indicated that the Res-treated group had lower incidence of osteonecrosis and better bone microstructure than the untreated group. Res inhibited osteoclastogenesis through altering the levels of sirtuin1 (Sirt1), nuclear transcription factor-kappaB (NF-kappaB), and receptor activator of NF-kappaB ligand (RANKL). Simultaneously, Res treatment improved bone formation and increased beta-catenin and runt-related transcription factor 2 (Runt2) expression levels, while reducing forkhead box class O (FOXO) family protein levels. The results of our study suggest that Res prevents steroid-induced osteonecrosis by upregulating miR-146a, and thereby stabilizes osteogenesis/osteoclastogenesis homeostasis via Wnt/FOXO and Sirt1/NF-kappaB pathways. CI - (c) 2021 New York Academy of Sciences. FAU - Nan, Kai AU - Nan K AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Pei, Jun-Peng AU - Pei JP AD - Department of Orthopaedics, Wuhan General Hospital of Guangzhou Command, Wuhan, People's Republic of China. FAU - Fan, Li-Hong AU - Fan LH AUID- ORCID: 0000-0002-8864-6732 AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Zhang, Yuan-Kai AU - Zhang YK AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Zhang, Xin AU - Zhang X AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Liu, Kang AU - Liu K AD - Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, People's Republic of China. FAU - Shi, Zhi-Bin AU - Shi ZB AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Dang, Xiao-Qian AU - Dang XQ AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. FAU - Wang, Kun-Zheng AU - Wang KZ AD - Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Shaanxi, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210117 PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (Biomarkers) RN - 0 (MicroRNAs) RN - 0 (Protective Agents) RN - 0 (Steroids) RN - Q369O8926L (Resveratrol) SB - IM MH - Biomarkers MH - Disease Management MH - Disease Susceptibility MH - Femur Head Necrosis/diagnostic imaging/*etiology/*pathology/prevention & control MH - Gene Expression Regulation/*drug effects MH - MicroRNAs/*genetics MH - Protective Agents/*pharmacology MH - Resveratrol/*pharmacology MH - Steroids/*adverse effects OTO - NOTNLM OT - FOXO OT - NF-kappaB OT - Sirt1 OT - Wnt OT - femoral head OT - miR-146a OT - resveratrol OT - steroid-induced osteonecrosis EDAT- 2021/01/18 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/01/17 20:36 PHST- 2020/11/13 00:00 [revised] PHST- 2020/07/16 00:00 [received] PHST- 2020/12/08 00:00 [accepted] PHST- 2021/01/18 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/01/17 20:36 [entrez] AID - 10.1111/nyas.14555 [doi] PST - ppublish SO - Ann N Y Acad Sci. 2021 Nov;1503(1):23-37. doi: 10.1111/nyas.14555. Epub 2021 Jan 17.