PMID- 33936275 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210504 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 21 IP - 6 DP - 2021 Jun TI - Total flavonoids of Rhizoma Drynariae combined with calcium attenuate osteoporosis by reducing reactive oxygen species generation. PG - 618 LID - 10.3892/etm.2021.10050 [doi] LID - 618 AB - In the present study, the effects of total flavonoids of Rhizoma Drynariae (TFRD) and calcium carbonate (CaCO(3)) on osteoporosis (OP) were assessed in a rat model of OP. For this purpose, 36 Sprague-Dawley rats, aged 3 months, were randomly divided into a group undergoing sham surgery (sham-operated group), model group (OP group), CaCO(3) group (OP + CaCO(3) group), TFRD group (OP + TFRD group), TFRD combined with CaCO(3) group (OP + TFRD + CaCO(3) group) and TFRD and CaCO(3) combined with N-acetyl cysteine group (OP + TFRD + CaCO(3) + NAC group). The rat model of OP was established by bilateral ovariectomy. The changes in bone mineral density (BMD), bone volume parameters and bone histopathology in the rats from each group were observed. The levels of serum reactive oxygen species, superoxide dismutase (SOD), malondialdehyde, glutathione peroxidase (GSH-Px), interleukin (IL)-6, IL-1beta, TNF-alpha, and the levels of bone tissue runt-related transcription factor 2 (RUNX2), osteoprotegerin (OPG), osteocalcin (BGP), PI3K, p-PI3K, AKT, p-AKT, mammalian target of rapamycin (mTOR) and p-mTOR were measured in the rats of each group. The induction of OP was associated with a marked decrease in BMD, bone mineral content, bone volume fraction and trabecular thickness, and decreased serum levels of SOD and GSH-Px. Moreover, the expressions of RUNX2, OPG, BGP were downregulated and an upregulation of p-PI3K, p-AKT and p-mTOR were observed in osteoporotic rats. However, treatment with TFRD and CaCO(3) restored all the aforementioned parameters to almost normal values. Furthermore, the findings on histopathological evaluation were consistent with the biochemical observations. Taken together, the findings of the present study demonstrated that TFRD and CaCO(3) significantly increased the antioxidant capacity in rats with OP, increased BMD and reduced bone mineral loss, and may be useful for the prevention and treatment of OP. CI - Copyright: (c) Mu et al. FAU - Mu, Panyun AU - Mu P AD - Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, P.R. China. FAU - Hu, Yimei AU - Hu Y AD - Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, P.R. China. FAU - Ma, Xu AU - Ma X AD - Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, P.R. China. FAU - Shi, Jingru AU - Shi J AD - Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, P.R. China. FAU - Zhong, Zhendong AU - Zhong Z AD - Laboratory Animal Research Institute of Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, P.R. China. FAU - Huang, Lingyuan AU - Huang L AD - Chengdu Lilai Biotechnology Co., Ltd., Chengdu, Sichuan 610041, P.R. China. LA - eng PT - Journal Article DEP - 20210414 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC8082640 OTO - NOTNLM OT - osteoporosis OT - oxidative stress OT - total flavonoids of Rhizoma Drynariae COIS- The authors declare that they have no competing interests. EDAT- 2021/05/04 06:00 MHDA- 2021/05/04 06:01 PMCR- 2021/04/14 CRDT- 2021/05/03 06:13 PHST- 2020/01/07 00:00 [received] PHST- 2021/02/01 00:00 [accepted] PHST- 2021/05/03 06:13 [entrez] PHST- 2021/05/04 06:00 [pubmed] PHST- 2021/05/04 06:01 [medline] PHST- 2021/04/14 00:00 [pmc-release] AID - ETM-0-0-10050 [pii] AID - 10.3892/etm.2021.10050 [doi] PST - ppublish SO - Exp Ther Med. 2021 Jun;21(6):618. doi: 10.3892/etm.2021.10050. Epub 2021 Apr 14.