PMID- 36337646 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221108 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 9 DP - 2022 TI - S-Equol enhances osteoblastic bone formation and prevents bone loss through OPG/RANKL via the PI3K/Akt pathway in streptozotocin-induced diabetic rats. PG - 986192 LID - 10.3389/fnut.2022.986192 [doi] LID - 986192 AB - BACKGROUND: This study aimed to explore whether S-Equol delays diabetes-induced osteoporosis and the molecular mechanisms underlying its therapeutic effects. MATERIALS AND METHODS: Thirty-five male Sprague-Dawley rats were randomized into five groups. The diabetic osteoporosis (DOP) group and three S-Equol treatment groups were intraperitoneally injected with streptozotocin (STZ) to develop a DOP model. After the 12-week intervention, bone transformation indicators were detected using an enzyme-linked immunosorbent assay kit; bone mineral density (BMD) and bone microstructure were obtained using dual-energy X-ray absorptiometry and microCT; morphological changes in the bone tissue were investigated using HE staining; bone morphogenetic proteins were detected using immunohistochemical staining. ROS17/2.8 cells were cultured in vitro, and Cell Counting Kit-8 was used to test the protective effects of S-Equol in osteoblastic cells in a high-fat and high-glucose environment. Furthermore, the expression of osteoprotegerin (OPG), receptor activator of nuclear factor kappa-B ligand (RANKL), estrogen receptor beta(ERbeta), phosphorylated Akt (pAKT)/protein kinase B (AKT), and osteocalcin (OC) in bone tissue and ROS17/2.8 cells was assessed using reverse transcription polymerase chain reaction (RT-PCR) and western blotting. To determine whether ERbeta and phosphatidylinositol 3' -kinase (PI3K)/AKT signaling pathways are involved in the process, LY294002 (PI3K signaling pathway inhibitor) and small interfering RNA targeting ERbeta mRNA (si-ERbeta) were used to verify the function of the ERbeta-mediated PI3K/AKT pathway in this process. RESULTS: After the 12-week intervention, S-Equol enhanced BMD, improved bone microarchitecture in DOP rats (P < 0.05), and improved markers of bone metabolism (P < 0.05). In vitro, 10(-6) mmol/L S-Equol was selected to significantly protect osteoblasts from high- and high-glucose environments (P < 0.05). Gene expression of OPG, ERbeta, pAKT/AKT, and OC was upregulated compared to the DOP group, and RANKL was downregulated compared to the DOP group (P < 0.05) both in bone tissue and osteoblastic cells. The promotion of OPG and pAKT/AKT is mediated by LY294002 and siERbeta. CONCLUSION: S-Equol binds to ERbeta to regulate OPG/RANKL via the PI3K/AKT pathway and improve DOP. Our results demonstrate the potential role of S-Equol in the treatment of DOP by targeting ERbeta. Thus, S-Equol may have the potential to be an adjuvant drug for treating DOP. CI - Copyright (c) 2022 Xu, Xu, Li, Cui, Zhang, Ni and Wang. FAU - Xu, Zhe AU - Xu Z AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Xu, Jing AU - Xu J AD - Department of Endocrinology, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Li, Shuo AU - Li S AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Cui, Hanqiang AU - Cui H AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Zhang, Guiming AU - Zhang G AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Ni, Xiangmin AU - Ni X AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. FAU - Wang, Jian AU - Wang J AD - Department of Nutrition, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, China. LA - eng PT - Journal Article DEP - 20221021 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC9633996 OTO - NOTNLM OT - AKT OT - S-Equol OT - diabetic osteoporosis (DOP) OT - estrogen receptor beta (ERbeta) OT - osteoprotegerin (OPG) OT - receptor activator of nuclear factor kappa-B ligand (RANKL) COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/08 06:00 MHDA- 2022/11/08 06:01 PMCR- 2022/01/01 CRDT- 2022/11/07 04:14 PHST- 2022/07/04 00:00 [received] PHST- 2022/10/07 00:00 [accepted] PHST- 2022/11/07 04:14 [entrez] PHST- 2022/11/08 06:00 [pubmed] PHST- 2022/11/08 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2022.986192 [doi] PST - epublish SO - Front Nutr. 2022 Oct 21;9:986192. doi: 10.3389/fnut.2022.986192. eCollection 2022.