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Research Progress of Traditional Chinese Medicine in the Treatment of Steroid-induced Femoral Head Necrosis Based on PI3K/Akt Signaling Pathway

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DOI: 10.23977/medsc.2023.040505 | Downloads: 14 | Views: 361

Author(s)

Gao Zhikun 1, Dong Bo 2, Yuan Puwei 2, Liu Deyu 2

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, 712046, China
2 Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, 712000, China

Corresponding Author

Dong Bo

ABSTRACT

Steroid-induced osteonecrosis of the femoral head (SONFH) is a common bone and joint disease, mainly due to long-term or high-dose use of glucocorticoids leading to femoral head blood supply disorders and bone tissue necrosis. At present, the most effective treatment for SONFH is hip replacement, but there are some limitations and complications. As a traditional medical system, traditional Chinese medicine has the characteristics of multi-target, multi-channel and multi-component, which may provide a new treatment strategy for SONFH. In recent years, more and more studies have shown that traditional Chinese medicine can act on the PI3K/Akt signaling pathway, affect the angiogenesis, osteogenic differentiation, apoptosis and other processes in the necrotic area of the femoral head, thereby promoting angiogenesis and bone repair, and achieving the purpose of protecting the femoral head. This article reviews the research results of traditional Chinese medicine in the treatment of SONFH based on PI3K/Akt signaling pathway, and further provides a reference for the clinical application of traditional Chinese medicine in the treatment of SONFH.

KEYWORDS

Traditional Chinese medicine, steroid-induced femoral head necrosis, PI3K/Akt signaling pathway, research progress

CITE THIS PAPER

Gao Zhikun, Dong Bo, Yuan Puwei, Liu Deyu, Research Progress of Traditional Chinese Medicine in the Treatment of Steroid-induced Femoral Head Necrosis Based on PI3K/Akt Signaling Pathway. MEDS Clinical Medicine (2023) Vol. 4: 31-36. DOI: http://dx.doi.org/10.23977/medsc.2023.040505.

REFERENCES

[1] Xu Y, Jiang Y, Xia C S, et al. Stem cell therapy for osteonecrosis of femoral head: Opportunities and challenges[J]. Regenerative Therapy, 2020, 15: 295-304. 
[2] Liu F, Wang W, Yang L, et al. An epidemiological study of etiology and clinical characteristics in patients with nontraumatic osteonecrosis of the femoral head [J]. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 2017, 22. 
[3] Kubo Y, Motomura G, Ikemura S, et al. Effect of collapse on the deformity of the femoral head–neck junction in osteonecrosis of the femoral head [J]. Archives of Orthopaedic and Trauma Surgery, 2017, 137: 933-938. 
[4] Wang A, Ren M, Wang J. The pathogenesis of steroid-induced osteonecrosis of the femoral head: a systematic review of the literature [J]. Gene, 2018, 671: 103-109. 
[5] Chen Haojie, Li Shaopeng, Yang Fan, etc. The research progress of mesenchymal stem cell-derived exosomes in the treatment of non-traumatic osteonecrosis of the femoral head in the early and middle stages [J]. Chinese Clinical Research, 2020, 33 (09): 1274-1277. 
[6] Shang Zhengya, Cao Linzhong, Yang Haodong, et al. Research progress of Chinese medicine regulating Wnt / β-catenin signaling pathway in the treatment of steroid-induced osteonecrosis of the femoral head[J/OL]. Chinese Journal of Experimental Prescriptions: 1-10 [2023-03-13]. http://kns. cnki. net/kcms/detail/11. 3495. R. 20220830. 1040. 006. html. 
[7] Feng H B. Exploring the molecular mechanism of Taohong Siwu decoction on angiogenesis in traumatic ANFH rats from exosome MiR-126-VEGF/Notch signal axis [D]. Hunan University of Chinese Medicine, 2022. 
[8] Liu M C. Experimental study on the effect of Shenggu Zhaizao pills on osteogenic differentiation of BMSCs in SANFH rabbits based on PI3K/AKT/mTOR pathway [D]. Gansu University of Traditional Chinese Medicine, 2022. 
[9] Han Jie, Xie Xiaozhong, Jin Wanqing, et al. Research progress on conservative treatment of avascular necrosis of the femoral head [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2012, 24(10):15-18. 
[10] Solinas G, Becattini B. PI3K and AKT at the Interface of Signaling and Metabolism [M]//PI3K and AKT Isoforms in Immunity: Mechanisms and Therapeutic Opportunities. Cham: Springer International Publishing, 2022: 311-336. 
[11] Zaxi Dawa. M2-macrophages-derived exosomes play a therapeutic role by inhibiting PI3K/AKT/mTOR pathway in rats with knee osteoarthritis [D]. Qinghai University, 2022. 
[12] Liu Mengchu, Cao Linzhong, Jiang Wei, et al. Expression and role of PI3K/AKT/mTOR signaling pathway in glucocorticoid-induced osteonecrosis of the femoral head [J]. Chin J Osteoporosis and Bone Mineral Diseases, 2021, 14(01): 87-93. 
[13] Liu L B. Effect of modified Duhuo parasitic mixture on PI3K/AKT signaling pathway in OVX osteoporotic mice [D]. Hunan University of Chinese Medicine, 2022. 
[14] Zheng Haotian, Wang Xiaoping, Liu Haiping, et al. Role of PI3K/AKT signaling pathway in non-traumatic femoral head necrosis [J]. Chin J Orthopedics, 2021, 30(17):1592-1596. 
[15] Song Shilei, Chen Yueping, Zhang Xiaoyun. Mechanism of PI3K/AKT signaling pathway regulating femoral head necrosis [J]. Chinese Tissue Engineering Research, 2020, 24(03):408-415. 
[16] Lu Fanfei, Wang Weiguo, Guo Wanshou, et al. Study on the effect of glucocorticoid on the apoptosis of femoral head bone microvascular endothelial cells through PI3K-Akt-mTOR signaling pathway [J]. Chin J Osteoporosis, 2021, 28(05): 631-636+669. 
[17] Xu Canhong, Chen Yueping, Zhang Xiaoyun. The role of osteogenic signaling pathway in non-traumatic osteonecrosis of the femoral head [J]. Tissue Engineering Research, 2020, 24(14):2235-2242. 
[18] Shi Wei, Jin Xin, Wang Jinfeng, et al. Effects of icariin on early steroid-induced osteonecrosis of the femoral head in rats by mediating PI3K/Akt signaling pathway [J]. Modern Medicine & Clinic, 2021, 37(12):2680-2686. 
[19] Shi W. Effects of icariin on steroid-induced osteonecrosis of the femoral head in rats through PI3K/AKT signaling pathway [D]. Anhui University of Traditional Chinese Medicine, 2022. 
[20] Zeng Suolin, Shi Nengbing, Liu Yi. Effect of puerarin on bone tissue and PI3K/Akt signal transduction pathway in rats with steroid-induced osteonecrosis of the femoral head [J]. Journal of Bengbu Medical College, 2019, 44(11):1441-1444. 
[21] Cao F, Qin K, Kang K, et al. Ginkgo biloba l. extract prevents steroid-induced necrosis of the femoral head by rescuing apoptosis and dysfunction in vascular endothelial cells via the PI3K/AKT/eNOS pathway[J]. Journal of Ethnopharmacology, 2022, 296: 115476. 
[22] Xue X H, Feng Z H, Li Z X, et al. Salidroside inhibits steroid-induced avascular necrosis of the femoral head via the PI3K/Akt signaling pathway: In vitro and in vivo studies[J]. Molecular Medicine Reports, 2018, 17(3): 3751-3757. 
[23] Zhan J, Yan Z, Zhao M, et al. Allicin inhibits osteoblast apoptosis and steroid-induced necrosis of femoral head progression by activating the PI3K/AKT pathway[J]. Food & function, 2020, 11(9): 7830-7841. 
[24] Lv W, Yu M, Yang Q, et al. Total flavonoids of Rhizoma drynariae ameliorate steroid‑induced avascular necrosis of the femoral head via the PI3K/AKT pathway[J]. Molecular Medicine Reports, 2021, 23(5): 1-10. 
[25] Xiao Z, LI S H. Identification of angiogenesis related genes in steroid-induced osteonecrosis of the femoral head and screening and verification of targeted traditional Chinese medicine components [J]. Chinese Herbal Medicine, 2023, 54(05): 1526-1539. 
[26] Leung K W, Pon Y L, Wong R N S, et al. Ginsenoside-Rg1 induces vascular endothelial growth factor expression through the glucocorticoid receptor-related phosphatidylinositol 3-kinase/Akt and β-catenin/T-cell factor-dependent pathway in human endothelial cells[J]. Journal of Biological Chemistry, 2006, 281(47): 36280-36288. 
[27] Peng F L, Liu M J. Progress in genetic research into high-degree myopia and myopia[J]. China Journal of Modern Medicine, 2015.
[28] Wang J X. Study on the regulation of cell autophagy and the pathogenesis of steroid-induced osteonecrosis of the femoral head by Gubi Tongxiao Decoction based on PI3K/Akt/mTOR signaling pathway [D]. Anhui University of Traditional Chinese Medicine, 2021. 
[29] Sun Shihui, Xu Heng, Zhang Jinmin, et al. To explore the core mechanism of Yanghe decoction in the treatment of osteonecrosis of the femoral head by network pharmacology and molecular docking [J]. Medical Research and Education, 2020, 37(05):36-49. 
[30] Wang D, Liu Y, Tang D, et al. Induction of PI3K/Akt-mediated apoptosis in osteoclasts is a key approach for Buxue Tongluo Pills to treat osteonecrosis of the femoral head [J]. Frontiers in Pharmacology, 2021, 12: 729909.

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