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Inhibition of Nrf2 degradation alleviates age-related osteoporosis induced by 1,25-Dihydroxyvitamin D deficiency
Abstract
Previous studies have shown that 1,25(OH)2 D plays an anti-osteoporosis role by an anti-aging mechanism. Oxidative stress is a key mediator of aging and bone loss; however, whether 1,25(OH)2 D can exert its anti-osteoporosis effect by inhibiting oxidative stress is unclear. In this study, osteoporosis and the bone aging phenotype induced by 1,25(OH)2 D deficiency in male mice were significantly rescued in vivo upon the supplementation of oltipraz, an inhibitor of Nrf2 degradation. Increased oxidative stress, cellular senescence and reduced osteogenesis of BM-MSCs from VDR knockout mice were also significantly rescued when the cells were pre-treated with oltipraz. We found that 1,25(OH)2 D 3 promoted Nrf2 accumulation by inhibiting its ubiquitin-proteasome degradation, thus facilitating Nrf2 activation of its transcriptional targets. Mechanistically, 1,25(OH)2 D 3 enhances VDR-mediated recruitment of Ezh2 and facilitation of H3K27me3 action at the promoter region of Keap1, thus transcriptionally repressing Keap1. To further validate that the Nrf2-Keap1 pathway serves as the key mediator in the anabolic effect of 1,25(OH)2 D 3 on bone, Nrf2-/- mice, or hBM-MSCs with shRNA-mediated Nrf2-knockdown, were treated with 1,25(OH)2 D 3; we found that Nrf2 knockout largely blocked the bone anabolic effect of 1,25(OH)2 D 3 in vivo and ex vivo, and Nrf2 knockdown in hBM-MSCs markedly blocked the role of 1,25(OH)2 D 3 in inhibiting oxidative stress and promoting osteogenic differentiation and bone formation. This study provides insight into the mechanism whereby 1,25(OH)2 D 3 postpones age-related osteoporosis via VDR-mediated activation of Nrf2-antioxidant signaling and inhibition of oxidative stress, and thus provides evidence for oltipraz as a potential reagent for clinical prevention and treatment of age-related osteoporosis.
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The Nrf2 signaling pathway is a central regulatory system of cellular antioxidant defense in bone metabolism.
“Recent discoveries have highlighted the pivotal role of the Nrf2 signaling pathway, a central regulatory system of cellular antioxidant defense, in bone metabolism52,53.”
From Intelligence-responsive wettability switch coating on magnesium implants for treating osteoporotic fracture (2026) · cites this paper as [53]
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Metadata
- Authors
- Yang, R., Zhang, J., Li, J., Qin, R., Chen, J., Wang, R., Goltzman, D., & Miao, D.
- Affiliations
- State Key Laboratory of Reproductive Medicine (CN)
- Central South University (CN)
- Research Institute of the McGill University Health Centre (CA)
- Corresponding author
- Miao, Dengshun
- Venue
- Free Radical Biology and Medicine
- Publisher
- Elsevier BV
- Published
- 2022-01
- Volume
- 178
- Pages
- 246-261
- ISSN
- 0891-5849 (ISSN-L)
- OpenAlex
- W4200084934
- Cited by
- 67
- References
- 52
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 15 · 2023: 12 · 2022: 18
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Free Radical Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Key Research and Development Program of China (2018YFA0800800)
- Canadian Institutes of Health Research (PJT-152963)
- National Natural Science Foundation of China (81730066)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics, phytochemicals, and oxidative stress
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
- Keywords
- senile osteoporosis, 1,25-dihydroxyvitamin D, Nrf2, oltipraz, Nrf2/Keap1 pathway, oxidative stress, vitamin D receptor, EZH2, H3K27me3, Keap1, bone aging, bone marrow mesenchymal stem cells, osteogenic differentiation, bone formation, cellular senescence
- MeSH terms
- Kelch-Like ECH-Associated Protein 1, Animals, Male, Osteogenesis, Osteoporosis, Vitamin D, Receptors, Calcitriol, NF-E2-Related Factor 2, Mice
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