Chinese Journal of Tissue Engineering Research ›› 2026, Vol. 30 ›› Issue (33): 8583-8590.doi: 10.12307/2026.476

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Jiawei Yanghe Decoction-containing serum attenuates hydrogen peroxide-induced oxidative damage in osteoblasts

Wu Fan1, 2, Yang Wenlong2, Liu Jiangyuan2, Xia Hanting2, Zeng Zhikui2, Yang Fengyun2   

  1. 1Jiangxi University of Chinese Medicine, Nanchang 330004, Jiangxi Province, China; 2The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, Jiangxi Province, China
  • Received:2025-10-29 Revised:2026-03-20 Online:2026-11-28 Published:2026-06-08
  • Contact: Yang Fengyun, Chief physician, The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, Jiangxi Province, China
  • About author:Wu Fan, PhD, Associate chief physician, Jiangxi University of Chinese Medicine, Nanchang 330004, Jiangxi Province, China; The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, Jiangxi Province, China
  • Supported by:
    National Natural Science Foundation of China, No. 82260946 (to XHT); Natural Science Foundation of Jiangxi Province, 20232BAB216116 (to YWL); Jiangxi Provincial Department of Science and Technology Clinical Research Center Construction Project, No. 20212BCG74004 (to YFY); National Project for Establishing Inheritance Studios of Renowned Senior Traditional Chinese Medicine Experts, No. [2022] 75 (to YFY)

Abstract: BACKGROUND: Activation of nuclear factor erythroid 2-related factor 2 may be an effective strategy for antioxidant stress in osteoblasts and prevention of osteoporosis.
OBJECTIVE: To investigate the protective effect and mechanism of Jiawei Yanghe Decoction-containing serum on hydrogen peroxide-induced osteoblast injury. 
METHODS: The mouse osteoblast cell line MC3T3-E1 was divided into five groups: control group, model group, and low-, medium-, and high-dose Jiawei Yanghe Decoction-containing serum groups. Cells in the control group were routinely cultured. Cells in the model group were treated with hydrogen peroxide to establish an oxidative stress injury model of osteoblasts. Cells in the low-, medium-, and high-dose Jiawei Yanghe Decoction-containing serum groups were treated with final volume fractions of 5%, 10%, and 15% Jiawei Yanghe Decoction-containing serum for 24 hours based on the model group. Cell status, osteogenic function, oxidative stress level, inflammatory response, and protein expression related to the nuclear factor erythroid 2-related factor 2/heme oxygenase 1 signaling pathway were detected.
RESULTS AND CONCLUSION: Compared with the control group, the model group showed significantly decreased cell viability, alkaline phosphatase activity, osteogenic mineralization capacity, antioxidant enzyme activities, and protein expression levels of nuclear factor erythroid 2-related factor 2 and heme oxygenase 1, and significantly increased apoptosis rate, reactive oxygen species levels, and levels of the inflammatory factors interleukin-6 and interleukin-1β (P < 0.05). Compared with the model group, the Jiawei Yanghe Decoction-containing serum groups showed varying degrees of improvement in the above indicators (P < 0.05). These findings indicate that Jiawei Yanghe Decoction-containing serum can restore the viability and bone formation function of MC3T3-E1 cells and alleviate oxidative stress injury by activating the nuclear factor erythroid 2-related factor 2/heme oxygenase 1 antioxidant signaling pathway.

Key words: Jiawei Yanghe Decoction, MC3T3-E1 cell, osteoblast, nuclear factor erythroid 2-related factor 2, heme oxygenase 1, osteogenic differentiation, oxidative stress, apoptosis

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