Chinese Journal of Tissue Engineering Research ›› 2025, Vol. 29 ›› Issue (24): 5061-5070.doi: 10.12307/2025.731

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Estrogen receptor alpha-activated adenosine monophosphate-activated protein kinase signaling pathway promotes proliferation and differentiation of osteoblasts

Yang Feng1, 2, Xu Jinfan1, 2, Long Huan1, 2, Yang Fengchun1, 2, Zhang Guixin1, 2, Jiang Tao3, Chen Qingzhen1, Shao Min1   

  1. 1The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China; 2The Third School of Clinical Medicine of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 3The Second Traditional Chinese Medicine Hospital of Guangdong Province, Guangzhou University of Chinese Medicine, Guangzhou 510095, Guangdong Province, China 
  • Received:2024-03-14 Accepted:2024-09-12 Online:2025-08-28 Published:2025-01-22
  • Contact: Shao Min, MD, Chief physician, Master’s/Doctoral supervisor, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China
  • About author:Yang Feng, MS, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China; The Third School of Clinical Medicine of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Supported by:
    the Fundamental and Applied Basic Research Funds of Guangdong Province, No. 2021A1515010725 (to SM); Guangzhou Science and Technology Program, No. 202201011291 (to JT)

Abstract: BACKGROUND: Estrogen receptor α can act as an upstream protein to regulate the expression and phosphorylation level of adenosine monophosphate-activated protein kinase (AMPK). Activation of the estrogen receptor α-AMPK signaling pathway promotes osteogenic proliferation and differentiation. 
OBJECTIVE: To explore the molecular mechanism of estrogen receptor α regulating AMPK and its effect on osteoblast proliferation and differentiation at osteoblast cell line and molecular biology levels.
METHODS: (1) The passaged MC3T3-E1 mouse embryonic osteoblasts were divided into three groups: blank control group, mock group (transfected with pCDNA3.1 control plasmid), and estrogen receptor α group (transfected with pCDNA3.1-estrogen receptor α overexpression plasmid), and RT-qPCR and western blot methods were used to detect the hepatic kinase B1, CaMKKβ, and AMPKα1 mRNA, protein and phosphorylation levels. (2) ChIP-qPCR was used to demonstrate that estrogen receptor α interacts with the hepatic kinase B1 promoter. Dual luciferase assay was used to demonstrate that estrogen receptor α interacts with the hepatic kinase B1 promoter region to activate its transcriptional expression. (3) The cells were divided into three groups: mock+shNC group, estrogen receptor α+shNC group, and estrogen receptor α+shLKB1 group. Changes in the expression levels of hepatic kinase B1, phosphorylated hepatic kinase B1, and phosphorylated AMPKα1 proteins in the cells were detected by western blot. (4) The cells were divided into four groups: mock group, estrogen receptor α group, estrogen receptor α+5 μmol/L Compound C (AMPK inhibitor) group, and estrogen receptor α+10 μmol/L Compound C group. The expression of proteins related to the AMPK signaling pathway and related to osteogenesis and osteoinductivity were detected by western blot method. Cells were transfected for 24 hours and then subjected to osteogenic induction for 14 days. Alkaline phosphatase staining was performed and cell viability in each group was detected. Mineralized nodule formation was detected by alizarin red staining at 21 days of osteogenic induction. (5) The cells were transfected and pretreated with different concentrations of AMPK inhibitor in corresponding groups, and cell viability was detected by cell counting kit 8.
RESULTS AND CONCLUSION: (1) Estrogen receptor α activates the AMPK signaling pathway in MC3T3-E1 cells. (2) Estrogen receptor α promotes liver kinase B1 transcription and mediates AMPK signaling pathway activation. (3) Estrogen receptor α promotes the proliferation and differentiation of MC3T3-E1 cells by activating the AMPK signaling pathway, and the expression of AMPKα1, p-AMPKα, osteoprotegerin, osteopontin, and Runx2 proteins was down-regulated under the intervention of AMPK inhibitor, and the viability of osteoblasts was decreased. (4) To conclude, estrogen receptor α activates the AMPK signaling pathway by acting on liver kinase B1 promoter, promotes osteoblast proliferation and osteogenic differentiation, and prevents osteoporosis.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程

Key words: postmenopausal osteoporosis, estrogen receptor α overexpression, AMPK, signaling pathway, liver kinase B1, engineered tissue construction

CLC Number: