Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (32): 5116-5122.doi: 10.12307/2021.213

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Effects of total flavone of Rhizoma Drynariae on the coupling of angiogenesis and osteogenesis in bone remodeling through notch signaling pathway

Huang Minling1, Lu Zhaoqi2, Shen Zhen3, Lin Haixiong1, Feng Junjie1, Huang Feng4, Jiang Ziwei4, Cai Qunbin4   

  1. 1First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 2Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 3Kunming Hospital of Traditional Chinese Medicine, Kunming 650000, Yunnan Province, China; 4The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

  • Received:2020-08-25 Revised:2020-08-28 Accepted:2020-10-24 Online:2021-11-18 Published:2021-07-26
  • Contact: Cai Qunbin, Master, Attending physician, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • About author:Huang Minling, Master candidate, First Clinical School of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 81974575 (to JZW); The Youth Scientific Research Fund of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 2019QN27 (to CQB) 

Abstract: BACKGROUND: Bone defect is a clinical difficulty in orthopedics. Total flavone Rhizoma Drynariae has a definite therapeutic effect on bone defects, but the specific mechanism is not clear. 
OBJECTIVE: To explore the effects of the total flavone of Rhizoma Drynariae on angiogenesis and bone formation during bone remodeling.
METHODS: Forty-eight Sprague-Dawley rats were divided into four groups, 12 in each group, including model group, traditional Chinese medicine (TCM) group, TCM + DAPT group, and DAPT group. femoral bone defect model was established in each rat and interventions with the total flavone of Rhizoma Drynariae and the Notch signaling pathway blocker DAPT were given in corresponding groups. Osteogenesis was evaluated by X-ray, Micro-CT, and hematoxylin-eosin staining at 12 weeks of interventions. The levels of vascular endothelial growth factor, CD31, Hes1, bone morphogenetic protein 2, and Notch1 in bone tissue were detected by immunohistochemistry. 
RESULTS AND CONCLUSION: X-ray, Micro-CT and hematoxylin-eosin staining showed that TCM group showed significantly better osteogenesis than the other three groups. Immunohistochemistry detection indicated that compared with the model group, the average absorbance values of vascular endothelial growth factor, CD31, Hes1, bone morphogenetic protein 2, and Notch1 were significantly higher in the TCM group (P < 0.05). Compared with the DAPT group, the average absorbance values of vascular endothelial growth factor, Hes1, and bone morphogenetic protein 2 were significantly increased in the TCM+DAPT group, while there was no significant difference in the expression of CD31 and Notch1 between the two groups. These findings indicate that the total flavone of Rhizoma Drynariae can promote the coupling of angiogenesis-osteogenesis in bone remodeling by activating the Notch pathway, thereby promoting bone repair.

Key words: bone defect, total flavone of Rhizoma Drynariae, angiogenesis, osteogenesis, Notch, signaling pathway, rat

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