Constitutional flavonoids derived from Epimedium dose-dependently reduce incidence of steroid-associated osteonecrosis not via direct action by themselves on potential cellular targets.
Intravascular-thrombosis and extravascular-lipid-deposit are the two key pathogenic events considered to interrupt intraosseous blood supply during development of steroid-associated osteonecrosis (ON). However, there are no clinically employed agents capable of simultaneously targeting these two key pathogenic events. The present experimental study demonstrated that constitutional flavonoid glycosides derived from herb Epimedium (EF, composed of seven flavonoid compounds with common stem nuclear) exerted dose-dependent effect on inhibition of both thrombosis and lipid-deposition and accordingly reducing incidence of steroid-associated ON in rabbits, which was not via direct action by themselves rather by their common metabolite on potential cellular targets involved in the two pathogenic pathways. The underlying mechanism could be explained by counteracting endothelium injury and excessive adipogenesis. These findings encourage designing clinical trials to investigate potential of EF in prevention of steroid-associated ON.
Zhang
Ge
G
Musculoskeletal Research Laboratory, Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Wang
Xin-Luan
XL
Sheng
Hui
H
Xie
Xin-Hui
XH
He
Yi-Xin
YX
Yao
Xin-Sheng
XS
Li
Zi-Rong
ZR
Lee
Kwong-Man
KM
He
Wei
W
Leung
Kwok-Sui
KS
Qin
Ling
L
D000818:Animals; D002478:Cells, Cultured; D002851:Chromatography, High Pressure Liquid; D004305:Dose-Response Relationship, Drug; D034181:Epimedium / Q000737:chemistry*; D005419:Flavonoids / Q000494:pharmacology*; D006801:Humans; D015994:Incidence; D010020:Osteonecrosis / Q000139:chemically induced / Q000517:prevention & control*; D011817:Rabbits; D013056:Spectrophotometry, Ultraviolet; D013256:Steroids / Q000009:adverse effects*; D053719:Tandem Mass Spectrometry
D005419:Flavonoids; D013256:Steroids