Abstract
Tanshinol is a major water-soluble active component of Salvia miltiorrhiza. In this study, we aimed to investigate whether tanshinol has potential therapeutic
effects against glucocorticoid-induced osteoporosis and glucocorticoid-induced myopathy.
Ninety-six female Sprague-Dawley rats were randomly assigned to five groups: a control
group, a model group, and three model groups treated with 25 or 50 mg/kg of tanshinol,
or calcitriol. All model groups received prednisone acetate for 90 days to induce
glucocorticoid-induced osteoporosis. Afterwards, all animals underwent a surgical
procedure to induce bone defects at the right proximal tibia. Prednisone treatment
was stopped after surgery, but tanshinol or calcitriol treatment was continued to
the endpoint. At the experimental endpoint, compared to the model group, 25 mg/kg
tanshinol could significantly reverse glucocorticoid-induced loss of bone mineral
density by 12.5 %, while enhancing mechanical bone strength, causing a significant
11 % increase in trabecular number, and reducing trabecular separation by 28 %. In
addition, tanshinol improved the bone microarchitecture and prevented glucocorticoid-induced
bone loss by promoting bone formation and inhibiting bone resorption. Moreover, results
of bone defect repair and muscle weight measurements revealed that tanshinol accelerated
the bone fracture healing process and attenuated muscle atrophy caused by glucocorticoid.
Furthermore, qRT-PCR analysis showed a 1-fold upregulation in mRNA levels of transforming
growth factor beta and roughly 6-fold increases in vascular endothelial growth factor
mRNA expression in calluses from the tanshinol groups. Tanshinol also preserved muscular
ubiquitin mRNA levels from glucocorticoid-induced elevation. These findings demonstrate
the potential benefits of tanshinol against glucocorticoid-induced osteoporosis and
glucocorticoid-induced myopathy, which warrants further investigation in future studies.
Key words
glucocorticoid - osteoporosis - fracture - myopathy - tanshinol - Salvia miltiorrhiza
- Lamiaceae - bone histomorphometry