Cilostazol attenuates ovariectomy-induced bone loss by inhibiting osteoclastogenesis

Ke, K; Safder, AM; Sul, OJ; Suh, JH; Joe, Y; Chung, HT; Choi, HS

HERO ID

4851324

Reference Type

Journal Article

Year

2015

Language

English

PMID

25992691

HERO ID 4851324
In Press No
Year 2015
Title Cilostazol attenuates ovariectomy-induced bone loss by inhibiting osteoclastogenesis
Authors Ke, K; Safder, AM; Sul, OJ; Suh, JH; Joe, Y; Chung, HT; Choi, HS
Journal PLoS ONE
Volume 10
Issue 5
Page Numbers e0124869
Abstract <strong>BACKGROUND: </strong>Cilostazol has been reported to alleviate the metabolic syndrome induced by increased intracellular adenosine 3',5'-cyclic monophosphate (cAMP) levels, which is also associated with osteoclast (OC) differentiation. We hypothesized that bone loss might be attenuated via an action on OC by cilostazol.<br /><br /><strong>METHODOLOGY AND PRINCIPAL FINDINGS: </strong>To test this idea, we investigated the effect of cilostazol on ovariectomy (OVX)-induced bone loss in mice and on OC differentiation in vitro, using μCT and tartrate-resistant acid phosphatase staining, respectively. Cilostazol prevented from OVX-induced bone loss and decreased oxidative stress in vivo. It also decreased the number and activity of OC in vitro. The effect of cilostazol on reactive oxygen species (ROS) occurred via protein kinase A (PKA) and cAMP-regulated guanine nucleotide exchange factor 1, two major effectors of cAMP. Knockdown of NADPH oxidase using siRNA of p47phox attenuated the inhibitory effect of cilostazol on OC formation, suggesting that decreased OC formation by cilostazol was partly due to impaired ROS generation. Cilostazol enhanced phosphorylation of nuclear factor of activated T cells, cytoplasmic 1 (NFAT2) at PKA phosphorylation sites, preventing its nuclear translocation to result in reduced receptor activator of nuclear factor-κB ligand-induced NFAT2 expression and decreased binding of nuclear factor-κB-DNA, finally leading to reduced levels of two transcription factors required for OC differentiation.<br /><br /><strong>CONCLUSIONS/SIGNIFICANCE: </strong>Our data highlight the therapeutic potential of cilostazol for attenuating bone loss and oxidative stress caused by loss of ovarian function.
Doi 10.1371/journal.pone.0124869
Pmid 25992691
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English