Abstract. Quercetin, a flavonoid found in onions and other vegetables, has potential inhibitory effects on bone resorption in vivo and in vitro. In our previous study it was identified that quercetin triggered the apoptosis of lipopolysaccharide (LPS)-induced osteoclasts and inhibited bone resorption. Currently, little information is available detailing the effect of quercetin on osteoblast differentiation and bone formation in bacteria-induced inflammatory diseases. The present study aimed to investigate the effect of quercetin on osteoblast differentiation in MC3T3-E1 osteoblasts stimulated with LPS. LPS significantly downregulated the mRNA expression of osteoblast-related genes in the MC3T3-E1 cells. By contrast, quercetin significantly restored the LPS-suppressed mRNA expression of osteoblast-related genes in a dose-dependent manner. Quercetin also restored the protein expression of Osterix in MC3T3-E1 cells suppressed by LPS. Furthermore, quercetin selectively triggered the activation of the mitogen-activated protein kinase (MAPK) pathway by enhancing the expression of extracellular signal-regulated kinase and reducing the expression of c-Jun N-terminal kinase. These data suggest that quercetin reversed the inhibition of osteoblast differentiation induced by LPS through MAPK signaling. These findings suggest that quercetin may be of potential use as a therapeutic agent to restore osteoblast function in bacteria-induced bone diseases.
IntroductionBone is a dynamic tissue that constantly undergoes remodeling. Bone remodeling is a coupled process of bone formation mediated by osteoblasts and resorption regulated by osteoclasts, which continues throughout life (1). An imbalance between bone formation and resorption may result in excessive bone loss, which is a feature of chronic inflammatory diseases, including rheumatoid arthritis, osteomyelitis, bacterial arthritis and infection of orthopedic implants (2).Lipopolysaccharide (LPS), a component of the outer membranes of all gram-negative bacteria, has been demonstrated to be capable of inducing bone resorption in vivo and in vitro (3-8). Furthermore, LPS is able to inhibit osteoblast differentiation and function in cell culture (9-12). However, effective therapies against bacteria-induced bone destruction are limited to antibiotic regimens and surgical strategies in chronic inflammatory diseases. Therefore, the investigation and development of potential drugs that restore osteoblast function remains a major goal in the prevention of bone destruction in infective bone diseases.Quercetin, a dietary flavonoid, has been highlighted as a bioactive substance, due to its biological, pharmacological and medicinal activities. Evidence suggests that quercetin inhibits bone loss by affecting osteoclastogenesis and regulating a variety of systemic and local factors, including hormones and inflammatory cytokines (13-15). By contrast, the effect of quercetin on osteoblastogenesis remains a matter of controversy (16-17).Mitogen-activated protein kinases (MAPK) pathways, inclu...