2020
DOI: 10.1016/j.etap.2020.103358
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The osteoprotective effects of artemisinin compounds and the possible mechanisms associated with intracellular iron: A review of in vivo and in vitro studies

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Cited by 27 publications
(25 citation statements)
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“…Nowadays, it is considered by the World Health Organization (WHO) as the only potent drug to combat Malaria in combination with quinoline derivatives (Artemisinin based combination therapies). Recently, researchers demonstrated the beneficial impact of artemisinin in various biochemical pathways in different dental cells such as dental pulp stem cells (DPSC), bone marrow-derived mesenchymal stem cells (BMSCs) and human mesenchymal stem cells (HMSCs) [ 35 , 36 ]. Hu et al [ 37 ] presented that artemisinin was able to restore the osteogenic differentiation of DPSCs under hypoxia conditions.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Nowadays, it is considered by the World Health Organization (WHO) as the only potent drug to combat Malaria in combination with quinoline derivatives (Artemisinin based combination therapies). Recently, researchers demonstrated the beneficial impact of artemisinin in various biochemical pathways in different dental cells such as dental pulp stem cells (DPSC), bone marrow-derived mesenchymal stem cells (BMSCs) and human mesenchymal stem cells (HMSCs) [ 35 , 36 ]. Hu et al [ 37 ] presented that artemisinin was able to restore the osteogenic differentiation of DPSCs under hypoxia conditions.…”
Section: Introductionmentioning
confidence: 99%
“…Fang et al [ 38 ] observed the improvement of the in vitro survival of BMSCs after incubation with ART and especially when exposed to an ROS-induced environment, suggesting that artemisinin-mediated protection in BMSCs occurs via the activation of the c-Raf-Erk1/2-p90rsk-CREB signaling pathway. Zhang et al [ 35 ] demonstrated that artemisinin compounds have the ability to inhibit osteoclast differentiation using their intracellular iron, activating the cleavage of Endoperoxide Bridge, generating ROS and causing oxidative damage and ferroptosis. In light of these results, we propose the loading of synthesized mesoporous nanocarriers with ART to verify their potential capability to locally deliver this multifunctional drug.…”
Section: Introductionmentioning
confidence: 99%
“…Some drugs that target osteoporosis may actualize a ferroptotic role during the therapeutic mechanism, which, in our perspective, is reasonable to surmise, but not yet visible. Artemisinin (ARS) and its related compounds, which are already known as inhibitors of osteoporosis due to their suppression of osteoclast differentiation by blocking the receptor activator of nuclear factor kappa-B ligand (RANKL) pathway, may induce ferroptosis in osteoclasts due to the high levels of ferritin and LIP in osteoclasts (Zhang, 2020). Furthermore, andrographolide (AP), an herbal medicine, was found to have the ability to regulate the osteoprotegerin (OPG)/RANKL signal (Tantikanlayaporn et al, 2020) and stifle the NF-κB pathway activated by TNFα (Yongyun et al, 2019) so as to hasten osteoblast differentiation.…”
Section: Ferroptosis and Osteoporosismentioning
confidence: 99%
“…On the contrary, one of the most potent drugs involving the production of ROS mediated by iron is artemisinin (ART) and its derivatives, which contain an endoperoxide moiety that can be activated by iron to form cytotoxic reactive species. This characteristic was applied for many pathologies including malaria [ 9 ], cancer [ 10 ] and osteoporosis [ 11 ].…”
Section: Introductionmentioning
confidence: 99%
“…A similar mechanism of action for artemisinin has been observed for diseases associated to osteoporosis. In detail, ARTs revealed osteoprotective effects associated with excessive intracellular production of ROS, which leads to inhibition of osteoclast differentiation (responsible for bone loss) by blocking pathways involved in the receptor activator of nuclear factor kappa-B ligand (RANKL) and finally promoting osteogenesis [ 11 ]. Considering the characteristic of high levels of intracellular iron in osteoclasts, ART compounds could inhibit osteoclast differentiation via mechanisms associated with intracellular iron, as assumed for the ARTs treatment in malaria parasites.…”
Section: Introductionmentioning
confidence: 99%