Background
Tooth and periodontal diseases associated with alveolar bone loss are high risk complications for and frequently occur in postmenopausal women suffering from osteoporosis because of estrogen deficiency [
1,
2]. Unlike other bones, the biological metabolic cycle of an alveolar bone is much shorter [
3], but this bone is more tolerant to estrogen deficiency than appendicular long bones [
4]. Some studies have suggested that estrogen can protect against alveolar bone loss not only in humans [
5] but also in rodents [
6].
Many active constituents in plants, especially steroid saponins, are thought to have estrogen-like effects and are called phytoestrogens [
7]. Diosgenin (DIO), a phytosteroid sapogenin, is commonly categorized as a phytoestrogen [
8‐
10]. The results regarding the estrogen-like effect of DIO have been controversial. A study suggested that DIO (20–200 mg/kg) had no effect on the epithelium height, uterine weight, volume density of endometrium, endometrial/vaginal epithelia or endometrial glands in rats [
11]. Nonetheless, other researchers have found that DIO had adverse effects. For example, in ovariectomized (OVX) mice, DIO may stimulate the growth of mammary glands [
12]. Regarding bone metabolism, our previous studies showed that decreasing the ratio of receptor activator of nuclear factor-kappa B ligand (RANKL)/osteoprotegerin (OPG) of the tibia [
13] or regulating the expression of long noncoding RNAs in alveolar bone [
10] was the reason for the anti-bone loss effect of DIO in OVX rats.
Compared with linear RNA (e.g., mRNA, miRNA, lncRNA) characterized by 3′ tale and 5′ cap structures, circular RNA (circRNA) features a covalently closed continuous loop generated by a unique splicing strategy [
14]. CircRNAs are thought to participate in various diseases because of their special “miRNA sponge” function, whereby they bind miRNAs to efficiently suppress miRNA transcription, and this inhibitory effect on miRNAs can further regulate the expression of downstream mRNAs [
15]. In bone metabolism, circRNAs play an important role in modulating mRNA expression via the circRNA-miRNA-mRNA axis not only in a murine model [
16] but also in humans [
17]. Thus, we raise the question of whether the regulatory effect of DIO on bone metabolism was mediated via circRNA-miRNA-mRNA interactions. To answer this question, we carried out the present study to explore the action of DIO on gene profiles or the circRNA-miRNA-mRNA network in the alveolar bone of OVX rats.
Methods
Experimental animals and treatments
Six-month-old female rats undergoing ovariectomy have been commonly used as a model to study osteoporosis in postmenopausal women [
18,
19]. This study included 48 female Wistar rats (six months old). We obtained the rats (average weight 300 ± 20.0 g) from the National Institutes for Food and Drug Control of China. All rats were kept under a regular 12 h/12 h light/dark cycle and at constant room temperature (22 ± 1 °C). The rats underwent sham operation (SHAM,
n = 12) or bilateral OVX (
n = 36). The ventral approach was used in bilateral ovariectomy [
20]. Briefly, at first, the anesthetized rats were fixed ventrally and the abdominal skin in the mid-lower back was preparated and disinfected. A 0.5 cm incision closed the spine under the costal margin was made and skin was separated. Secondly, dorsal muscle was cut and then ovary was exposed adequately. Thirdly, the fat tissue coating the ovary was separated by blunt dissection and the blood vessels and oviduct were ligated. Fourthly, ovariectomy was completed and the preserved tissue or organs were put back into the abdominal cavity, followed by suturing incision. Ovariectomy on the other side was in the same way. The SHAM group rats underwent same operation except that the ovaries were preserved.
The model rats subjected to OVX were classified into 3 categories randomly, namely, OVX group (
n = 12), estradiol valerate (EV) group (
n = 12) and DIO group (
n = 12). According to studies published previously [
21‐
23], EV group rats were administered oral gavage of EV (0.1 mg/kg body weight, Bayer Health Care, Guangzhou, China) every day, while DIO group rats were treated by oral gavage with DIO (100 mg/kg body weight, purity≥93%, Sigma-Aldrich, Saint Louis, MO, USA) every day. For the SHAM or OVX group, rats were administered distilled water (of equal volume) by oral gavage. A standard chow was used to feed all rats during our present experiment. The treatments started one week after the operation and lasted 12 weeks. No rats died during the whole treatment period.
Specimen preparation
At the end of treatment, all experimental rats were anesthetized via intraperitoneal injection by ketamine (80 mg/kg) and xylazine (12 mg/kg) and were subsequently exsanguinated for sacrifice. Under anesthesia, we punctured the abdominal aortae to collect blood (8–10 mL) which was subsequently transferred into tubes added with heparin. The rats subjected to haemospasia were palpated for 5 min to ensure asystole and were considered as dead after confirming asystole, respiration cease and corectasis. Next, the plasma was separated from blood by centrifugation (12 min, 2500 g, 4 °C) and stored (− 80 °C) for the following experiments. To observe and determine the alveolar bone microstructure of the rats, the right mandibles were first excised and kept under the temperature of − 20 °C and then scanned using microcomputed tomography (micro-CT). Thereafter, the right mandibles also served as the specimens for histological examination. For microarray assays and reverse transcription-quantitative polymerase chain reaction (RT-qPCR), we used osseous tissue between the first molar and incisor in left mandibles.
Enzyme-linked immunosorbent assays (ELISA)
We used ELISA to determine plasma concentrations of osteocalcin (OCN) and tumor necrosis factor-alpha (TNF-alpha). A rat OCN ELISA kit (Novus Biologicals, Littleton, CO, USA) and a rat TNF-alpha ELISA kit (Abcam, Cambridge, MA, USA) were used to determine the rat plasma levels of TNF-αand OCN from all groups. The absorption value at 450 nm was detected by a BioTek ELISA reader (BioTek Instruments., Winooski, VT, USA).
Micro-CT scanning
The micro-CT scanning method has been previously described [
24]. The right mandibles of the rats were scanned by using a high-resolution micro-CT system (Skyscan 1174, Bruker Corporation, Ettlingen, Germany) without any sample processing. The resolution of the scan was 9.8 μm, and analuminum filter (0.5 mm) was used to remove image noise. A global threshold (upper gray threshold: 255, lower gray threshold: 55) was used for the quantity of the parameters about trabecular bone.
The image capture conditions were 800 μA and 50 keV. A cube (0.5 mm × 0.5 mm × 0.5 mm) termed as “volume of interest” (VOI) was reconstructed starting from 0.5 mm beneath the base of crown in the first molar. The trabecular bone morphological characteristics within the VOI were measured applying the Skyscan software package. Furthermore, a 3-D analysis was performed to determine eight key parameters, namely, the trabecular bone volume fraction (BV/TV), the bone surface (BS), the trabecular separation (Tb.Sp), the trabecular number (Tb.N), the trabecular thickness (Tb.Th), the trabecular pattern factor (Tb.Pf), the degree of anisotropy (DA) and the structural model index (SMI) of the identical VOL [
25].
Observations of histology
The prepared solution containing formalin (10%) was used to fix the right mandibles. Next, the mandibles were decalcified with ethylenediaminetetraacetic acid (EDTA, 14%) and embedded in paraffin. After a regular microtome cutting process, the glass slides were used to affix sections, which then were stained with hematoxylin and eosin.
CircRNA and mRNA microarray analysis
Twelve samples of alveolar bones in the DIO group (n = 6) and OVX group (n = 6) were chosen for microarray studies randomly. The microarray assay was completed by KangChen Biotech Inc. (Shanghai, China).
For our circRNA study, we used an Arraystar Rat circRNA Array (Arraystar, Rockville, MD, USA). We used RNase R (Epicentre, Madison, WI, USA) to digested total RNA, and further remove linear RNA and concentrate circular RNA. Subsequently, we amplified and transcribed the concentrated circRNA into fluorescent RNA. This step was performed using an Arraystar Super RNA Labeling Kit (Arraystar, Rockville, MD, USA), by a random priming method. Thereafter, the labeled cRNA was subjected to hybridization, washing and scanning on Arraystar mouse circRNA Array v1.0 using DNA Microarray Scanner (Agilent Technologies, Santa Clara, CA, USA).
For mRNAs, we used a rat 4 × 44 K Gene Expression Array (Agilent Technology, Santa Clara, CA, USA). In line with the protocol, samples were labeled and arrays were hybridized. Then, the obtained array images were evaluated by the Agilent Feature Extraction software (version 11.0.1.1). The data was normalized and further processed using an R software package.
CircRNAs/mRNAs with fold change≥1.5 and P-value< 0.05 were regarded as differentially expressed (DE) circRNAs/mRNAs.
Analysis of ingenuity pathway analysis (IPA)
All DE mRNAs obtained from our array analyses were input into the IPA system, a system that predicts canonical pathways, global functions and biological networks of a particular gene dataset and is referred to as the Ingenuity Pathways Knowledge Base (IPKB). In IPKB, “Role of Osteoblasts, Osteoclasts and Chondrocytes in Rheumatoid Arthritis (ROOCRA)” pathway is a exclusive pathway because this pathway includes nearly all known pivotal molecules and signaling pathways that are closely related to the development, differentiation, degradation, mineralization and apoptosis of osteoblasts and osteoclasts. As this pathway is essential in bone metabolism, the DE mRNAs that belong to the ROOCRA pathway were therefore regarded as key DE mRNAs.
Building of a circRNA-miRNA-mRNA coexpression network
Potential target miRNAs of circRNAs were predicted by miRanda (v3.3a) [
26] and TargetScan (version 7.2) [
27]. Software developed by Arraystar was applied to predict the interactive relationship between circRNAs and miRNAs, while the predicted interactions of mRNAs and miRNAs were obtained using miRanda (version 3.3a). After Pearson correlation analyses of the predicted mRNA-miRNA and circRNA-miRNA coexpression networks, the circRNA-miRNA-mRNA coexpression network were constructed. Cytoscape (version 2.8.2) [
28] was applied to visualize the whole circRNA-miRNA-mRNA network.
Validations of DE circRNAs, key DE mRNAs and predicted miRNAs using RT-qPCR
qRT-PCR assays used for detecting the expression levels of the predicted miRNAs were all performed in an ABI 7500 system (Applied Biosystems, Foster City, CA, USA) using SYBR RT-PCR kits (Takara, Dalian, Liaoning, China). We used the method of 2-ΔΔCt cycle threshold, and the expression of U6 served as the internal normalization control. For circRNAs/mRNAs expression data, the internal control was Gapdh expression.
Statistical analysis
The mean ± standard deviation was used to express all values. We utilized SPSS 19.0 (SPSS Inc., Chicago, IL, USA) for analyzing data statistically. The difference of the assessed parameters between rats from two groups or four groups was tested using the the t-test or the one-way analysis of variance (ANOVA) and subsequently the least significant difference (LSD) test, respectively. Kolmogorov-Smirnov statistics was used to test the normality of data from all groups. Statistical significance was set at p < 0.05.
Discussion
DIO is a phytoestrogen that has been shown to have an anti-osteopenic function [
29,
30]; however, the mechanism of action remains unclear. Since Hansen TB et al. demonstrated that circRNAs can play a role as “miRNA sponge” [
31], the important regulatory role of circRNAs on miRNAs has received increasing attention. The circRNA profile and the circRNA-miRNA-mRNA network in the protective effect of DIO on alveolar bone in OVX rats has never been reported, so we conducted a study combining microarray analysis and bioinformatics to fill the gap.
In our present study, we chose a rat model induced by OVX to mimic postmenopausal women with alveolar high-turnover bone loss. These patients usually feature high bone resorption and bone formation processes [
32,
33]. Our 3-D bone microstructure modeling revealed many parameters, e.g., Tb.Th, BV/TV, BS, Tb.N, Tb.Pf, Tb.Sp, as well as SMI were significantly changed. The observation suggested that DIO and EV group rats exhibited less bone loss in alveolar bones in comparison to the model rats in the OVX group. It is worth noting that the anti-bone loss action of DIO on alveolar bone was less impactful than that of EV (Fig.
2). Our histomorphological findings in alveolar bone (Fig.
4) were largely in line with the results from micro-CT (Fig.
3).
Both TNF-alpha and OCN were upregulated in the OVX group compared to the SHAM group. However, after treatment with EV or DIO, the increased levels of the TNF-alpha and OCN were reduced (Fig.
1A and B). Our findings on EV are consistent with those in previous reports [
34,
35] and strongly suggested that DIO, or other estrogens, may have a negative effect on both bone resorption and bone formation in OVX rats; thus, we confirmed that DIO can act as an estrogen-like chemical.
It is interesting to note that our histological observations showed that DIO had an anti-bone loss influence on rat alveolar bones induced by OVX, and this effect was confirmed by results from micro-CT and assay of TNF-alpha and OCN.
We conducted microarray assays to understand the role of perturbations of circRNA and mRNA profiles in the anti-bone loss action of DIO. Due to poor understanding about the function of DE circRNAs, we focused on the DE mRNAs involved in the anti-osteopenic effects of DIO. Seven validated DE mRNAs (
Sfrp1,
Csf1,
Il1rl1,
Nfatc4,
Tnfrsf1a,
Pik3c2g and
Wnt9b) were associated with the ROOCRA pathway. It is clear that DIO has a multitarget inhibitory effect on the signaling pathways of both bone resorption and bone formation (Figs.
5 and
6).
The Wnt pathway is acknowledged to be one of the key signaling pathways that mediate the osteogenic differentiation not only mesenchymal stem cells but preosteoblasts [
36,
37], whereas RANKL/the receptor activator of nuclear factor-kappa B (RANK) pathway plays an essential role in osteoclastogenic differentiation and bone resorption [
38,
39]. Interestingly, sFRPs have dual inhibitory effects on the two pathways above. sFRPs can function as Wnt inhibitors to resemble the ligand-binding cysteine rich domain (CRD) of the Frizzled family of Wnt receptors and inhibit both canonical Wnt/beta-catenin signaling and noncanonical Wnt/planar cell polarity (PCP) signaling [
40,
41]. In osteoclasts, sFRP1 can bind to RANKL directly and further block the interaction of RANKL/RANK and osteoclastogenesis [
42]. DIO has been reported to inhibit breast cancer stem-like cells by deregulating the activation of Wnt/beta-catenin signaling via sFRP4 [
43]. We speculated that
sFRP1 could be a key target of DIO in its anti-bone loss effect.
Phosphatidylinositol 3-kinase (PI3K) controls numerous cellular functions like motility after ligand activation and cell proliferation [
44]. In osteoblasts, PI3K has been well studied. PI3K inhibits osteoblast apoptosis through activating Akt (protein kinase B) and further activates PI3K/Akt by Wnt3a, and heparin promotes osteoblast differentiation [
45]. For osteoclastogenesis, the PI3K/Akt pathway also plays a fundamental role. Some researchers recently reported that the activation of Akt can limit osteoclast differentiation through activating the glycogen synthase kinase 3 beta (GSK 3beta)/nuclear factor of activated T cells (NFAT) c1 signaling cascade [
46]. PI3K-gamma (Pik3c2g) was also characterized recently. It has been shown that this protein is associated with the promotion of osteoclastogenesis and bone mass reduction in mice and therefore may be a potential target in osteoporosis [
47]. In our present study, we inferred that DIO could attenuate osteogenesis and osteoclastogenesis by decreasing the expression of PI3K in osteoblasts and osteoclasts at the mRNA level.
Our data also showed that DIO could slow down the process of bone resorption by decreasing the signaling of three potent stimulator pathways in osteoclastogenesis (Fig.
6). DIO attenuated the ligands or receptors of macrophage colony-stimulating factor (M-CSF), interleukin-1 receptor (IL-1R) and tumor necrosis factor receptor (TNF-R) [
48‐
50]. In particular, the results on TNF-R1 and IL-1R from the microarray assay were consistent with those of our previous study [
10]. In addition, NFATC is regarded as a master transcription factor indispensable for the osteoclastogenesis induced by RANKL. The auto amplification and activation of NFATc1 give rise to a rapid upregulation of osteoclast-specific genes [
51,
52] and NFATc4 was necessary for the osteoclastogenic effect of NFATc1 [
53]. In this study, we surmised that TNF-R1, IL-1R and NFATc4 could be other target molecules of DIO in the reduction of bone resorption.
To sum up, the findings from the gene chip and pathway analyses suggested that the anti-bone loss action of diosgenin on alveolar bone was ascribed to inhibition of osteogenesis and osteoclastogenesis synchronously by mediating the expression of important molecules in the Wnt, PI3K, RANK/RANKL or osteoclastogenic cytokine pathways (e.g., Sfrp1, Pik3c2g, Wnt9b, Csf1, Il1rl1, Nfatc4, and Tnfrsf1a).
We built a circRNA-miRNA-mRNA coexpression network involved in the inhibitory action of DIO on alveolar bone loss. This network is beneficial for identifying pivotal miRNAs that are linked to the regulatory effect of rno_circRNA_016717 on the 7 key mRNAs mentioned above.
There were 380 nodes and 2173 edges in the coexpression network (Fig. S1). However, we only found one circRNA-miRNA-mRNA axis, circRNA_016717/miR-501-5p/
Sfrp1 (Fig.
9). In 2016, a study reported that miR-501-5p was considerably upregulated in human gastric cancer tissues and cell lines. The authors found that miR-501-5p may directly bind and suppress several important repressors of the Wnt/beta-catenin signaling cascade [such as GSK3 beta, dickkopf-related protein 1 (DKK1) and naked cuticle 1 (NKD1)], which lead to hyperactivated signaling in gastric cancer cells [
54]. No study has reported the relationship between miR-501-5p and
Sfrp1 in vivo or in vitro, but we hypothesize that this relationship likely exists considering that
Sfrp1 is also a repressor of Wnt/beta-catenin signaling. Further efforts are needed with the aim of revealing the potential mechanism of the circRNA_016717/miR-501-5p/
Sfrp1 axis in the anti-osteoporotic effect of DIO.
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