Summary

Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats

Published: April 07, 2023
doi:

Summary

Presented here is a protocol to show that Bazi Bushen capsule (BZBS) can regulate the RANKL/OPG signaling pathway in the ovariectomized rodent model through its estrogen-like effect.

Abstract

This study aims to show the estrogen-like effect of Bazi Bushen capsule (BZBS), a Chinese herbal compound, in ovariectomized mice. Female Sprague-Dawley (SD) rats were randomly divided into six groups: a sham-operated group, a model group (OVX), a progynova group, and BZBS groups (1, 2, and 4 d/kg/d). An ovariectomy was performed on all rats except those in the sham-operated group. Micro-computed tomography (micro-CT) scanning, hematoxylin and eosin (H&E) staining, immunohistochemistry, and enzyme-linked immunosorbent assay (ELISA) detection were performed after 4 months of BZBS treatment. As a result, compared with the OVX group, rats treated with BZBS showed an increased number and area of trabecular bone and bone marrow cells, and a decreased number of adipose cells. The bone volume, trabecular number, and trabecular thickness of the right tibia in the medication groups increased and the trabecular space decreased. The 17β-estradiol and serum calcium levels in the medication groups were elevated, but the levels of serum phosphorus, sclerostin, β-CTX, and TRACP-5b were decreased. In the medication groups, the RANKL and sclerostin levels were decreased, while the osteoprotegerin (OPG) level was increased. In conclusion, this protocol systematically evaluated the therapeutic effects and potential molecular mechanisms of Chinese herbal compounds in ovariectomized rats with a variety of techniques.

Introduction

Postmenopausal osteoporosis (PMOP) is a skeletal system disease caused by inadequate ovarian function, decreased estrogen, and enhanced osteoclast activity1, characterized by low bone mass, microarchitectural degeneration of the bone tissue, and damage of the bone trabecula. PMOP prone to cause fractures and can have serious effects on patients’ quality of life. Osteoporosis affects about 200 million people worldwide2; about 40% of postmenopausal women suffer from osteoporosis3, and fractures occur in 33% of patients with PMOP4. The reduction of estrogen could lead to a relatively enhanced osteoclast activity5 and declined bone mass when bone resorption exceeds bone formation. Thus, osteoclast activation is usually considered a sign of bone loss6. Physiologically, RANKL/OPG serves as an important pathway involving bone remodeling by regulating osteoclast activation to promote bone resorption7. Meanwhile, estrogen can also mediate osteoclast formation and function by regulating RANKL/OPG signaling8.

Over recent years, traditional medicine has been increasingly used to treat different diseases with less adverse reactions and better prognosis9,10. Bazi Bushen capsule (BZBS), a traditional Chinese medicine, could be an alternative approach to prevent and treat PMOP. It is composed of Cuscuta, Fructus lycii, Fructus schisandrae, Fructus cnidii, Fructus rosae laevigatae (Cherokee rose fruit), Raspberry, Semen Allii Tuberosi, Toosendan fructus, Herba epimedii, Morinda officinalis, Herba cistanches, Rehmannia glutinosa, Medicinal cyathula root, Ginseng, Pilose antler, and Hippocampus Kelloggi (Table 1), containing 11 kinds of phytoestrogen with hormone-like effects. A previous study has confirmed that BZBS can delay the formation of atheromatous plaque through an estrogen-like effect11, which is similar to treating osteoporosis with estrogen12. However, the underlying mechanisms of BZBS in the prevention and treatment of osteoporosis caused by the deficiency of estrogen are unclear. Therefore, the present study aimed to verify whether BZBS has a bone-protective effect on ovariectomy-induced rat osteoporosis13,14.

Protocol

The animal experiments were approved by the Committee on Animal Research and Ethics of the Hebei Yiling Medical Research Institute (approval number: N2020150). The 36 Sprague-Dawley (SD) female rats (3 months old, weighing 180-200 g) (see Table of Materials) were fed with normal food and clean water in the new drug evaluation center of Hebei Yiling Medical Research Institute and were exposed to artificial light for 12 h per day in rooms with controlled temperatures (20-26 °C) and relative humidity (…

Representative Results

The bone microstructure of the tibia was evaluated by micro-CT scanning The treatment of ovariectomized rats with BZBS significantly reduced OVX-induced trabecular structural changes. As shown in the reconstructed micro-CT images of the right tibia (Figure 1A,B), trabecular bone in the OVX group showed a significant decrease in BMD (Figure 1C), BV/TV (Figure 1D), Tb.Th (Fi…

Discussion

After ovariectomy, estrogen levels decreased sharply due to the continuous reduction of cancellous bone and increased bone turnover. Essentially, decreased estrogen secretion after menopause could cause significant bone loss18, leading to Ca2+ loss in ovariectomized rats19,20. It has been reported that taking estrogen can help the metaphyseal fracture recovery of ovariectomized rats, and estrogen replacement therapy can also be …

Declarações

The authors have nothing to disclose.

Acknowledgements

This work was supported by the Strategic Consulting Project of the Chinese Academy of Engineering: Strategic research on anti-aging effect of Traditional Chinese Medicine (Grant No.: 2022-XY-45), the Natural Science Foundation of Hebei Province in China (Grant No.:2022106065), S&T Program of Hebei, China (Grant No.:22372502D) and High-level S&T Innovation and Entrepreneurship Talent Project of Shijiazhuang, Hebei, China (Grant No.: 07202203).

Materials

10% neutral buffered formalin Proteintech Group, Inc. 23408-1AP-100
17-Beta-Estradiol ELISA kits Proteintech Group, Inc. 21933-1-AP
3%H2O2 ShanDong LIRCON Medical Technology Incorporated Company 20221027
Anti-osteoprotegerin antibody Abcam ab203061
Bazibushen capsules Shijiazhuang Yiling Pharmaceutical Co. Ltd. XB2103001
Biotin goat anti-rabbit IgG Abcam ab207995
Calcium assay kits Nanjing Jiancheng Bioengineering Institute C004-2-1
Diaminobenzidine ZSGB-BIO ZLI-9018
Estradiol valerate tablets Bayer AG 156A
Gene 1580R centrifuge GENE Co. Ltd.  GZ422515090077
Image-Pro Plus Media Cybernetics IPP 6.0
Leica DM6000B Microscope (fully automated upright microscope system) Leica 361715
Normal Goat Serum Blocking Solution Vector Laboratories S-1000-20
Phosphate assay kits Nanjing Jiancheng Bioengineering Institute C006-1-1
Phosphate buffered saline Servicebio, Wuhan, China CR10201M
Quantum GX2 microCT Imaging System PerkinElmer CLS149276
RANKL rabbit polyclonal antibody Elabscience Biotechnology Co. Ltd. E-EL-R3032-96T
Rat SOST (Sclerostin) ELISA kit Elabscience Biotechnology Co. Ltd. E-EL-R1405c-96T
Rat TRACP-5b (Tartrate Resistant Acid Phosphatase 5b) ELISA kit Abcam ab108667
Rat β-CTx (Beta Crosslaps) ELISA kit Elabscience Biotechnology Co., Ltd. E-EL-R0939c-96T
Sclerostin rabbit polyclonal antibody Beijing Vital River Laboratory Animal Technology Co., Ltd. SCXK(JING)2016-0006
Slide scanner Hamamatsu Photonics K.K. Nano Zoomer-SQ
Sprague Dawley female rats Beijing Vital River Laboratory Animal Technology Co., Ltd. ZLI-9381

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Wang, D., Chang, L., Hao, J., Zhang, J., Song, Y., Ma, K., Zhang, S., Li, C., Gu, J., Hou, Y., Wu, Y. Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats. J. Vis. Exp. (194), e64884, doi:10.3791/64884 (2023).

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