Chrysanthemum zawadskii extract protects osteoblastic cells from highly reducing sugar-induced oxidative damage
- Authors:
- Published online on: May 8, 2013 https://doi.org/10.3892/ijmm.2013.1371
- Pages: 241-250
Abstract
Introduction
Chrysanthemums are perennial flowering plants in the Asteraceae family which is native to Asia and northeastern Europe. Extracts of chrysanthemum plants have been shown to have a variety of potential medicinal properties, such as anti-AIDS (1,2), antimicrobial (3), antioxidant (4,5) and antimycotic activities (6). Chrysanthemum zawadskii is one of the species of the genus Chrysanthemum and has traditionally been used in folk medicine, known as ‘Gujeolcho’ in Korea for the treatment of various diseases. Chrysanthemum zawadskii extracts (CZE) has been shown to have anti-inflammatory and anti-oxidative stress activities in RAW 264.7 murine macrophage cells (7) and one of the fractions derived from CZE exerts protective effects against carbon tetrachloride (CCl4)-induced hepatotoxicity in mice via the induction of detoxifying enzyme, NAD(P)H: (quinone acceptor) oxidoreductase 1 (8).
Oxidative stress results from a persistent imbalance between antioxidant defenses and the production of highly reactive oxygen species (ROS) (9). Chronic hyperglycemia leads to oxidative stress which is involved in the progression of pancreatic β-cell deterioration, as well as in the development of diabetic complications (10). Bone complications in diabetes include early onset osteopenia and osteoporosis (11,12). These cause an increase in bone fractures and a delay in the healing of fractures, affecting the quality of life (13). In vitro studies have indicated that oxidative stress inhibits osteoblast differentiation (14) and induces osteoblastic insults and apoptosis (15). One of the mechanisms of diabetes-associated bone disease may be the direct effects on osteoblasts and bone turnover. An imbalance between bone-forming osteoblasts and bone-resorbing osteoclasts leads to the pathogenesis and etiology of certain bone metabolic diseases, including osteoporosis and osteopetrosis (16).
Sugars that contain aldehyde groups that are oxidized to carboxylic acids are classified as reducing sugars, and they produce ROS through autoxidation and protein glycosylation (17–19). 2-Deoxy-D-ribose (dRib) is a strong reducing sugar that is highly reactive with proteins (20,21). Since glucose is the least reactive of the reducing sugars and requires long-term exposure to provoke oxidative stress (19), we selected dRib as a surrogate for glucose to induce oxidative damage in MC3T3-E1 osteoblastic cells. We have previously demonstrated that dRib promotes apoptosis by increasing oxidative stress in HIT-T15 pancreatic β-cells (20–23) and MC3T3-E1 osteoblastic cells (24–26).
Although it is known that the health beneficial and pharmacological effects of CZE are due to its antioxidant activities, the molecular mechanisms behind its biological effects on bone metabolism are still unknown. Oxidative stress is involved in the modulation of the expression of transcription factors and cellular signaling, which may affect osteoblast function. In the present study, we aimed to investigate the effects of CZE on oxidative stress-induced damage and cellular dysfunction in MC3T3-E1 osteoblastic cells.
Materials and methods
Plant materials and reagents
The aerial parts of Chrysanthemum zawadskii were collected from Nowha-do, Wando-gun, Jeollanam-do Province, Korea. The botanical origin of the sample was classified by one of the authors (Y.P. Jang) and the voucher specimen (KHUP-289) was deposited in the Kyung Hee Museum of Korean Traditional Herbal Medicine, Seoul, Korea. Dried aerial parts of Chrysanthemum zawadskii (1 kg) were refluxed with 80% ethanol (in water, v/v) at room temperature several times. This extract was filtered and evaporated in a rotary vacuum evaporator and then finally lyophilized with a freezing dryer. The extract (total yield, 26.7%) was dissolved in dimethyl sulfoxide (DMSO) and diluted to the appropriate concentrations with culture medium [final DMSO concentration was 0.05% (v/v)]. Linarin was obtained from ChromaDex (Irvine, CA, USA). High performance liquid chromatography (HPLC) grade acetonitrile was purchased from Fisher Scientific (Seoul, Korea). Formic acid of analytical reagent grade was obtained from Wako Pure Chemical Industries, Ltd. (Osaka, Japan).
HPLC and HPLC-electrospray ionization-tandem mass spectrometry (HPLC-ESI-MS) analysis of CZE
Standard solutions containing linarin were prepared in the concentration range from 50 to 400 μg/ml. A total of 5 mg of 80% ethanolic CZE was dissolved in 1 ml of initial solvent mixture of HPLC [15% acetonitrile (in water, v/v)]. All the standard and sample solutions were filtered through a 0.45 μm syringe filter (Millipore, Bedford, MA, USA) before being subjected to HPLC. HPLC analysis was performed on a Waters system (Waters Corp., Milford, MA, USA) equipped with a photodiode array detector (Waters 996) running with Empower software. A Hector C18 column (250×4.6 mm, 5 μm) (RStech Co., Ltd., Daejeon, Korea) was selected for the chemical fingerprint analysis of the ethanolic extract of Chrysanthemum zawadskii. The UV data of the effluent from the column ranging from 200 to 400 nm were collected. The detection wavelength was set to 330 nm. The flow rate was 1 ml/min. The mobile phase comprised 0.1% formic acid in acetonitrile (solvent A) and 0.1% formic acid in water (solvent B). The gradient program commenced with linear gradient from 15 to 23% of solvent A for 15 min, followed by isocratic elution for 35 min, then linear gradient to 30% for 2 min and isocratic elution for 10 min. The injection volume of the standard and the samples was 10 μl.
In order to identify major peaks from CZE, HPLC-ESI-MS was performed. The HPLC flow rate was approximately 0.2 ml/min using a commercial splitter. An AccuTOF® single-reflectron time-of-flight mass spectrometer was equipped with an ESI and operated using Mass Center system version 1.3.7b software (both from Jeol USA Inc., Peabody, MA, USA). In the positive ion mode, the atmospheric pressure interface potentials were typically set to the following values: orifice 1, 80 V and ring lens and orifice 2, 10 and 5 V, respectively. The ion guide potential and detector voltage were set to 2,000 and 2,300 V, respectively. ESI parameters were set as follows: needle electrode = 2,000 V, nitrogen gas was used as a nebulizer, desolvating and the flow rate was 1 and 3 l/min, desolvating chamber temperature, 250°C, orifice 1 temperature, 80°C. Mass scale calibration was performed using the YOKUDELNA calibration kit (Jeol Ltd., Tokyo, Japan) for accurate mass measurements and calculations of the elemental composition. MS acquisition was set with a scan range of m/z 100 to 2,000.
Cell culture
MC3T3-E1 murine osteoblastic cells were obtained from the American Type Culture Collection (Rockville, MD, USA). The cells were cultured in α-modified minimal essential medium (α-MEM; Invitrogen, Carlsbad, CA, USA) supplemented with 10% fetal bovine serum (FBS; Sigma Chemical Co., St. Louis, MO, USA), 100 μU/ml penicillin, and 100 μg/ml streptomycin. The cultures were maintained at 37°C in a humidified 5% CO2 atmosphere and subcultured by trypsinization with 0.05% trypsin-0.02% EDTA in Ca2+- and Mg2+-free Dulbecco’s phosphate-buffered saline (DPBS) until they reached approximately 70% confluence. For assessment of cell viability, apoptosis and ROS production, the cells were plated in 24-well culture plates at a density of 2×104 cells/well. Two days after culture, the cells were treated with CZE for 24 h in α-MEM containing 0.5% FBS. The cells were also seeded in a 6-well culture plate at a density of 1×105 cells/well and treated with culture medium containing 10 mM β-glycerophosphate and 50 μg/ml ascorbic acid to initiate in vitro mineralization as previously described (27). The cell culture medium was changed every 2 days. After 6 days, the cells were cultured in medium containing dRib and/or CZE for 2 days and the alkaline phosphatase (ALP) activity, collagen content and gene expression were then measured.
Assessment of cell viability
Cell viability was determined by measuring cell metabolic activity using the Cell Counting kit-8 (CCK-8) (Dojindo Co., Kumamoto, Japan) (28). CCK-8 contains 2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium, monosodium salt (WST-8), which produces a water-soluble formazan dye upon reduction in the presence of an electron carrier. The amount of yellow formazan dye generated by the activity of dehydrogenases in the cells is directly proportional to the number of living cells. MC3T3-E1 osteoblastic cells were plated in 24-well cell culture plates at a density of 2×104 cells/well. At the end of the culture period, 50 μl of the CCK-8 solution were added to each well of the culture plate, which contained 500 μl of medium. After a 4-h incubation, the absorbance was measured using a Zenyth 3100 multimode detector (Anthos Labtec Instruments GmbH, Wals/Salzburg, Austria) at 450 nm using a 650 nm filter as a reference. Cells incubated with culture medium alone were used to determine 100% viability and were included as the control in all the experiments to allow the estimation of the percentage viability of the cell samples.
Apoptosis determination by ELISA
A cell death ELISA kit (Roche Molecular Biochemicals, Mannheim, Germany), which quantitatively detects cytosolic histone-associated DNA fragments, was used to measure apoptosis according to the manufacturer’s instructions. Briefly, cells were seeded at a density of 2×104 cells in 24-well culture plates. The culture conditions used were the same as those described for the cell viability assay. Following incubation, the cells were lysed and the intact nuclei were pelleted by centrifugation. An aliquot of supernatant was used as the antigen source for sandwich ELISA using a primary anti-histone monoclonal antibody that was bound to the streptavidin-coated wells of a microtiter plate. Subsequently, the cells were treated with a second anti-DNA monoclonal antibody coupled to peroxidase. Nucleosome levels were quantified by determining the amount of peroxidase retained in the immunocomplex. Peroxidase activity was determined photometrically at 405 nm using 2,2′-azino-di(3-ethylbenzthiazolin-sulfonate) (ABTS) as the substrate.
Measurement of ROS
The fluorescent probe, chloromethyl-2,7-dichlorodihydrofluorescein diacetate (DCFDA; Molecular Probes, Eugene, OR, USA), was used to measure intracellular ROS levels as previously described (28). MC3T3-E1 osteoblastic cells were cultured for 24 h in α-MEM containing 0.5% FBS, rinsed twice with DPBS, and then treated with 10 μM of DCFDA for 1 h. The cells were then rinsed, scraped and their fluorescence was measured (excitation 485 nm, emission 515 nm) using a Zenyth 3100 multimode detector.
ALP activity
At the time of cell harvesting, the medium was removed and the cell monolayer was gently washed twice with PBS. The cells were then lysed with 0.2% Triton X-100 and the lysate was centrifuged at 14,000 × g for 5 min. The cleared supernatant was used for the measurement of ALP activity and protein concentration. ALP activity was determined using an ALP activity assay kit (Somang Engineering Co., Seoul, Korea) and normalized using the number of cells.
Collagen content
Cellular collagen content was measured using a Sircol Collagen Assay kit (Biocolor Ltd., Newtownabbey, Northern Ireland). This assay is a quantitative dye-binding method designed for the analysis of collagen extracted from mammalian tissues and cells during in vitro culture. The dye reagent binds specifically to the [Gly-X-Y]n helical structure found in mammalian collagen (types I–V). Measurements were normalized using the number of cells.
RNA extraction
Total RNA was isolated from the cells using TRIzol reagent (Invitrogen). Following isolation, RNA integrity was assessed using an Agilent 2100 Bioanalyzer (Agilent Technologies, Inc., Palo Alto, CA, USA). cDNA was synthesized using the Transcriptor First Strand cDNA synthesis kit (Roche Diagnostics GmbH, Mannheim, Germany) and stored at −70°C until further processing. All procedures were carried out according to the manufacturer’s instructions.
Real-time RT-PCR
Real-time PCR was performed to verify the differential expression of selected genes using a Roche LightCycler 480 system (Roche Diagnostics GmbH) and the TaqMan method using the Roche Universal Probe Library (UPL) kit. Relative gene expression was determined by employing the comparative CT method. All reactions were carried out in a total volume of 20 μl of reaction mixture containing 10.0 μl of 2X UPL master mix, 1.0 μl of 5′ primer (10 pmol/μl), 1.0 μl of 3′ primer (10 pmol/ml), 0.2 μl of UPL probe, 1.0 μl of cDNA and 6.8 μl of sterile water. The thermal cycling conditions for PCR were an initial denaturation for 10 min at 95°C, followed by 40 cycles of 94°C for 10 sec and 60°C for 30 sec. The primers summarized in Table I were designed using the Roche ProbeFinder assay tool. For RT-PCR analysis, duplicate PCRs were carried out for each cDNA. Negative controls (except templates) were included in the PCR reaction to ensure specific amplification. LightCycler 480 software version 1.2 (Roche Diagnostics GmbH) was used for the analysis of the quantitative PCR. The values obtained from each sample were normalized to hypoxanthine guanine phosphoribosyltransferase (HPRT) expression. The levels of each gene expression in all experimental groups were compared to the expression levels of the control group.
Statistical analysis
All results are expressed as the means ± SD. Statistical analysis was performed using one-way ANOVA with a subsequent Tukey’s multiple comparison test. A P-value <0.05 was considered to indicate a statistically significant difference. Statistical analysis was performed using SAS software (SAS Inc., Cary, NC, USA).
Results and Discussion
To our knowledge, this is the first study to investigate the effects of CZE on dRib-induced oxidative damage using a MC3T3-E1 osteoblastic culture model. One of the mechanisms of diabetes-associated bone disease may be the direct effects on osteoblastic cells. In vitro studies have shown that hyperglycemia inhibits osteoblastic cell proliferation and differentiation (29,30), indicating that extracellular high glucose directly impairs osteoblastic function, resulting in bone disease. In our previous studies, we demonstrated that dRib induced cellular damage in pancreatic β-cells by increasing oxidative stress and protein glycation (20–23). Recently, we also reported that dRib induces cellular dysfunction and apoptosis in the MC3T3-E1 mouse osteoblastic cell line by increasing oxidative stress (26).
Due to the absence of a previous HPLC fingerprint study on CZE, we aimed to establish a HPLC profiling method. Gradient elution system was the best choice to obtain an entire HPLC profile of the secondary metabolites from this plant. An optimized HPLC chromatogram is shown in Fig. 1. Compared to the main active compound from a previous report, linarin was identified from the chromatogram (31). A calibration curve was established using methanol stock solution containing linarin diluted to the appropriate concentration. The co-efficient value (r2) was 0.996, linearity in this range was sufficient to provide a highly accurate value for the linarin content in the samples. The relative standard deviation (RSD) was <5.5%. Using the established calibration curves, the content of linarin in the extract was quantified. The calculated content of linarin in the extract was 4.05±0.27% (w/w) (Table II).
Table II.Regression data, precision and quantification of linarin from the 80% ethanolic extract of Chrysanthemum zawadskii. |
The retention time, observed mass, mass difference and proposed compounds of 3 peaks are listed in Table III. From the mass spectra, major ion peaks 1–3 contributed to the protonated molecular ion of m/z 355, 517 and 517, respectively. Comparing the reference molecular weight and UV-Visible absorption spectrum, peak 1 corresponds to that of caffeoylquinic acid (32,33). Since caffeoylquinic acid has the same molecular weight and UV-Visible absorption spectrum, it is difficult to assign the exact identification of the peak only by HPLC-(diode-array detection) DAD-MS. Considering the UV-Visible absorption spectrum and molecular weight, unidentified peaks 2 and 3 are supposed to be isomers of dicaffeoylquinic acids (Table III). In order to elucidate the exact identity of the peaks, further sets of experiments, including semi-quantitative scale isolation and spectroscopical analysis are required.
To evaluate the effect of dRib on MC3T3-E1 osteoblastic cell survival, cell viability was determined using the CCK-8 assay. We observed a dose-dependent decrease in cell viability in the cells exposed to various concentrations of dRib for 24 h (Fig. 2A). Based on the results of these viability assays, we used 20 mM dRib in subsequent biochemical assays. At this concentration, approximately 50% inhibition of cell viability occurred in 24 h under our experimental culture conditions.
To evaluate the effect of CZE on MC3T3-E1 osteoblastic cell survival, the cells were incubated in α-MEM containing 0.5% FBS with increasing concentrations of CZE (0.001-0.1 mg/ml) for 24 h and then cell viability was determined. CZE at these concentrations had no effect on cell viability (Fig. 2B), while higher doses (>0.1 mg/ml) were cytotoxic (data not shown).
To determine whether CZE has an effect on the dRib-induced decrease in cell survival, cells were pre-incubated with CZE for 30 min and then cultured with 20 mM dRib for 24 h. CCK-8 assays revealed that CZE (0.01–0.05 mg/ml) partially reversed the dRib-mediated reduction in cell viability in a dose-dependent manner (Fig. 2B). Therefore, we selected the highest non-toxic concentration of CZE (0.01 and 0.05 mg/ml) for all subsequent cell culture experiments. The antioxidant, N-acetyl-L-cysteine (NAC), was used to investigate the mechanism of dRib-induced cell damage. Pre-treatment of the cells with 10 mM NAC almost completely reversed the dRib-induced cytotoxicity. These findings suggest that the dRib-induced cytotoxicity was most likely due to oxidative stress-induced effects. In a recent study, we showed that the antioxidants, NAC and α-lipoic acid (ALA), almost reversed the dRib-mediated reduction in the viability of MC3T3-E1 osteoblastic cells (26). Morphological changes were compared between the dRib-treated and control cells under an inverted microscope. The control cells were flat, polygonal in shape and arranged in a monolayer. Following exposure to dRib for 24 h, the cells were degenerated and had a spindle-shaped appearance. CZE improved the morphological changes of osteoblastic cells induced by dRib (Fig. 2C).
The oxidative stress caused by dRib in MC3T3-E1 osteoblastic cells was evaluated by measuring ROS generation and apoptosis. Oxidative stress may initiate a mitochondrial permeability transition event, which is an early mediator of cellular apoptosis. When the cells were treated with 20 mM dRib, ROS generation and apoptosis increased, while treatment with CZE (0.05 mg/ml) in the presence of dRib attenuated all the dRib-induced effects (Fig. 3). We used the antioxidant, NAC, to investigate the effect of oxidative stress on the cells. NAC prevented the dRib-induced cellular effects. These data are consistent with those from previous our studies, indicating that the antioxidants, NAC and ALA, protect pancreatic β-cells and MC3T3-E1 osteoblastic cells against oxidative stress, as shown by a reduction in ROS generation and apoptosis (20– 22, 26, 28). These findings indicate that CZE can function as an antioxidant and thereby protect MC3T3-E1 osteoblastic cells from dRib-induced oxidative cell damage.
MC3T3-E1 cells are an osteoblastic precursor cell line which was cloned from newborn mouse calvaria (34), and it is frequently used to study osteoblast differentiation. Osteoblast differentiation is the primary event of bone formation. Bone ALP is a glycoprotein localized in the plasma membrane of osteoblastic cells which is one of the osteoblastic phenotype markers (35). Alterations in its activity have been observed in osteoporosis and other metabolic bone diseases. High levels of ALP activity have been observed in both pre-osteoblasts and osteoblasts in vivo and in differentiating osteoblasts in vitro. Osteoblastic cells produce type I collagen, which is the most abundant protein in the bone matrix, serves an early marker of osteoblast differentiation, and is the major organic component of mineralized bone matrix (36). The present study demonstrates that the reducing sugar, dRib, exerts a profound inhibitory effect on osteoblastic cell differentiation; however, when osteoblastic cells were treated with CZE in the presence of 20 mM dRib, significant increases in the major osteoblast-specific ALP activity and collagen content were observed (Fig. 4).
In addition to measuring the levels of the differentiation marker, ALP and collagen, we evaluated the differentiated function of the osteoblastic cells at the transcriptional level. We analyzed the gene expression of a number of molecular markers of osteoblast differentiation. Osteopontin (OPN) is a major acidic phosphorylated glycoprotein secreted by osteoblasts and acts as a regulator of bone formation (37). Osteoprotegerin (OPG), produced by osteoblasts is one of the regulators of bone metabolism and inhibits bone resorption by regulating the unction of osteoclasts (38). Bone sialoprotein (BSP) is thought to function in the initial mineralization of bone and may be crucial for osteoblast differentiation. The flavonoid, kaempferol, has been shown to stimulate BSP gene transcription and new bone formation (39). Thus, these molecular markers are important and best known regulators of osteoblast function. In this study, osteoblastic cells were treated with dRib in the presence or absence of CZE. Six differentiation makers [ALP, collagen, OPN, OPG, BSP and osteocalcin (OC)] were down-regulated in response to exposure to dRib; however, treatment with CZE partially inhibited the dRib-induced downregulation of gene expression of the differentiation markers (Fig. 5).
Bone morphogenetic proteins (BMPs) are known to be the most potent regulators of osteoblast differentiation among many local factors. MC3T3-E1 cells are highly BMP-responsive and can complete the differentiation process in long term culture. BMPs stimulate ALP activity, collagen synthesis, parathyroid hormone (PTH) responsiveness and OC production in osteoblastic cells (40–41), suggesting that BMPs stimulate the differentiation of osteoblastic cells. The present study demonstrates that the reducing sugar, dRib, exerts a profound inhibitory effect on the gene expression of BMPs; however, when the osteoblastic cells were treated with CZE in the presence of 20 mM dRib, the expression of BMPs, including BMP2, BMP4 and BMP7 was significantly increased (Fig. 6). These results suggest that CZE exerts a positive effect on the differentiation of osteoblastic cells through the stimulation of BMP production.
The phosphatidylinositol 3-kinase (PI3K)-protein kinase B (AKT) signaling pathway is activated by many types of cellular stimuli or toxic insults and regulates fundamental cellular functions, such as transcription, translation, proliferation, growth and survival (42). One important function of activated PI3K in cells is the inhibition of apoptosis (43). AKT is a good candidate for mediating these PI3K-dependent cell survival responses. AKT has been implicated as an anti-apoptotic factor in several different cell death paradigms, including the withdrawal of extracellular signaling factors, oxidative and osmotic stress, irradiation and the treatment of cells with chemotherapeutic drugs and ischemic shock (44). The flavonoid, honokiol, has been shown to exert a protective effect against antimycin A (an inhibitor of mitochondrial electron transport)-induced oxidative cell damage via the activation of PI3K and/or AKT in MC3T3-E1 osteoblastic cells (45). In the present study, CZE also induced the activation of PI3K, AKT1 and AKT3, which was inhibited by dRib (Fig. 7). Since these signaling molecules are involved in cellular survival pathways, CZE may be cytoprotective for osteoblastic cells during oxidative stress responses.
Excess ROS must be promptly eliminated from the cells by a variety of antioxidant defense mechanisms. Cellular antioxidant enzymes and other redox molecules serve to counterbalance ROS generated in cells. Superoxide dismutase (SOD), which catalyzes the dismutation of the superoxide anion into hydrogen peroxide and molecular oxygen, is one of the most important antioxidant enzymes (46). SOD enzymes are classified into 3 groups: CuZn-SOD (SOD1) is located in the cytoplasm, Mn-SOD (SOD2) in the mitochondria and EC-SOD (SOD3) is extracellular. Glutathione peroxidase (GPx) catalyzes the reduction of hydroperoxides, including hydrogen peroxides, by reduced glutathione and functions to protect the cell from oxidative damage. GP×1 is the most abundant version, found in the cytoplasm of almost all mammalian tissues, whose preferred substrate is hydrogen peroxide. GP×4 has a high preference for lipid hydroperoxides. It has been reported that various flavonoids increase the activity of antioxidant enzymes in osteoblastic cells. Quercetin can diminish oxidative human osteoblastic cell damage by scavenging the radicals and by upregulating the expression of heme oxygenase-1 (HO-1) and SOD1 exposed to cigarette smoke medium (47). An extract of total flavonoids from persimmon leaves has been shown to significantly decrease the level of ROS and malondialdehyde (MDA), while increasing the activity of catalase (CAT), SOD and GPx in MC3T3-E1 cells (48). Simvastatin has been shown to abate oxidative stress by enhancing catalase, HO-1 and SOD activity and suppressing NADPH oxidase activity in an aged and ovariectomized rat model (49). Another study demonstrated that intracellular redox imbalance caused by SOD1 deficiency plays a pivotal role in the development and progression of bone fragility both in vivo and in vitro (51). In this study, in addition to the biochemical aspects of oxidative stress, the gene expression of antioxidative enzymes was investigated. The reducing sugar, dRib, exerted a profound inhibitory effect on the gene expression of SOD1, SOD2, SOD3, GP×1 and GP×4. However, when the osteoblastic were treated with CZE in the presence of 20 mM dRib, a significant increase in the gene expression levels of SOD2, SOD3 and GP×4, but not SOD1 and GP×1 was observed (Fig. 8).
In conclusion, in the present study, we demonstrate that CZE attenuates dRib-induced cell damage in MC3T3-E1 osteoblastic cells due to its antioxidant activity and postive effect on differentiation, which may promote bone recovery in diabetes-associated bone diseases.
Acknowledgements
This study was supported by ‘Industrialization Propulsion Unit for Chrysanthemum and Abalone’, Wando-gun, Jeollanam-do, Republic of Korea.
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