Mitochondrial stress and redox failure in steroidassociated osteonecrosis
Abstract
The purpose of the role of antioxidant enzymes and mitochondria in the developmental mechanism
of steroid-associated osteonecrosis in the femur. In the present study Japanese white rabbits (mean
weight 3.5kg) were injected into the gluteus with methylprednisolone (MP) 20mg/kg, and killed after
3 days (MP3 group), 5 days (MP5 group), and 14 days (MP14 group) (n=3 each). As a Control group
(C group) Japanese white rabbits not administered MP were used. In experiment 1, the expression
of the antioxidant enzymes Superoxide dismutade (SOD) and catalase was compared in liver,
kidney, heart, humerus, and femur in C group, and the presence/absence of mitochondria
transcription factor A (TFAM) expression was determined by Western blotting (WB) and used to
evaluate the number of mitochondria and their function. In experiment 2, the presence/absence of
necrosis was determined by immunohistochemistry, while changes in the expression of SOD,
catalase, and TFAM in the femur after steroid administration were determined by Western blotting
(WB). In experiment 1, intense expression of all of SOD, catalase, and TFAM was found in the liver,
kidney, and heart as compared to the humerus and femur. In experiment 2, the expression of all of
SOD, catalase, and TFAM in MP3 and MP5 groups was decreased on WB as compared with C group,
while in MP14 group a tendency to improvement was seen. Accordingly, steroid-associated
mitochondrial injury and redox failure are concluded to be important elements implicated in the
pathogenesis of osteonecrosis.