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Table 1 The effects and mechanisms of natural products of TCM for the treatment of osteoblast-mediated osteoporosis

From: Natural traditional Chinese medicine products: emerging therapeutic targets for the treatment of osteoporosis

Natural

Products/

Extracts

Natural

Product/

Extract

Source

Molecular

Formula

Molecular

Weight

Chemical

Structure

CAS No.

Experimental Models

Mechanism of Action/Effectiveness

References

Resveratrol

Reynoutria japonica Houtt.

C14H12O3

228.243

501-36−0

Stimulation of MC3 T3-E1 cells with H2O2 induces a model of cellular senescence

Up-regulation of osteogenic gene expression such as ALP, COL-1, and Runx2 and reversal of H2O2-induced osteoblast damage

[17]

Total flavonoids of rhizoma drynariae

Davallia mariesii Moore ex Bak.

-

-

-

-

Constructing an osteoporosis rat model by ovariectomy

Up-regulation of Runx2 expression and amelioration of pathological bone trabecular injury through modulation of the signaling pathway Wnt/LRP5/β-catenin

[18]

Ginseng polysaccharides

Panax ginseng C. A. Meyer

-

-

-

-

Induction of osteoporosis rat model by bilateral ovariectomy

Maintains bone remodeling homeostasis by activating the Wnt3/β-catenin/Runx2 signaling pathway, decreasing TRAP-5b, and upregulating bone formation marker expression

[19]

Angelicin

Psoralea corylifolia Linn.

C11H6O3

186.163

523-50−2

Osteocalcin overexpression in transgenic mice of the preosteoblastogenic cell line OCT1 cells; BMP2loxp/loxp mouse osteoblasts knocked down up to 80% of the osteoblast BMP2 gene by Ad-Cre lentivirus

Induces osteoblast proliferation and differentiation by activating the BMP2/Runx2/Osx signaling pathway and upregulating ALP expression levels

[20]

Velvet antler polypeptides

Cervi Cornu Pantotrichum

-

-

-

-

Constructing an osteoporosis rat model by intramuscular injection of dexamethasone (2 mg-kg-1) into rats

Activation of SIRT1/FoxO1 signaling pathway attenuates oxidative damage and significantly elevates femoral BMD

[21]

Salidroside

Rhodiola rosea Linn.

C14H20O7

300.304

10338-51−9

A type 2 diabetic osteoporotic rat model was constructed by intraperitoneal injection of STZ after 8 weeks of high-sugar and high-fat diet, followed by ovariectomy at 10 weeks.

Up-regulates serum SOD, GSH-Px levels and reduces ROS, MDA by activating FoxO1/β-catenin pathway

[22]

Saikosaponin A

Bupleurum chinensis DC.

C42H68O13

780.982

20736-09−8

Construction of osteoporosis rat model by bilateral ovariectomy

Inhibition of oxidative damage through activation of the Keap1/Nrf2/ARE signaling pathway

[23]

Icariin

Epimedium brevicornu Maxim.

C33H40O15

676.662

489-32−7

Bilateral ovariectomy constructed osteoporosis rat model

Up-regulation of serum OC and BALP expression and down-regulation of serum TRAP and NTX-I expression maintained bone remodeling homeostasis, and increased autophagy level and inhibited cell apoptosis

[24]

Astragalus polysaccharide

Astragalus membranaceus (Fisch.) Bunge

C10H7ClN2O2S

254.69

89250-26−0

Osteoblasts differentiated from bone marrow mesenchymal stem cells

Promoting osteoblast autophagy, proliferation, differentiation, and increased BMD through activation of the PI3 K/Akt/mTOR signaling pathway

[25]

Phillyrin

Forsythia suspensa (Thunb.) Vahl

C27H34O11

534.552

487-41−2

Dexamethasone induced autophagy and apoptosis of osteoblasts in mouse MC-3 T3-E1 osteoblasts

Promotes autophagy and inhibits apoptosis through activation of the PI3 K/Akt/mTOR signaling pathway

[26]

Osthole

Cnidium monnieri (Linn.) Cuss.

C15H16O3

244.286

484-12−8

Constructed osteoporosis rat model with bilateral ovarian removal

Down-regulates TRAP-5b levels and promotes blood calcium, blood phosphorus deposition and osteoblast proliferation through activation of the PI3 K/Akt signaling pathway

[27]

Salidroside

Rhodiola rosea Linn.

C14H20O7

300.304

10338-51−9

mouse primary osteoblasts

Activates HIF-1α/VEGF, ANGPTL4, and IL-6 signaling pathways to promote osteoblast differentiation

[28]

Psoralen

Psoralea corylifolia Linn.

C11H6O3

186.163

66–97−7

Establishment of postmenopausal osteoporosis model in SD rats by Spaying ovarieotom-y

Regulates PI3 K/Akt/mTOR signaling pathway and upregulates, OC, PINP, BMP2, and VEGF expression

[29]

Astragalus polysaccharide

Astragalus membranaceus (Fisch.) Bunge

C10H7ClN2O2S

254.69

89250-26−0

MC-3 T3-E1 osteoblasts

Inhibits osteoblast apoptosis and promotes differentiation by modulating the AMPK/eNOS signaling pathway

[30]

Ginsenoside Rg3

Panax ginseng C. A. Meyer

C42H72O13

785.013

14197-60−5

23-month-old female rats were selected to simulate the state of bone loss in the elderly as an osteoporosis model

Activates AMPK/mTOR signaling pathway, decreases PICP level, elevates OC, Beclin-1 and LC3-II expression, and promotes osteoblast autophagy

[31]