Abstract
Summary
Dietary patterns may interfere with the efficacy of herbal intervention. Our results demonstrated the protective effects of Salvia miltiorrhiza aqueous extract (SMA) on bone metabolism were influenced by levels of dietary fat and sucrose in ovariectomized (OVX) rats through its actions on attenuating lipid deposition and oxidative stress in rats.
Introduction
Salvia miltiorrhiza (SM), also known as Danshen, has been tested as an osteoporosis treatment in a series of small, short human trials that generally report improvements in bone property. However, dietary patterns may interfere with the effects of herbal intervention. We hypothesized that dietary fat and sucrose levels could influence the effects of SM supplementation on bone in estrogen-deficient animals.
Methods
Six-month-old Sprague-Dawley sham or OVX rats were fed either a low-saturated fat-sucrose (LFS, a diet that was similar in composition to normal rat chow) or a high-fat-sucrose (HFS) diet and OVX rats were treated (8 rats/group) with SM aqueous extract (SMA, 600 mg/kg/day), 17β-estradiol (1 mg/kg/day), or vehicle for 12 weeks.
Results
SMA significantly improved bone properties as revealed by the increase in trabecular bone mineral density and decrease in trabecular separation at proximal metaphysis of the tibia (PT) in HFS-fed OVX rats, but not in LFS-fed OVX rats. SMA greatly reduced lipid deposition and malondialdehyde levels, improved the activities of superoxide dismutase, catalase, and glutathione peroxidase in the livers of HFS-fed OVX rats. SMA could directly improve the proliferation and differentiation in vitro in an H2O2-induced preosteoblast cell model by attenuating cellular reactive oxygen species levels.
Conclusions
The protective effects of SMA on bone metabolism were influenced by dietary fat and sucrose levels in OVX rats. The ability of SMA to reduce bone loss in HFS-fed OVX rats was associated with the attenuation of lipid deposition and oxidative stress levels.
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Abbreviations
- ANOVA:
-
analysis of variance
- ALP:
-
alkaline phosphatase
- BMC:
-
bone mineral content
- BMD:
-
bone mineral density
- BV/TV:
-
ratio of bone volume to total volume
- Ca:
-
calcium
- CAT:
-
catalase
- Conn-Des:
-
connectivity density
- Cr:
-
creatinine
- Ct.Th:
-
average cortical thickness
- Ct.V/Tt.V:
-
ratio of cortical bone volume to total volume
- DA:
-
degree of anisotropy
- DCFH-DA:
-
2′,7′-dichlorodihydrofluorescin diacetate
- FBS:
-
fetal bovine serum
- GPx:
-
glutathione peroxidase
- HFS:
-
high fat-sucrose
- H2O2 :
-
hydrogen peroxide
- LFS:
-
low fat-sucrose
- Ma.Ar:
-
marrow area
- MDA:
-
malondialdehyde
- MEM:
-
minimal essential medium eagle
- μCT:
-
microcomputed tomography
- MT:
-
tibia midshaft
- MTS:
-
3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium
- OS:
-
oxidative stress
- OVX:
-
ovariectomized
- P:
-
phosphorus
- PMS:
-
phenazine methosulfate
- PT:
-
proximal metaphysis of the tibia
- ROS:
-
reactive oxygen species
- SEM:
-
standard error of mean
- SHAM:
-
sham-operation
- SM:
-
Salvia miltiorrhiza
- SMA:
-
Salvia miltiorrhiza aqueous extract
- SMI:
-
structure model index
- SOD:
-
superoxide dismutase
- Tb. BMD:
-
trabecular bone mineral density
- Tb.N:
-
trabecular number
- Tb.Sp:
-
trabecular separation
- Tb.Th:
-
trabecular thickness
- Tt.Ar:
-
total cross-sectional area inside the periosteal envelope
References
Seeman E (2003) Reduced bone formation and increased bone resorption: rational targets for the treatment of osteoporosis. Osteoporos Int 14(Suppl 3):S2–S8
Zhou Q, Zhu L, Zhang D et al (2016) Oxidative stress-related biomarkers in postmenopausal osteoporosis: a systematic review and meta-analyses. Dis Markers 2016:7067984
Callaway DA, Jiang JX (2015) Reactive oxygen species and oxidative stress in osteoclastogenesis, skeletal aging and bone diseases. J Bone Miner Metab 33(4):359–370
Lee YJ, Hong JY, Kim SC et al (2015) The association between oxidative stress and bone mineral density according to menopausal status of Korean women. Obstet Gynecol Sci 58(1):46–52
Basu S, Michaelsson K, Olofsson H et al (2001) Association between oxidative stress and bone mineral density. Biochem Biophys Res Commun 288(1):275–279
Sharma T, Islam N, Ahmad J et al (2015) Correlation between bone mineral density and oxidative stress in postmenopausal women. Indian J Endocrinol Metab 19(4):491–497
Sanchez-Rodriguez MA, Ruiz-Ramos M, Correa-Munoz E et al (2007) Oxidative stress as a risk factor for osteoporosis in elderly Mexicans as characterized by antioxidant enzymes. BMC Musculoskelet Disord 8:124
Almeida M, O’Brien CA (2013) Basic biology of skeletal aging: role of stress response pathways. J Gerontol A Biol Sci Med Sci 68(10):1197–1208
Finck H, Hart AR, Lentjes MA et al (2015) Cross-sectional and prospective associations between dietary and plasma vitamin C, heel bone ultrasound, and fracture risk in men and women in the European Prospective Investigation into Cancer in Norfolk cohort. J Am J Clin Nutr 102(6):1416–1424
Talaulikar VS, Chambers T, Manyonda I (2012) Exploiting the antioxidant potential of a common vitamin: could vitamin C prevent postmenopausal osteoporosis? J Obstet Gynaecol Res 38(1):253–257
Sahni S, Hannan MT, Gagnon D et al (2009) Protective effect of total and supplemental vitamin C intake on the risk of hip fracture—a 17-year follow-up from the Framingham Osteoporosis Study. Osteoporos Int 20(11):1853–1861
Kreijkamp-Kaspers S, Kok L, Grobbee DE et al (2004) Effect of soy protein containing isoflavones on cognitive function, bone mineral density, and plasma lipids in postmenopausal women: a randomized controlled trial. JAMA 292(1):65–74
Alekel DL, Germain AS, Peterson CT et al (2000) Isoflavone-rich soy protein isolate attenuates bone loss in the lumbar spine of perimenopausal women. Am J Clin Nutr 72(3):844–852
Liu Y, Xu J, Guo Y et al (2015) Ameliorative effect of vanadyl(IV)-ascorbate complex on high-fat high-sucrose diet-induced hyperglycemia, insulin resistance, and oxidative stress in mice. J Trace Elem Med Biol 32:155–161
Tintut Y, Morony S, Demer LL (2004) Hyperlipidemia promotes osteoclastic potential of bone marrow cells ex vivo. Arterioscler Thromb Vasc Biol 24(2):e6–10
Brodeur MR, Brissette L, Falstrault L et al (2008) Influence of oxidized low-density lipoproteins (LDL) on the viability of osteoblastic cells. Free Radic Biol Med 44(4):506–517
Dong XL, Li CM, Cao SS et al (2016) A high-saturated-fat, high-sucrose diet aggravates bone loss in ovariectomized female rats. J Nutr 146(6):1172–1179
Li MH, Chen JM, Peng Y et al (2008) Investigation of Danshen and related medicinal plants in China. J Ethnopharmacol 120(3):419–426
Liu Y, Liu JP, Xia Y (2014) Chinese herbal medicines for treating osteoporosis. Cochrane Database Syst Rev 3:1–127
Su CY, Ming QL, Rahman K et al (2015) Salvia miltiorrhiza: traditional medicinal uses, chemistry, and pharmacology. Chin J Nat Med 13(3):163–182
Li CM, Dong XL, Fan XD et al (2013) Aqueous extract of Danshen (Salvia miltiorrhiza Bunge) protects ovariectomized rats fed with high-fat diet from endothelial dysfunction. Menopause 20(1):100–109
Strom JO, Theodorsson A, Ingberg E et al (2012) Ovariectomy and 17beta-estradiol replacement in rats and mice: a visual demonstration. J Vis Exp 64:4013–4016
Idris AI (2012) Ovariectomy/orchidectomy in rodents. Methods Mol Biol 816:545–551
Zhang Y, Lai WP, Leung PC et al (2008) Improvement of Ca balance by Fructus Ligustri Lucidi extract in aged female rats. Osteoporos Int 19(2):235–242
Li CM, Guo YQ, Dong XL et al (2014) Ethanolic extract of rhizome of Ligusticum chuanxiong Hort. (chuanxiong) enhances endothelium-dependent vascular reactivity in ovariectomized rats fed with high-fat diet. Food Funct 5(10):2475–2485
Li CM, Wu JH, Yang RF et al (2013) Ligusticum chuanxiong prevents ovariectomy-induced liver and vascular damage in rats. Am J Chin Med 41(4):831–848
Cui Y, Bhandary B, Marahatta A et al (2011) Characterization of Salvia Miltiorrhiza ethanol extract as an anti-osteoporotic agent. BMC Complement Altern Med 11(1):120
Miao B, Wang J, Zhu Y et al (2012) Experimental study on effect of Salvia miltiorrhiza on alveolar bone metabolism and variation in bone mass in diabetic rats. Zhongguo Zhong Yao Za Zhi 37(11):1659–1662
Wang Y, Wang XX, Zhang LN et al (2012) Effects of traditional Chinese medicine on bone remodeling during orthodontic tooth movement. J Ethnopharmacol 141(2):642–646
Cui L, Li T, Liu Y et al (2012) Salvianolic acid B prevents bone loss in prednisone-treated rats through stimulation of osteogenesis and bone marrow angiogenesis. PLoS One 7(4):e34647
Wu X, Li Z, Yang Z et al (2012) Caffeic acid 3,4-dihydroxy-phenethyl ester suppresses receptor activator of NF-kappaB ligand-induced osteoclastogenesis and prevents ovariectomy-induced bone loss through inhibition of mitogen-activated protein kinase/activator protein 1 and Ca2+-nuclear factor of activated T-cells cytoplasmic 1 signaling pathways. J Bone Miner Res 27(6):1298–1308
Zhang ZP, You TT, Zou LY et al (2008) Effect of Danshen root compound on blood lipid and bone biomechanics in mice with hyperlipemia-induced osteoporosis. Nan Fang Yi Ke Da Xue Xue Bao 28(9):1550–1553
Cui L, Wu T, Liu YY et al (2004) Tanshinone prevents cancellous bone loss induced by ovariectomy in rats. Acta Pharmacol Sin 25(5):678–684
Xia MF, Lin HD, Yan HM et al (2016) The association of liver fat content and serum alanine aminotransferase with bone mineral density in middle-aged and elderly Chinese men and postmenopausal women. J Transl Med 14:11
Verma S, Rajaratnam JH, Denton J et al (2002) Adipocytic proportion of bone marrow is inversely related to bone formation in osteoporosis. J Clin Pathol 55(9):693–698
Cui L, Liu YY, Wu T et al (2009) Osteogenic effects of D+beta-3,4-dihydroxyphenyl lactic acid (salvianic acid A, SAA) on osteoblasts and bone marrow stromal cells of intact and prednisone-treated rats. Acta Harmacol Sin 30(3):321–332
Cao L, Bu R, Oakley JI et al (2003) Estrogen receptor-beta modulates synthesis of bone matrix proteins in human osteoblast-like MG63 cells. J Cell Biochem 89(1):152–164
Zhang YJ, Wu L, Zhang QL et al (2011) Pharmacokinetics of phenolic compounds of Danshen extract in rat blood and brain by microdialysis sampling. J Ethnopharmacol 136(1):129–136
Xu Y, Chen T, Li X et al (2016) Salvia miltiorrhiza bunge increases estrogen level without side effects on reproductive tissues in immature/ovariectomized mice. Aging 9(1):156–172
Acknowledgements
We thank the Shenzhen Key Laboratory of Food Biological Safety and the State Key Laboratory of Chinese Medicine and Molecular Pharmacology (Incubation) for their support.
Funding
This work was supported by the Shenzhen Basic Research Program (grant number JCYJ20140819153305696), the Shenzhen Basic Research Program (grant number JCY201506301152579000), the National Natural Science Foundation of China (grant number 81528024), and the National Natural Science Foundation of China (grant number 81601110).
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Contributions
Xiao Li Dong and Man Sau Wong designed the experiment; Xiao Li Dong, Wen Xuan Yu, and Chun Mei Li conducted most of the experiments and analyzed the data; Shan He did cell culture experiments; Li Ping Zhou detected the oxidant/antioxidant levels in the liver of the experiment; Chui Wa Poon analyzed the microCT data; Man Sau Wong had primary responsibility for the final content. All authors read and approved the final manuscript.
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Dong, X.L., Yu, W.X., Li, C.M. et al. Danshen (Salvia miltiorrhiza) protects ovariectomized rats fed with high-saturated fat-sucrose diet from bone loss. Osteoporos Int 29, 223–235 (2018). https://doi.org/10.1007/s00198-017-4254-2
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DOI: https://doi.org/10.1007/s00198-017-4254-2
Keywords
- Bone loss
- Estrogen deficiency
- High-saturated fat-sucrose diet
- Oxidative stress
- Salvia miltiorrhiza aqueous extract