1. Academic Validation
  2. Rosmarinic Acid Ameliorates Type 2 Diabetic Osteoporosis by Reducing NLRP3 Expression and Alleviating Osteoblast Pyroptosis via the FOXO1/TXNIP Signaling Pathway

Rosmarinic Acid Ameliorates Type 2 Diabetic Osteoporosis by Reducing NLRP3 Expression and Alleviating Osteoblast Pyroptosis via the FOXO1/TXNIP Signaling Pathway

  • J Agric Food Chem. 2025 Jul 2;73(26):16557-16572. doi: 10.1021/acs.jafc.5c02681.
Sixiang Feng 1 2 Runxun Ma 1 2 Yixun Huang 1 2 Libo Pan 1 2 Yangfan Guo 1 2 Yikai Wang 1 2 Zihao Chen 1 2 Enli Li 1 2 Yitian Bu 1 2 Jian Luo 1 3 Jiahao Tang 1 2 Lei Yang 1 2 4
Affiliations

Affiliations

  • 1 The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, China.
  • 2 Zhejiang Key Laboratory of Orthopaedics, Wenzhou 325000, China.
  • 3 Medical College of Tongji University, Shanghai 200092, China.
  • 4 Wenzhou Key Laboratory of Osteoporosis and Elderly Bone Health, Wenzhou 325000, China.
Abstract

Unlike postmenopausal osteoporosis, Type 2 diabetic osteoporosis (T2DOP) occurs in a chronic high-glucose, inflammatory microenvironment, increasing fracture risk. Emerging evidence links osteoblast Pyroptosis to T2DOP pathogenesis. While rosmarinic acid (RA) exhibits antidiabetic and anti-inflammatory properties, its role in T2DOP remains unclear. We established a T2DOP mouse model using a high-fat diet and low-dose STZ, confirmed by micro-CT. RA's effects on osteoblast function and mitochondrial homeostasis were evaluated, with network pharmacology and molecular docking identifying potential targets. In vivo validation was performed through RA administration. Results showed Pyroptosis activation and NLRP3 upregulation in T2DOP bone tissue. RA enhanced osteoblast proliferation, reduced Pyroptosis, promoted mineralization, and mitigated mitochondrial dysfunction. The FOXO1/TXNIP pathway was identified as a key target, with RA suppressing NLRP3 activation via FOXO1/TXNIP modulation. This effect was reversed by FOXO1 inhibitor AS1842856. In vivo, RA preserved bone mass and microarchitecture in T2DOP mice. RA protects osteoblasts by improving mitochondrial function and inhibiting NLRP3-mediated Pyroptosis through FOXO1/TXNIP signaling, offering a potential T2DOP treatment strategy.

Keywords

FOXO1/TXNIP signaling pathway; osteoblasts; pyroptosis; rosmarinic acid; type 2 diabetic osteoporosis.

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