Int J Biol Sci 2020; 16(4):543-552. doi:10.7150/ijbs.35256

Research Paper

Inhibition of PERK Signaling Prevents Against Glucocorticoid-induced Endotheliocyte Apoptosis and Osteonecrosis of the Femoral Head

Yanchun Gao, Hongyi Zhu, Qiyang Wang, Yong Feng, Changqing Zhang

Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China

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Citation:
Gao Y, Zhu H, Wang Q, Feng Y, Zhang C. Inhibition of PERK Signaling Prevents Against Glucocorticoid-induced Endotheliocyte Apoptosis and Osteonecrosis of the Femoral Head. Int J Biol Sci 2020; 16(4):543-552. doi:10.7150/ijbs.35256. Available from http://www.ijbs.com/v16p0543.htm

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Abstract

Vascular injury is considered an important pathological process during glucocorticoid (GC)-induced osteonecrosis of the femoral head (ONFH). In this study, we tried to investigate whether the endoplasmic reticulum (ER) stress is triggered in the GC-induced endotheliocyte (EC) apoptosis and ONFH. The results showed that a GC upregulated the expression of ER stress-related proteins, and PERK-CHOP signaling played an important role and induced EC apoptosis. The inhibition of PERK by GSK2656157 significantly decreased the GC-induced EC apoptosis in vitro and in vivo, thus protecting a rat model from vascular injury and significantly preventing GC-induced ONFH.

Keywords: glucocorticoid, osteonecrosis of femoral head, endoplasmic-reticulum stress, PERK signaling, endotheliocyte, apoptosis