Abstract:
We report a new bone anabolic and anti-catabolic pterocarpan 9-demethoxy-medicarpin (DMM) for the management of postmenopausal osteoporosis. DMM promoted osteoblast functions via activation of
P38MAPK/BMP-2 pathway and suppressed osteoclastogenesis in bone marrow cells (BMCs). In calvarial osteoblasts, DMM blocked nuclear factor kappaB (NFB) signaling and inhibited the mRNA levels of pro-inflammatory cytokines. DMM treatment led to increased OPG (Osteoprotegrin) and
decreased transcript levels of TRAP (Tartarate resistant acid phosphatase), RANK (Receptor activator of NFB) and RANKL (RANK ligand) in osteoblast-osteoclast co-cultures. Immature female SD rats administered with DMM exhibited increased bone mineral density, bone biomechanical strength, new bone formation and cortical bone parameters. Ovx mice administered with DMM led to significant
restoration of trabecular microarchitecture and had reduced formation of osteoclasts and increased
formation of osteoprogenitor cells in BMCs. DMM exhibited no uterine estrogenicity. Overall, these
results demonstrate the therapeutic potential of DMM for the management of postmenopausal osteoporosis.