Abstract
Chronic administration of glucocorticoids are being linked to an increased risk of osteoporosis. 5-Hydroxymethylfurfural (5-HMF) is a natural compound that possesses various biological activities, including osteogenic regulation. In this research, we sought to investigate the potential of 5-HMF to exert protective effects against glucocorticoid-induced osteoporosis. In cellular investigations, we deployed Western Blot (WB), Real-Time Quantitative real-time PCR (qRT-PCR), Alkaline phosphatase (ALP) and Alizarin S-red (ARS) staining to scrutinize the expression of osteogenic differentiation markers within MC3T3-E1 pre-osteoblasts and BMSCs. We used dexamethasone to establish a mouse model for glucocorticoid-Induced osteoporosis and administered 5-HMF to evaluate its influence on bone density and architecture through the use of micro-CT and histological analysis. In addition, we employed network pharmacology to elucidate the potential pathways and targets of 5-HMF. Finally, we explored the effect of AKT knockout on the treatment of 5-HMF. We found that 5-HMF significantly enhanced VEGFR2 phosphorylation, reestablishing angiogenesis and activating the PI3K/AKT pathway in vitro and in vivo. 5-HMF also inhibited Dexamethasone -induced apoptosis by regulating Bax and Bcl-2 expression. MK2206, an AKT inhibitor, abrogated 5-HMF’s protective properties against GCs. These results indicate that 5-HMF counteracts the negative effects of GCs on osteoblasts and has good bone-promoting differentiation effects.
References
Auger, J. P. et al. Metabolic rewiring promotes anti-inflammatory effects of glucocorticoids. Nature 629, 184–192. https://doi.org/10.1038/s41586-024-07282-7 (2024).
Glynn, E. R., Londono, A. S., Zinn, S. A., Hoagland, T. A. & Govoni, K. E. Culture conditions for equine bone marrow mesenchymal stem cells and expression of key transcription factors during their differentiation into osteoblasts. J. Anim. Sci. Biotechnol. 4, 40. https://doi.org/10.1186/2049-1891-4-40 (2013).
Li, H. Z. et al. Role of signaling pathways in age-related orthopedic diseases: Focus on the fibroblast growth factor family. Mil. Med. Res. 11, 40. https://doi.org/10.1186/s40779-024-00544-5 (2024).
Zheng, X. et al. Delay the progression of glucocorticoid-induced osteoporosis: Fraxin targets ferroptosis via the Nrf2/GPX4 pathway. Phytother. Res. 38, 5203–5224. https://doi.org/10.1002/ptr.8310 (2024).
Jiang, H. et al. Taxifolin-mediated Nrf2 activation ameliorates oxidative stress and apoptosis for the treatment of glucocorticoid-induced osteonecrosis of the femoral head. Phytother. Res. 38, 156–173. https://doi.org/10.1002/ptr.8031 (2024).
Zhao, L. et al. In vitro antioxidant and antiproliferative activities of 5-hydroxymethylfurfural. J. Agric. Food Chem. 61, 10604–10611. https://doi.org/10.1021/jf403098y (2013).
Pagare, P. P. et al. The antisickling agent, 5-hydroxymethyl-2-furfural: Other potential pharmacological applications. Med. Res. Rev. 44, 2707–2729. https://doi.org/10.1002/med.22062 (2024).
Ziadlou, R. et al. Regulation of inflammatory response in human osteoarthritic chondrocytes by novel herbal small molecules. Int. J. Mol. Sci. https://doi.org/10.3390/ijms20225745 (2019).
Tan, X. L. et al. 5-(Hydroxymethyl)-2-furaldehyde inhibits adipogenic and enhances osteogenic differentiation of rat bone mesenchymal stem cells. Nat. Prod. Commun. 9, 529–532 (2014).
Yalcin, O. & Cabrales, P. Increased hemoglobin O2 affinity protects during acute hypoxia. Am. J. Physiol. Heart Circ. Physiol. 303, H271-281. https://doi.org/10.1152/ajpheart.00078.2012 (2012).
Kong, F., Fan, C., Yang, Y., Lee, B. H. & Wei, K. 5-hydroxymethylfurfural-embedded poly (vinyl alcohol)/sodium alginate hybrid hydrogels accelerate wound healing. Int. J. Biol. Macromol. 138, 933–949. https://doi.org/10.1016/j.ijbiomac.2019.07.152 (2019).
Zhang, H. et al. 5-Hydroxymethylfurfural alleviates inflammatory lung injury by inhibiting endoplasmic reticulum stress and NLRP3 inflammasome activation. Front. Cell Dev. Biol. 9, 782427. https://doi.org/10.3389/fcell.2021.782427 (2021).
Lee, K. S. et al. Inhibition of VEGF blocks TGF-beta1 production through a PI3K/Akt signalling pathway. Eur. Respir. J. 31, 523–531. https://doi.org/10.1183/09031936.00125007 (2008).
Zhou, C., Hu, G., Li, Y. & Zheng, S. Polydatin accelerates osteoporotic bone repair by inducing the osteogenesis-angiogenesis coupling of bone marrow mesenchymal stem cells via the PI3K/AKT/GSK-3beta/beta-catenin pathway. Int. J. Surg. https://doi.org/10.1097/JS9.0000000000002075 (2024).
Baek, J. Y., Kwak, J. E. & Ahn, M. R. Eriocitrin inhibits angiogenesis by targeting VEGFR2-mediated PI3K/AKT/mTOR signaling pathways. Nutrients https://doi.org/10.3390/nu16071091 (2024).
Lauzon, M. A., Drevelle, O., Daviau, A. & Faucheux, N. Effects of BMP-9 and BMP-2 on the PI3K/Akt pathway in MC3T3-E1 preosteoblasts. Tissue Eng. Part A 22, 1075–1085. https://doi.org/10.1089/ten.TEA.2016.0151 (2016).
Andreasen, C. M. et al. Local coordination between intracortical bone remodeling and vascular development in human juvenile bone. Bone 173, 116787. https://doi.org/10.1016/j.bone.2023.116787 (2023).
Sun, K. et al. The PI3K/AKT/mTOR signaling pathway in osteoarthritis: a narrative review. Osteoarthr. Cartil. 28, 400–409. https://doi.org/10.1016/j.joca.2020.02.027 (2020).
Cohen-Solal, K. A., Boregowda, R. K. & Lasfar, A. RUNX2 and the PI3K/AKT axis reciprocal activation as a driving force for tumor progression. Mol. Cancer 14, 137. https://doi.org/10.1186/s12943-015-0404-3 (2015).
Hers, I., Vincent, E. E. & Tavare, J. M. Akt signalling in health and disease. Cell. Signal. 23, 1515–1527. https://doi.org/10.1016/j.cellsig.2011.05.004 (2011).
Chen, Q., Ray, S., Hussein, M. A., Srkalovic, G. & Almasan, A. Role of Apo2L/TRAIL and Bcl-2-family proteins in apoptosis of multiple myeloma. Leuk. Lymphoma 44, 1209–1214. https://doi.org/10.1080/1042819031000068052 (2003).
Ding, H. et al. Dexamethasone-induced apoptosis of osteocytic and osteoblastic cells is mediated by TAK1 activation. Biochem. Biophys. Res. Commun. 460, 157–163. https://doi.org/10.1016/j.bbrc.2015.02.161 (2015).
Chiodini, I., Merlotti, D., Falchetti, A. & Gennari, L. Treatment options for glucocorticoid-induced osteoporosis. Expert Opin. Pharmacother. 21, 721–732. https://doi.org/10.1080/14656566.2020.1721467 (2020).
Rice, J. B., White, A. G., Scarpati, L. M., Wan, G. & Nelson, W. W. Long-term systemic corticosteroid exposure: a systematic literature review. Clin. Ther. 39, 2216–2229. https://doi.org/10.1016/j.clinthera.2017.09.011 (2017).
Jiang, Y., Zhong, Z., Wang, M. & Zhang, X. 5-Hydroxymethyl-2-furaldehyde induces developmental toxicology and decreases bone mineralization in zebrafish larvae. Comp. Biochem. Physiol. C Toxicol. Pharmacol. 254, 109254. https://doi.org/10.1016/j.cbpc.2021.109254 (2022).
Sawamiphak, S. et al. Ephrin-B2 regulates VEGFR2 function in developmental and tumour angiogenesis. Nature 465, 487–491. https://doi.org/10.1038/nature08995 (2010).
Koch, S. & Claesson-Welsh, L. Signal transduction by vascular endothelial growth factor receptors. Cold Spring Harb. Perspect. Med. 2, a006502. https://doi.org/10.1101/cshperspect.a006502 (2012).
Kofler, N. M. & Simons, M. Angiogenesis versus arteriogenesis: neuropilin 1 modulation of VEGF signaling. F1000Prime Rep. 7, 26. https://doi.org/10.12703/P7-26 (2015).
Tan, P. et al. PI3K/AKT/mTOR signaling regulates BCP ceramic-induced osteogenesis. J. Mater. Chem. B. 12, 7591–7603. https://doi.org/10.1039/d4tb01335b (2024).
Zhao, T. L. et al. 5-methoxytryptophan induced apoptosis and PI3K/Akt/FoxO3a phosphorylation in colorectal cancer. World J. Gastroenterol. 29, 6148–6160. https://doi.org/10.3748/wjg.v29.i47.6148 (2023).
Ma, P. et al. Glimepiride induces proliferation and differentiation of rat osteoblasts via the PI3-kinase/Akt pathway. Metabolism 59, 359–366. https://doi.org/10.1016/j.metabol.2009.08.003 (2010).
Banerjee, C. et al. Differential regulation of the two principal Runx2/Cbfa1 n-terminal isoforms in response to bone morphogenetic protein-2 during development of the osteoblast phenotype. Endocrinology 142, 4026–4039. https://doi.org/10.1210/endo.142.9.8367 (2001).
Zhang, X. X. et al. Bone marrow mesenchymal stem cells overexpressing HIF-1α prevented the progression of glucocorticoid-induced avascular osteonecrosis of femoral heads in mice. Cell Transplant. 31, 9636897221082687. https://doi.org/10.1177/09636897221082687 (2022).
Fernandez-Real, J. M. et al. Circulating osteocalcin concentrations are associated with parameters of liver fat infiltration and increase in parallel to decreased liver enzymes after weight loss. Osteoporos. Int. 21, 2101–2107. https://doi.org/10.1007/s00198-010-1174-9 (2010).
Hodgson, S. F. et al. Bone loss and reduced osteoblast function in primary biliary cirrhosis. Ann. Intern. Med. 103, 855–860. https://doi.org/10.7326/0003-4819-103-6-855 (1985).
Zha, X. et al. Regulatory effect of microRNA-34a on osteogenesis and angiogenesis in glucocorticoid-induced osteonecrosis of the femoral head. J. Orthop. Res. 36, 417–424. https://doi.org/10.1002/jor.23613 (2018).
Funding
This study was supported by Double-Hundred Talent Personnel Project of Wuxi Health Committee (BJ2023041) and Research Project of the Health Commission of Jiangsu Province (Z2022027).
Author information
Authors and Affiliations
Contributions
Yu Jiang and Fei Fang conceived and designed the study. Siqi Liu wrote the manuscript, translated the manuscript, made manuscript revisions. All authors have read and approved the manuscript.
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Ethics approval
Animal procedures followed the regulations of the animal care committee, which were approved by the Institutional Animal Care and Use Committee of Jiangnan University, approval number JN.No 20221120t0180415, and the experiments were performed in accordance with the approved guidelines and regulations. The experiments complied with the ARRIVE guidelines.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Liu, S., Fang, F. & Jiang, Y. 5-HMF inhibits glucocorticoid-induced osteoporosis through the VEGFR2/PI3K/AKT pathway. Sci Rep (2026). https://doi.org/10.1038/s41598-026-44463-y
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41598-026-44463-y