Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

Scientific Reports
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. scientific reports
  3. articles
  4. article
5-HMF inhibits glucocorticoid-induced osteoporosis through the VEGFR2/PI3K/AKT pathway
Download PDF
Download PDF
  • Article
  • Open access
  • Published: 18 March 2026

5-HMF inhibits glucocorticoid-induced osteoporosis through the VEGFR2/PI3K/AKT pathway

  • Siqi Liu1,
  • Fei Fang2 &
  • Yu Jiang1 

Scientific Reports , Article number:  (2026) Cite this article

  • 803 Accesses

  • 1 Altmetric

  • Metrics details

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Cell death
  • Cytoskeleton
  • Osteoporosis

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

  1. 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).

    Google Scholar 

  2. 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).

    Google Scholar 

  3. 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).

    Google Scholar 

  4. 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).

    Google Scholar 

  5. 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).

    Google Scholar 

  6. 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).

    Google Scholar 

  7. 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).

    Google Scholar 

  8. 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).

    Google Scholar 

  9. 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).

    Google Scholar 

  10. 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).

    Google Scholar 

  11. 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).

    Google Scholar 

  12. 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).

    Google Scholar 

  13. 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).

    Google Scholar 

  14. 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).

    Google Scholar 

  15. 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).

    Google Scholar 

  16. 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).

    Google Scholar 

  17. 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).

    Google Scholar 

  18. 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).

    Google Scholar 

  19. 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).

    Google Scholar 

  20. 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).

    Google Scholar 

  21. 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).

    Google Scholar 

  22. 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).

    Google Scholar 

  23. 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).

    Google Scholar 

  24. 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).

    Google Scholar 

  25. 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).

    Google Scholar 

  26. 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).

    Google Scholar 

  27. 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).

    Google Scholar 

  28. 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).

    Google Scholar 

  29. 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).

    Google Scholar 

  30. 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).

    Google Scholar 

  31. 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).

    Google Scholar 

  32. 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).

    Google Scholar 

  33. 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).

    Google Scholar 

  34. 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).

    Google Scholar 

  35. 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).

    Google Scholar 

  36. 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).

    Google Scholar 

Download references

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

  1. Jiangnan University Medical Center, Wuxi, 214001, PR China

    Siqi Liu & Yu Jiang

  2. Wuxi School of Medicine, Jiangnan University, Wuxi, 214100, China

    Fei Fang

Authors
  1. Siqi Liu
    View author publications

    Search author on:PubMed Google Scholar

  2. Fei Fang
    View author publications

    Search author on:PubMed Google Scholar

  3. Yu Jiang
    View author publications

    Search author on:PubMed Google Scholar

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

Correspondence to Fei Fang or Yu Jiang.

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.

Supplementary Information

Supplementary Information 1. (download PDF )

Supplementary Information 2. (download DOCX )

Supplementary Information 3. (download PDF )

Supplementary Information 4. (download ZIP )

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/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received: 09 February 2025

  • Accepted: 11 March 2026

  • Published: 18 March 2026

  • DOI: https://doi.org/10.1038/s41598-026-44463-y

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Keywords

  • Dexamethasone
  • 5-Hydroxymethylfurfural
  • VEGFR2/PI3K/AKT signaling
  • Osteoblast differentiation
  • Glucocorticoid-Induced osteoporosis
Download PDF

Advertisement

Explore content

  • Research articles
  • News & Comment
  • Collections
  • Subjects
  • Follow us on Facebook
  • Follow us on X
  • Sign up for alerts
  • RSS feed

About the journal

  • About Scientific Reports
  • Contact
  • Journal policies
  • Guide to referees
  • Calls for Papers
  • Editor's Choice
  • Journal highlights
  • Open Access Fees and Funding

Publish with us

  • For authors
  • Language editing services
  • Open access funding
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

Scientific Reports (Sci Rep)

ISSN 2045-2322 (online)

nature.com footer links

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2026 Springer Nature Limited

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing