Tianjin Medical Journal ›› 2025, Vol. 53 ›› Issue (1): 19-23.doi: 10.11958/20241261

• Experimental Research • Previous Articles     Next Articles

Magu Xujin capsule promotes hip fracture healing in aged rats through SDF-1/CXCR4 signaling pathway

HOU Xiuxiu(), XING Baorui, FENG Yuanchao, ZHANG Yadi   

  1. Department of Trauma Orthopedics, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 161001, China
  • Received:2024-09-03 Revised:2024-10-18 Published:2025-01-15 Online:2025-02-06

Abstract:

Objective To explore the effects of Magu Xujin capsule on hip fracture healing and stromal cell-derived factor-1/CXC chemokine receptor 4 (SDF-1/CXCR4) signaling pathway in elderly hip fracture rats. Methods The hip fracture model of aged rats was established, and successfully modeled rats were randomly separated into the model group, the low-dose Magu Xujin capsule group, the high-dose Magu Xujin capsule group, the high-dose Magu Xujin capsule+pathway inhibitor group (the high-dose Magu Xujin capsule and AMD3100 group), with 12 rats in each group. An additional 12 healthy rats were selected as the control group. X-ray was used to observe the healing of hip fractures in rats, and Garrett score was performed. Enzyme-linked immunosorbent assay (ELISA) was applied to detect serum levels of inflammatory factors related to fracture healing, such as tumor necrosis factor-alpha (TNF-α) and interleukin-10 (IL-10). CT scanning analysis was used to determine bone volume fraction (BV/TV) and bone surface area/volume ratio (BS/BV). Immunohistochemistry was applied to detect the expression of fracture healing factor insulin-like growth factor-1 (IGF-1) and bone morphogenetic protein-2 (BMP-2). Western blot assay was applied to detect the expression of SDF-1/CXCR4 signaling pathway related proteins. Results Garrett score, IL-10 level, BV/TV, BS/BV, the IGF-1, BMP-2, SDF-1 and CXCR4 expression were lower in the model group than those in the control group, while TNF-α level was higher (P<0.05). Garrett score, IL-10 level, BV/TV, BS/BV, IGF-1, BMP-2, SDF-1 and CXCR4 expression were higher in the low-dose and high-dose Magu Xujin capsule groups than those in the model group, while TNF-α level was lower (P<0.05). Garrett score, IL-10 level, BV/TV, BS/BV, IGF-1, BMP-2, SDF-1 and CXCR4 expression were lower in the high-dose Magu Xujin capsule+AMD3100 group than those in the high-dose Magu Xujin capsule group, while TNF-α level was higher (P<0.05). Conclusion Magu Xujin capsule can promote hip fracture healing in aged rats, and its mechanism may be related to the activation of SDF-1/CXCR4 signaling pathway.

Key words: hip fractures, fracture healing, chemokine CXCL12, receptors, CXCR6, Magu Xujin capsule

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