A nutraceutical composition containing diosmin and hesperidin has osteogenic and anti-resorptive effects and expands the anabolic window of teriparatide - 18/09/19

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Highlights |
• | Diosmin and hesperidin (9:1 ratio, DH) induces bone regeneration at the fracture site. |
• | DH promotes peak bone accrual. |
• | DH restores bone mass in osteopenic rats. |
• | Diosmetin is the active metabolite of DH. |
• | Diosmetin via estrogen receptorβ mediates the skeletal effect of DH. |
Abstract |
A combination of diosmin and hesperidin (9:1 ratio) is marketed as a dietary supplement/nutraceutical for cardiovascular health. We studied the skeletal effect of this combination (90% diosmin and 10% hesperidin, henceforth named as DH). We showed that a) in rats with femur osteotomy, DH stimulated callus bone regeneration, b) in growing rats, DH promoted peak bone mass achievement and c) in OVX rats rendered osteopenic, DH completely restored femur trabecular bones and strength along with the increases in surface referent bone formation and serum osteogenic marker. Furthermore, DH suppressed bone resorption in OVX rats as well as in OVX rats treated with teriparatide (human parathyroid hormone 1–34) but did not affect the osteoanabolic effect of teriparatide. These data suggested that DH could prolong the anabolic window of teriparatide. To understand the mechanism of DH action, we performed pharmacokinetic studies and observed that upon its oral administration the only circulating metabolites was diosmetin (the aglycone form of diosmin) while none of the two input flavanones were detectable. Accordingly, subsequent experiments with diosmetin revealed that it was a selective estrogen receptor-β agonist that stimulated osteoblast differentiation and suppressed sclerostin the anti-osteoblastogenic Wnt antagonist. Taken together, our study defined a positive skeletal effect of DH.
Le texte complet de cet article est disponible en PDF.Keywords : Nutraceutical, Parathyroid hormone, Bone regeneration, Osteoporosis, Estrogen receptors, Sclerostin
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Vol 118
Article 109207- octobre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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