PDK4 knockdown suppresses osteoclast differentiation in osteoporosis through glycolytic flux suppression and AMPK activation.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: PDK4 knockdown suppresses osteoclast differentiation in osteoporosis through glycolytic flux suppression and AMPK activation.
Συγγραφείς: Huang Y; Department of Nephrology, Shanghai Eighth People's Hospital, No. 8 Caobao Road, Xuhui District, Shanghai, 200235, China., Zhou R; Department of General Practice, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, Shanghai, 200032, China., Liang R; Department of Nephrology, Shanghai Eighth People's Hospital, No. 8 Caobao Road, Xuhui District, Shanghai, 200235, China., Shen J; Department of Geriatrics, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, Shanghai, 200032, China. Electronic address: jamesjp801013@163.com.
Πηγή: Bone [Bone] 2026 Aug; Vol. 209, pp. 117911. Date of Electronic Publication: 2026 Apr 27.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Science Country of Publication: United States NLM ID: 8504048 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2763 (Electronic) Linking ISSN: 18732763 NLM ISO Abbreviation: Bone Subsets: MEDLINE
Imprint Name(s): Publication: New York : Elsevier Science
Original Publication: Elmsford, NY : Pergamon Press, c1985-
Ιατρικοί όροι (MeSH): Glycolysis*/genetics , Glycolysis*/drug effects , Osteoclasts*/metabolism , Osteoclasts*/pathology , Cell Differentiation*/genetics , Cell Differentiation*/drug effects , AMP-Activated Protein Kinases*/metabolism , Osteoporosis*/pathology , Osteoporosis*/metabolism , Osteoporosis*/genetics , Osteoporosis*/enzymology , Pyruvate Dehydrogenase Acetyl-Transferring Kinase*/metabolism , Pyruvate Dehydrogenase Acetyl-Transferring Kinase*/genetics , Gene Knockdown Techniques*, Animals ; Female ; Mice ; Rats ; RAW 264.7 Cells ; Rats, Sprague-Dawley ; Enzyme Activation
Περίληψη: Background: Osteoporosis (OP) is a metabolic bone disorder primarily driven by excessive osteoclast-mediated bone resorption. Metabolic reprogramming, particularly a shift toward glycolysis, is crucial for osteoclast differentiation. However, the key regulators linking metabolism to bone resorption remain incompletely defined.
Methods: Bioinformatic analysis identified pyruvate dehydrogenase kinase 4 (PDK4) as a key glycolysis-associated gene in OP. Its role was validated using PDK4-knockdown RAW264.7 cells stimulated with receptor activator of nuclear factor kappa-B ligand (RANKL) and ovariectomized (OVX) rat models treated with PDK4-knockdown lentivirus, with or without the AMP-activated protein kinase (AMPK) inhibitor Dorsomorphin in each setting. Western blot was conducted to assess the expression of osteoclast differentiation markers and glycolysis-associated proteins. Glycolytic flux was determined by measuring glucose uptake, intracellular ATP, and lactate levels. Bone microstructure was evaluated by micro-computed tomography, while osteoclast activity was examined by tartrate-resistant acid phosphatase (TRAP) staining.
Results: PDK4 was significantly upregulated in RANKL-induced osteoclasts. PDK4 knockdown suppressed the expression of osteoclast differentiation markers and glycolytic flux in vitro. Mechanistically, PDK4 silencing activated the AMPK pathway. The anti-osteoclastic effects of PDK4 knockdown were reversed by the AMPK inhibitor Dorsomorphin. In OVX rats, PDK4 knockdown ameliorated bone loss, reduced osteoclast activity and markers, and suppressed glycolysis-associated protein expression in femur tissues. These therapeutic benefits were again negated by co-administration of Dorsomorphin.
Conclusion: PDK4 knockdown suppresses osteoclastogenesis and OP progression by suppressing glycolysis via activating the AMPK pathway. Targeting the PDK4-AMPK-glycolysis axis presents a novel metabolic strategy for OP treatment.
(Copyright © 2026 Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Contributed Indexing: Keywords: AMPK pathway; Glycolysis; Osteoporosis; PDK4
Molecular Sequence: GEO GSE230665
Substance Nomenclature: EC 2.7.11.31 (AMP-Activated Protein Kinases)
0 (Pyruvate Dehydrogenase Acetyl-Transferring Kinase)
Entry Date(s): Date Created: 20260429 Date Completed: 20260715 Latest Revision: 20260715
Update Code: 20260716
DOI: 10.1016/j.bone.2026.117911
PMID: 42055104
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1873-2763
DOI:10.1016/j.bone.2026.117911