Glucocorticoids are steroid hormones which regulate numerous physiological processes in the human body, while their synthetic analogs are used to treat various diseases such as inflammation and autoimmune disorders. They are therapeutically highly effective as drugs, but their disadvantages are numerous side effects including glucocorticoid-induced osteoporosis (GIO). Glucocorticoids are inhibitors of bone formation and stimulators of bone resorption, which leads to loss of bone mass and increases the probability of fractures. Because molecular mechanisms influencing the development of GIO have not yet been fully explained our research was focused on one of the major regulatory molecules of bone metabolism – receptor activator of nuclear factor κB ligand, RANKL. This ligand is an important activator of osteoclastogenesis and as such an activator of bone resorption. Therefore, the main interest of our research was the impact of glucocorticoid receptor NR3C1 on RANKL gene expression on transcriptional level. For this purpose, we used two mammalian cell models: lung cancer cells A549 and cells of osteosarcoma HOS.
In the first part of our research different quantities of plasmid construct containing the insert of glucocorticoid receptor (pCMV-NR3C1) were transfected into A549 cells and the level of RANKL expression was measured every time by quantitative polymerase chain reaction (qPCR). When we compared cells transfected with 1500 ng of plasmid with cells treated with empty vector and cells transfected with 375 ng, 750 ng or 1500 ng of pCMV-NR3C1 with untreated cells the results showed statistically significant inhibition of RANKL expression. Subsequently, dexamethasone was added to half of the cells but no statistical difference in gene expression was observed after the addition of this NR3C1 receptor ligand. In the second part of our research we wanted to examine the impact of silencing of glucocorticoid receptor gene on RANKL expression. Both A549 and HOS cell lines were used and transfected with siRNA, which recognizes and cleaves mRNA of NR3C1 protein. RANKL expression was measured by the qPCR method again but no statistically significant results were obtained.
Our results showed that activation of the glucocorticoid receptor NR3C1 inhibits RANKL expression in A549 cells, which was contrary to our expectations and previous findings, according to which the glucocorticoid receptor increases the activity of the RANKL gene promoter. Since we have not been able to confirm our hypotheses, further research on the glucocorticoid regulation of the RANKL gene is necessary. In particular, it would be useful to determine the exact sequences of glucocorticoid receptor binding sites on RANKL and to examine the effect of receptor dimerization on RANKL promoter activation and repression. All new findings could contribute to the development of new treatments for glucocorticoid-induced osteoporosis or towards the development of safer anti-inflammatory drugs with less negative effects on bone tissue.
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