Evidence map›Paper›PMID 42098216›Full record

ArticleScientific reports2026

Oleuropein attenuates steroid-induced osteonecrosis of the femoral head by inhibiting osteoblast apoptosis via activation of the PI3K-AKT-Bcl2 pathway.

Jianlong Lin, Rui Zhang, Xingyu Lin, Xiangjun Luo, Haokun Lin, Jie Xu, Shishui Lin

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jianlong Lin *Department of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China.
Rui Zhang *Department of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China.
Xingyu LinDepartment of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China.
Xiangjun LuoDepartment of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China.
Haokun LinDepartment of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China.
Jie Xu *Department of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China. 457884651@qq.com.
Shishui Lin *Department of Orthopedic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, Fujian Province, China. linshishui1@fjmu.edu.cn.

Funding

Fujian Provincial Health Technology Project 2024CXA004the Joint Funds for the Innovation of Science and Technology, Fujian Province 2024Y9035the Natural Science Foundation of Fujian Province 2025J01078the Special Funds of Fujian Provincial Department of Finance 2024-881
6 · The paper itself

Abstract

teroid-induced osteonecrosis of the femoral head (SONFH) is a severe bone disorder caused by long-term glucocorticoid administration and is characterized by osteoblast apoptosis. Oleuropein (OLP), a natural compound with anti-inflammatory and antioxidant properties, has demonstrated anti-apoptotic potential in bone-related diseases. However, its therapeutic role in SONFH has not yet been elucidated. This study aimed to investigate the therapeutic effects of OLP on SONFH and elucidate its underlying molecular mechanisms. In vitro, MC3T3-E1 osteoblasts treated with methylprednisolone (MPS) were co-incubated with OLP. Cell viability was assessed using a CCK-8 assay and live/dead cell staining. In vivo, a rat SONFH model was established with lipopolysaccharide and MPS, followed by OLP treatment. Bone microstructure was analyzed by micro-computed tomography and histopathological staining (H&E, Masson, Goldner). Network pharmacology and proteomics analyses were used to identify key targets and pathways related to the effects of OLP on SONFH. Apoptosis was examined with flow cytometry, TUNEL staining and ELISA. Protein and mRNA expression levels of relevant targets and pathways were examined with western blotting and quantitative real-time polymerase chain reaction. OLP significantly reversed MPS-induced osteoblast apoptosis and enhanced cell viability. In SONFH rats, OLP reduced empty lacunae, restored trabecular bone structure, and improved collagen organization. Molecular docking confirmed OLP's binding to AKT and Bcl2. Network pharmacology and proteomics highlighted apoptosis regulation, PI3K-AKT signaling, and cell cycle control as key mechanisms. Furthermore, OLP activated the PI3K-AKT-Bcl2 pathway, increasing p-PI3K, p-AKT, and Bcl2 levels while decreasing Caspase3 and Caspase9. OLP also promoted osteogenesis (upregulated ALP and Runx2) and angiogenesis (increased vWF and CD31). OLP alleviates SONFH by inhibiting osteoblast apoptosis and promoting osteogenesis and angiogenesis through activation of the PI3K-AKT-Bcl2 pathway. These findings support OLP as a promising natural compound for early intervention in SONFH.

Indexed as

ApoptosisFemur Head NecrosisIridoidsOsteoblastsProto-Oncogene Proteins c-aktAnimalsCell LineCell SurvivalFemur HeadIridoid GlucosidesMaleMethylprednisoloneMicePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-bcl-2RatsIridoid GlucosidesIridoidsMethylprednisoloneoleuropeinPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-bcl-2ApoptosisMolecular mechanismsOleuropeinSteroid-induced osteonecrosis of the femoral head

Identifiers

PMID42098216
PMCPMC13342593

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.