Porous Se@SiO2 nanocomposites protect the femoral head from methylprednisolone-induced osteonecrosis

Int J Nanomedicine. 2018 Mar 22:13:1809-1818. doi: 10.2147/IJN.S159776. eCollection 2018.

Abstract

Background: Methylprednisolone (MPS) is an important drug used in therapy of many diseases. However, osteonecrosis of the femoral head is a serious damage in the MPS treatment. Thus, it is imperative to develop new drugs to prevent the serious side effect of MPS.

Methods: The potential interferences Se@SiO2 nanocomposites may have to the therapeutic effect of methylprednisolone (MPS) were evaluated by classical therapeutic effect index of acute respiratory distress syndrome (ARDS), such as wet-to-dry weight ratio, inflammatory factors IL-1β and TNF-α. And oxidative stress species (ROS) index like superoxide dismutase (SOD) and glutathione (GSH) were tested. Then, the protection effects of Se@SiO2 have in osteonecrosis of the femoral head (ONFH) were evaluated by micro CT, histologic analysis and Western-blot analysis.

Results: In the present study, we found that in the rat model of ARDS, Se@SiO2 nanocomposites induced SOD and GSH indirectly to reduce ROS damage. The wet-to-dry weight ratio of lung was significantly decreased after MPS treatment compared with the control group, whereas the Se@SiO2 did not affect the reduced wet-to-dry weight ratio of MPS. Se@SiO2 also did not impair the effect of MPS on the reduction of inflammatory factors IL-1β and TNF-α, and on the alleviation of structural destruction. Furthermore, micro CT and histologic analysis confirmed that Se@SiO2 significantly alleviate MPS-induced destruction of femoral head. Moreover, compared with MPS group, Se@SiO2 could increase collagen II and aggrecan, and reduce the IL-1β level in the cartilage of femoral head. In addition, the biosafety of Se@SiO2 in vitro and in vivo were supported by cell proliferation assay and histologic analysis of main organs from rat models.

Conclusion: Se@SiO2 nanocomposites have a protective effect in MPS-induced ONFH without influence on the therapeutic activity of MPS, suggesting the potential as effective drugs to avoid ONFH in MPS therapy.

Keywords: ARDS; ROS damage; methylprednisolone; osteonecrosis of femoral head; porous Se@SiO2 nanocomposites.

MeSH terms

  • Animals
  • Cell Line
  • Disease Models, Animal
  • Femur Head Necrosis / chemically induced*
  • Femur Head Necrosis / pathology
  • Femur Head Necrosis / therapy*
  • Male
  • Methylprednisolone / adverse effects*
  • Nanocomposites / chemistry
  • Nanocomposites / therapeutic use*
  • Nanocomposites / ultrastructure
  • Porosity
  • Protective Agents / pharmacology
  • Protective Agents / therapeutic use*
  • Rats, Sprague-Dawley
  • Respiratory Distress Syndrome / drug therapy
  • Selenium / therapeutic use*
  • Silicon Dioxide / pharmacology
  • Silicon Dioxide / therapeutic use*
  • X-Ray Microtomography

Substances

  • Protective Agents
  • Silicon Dioxide
  • Selenium
  • Methylprednisolone