Abstract:Objective To explore the effect of astragalus polysaccharides on osteocyte apoptosis and SP1/MEK/ERK axis in cell models of steroid-induced osteonecrosis of femoral head (SONFH).Methods The cell model of SONFH was established by treating mouse osteocytes (MLO-Y4) with dexamethasone. After modeling, the SONFH cells were treated with 300 μg/mL of astragalus polysaccharides, followed by the MTT assay and flow cytometry to detect the cell viability and apoptosis. Furthermore, SP1 was overexpressed or knocked down in SONFH cells, and the effect of SP1 expression on the activity of the MEK/ERK pathway was verified by Western blotting.Results The 48-hour optical density of the SONFH model group was lower than that of the control group (P < 0.05), while that in the SONFH + astragalus polysaccharides group was higher compared with the SONFH + PBS group (P < 0.05). The cell apoptosis rate in the SONFH model group was higher than that in the control group (P < 0.05), while that in the SONFH + astragalus polysaccharides group was lower compared with the SONFH model group (P < 0.05). Compared with the control group, the protein expressions of Bax and cleaved caspase-3 were higher, but the protein expression of Bcl-2 was lower in the SONFH model group (P < 0.05). Compared with the SONFH model group, the protein expressions of Bax and cleaved caspase-3 were lower, but the protein expression of Bcl-2 was higher in the SONFH + astragalus polysaccharides group (P < 0.05). The mRNA and protein expressions of SP1 in the SONFH model group were higher than those in the control group (P < 0.05), whereas those in the SONFH + astragalus polysaccharides group were lower compared with the SONFH model group (P < 0.05). The mRNA expression of SP1 in the SONFH + astragalus polysaccharides group was lower than that in the SONFH model group, while that in the SONFH + astragalus polysaccharides + OE-SP1 group was higher compared with the SONFH + astragalus polysaccharides + OE-NC group (P < 0.05). The cell viability in the SONFH model group was lower than that in the control group (P < 0.05), while that in the SONFH + astragalus polysaccharides group was higher compared with the SONFH model group (P < 0.05). There was no difference in the cell viability between the SONFH + astragalus polysaccharides group and the SONFH + astragalus polysaccharides + OE-NC group (P > 0.05), while the cell viability in the SONFH + astragalus polysaccharides + OE-SP1 group was lower compared with the SONFH + astragalus polysaccharides + OE-NC group (P < 0.05). The cell apoptosis rate and the protein expressions of Bax and cleaved caspase-3 in the SONFH group were higher than those in the control group (P < 0.05), while they were lower in the SONFH + astragalus polysaccharides group than in the SONFH model group, and were higher in the SONFH + astragalus polysaccharides + OE-SP1 group than in the SONFH + astragalus polysaccharides + OE-NC group (P < 0.05). The protein expression of Bcl-2 in the SONFH model group was lower than that in the control group (P < 0.05), while that in the SONFH + astragalus polysaccharides group was lower than that in the SONFH model group (P < 0.05), and that in the SONFH + astragalus polysaccharides + OE-SP1 group was even lower than that in the SONFH + astragalus polysaccharides + OE-NC group (P < 0.05). The mRNA expression of SP1 in the OE-SP1 group was higher than that in the OE-NC group, while that in the sh-SP1 group was lower than that in the sh-NC group. The protein expression of SP1 in the OE-SP1 group was higher than that in the control group and the OE-NC group (P < 0.05), and that in the sh-SP1 group was lower than that in the sh-NC group (P < 0.05). The protein expressions of MEK and p-MEK in the OE-SP1 group were lower than those in the control group and the OE-NC group (P < 0.05), whereas those in the sh-SP1 group were higher than those in the sh-NC group (P < 0.05).Conclusions Astragalus polysaccharide inhibits the viability of osteocytes in SONFH and promotes the apoptosis of osteocytes. The therapeutic effect of astragalus polysaccharide might be related to SP1 and the MEK/ERK pathway.