Fluoxetine inhibited RANKL-induced osteoclastic differentiation in vitro

Abstract: Selective serotonin reuptake inhibitor correlates with decreased bone mineral density and impedes orthodontic tooth movement. The present study aimed to examine the effects of fluoxetine on osteoclast differentiation and function. Human peripheral blood mononuclear cells (hPBMCs) and murine RAW264.7 cells were cultured with RANKL to stimulate osteoclast differentiation. The resulting multinucleated cells displayed characteristics of mature osteoclasts. Fluoxetine at 0.01–1 μM did not impact cellular viability or oxidative stress. However, 10 μM fluoxetine significantly reduced clonal growth, cell viability, and increased cytotoxicity and lipid peroxidation in RAW 264.7 cells. Further, application of 0.1 μM fluoxetine potently suppressed osteoclast differentiation of both RAW264.7 and hPBMCs, with reduced osteoclast numbers and downregulation of osteoclastic genes matrix metalloproteinase-9, cathepsin K, and integrin β3 at mRNA and protein levels. Fluoxetine also disrupted F-actin ring formation essential for osteoclast resorptive function. Mechanistically, fluoxetine inhibited NF-kB signaling by reducing phosphorylation of pathway members IκBα and p65, preventing IκBα degradation and blocking p65 nuclear translocation. In conclusion, this study demonstrates fluoxetine suppressing osteoclast differentiation in association with disrupting NF-kB activation, providing insight into orthodontic treatment planning for patients taking fluoxetine.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Fluoxetine inhibited RANKL-induced osteoclastic differentiation in vitro ; volume:19 ; number:1 ; year:2024 ; extent:10
Open medicine ; 19, Heft 1 (2024) (gesamt 10)

Urheber
Zhang, Jing-wen
Zhao, Fang-bing
Ma, Bing’er
Shen, Xiao-qing
Geng, Yuan-ming

DOI
10.1515/med-2024-1094
URN
urn:nbn:de:101:1-2412171818173.432381855404
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:34 MESZ

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Beteiligte

  • Zhang, Jing-wen
  • Zhao, Fang-bing
  • Ma, Bing’er
  • Shen, Xiao-qing
  • Geng, Yuan-ming

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