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Integrative network pharmacology and in vitro/in vivo validation reveal the protective effects of sotetsuflavone against osteoarthritis associated with PI3K/Akt/NF-κB signaling.

Created on 04 Jul 2026

Authors

Liang Chen, Yi'nan Pan, Xia Cao, Wenfeng Peng, Chang Zhu, Jing Ye, Zengru Xie

Published in

Scientific reports. Jul 03, 2026. Epub Jul 03, 2026.

Abstract

Osteoarthritis (OA) is a prevalent whole-joint disease characterized by progressive cartilage degeneration, extracellular matrix (ECM) breakdown, synovial inflammation, and pathological changes in multiple joint tissues. Inflammatory signaling plays a central role in chondrocyte catabolic activation and cartilage matrix degradation. Sotetsuflavone (SF), a naturally occurring biflavonoid isolated from Cycas species and other medicinal plants, has been reported to possess anti-inflammatory and antioxidant properties; however, its protective effects and related molecular mechanisms in OA remain unclear. This study aimed to investigate whether SF attenuates OA-associated inflammatory and catabolic responses and to explore the functional involvement of phosphoinositide 3-kinase/protein kinase B/nuclear factor-κB (PI3K/Akt/NF-κB) signaling in its protective effects. An integrated strategy combining network pharmacology, molecular docking, and experimental validation was used. Potential SF-related targets and OA-associated genes were collected from public databases, and overlapping targets were analyzed by protein-protein interaction (PPI) network construction and functional enrichment analyses. Molecular docking was performed to evaluate the predicted binding modes between SF and selected pathway-related proteins. Primary mouse chondrocytes stimulated with interleukin-1β (IL-1β) were used to assess the effects of SF on inflammatory mediator production, ECM metabolism, and PI3K/Akt/NF-κB signaling. To further evaluate pathway involvement, a rescue experiment was performed using 740Y-P, a PI3K/Akt pathway activator. A destabilization of the medial meniscus (DMM)-induced mouse model was established to evaluate the protective effects of SF against OA-related structural and inflammatory changes in vivo. Network pharmacology analysis identified 68 overlapping targets between SF and OA-associated genes, with enrichment mainly involving inflammation-related and kinase-dependent pathways, including PI3K/Akt and NF-κB signaling. Molecular docking revealed favorable binding affinities of SF toward key targets. In vitro, SF reduced the expression of cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) and decreased the production of nitric oxide (NO), prostaglandin E2 (PGE2), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α). SF also alleviated IL-1β-induced ECM catabolism, as shown by reduced matrix metalloproteinase-13 (MMP-13) and a disintegrin and metalloproteinase with thrombospondin motifs-5 (ADAMTS-5) levels and partial preservation of type II collagen (Col II) and aggrecan. Mechanistically, SF decreased PI3K/Akt phosphorylation, restored Inhibitor of nuclear factor-κB alpha (IκBα) expression, and reduced nuclear accumulation of NF-κB p65. Importantly, activation of PI3K/Akt signaling by 740Y-P partially reversed the inhibitory effects of SF on NF-κB activation and inflammatory mediator production, supporting the functional involvement of the PI3K/Akt/NF-κB axis. In vivo, SF administration alleviated cartilage destruction, reduced Osteoarthritis Research Society International (OARSI) scores, decreased MMP-13 expression, restored Col II expression, and lowered the expression of pro-inflammatory cytokines in joint tissues. These findings suggest that SF attenuates OA-associated inflammatory activation and cartilage matrix degradation in experimental models. The protective effects of SF are at least partly associated with suppression of the PI3K/Akt/NF-κB signaling axis. Further studies are warranted to clarify direct target engagement, pharmacokinetics, long-term safety, optimized delivery strategies, and therapeutic efficacy in more comprehensive OA models.

PMID:
42399461
Bibliographic data and abstract were imported from PubMed on 04 Jul 2026.

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