Skip to content

Palmitoylethanolamine alleviates osteoclast activation and reduces bone loss in osteoporosis by regulating mitochondrial function.

Sep 2026 · Bone · pp. 118089 · 0 citations · 50 references
Medicine

TL;DR

PEA impairs mitochondrial function in RANKL-induced BMMs, thereby repressing osteoclast differentiation via the YTHDC1/m6A-RELA/NF-κB signaling axis, which provides a novel molecular mechanism of PEA in osteoporosis treatment.

Abstract

Background

Osteoclasts are responsible for bone resorption, and their excessive activation causes bone loss and structural damage in osteoporosis. Palmitoylethanolamide (PEA), an endogenous PPAR-α agonist, exerts anti-inflammatory effects, but its role in osteoporosis remains incompletely understood.

Methods

Primary bone marrow-derived macrophages (BMMs) were isolated, and the cytotoxicity of PEA was assessed via CCK-8 analysis. Osteoclast differentiation of BMMs was determined by TRAP staining, osteoclast markers (NFATc1, CTSK, TRAP) and F-actin ring staining. Mitochondrial function was evaluated by MitoSOX, JC-1, ATP and NAD+/NADH ratio. Molecular interactions were validated with chromatin immunoprecipitation, dual luciferase assay and RNA immunoprecipitation. Micro-CT and histological staining analyses were performed to evaluate bone loss in ovariectomized mice.

Results

PEA dose-dependently suppressed RANKL-induced osteoclast differentiation, F-actin ring formation, and osteoclast marker gene expression. PEA suppressed mitochondrial function (reduced mitochondrial membrane potential, mitochondrial ROS, ATP, NAD+/NADH) in RANKL-induced BMMs. However, activation of NF-κB signaling or blockade of PPAR-α dramatically reversed these effects of PEA. Mechanistically, PEA promoted YTHDC1 transcription in a PPAR-α/RXRA-dependent manner. Moreover, YTHDC1 bound to m6A-modified RELA mRNA, leading to its nuclear export and recognition by YTHDF2, which in turn led to its degradation and consequent inactivation of NF-κB signaling. Rescue experiments demonstrated that YTHDC1 knockdown reversed PEA-mediated suppression of osteoclast differentiation and mitochondrial function.

Conclusion

PEA impairs mitochondrial function in RANKL-induced BMMs, thereby repressing osteoclast differentiation via the YTHDC1/m6A-RELA/NF-κB signaling axis, which provides a novel molecular mechanism of PEA in osteoporosis treatment.

View source

Similar papers

Open access Aug 2026

Dabigatran Attenuates Osteoporosis by Balancing Osteoblastogenesis and Osteoclastogenesis by Targeting PRKAB1 and RELA

The findings reposition DAB as a promising therapeutic candidate for restoring osteoblast–osteoclast balance and maintaining skeletal homeostasis while establishing a novel single-molecule, dual-target pharmacological strategy and providing novel mechanistic insights for bone metabolic disease treatment.

Fei-Yu Chen, Yi-Feng Shang, Kai-Wen Liu et al. · 0 citations
Sep 2026

Cyclovirobuxine Prevents Osteoclastogenesis and Estrogen Deficiency-Induced Bone Loss by Inhibiting ROS Generation via the PI3K/AKT/FOXO1 Pathway

The results suggest that CVB suppresses osteoclastogenesis and their resorptive function through modulation of MAPK and PI3K/AKT/FOXO1 pathways and by enhancing antioxidant defense, which has potential therapeutic value for antiosteoporosis treatment.

Qiu-Fei Li, Na Hai, Jin-Deng Liao et al. · 0 citations
Open access Aug 2026

Urolithin A Alleviates Osteonecrosis and Is Associated With Regulation of SIRT3 in Osteoclasts

Background: Urolithin A (UA) is a safe and promising therapeutic strategy for aging-related disorders, including osteoporosis. Sirtuin 3 (SIRT3) has been reported as a potential modulator of bone-joint pathologies such as osteoclast activation. However, whether UA affects osteoclast activation and function through SIRT...

Yi Xue, Dong-Hua Fan, Pu Ying et al. · 0 citations
Open access Sep 2026

Nuciferine Ameliorates Ovariectomy-Induced Bone Loss via TFEB-Mediated Autophagy-Lysosomal Pathway

Background: Postmenopausal osteoporosis is a common metabolic bone disease that leads to reduced bone formation and increased fracture risk. Nuciferine, an aporphine alkaloid from the lotus leaf, can regulate the TFEB-mediated autophagy-lysosomal pathway. This pathway is critical for osteogenic differentiation. However...

Bei-Lei Shi, Ze Gao, Shih-Yu Chen et al. · 0 citations
Sep 2026

Bruceine D suppressed osteoclast formation via STAT3/NF-κB/NFATc1 signaling and protected postmenopausal osteoporosis

It is demonstrated that BD significantly inhibited RANKL-induced osteoclast differentiation in a dose-dependent manner without cytotoxic effects at effective concentrations, and protects against estrogen deficiency-induced bone loss by inhibiting the STAT3/NF-κB/NFATc1 signaling axis.

Si-Si Lin, Qing-Lan Yuan, Xin-Yi Yao et al. · 0 citations
Open access Sep 2026

The marine drug plitidepsin alleviates osteoporosis in estrogen-deficient mice by suppressing ROS-mediated NRF2/HO-1 signaling and osteoclast formation

Marine-derived compounds represent an important source of innovative therapeutics owing to their structural diversity and broad bioactivity; however, their potential in osteoporosis therapy remains insufficiently explored. This study investigated the effects of plitidepsin (Pli), a marine-origin cyclic peptide, on os...

Jin-Deng Liao, Liang Liao, Qiu-Fei Li et al. · 0 citations

We use cookies to run the site and, with your consent, for analytics and to show ads. See our Cookie Policy.