ETHNOPHARMACOLOGICAL RELEVANCE:Cervus elaphus sibiricus (deer antler; Cervi Parvum Cornu; Nokyong) refers to the unossified antlers of young male deer and has been traditionally used in East Asian medicine to tonify the kidney and strengthen bone, supporting musculoskeletal health (osteoporosis, age-related frailty). Despite its long-standing use, the pharmacological mechanisms underlying its anti-osteoporotic effects remain largely unelucidated.
AIM OF THE STUDY:This study aimed to evaluate the anti-osteoporotic effects of a dual-extraction deer antler extract (PKDE) and to elucidate its mechanism of action through an integrative approach combining network pharmacology with in vivo and in vitro models.
MATERIALS AND METHODS:Network pharmacology (KEGG, GO, PPI) was used to identify bone-related targets, and active compounds were verified by HPLC-MS. An ovariectomy (OVX)-induced osteoporosis mouse model was used to evaluate the in vivo efficacy of PKDE (48, 96, and 144 mg/kg, p.o., 4 weeks). Bone mineral density (BMD), bone mineral content (BMC), collagen deposition, and adipocyte size were assessed. Serum levels of TRACP-5b, CTX, and osteocalcin were measured. Osteogenic and osteoclastic gene expression in tibial tissue was analyzed by RT-PCR. In vitro, the effects of PKDE on osteoclastogenesis and osteoblast differentiation were investigated using RAW264.7 and SaOS-2 cells, respectively.
RESULTS:PKDE increased BMD and BMC, restored collagen, and reduced marrow adiposity. Serum levels of TRACP-5b and CTX decreased, whereas osteocalcin increased. Gene expression analysis revealed downregulation of osteoclast markers (RANKL/OPG ratio) and upregulation of osteoblast markers (Col1a1, Bmp2, Spp1) in tibial tissue. In vitro, PKDE suppressed osteoclastogenesis in RANKL-induced RAW264.7 cells, as evidenced by a reduction in TRAP-positive multinucleated cells and downregulation of osteoclast-related genes such as Nfatc1 and Ctsk. In contrast, PKDE promoted osteoblast differentiation in AA/β-GP-induced SaOS-2 cells, as demonstrated by enhanced mineralization via Alizarin Red S staining and upregulated expression of osteogenic markers including COL1A1, BMP2, Runx2, SPP1, and IBSP. No hepatotoxicity or nephrotoxicity was observed.
CONCLUSION:PKDE exerts dual anti-osteoporotic effects by inhibiting osteoclastogenesis and promoting osteoblast differentiation via modulation of bone metabolism pathways, supporting the traditional use of PKDE and highlighting its potential as a natural-origin therapeutic for bone health.