Isovitexin promotes bone healing and reduces bacterial load in an MRSA-infected femoral fracture model. (A) Chemical structure of isovitexin. (B) Representative histological images of HE staining (top two rows) and Masson's trichrome staining (bottom two rows) at 100× and 200× magnification in the Control, Model, Amoxicillin, and Isovitexin groups. Scale bars are indicated in the images. (C) Quantification of (TCA, %) based on Masson's trichrome staining, showing new bone formation in each group. (D) Bacterial load (CFU/mL × 108) at the fracture site at 4 weeks post-surgery. ***P < 0.001. CFU, colony-forming unit; HE, hematoxylin and eosin; MRSA, methicillin-resistant Staphylococcus aureus; TCA, total callus area.
Fig 2.
Isovitexin reduces the level of inflammation. (A) Quantification of serum levels of pro-inflammatory cytokines TNF-α and IL-6, and the anti-inflammatory cytokine IL-10, at 2 and 4 weeks post-surgery in all four groups (Control, Model, Amoxicillin, and Isovitexin). (B) Representative immunohistochemical staining of CD68 (a macrophage marker) at 100× and 200× magnification in femoral tissue sections from each group. Brown staining indicates CD68-positive cells. Data are presented as mean ± SD (n = 6). ***P < 0.001. IL-6, interleukin-6; IL-10, interleukin-10; SD, standard deviation; TNF-α, tumor necrosis factor-α.
Fig 3.
Isovitexin promotes bone metabolism. (A) Measurement of serum bone metabolism markers β-CTX, PINP, and BALP. (B) The protein expression levels of BMP2, OPN, and RUNX2 in bone tissue were detected by Western blot. Data are presented as mean ± SD (n = 6). ***P < 0.001. BALP, bone-specific alkaline phosphatase; PINP, procollagen type I N-terminal propeptide; β-CTX, β-CrossLaps of type I collagen; SD, standard deviation.
Fig 4.
Isovitexin inhibits the activation of the NF-κB pathway. The protein expression levels of p65, p-p65, IKB-α, and p-IKB-α in bone tissue were detected by Western blot. Data are presented as mean ± SD (n = 6). ***P < 0.001. GAPDH, glyceraldehyde-3-phosphate dehydrogenase. SD, standard deviation.