Summary of bone related effects of GSK3 inhibitors, AZD2858, BIO, and LiCl in pre-clinical fracture and defect models. Reproduced from Ref. [234] with permission from Elsevier
Species | Models | Treatment | Dose | Healing and Strength | Major Findings | Refs |
---|---|---|---|---|---|---|
Mice | Femur Fracture | AZD2858 controlled releaseAZD2858 injection | 0.168 mg | ↑ BV/TV, strength↔ BV/TV | Nanoparticles from controlled release over 9 days showed greater accumulation in fracture bone and accelerated fracture healing (4 weeks)At same dose, free AZD failed to accelerate bone healing | [241] |
Femur Fracture | 6BIO controlled release6BIO injection | 6.9 nmol/kg | ↑ BV/TV↔ BV/TV | Micellar delivery of 6BIO controlled release over 7 days showed accelerated fracture healing compared with free 6BIO and control (3wks)At same dose, free 6BIO failed to accelerate bone healing | [242] | |
Femur Gap Defect | 6BIO controlled release6BIO injection | 198 μm | ↔ BV/TV↔ BV/TV | Polymeric nanoparticles showed greater accumulation in fractured bone but failed to improve bone healing (3 wks)At same dose, free 6BIO failed to accelerate bone healing | [243] | |
Tibia Fracture | 6BIO injection | 0.75 mg/kg | ↔ callus volume | Free 6BIO failed to accelerate bone healing (3 wks) | [244] | |
Tibial Fracture | LiCl PO | 200 mg/kg | ↑ BV/TV | Lithium impaired bone healing when started before fracture and enhanced repair when started 4 days after the injury | [245] | |
Tibial Fracture | LiCl injections | 100 mg/kg | ↔ strength | No effect on bone strength (2 wks) | [79] | |
Femur Fracture | LiCl PO | 200 mg/kg | ↑ BV/TV, strength | Accelerated bone healing and bone strength (3 wks) | [246] | |
Femur Fracture | LiCl | 20 mg/kg | ↑ BMD, strength | Maximal healing and strength occurred with a low dose (20 mg/kg) dose given for a longer time (2 wks) with a 7d of onset (4 wks) | [247] | |
Rats | Femur Fracture | LiCl | 20 mg/kg | ↑ strength | Best regimen corresponds to a low dose of 20 mg/kg given at 7d of onset for 2 wks duration (4 wks) | [80] |
Tibial Gap Defect | Li2CO3 (localized) | 10 mM | ↑ strength | Accelerated bone healing (2 wks) | [81] | |
Femur Fracture | AZD2858 PO daily | 30 μmol/kg | ↑ BMD, strength | Accelerated healing through intramembranous repair without the formation of cartilage (3 wks) | [82] |