Aging & Longevity

Pyrroloquinoline quinone alleviates age-related osteoarthritis via nuclear factor erythroid 2-related factor 2-mediated stress response and insulin-like growth factor 1 receptor upregulation.

TL;DR

PQQ mitigates age-related OA by activating Nrf2-mediated antioxidant/anti-senescence responses and transcriptionally upregulating IGF1R to support matrix anabolism, identifying the PQQ-Nrf2-IGF1R axis as a promising therapeutic target for preventing or slowing age-related OA progression.

Key Findings

Long-term dietary PQQ markedly reduced spontaneous, age-related osteoarthritis in mice as measured by OARSI scoring.

  • Twelve-month-old mice received dietary PQQ at 4 mg/kg feed for 12 months
  • Joint pathology was assessed by Safranin O-Fast Green staining and OARSI grading
  • PQQ lowered OARSI scores compared to untreated aged mice
  • PQQ reduced osteophyte formation and synovitis scores

PQQ preserved cartilage and subchondral bone structure in aged mice.

  • Structural assessment was performed using micro-computed tomography (μCT)
  • Safranin O-Fast Green staining confirmed cartilage preservation
  • Both osteophyte formation and synovitis were reduced with PQQ treatment
  • Subchondral bone structural integrity was maintained in PQQ-treated mice

PQQ decreased oxidative DNA damage and reduced cellular senescence markers in cartilage of aged mice.

  • PQQ decreased oxidative DNA damage in cartilage tissue
  • Senescence markers were reduced in PQQ-treated mice
  • Senescence-associated secretory phenotype (SASP) factors were diminished
  • Lamin B1, a marker of cellular senescence, was restored by PQQ treatment

PQQ reduced matrix degradation markers and maintained extracellular matrix protein expression in aged mouse cartilage.

  • PQQ reduced matrix metalloproteinase-13 (MMP13) expression
  • COL2A1 (type II collagen) expression was maintained with PQQ treatment
  • These effects indicate preservation of extracellular matrix integrity in cartilage

In IL-1β-challenged human chondrocytes and cartilage explants, PQQ suppressed oxidative stress, rescued proliferation, diminished senescence, and prevented matrix degradation.

  • Human and mouse chondrocytes and cartilage explants were treated with interleukin-1β (IL-1β) to model OA in vitro
  • PQQ suppressed oxidative stress in IL-1β-challenged chondrocytes
  • PQQ rescued proliferation that was diminished by IL-1β treatment
  • Matrix degradation was prevented by PQQ in this in vitro OA model

PQQ enhanced Nrf2 nuclear accumulation, antioxidant response element (ARE) activity, and antioxidant gene expression in chondrocytes.

  • PQQ promoted nuclear accumulation of Nrf2 transcription factor
  • ARE activity was enhanced following PQQ treatment
  • Antioxidant gene expression was upregulated downstream of Nrf2 activation
  • Nrf2 is described as a transcription factor that regulates antioxidant and cytoprotective gene expression

IGF1R was identified as a direct transcriptional target of Nrf2 in chondrocytes.

  • Mechanistic assays identified IGF1R as a direct Nrf2 target gene
  • This represents a novel mechanistic link between Nrf2 signaling and IGF1R expression in cartilage
  • IGF1R knockdown blocked PQQ-induced ERK (extracellular signal-regulated kinase) signaling
  • IGF1R knockdown also blocked PQQ-induced COL2A1 upregulation

PQQ failed to protect Nrf2-deficient chondrocytes and joints, demonstrating that PQQ's protective effects are Nrf2-dependent.

  • Nrf2 loss-of-function experiments were performed to evaluate pathway dependence
  • Chondrocytes lacking Nrf2 were not protected by PQQ treatment
  • Joint protection by PQQ was abolished in Nrf2-deficient conditions
  • IGF1R loss-of-function was also used to evaluate pathway dependence downstream of Nrf2

Age-related knee osteoarthritis arises from cumulative oxidative damage, chondrocyte senescence, and extracellular matrix loss, and safe disease-modifying interventions for aging-associated OA are lacking.

  • PQQ has molecular formula C14H6N2O8 and is described as a naturally bioactive compound
  • PQQ has been previously reported to activate Nrf2
  • Prior to this study, effects of PQQ on age-related OA and underlying mechanisms remained unclear
  • The study used 12-month-old mice treated for 12 months, representing a long-term aging model

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Citation

Xue Q, Gu Y, Qin R, Chen Z, Li J, Li M, et al.. (2026). Pyrroloquinoline quinone alleviates age-related osteoarthritis via nuclear factor erythroid 2-related factor 2-mediated stress response and insulin-like growth factor 1 receptor upregulation.. Phytomedicine : international journal of phytotherapy and phytopharmacology. https://doi.org/10.1016/j.phymed.2026.157996