A novel METTL3 inhibitor nimbolide ameliorates osteoporosis via orchestrating osteoclastogenesis in an m6A-dependent manner

  • Phytomedicine. 2026 Jun:155:158048. doi: 10.1016/j.phymed.2026.158048.
Chenhui Cai  1 Zaoqing Zhang  1 Xu Zhao  1 Chuan Yang  2 Xianming Huang  3 Chao Tang  4 Hao Qiu  1 Sizhen Yang  1 Ying Zhang  1 Xu Hu  1 Rui Zuo  1 Chao Zhang  1 Yueqi Chen  5 Tongwei Chu  6
Affiliations
  • 1. Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing 400037, China; Chongqing Municipal Health Commission Key Laboratory of Precise Orthopedics, Chongqing 400037, China.
  • 2. Department of Biomedical Materials Science, Third Military Medical University (Army Medical University), Chongqing 400038, China.
  • 3. Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing 400037, China; Chongqing Municipal Health Commission Key Laboratory of Precise Orthopedics, Chongqing 400037, China; Department of Orthopaedic Surgery, Dazhou Central Hospital, Dazhou 635000, China.
  • 4. Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing 400037, China; Chongqing Municipal Health Commission Key Laboratory of Precise Orthopedics, Chongqing 400037, China; The First Affiliated Hospital of Southwest Medical University, Southwest Medical University, Luzhou 646000, China.
  • 5. Medical School of Chinese PLA, Beijing, 100853, China; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China; Department of Orthopedics, Chinese PLA 76th Army Corps Hospital, Xining 810000, China. Electronic address: [email protected].
  • 6. Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing 400037, China; Chongqing Municipal Health Commission Key Laboratory of Precise Orthopedics, Chongqing 400037, China. Electronic address: [email protected].
Abstract

Osteoporosis (OP) is a prevalent chronic metabolic bone disease linked to estrogen deficiency and lacks effective therapies with minimal side effects. While N6-methyladenosine (m6A) methylation plays a crucial role in OP progression, its critical effect on osteoclastogenesis during OP remains unclear. In this study, we demonstrate that METTL3 promotes osteoclast differentiation and bone erosion in OP, and its expression positively correlated with bone loss. METTL3 silencing abolished osteoclast formation, while its overexpression exacerbated bone resorption. Through molecular docking, dynamics simulation, cellular thermal shift assay and surface plasmon resonance assay, we identify the natural compound Nimbolide (Nim) as a direct METTL3 Inhibitor that disrupts its methyltransferase activity. Nim treatment suppressed RANKL-induced osteoclastogenesis and attenuated ovariectomy-induced OP in mice. Mechanistically, multi-omics integration (RNA-seq/MeRIP-seq/RIP-seq) combined with in vitro molecular validation revealed that METTL3 installs m6A on Lrp1 mRNA, recruiting the reader YTHDF2 to degrade transcripts and decrease the anti-osteoclastogenic protein LRP1. Nim restored LRP1 by blocking METTL3-mediated m6A methylation, thereby inhibiting osteoclast hyperactivity. Critically, AAV9-driven METTL3 overexpression reversed Nim's efficacy in OVX mice. Our work identifies Nim as a novel METTL3 Inhibitor that protects against OP via the METTL3-m6A-YTHDF2-LRP1 axis, providing novel insights into targeting METTL3-dependent m6A signaling as a promising therapeutic strategy for OP.

Keywords
M(6)A methylation; METTL3; Nimbolide; Osteoclast differentiation; Osteoporosis (op).
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