# Unraveling the mechanisms of nicotine-induced osteoporosis via network toxicology, bioinformatics, and molecular docking

**Authors:** Song Xu, Guozhu Wang, Jiaxin Liu, Xiongwen Zhang, Xie Dong, Jin Liang, Tao Bai

PMC · DOI: 10.18332/tid/215177 · Tobacco Induced Diseases · 2026-01-20

## TL;DR

This study explores how nicotine contributes to osteoporosis by identifying key genes and pathways involved in bone health disruption.

## Contribution

The study integrates network toxicology, bioinformatics, and molecular docking to uncover nicotine-induced osteoporosis mechanisms.

## Key findings

- Nicotine is linked to osteoporosis through apoptosis and estrogen signaling pathways.
- Key targets like CASP3 and ESR1 were identified with strong binding affinity via molecular docking.
- Overlap of 116 genes between nicotine and osteoporosis suggests shared molecular mechanisms.

## Abstract

Osteoporosis (OP) is linked to smoking. Nicotine may disrupt bone homeostasis through various pathways, but its molecular mechanisms are unclear. This study aims to explore the molecular networks and key regulatory factors underlying nicotine-induced OP.

Nicotine toxicity was assessed via ProTox-3.0, with its Simplified Molecular Input Line Entry System (SMILES) structure retrieved from PubChem. Potential targets were predicted using five databases, including SuperPred. OP-related gene data (GSE56815) were extracted from Gene Expression Omnibus (GEO) and combined with GeneCards and Comparative Toxicogenomics Database (CTD) for target screening. Overlapping genes were identified by Venn diagram analysis, followed by protein-protein interaction (PPI) network construction. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses were performed using HipLot, while Hallmark Gene Sets provided insights into key biological pathways. Core targets were screened via Cytoscape 3.9.1, and molecular docking was conducted using AutoDockTools 1.5.7.

In all, 388 nicotine-associated targets and 1777 OP genes were predicted, with 116 overlapping. Enrichment analyses revealed associations with multiple signaling pathways, particularly those involving apoptosis and estrogen. Eight core targets, including SRC, BCL2, and CASP3, were identified. Molecular docking showed strong binding affinity (approximately -5 kcal/mol), with enhanced binding stability through hydrophobic interactions and hydrogen bonding.

This study suggests nicotine exacerbates OP by regulating key targets, such as CASP3 and ESR1, and pathways like apoptosis and estrogen signaling. These findings provide insights into the molecular mechanisms underlying nicotine’s role in OP and potential therapeutic targets.

## Linked entities

- **Genes:** SRC (SRC proto-oncogene, non-receptor tyrosine kinase) [NCBI Gene 6714], BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596], CASP3 (caspase 3) [NCBI Gene 836], ESR1 (estrogen receptor 1) [NCBI Gene 2099]
- **Chemicals:** nicotine (PubChem CID 942)
- **Diseases:** osteoporosis (MONDO:0005298)

## Full-text entities

- **Genes:** CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, SRC (SRC proto-oncogene, non-receptor tyrosine kinase) [NCBI Gene 6714] {aka ASV, SRC1, THC6, c-SRC, p60-Src}, ESR1 (estrogen receptor 1) [NCBI Gene 2099] {aka ER, ESR, ESRA, ESTRR, Era, NR3A1}
- **Diseases:** OP (MESH:D010024), toxicity (MESH:D064420)
- **Chemicals:** Nicotine (MESH:D009538)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12817853/full.md

## References

36 references — full list in the complete paper: https://tomesphere.com/paper/PMC12817853/full.md

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Source: https://tomesphere.com/paper/PMC12817853