Abstract:[Objective] To investigate the protective effect of glycitin (GL) on apoptosis and oxidative stress injury of osteoblasts in-duced by dexamethasone (DEX), and to explore its possible molecular mechanism. [Methods] MC3T3-E1 cells were stimulated with DEX tosimulate the hormonal environment in vivo in glucocorticoids-induced osteonecrosis of the femoral head (GC-ONFH). According to differenttreatments, the cells divided into 3 groups, including blank control group (BC) with the same amount of PBS added into the medium, the DEXgroup with DEX in 100 μmol/L added into the medium, and the DEX+GL group with DEX in 100 μmol/L and GLin 15 μmol/L added to themedium, and the intervention time of 24 h. The MC3T3-E1 cells were routinely cultured for 48 h, and the cell medium was changed to osteo-genic induction medium. [Results] In term of flow cytometry, the apoptosis rate of DEX group was significantly increased compared with thatof the BC group, while which of DXM+GL group was significantly decreased compared with the DEX group [(9.8±1.5)% vs (17.7±1.4)% vs(13.6±0.4)%, P<0.001]. In term of RT-qPCR detection, the gene expression levels of BC, DEX and DXM+GL groups were as follows: Colla-gen I [(1.0±0.0) vs (0.5±0.3) vs (1.0±0.2), P=0.011]. Runx-2 [(1.0±0.0) vs (0.6±0.1) vs (1.1±0.0), P<0.001]. cleaved Caspase 3 [(1.0±0.0) vs(1.3±1.3) vs (0.9 ±0.0), P=0.002], BAX [(1.0±0.0) vs (1.4±0.3) vs (0.8±0.1), P=0.008] respectively, with statistically significant differencesamong the 3 groups. In term of western blot assay, protein expression levels of ALP, Collagen I, Runx-2, Bcl-2, Wnt3a and β-catenin in DEX group were significantly decreased compared with those in BC group (P<0.05), while which in DXM+GL group were significantly in-creased compared with those in the DEX group (P<0.05). Howerver, the protein expression levels of Cleaved Caspase 3 and BAX in the DEXgroup were significantly increased compared with the BC group (P<0.05), while which were significantly decreased in the DXM+GL groupcompared with those in DEX group (P<0.05). The green fluorescence of DEX group was significantly enhanced compared with that in the BCgroup (P<0.05), whereas which in DXM+GL group was significantly weakened compared with that in the DEX group (P<0.05). [Conclu-sion] GL does reverse DEX-mediated osteoblast inhibition, improve DEX-mediated osteoblast apoptosis, and protect Dex-mediated osteo-blast oxidative stress injury, which may be related to the activation of Wnt3a/β-Catenin signaling pathway by GL.