Objective:To investigate the effects of XCT790 on bone mesenchymal stem cells(MSCs) apoptosis induced by hypoxia,serum deprivation and high glucose concentration. Methods:MSCs were divided into 5 groups:control group(cultrued under normal conditions) and 0-20 μmol/L XCT790 treatment groups(cultured under 3% O2,serum deprivation and 25 mmol/L glucose concentra-tion). The apoptosis rates were measured by Annexin V-APC /7-AAD on flow cytometry. The protein levels of Bcl-2 and Bax corre-lated with apoptosis were detected by Western blot. And the ratios of Bcl-2/Bax were calculated. Results:After being exposed to 5-20 μmol/L XCT790 for 24 h,the apoptosis rates of 5 μmol/L XCT790 treatment group(20.02±0.92)%,10 μmol/L XCT790 treatment group(26.04±1.24)% and 20 μmol/L XCT790 treatment group(50.73±3.55)% were significantly higher than of 0 μmol/L XCT790 treatment group(14.34±0.61)%,increasing in a dose-dependent manner(P<0.05). Western blot showed the expression of pro-apop-totic protein Bax in 5 μmol/L XCT790 treatment group(0.132 3±0.033 8),10 μmol/L XCT790 treatment group(0.140 8±0.006 8) and 20 μmol/L XCT790 treatment group(0.199 4±0.061 7) was significantly higher than that in 0 μmol/L treatment group(0.116 4±0.017 2),while the expression of anti-apoptotic protein Bcl-2 in 5 μmol/L XCT790 treatment group(0.069 7±0.013 2),10 μmol/L XCT790 treatment group(0.051 2±0.005 6),20 μmol/L treat-ment group(0.041 3±0.005 5) was significantly lower than that in 0 μmol/L treatment group(0.092 3±0.021 3). The Bcl-2/Bax ratios of 5 μmol/L XCT790 treatment group(0.530 7±0.027 9),10 μmol/L XCT790 treatment group(0.397 9±0.034 2) and 20 μmol/L XCT790 treatment group(0.234 8±0.032 1) were significantly lower than that in 0 μmol/L XCT790 treatment group(0.851 7±0.084 4),decreasing in a dose dependent manner(P<0.05). Conclusion:In the conditions of hypoxia,serum deprivation and high glucose concentration,antagonism of estrogen-related receptor α makes MSCs apoptosis rates increase significantly as Bcl-2/Bax ratios decrease,which indicates that ERRα plays an important role in preventing MSCs apoptosis.