East China Normal University and Shanghai Changzheng Hospital Joint Research Center for Orthopedic Oncology, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.
East China Normal University and Shanghai Changzheng Hospital Joint Research Center for Orthopedic Oncology, Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai, China.
J Bone Miner Res. 2019 Apr;34(4):765-776. doi: 10.1002/jbmr.3652. Epub 2019 Jan 7.
Osteoporosis is a global bone disease characterized by reduced bone mineral density (BMD) and increased risk of fractures. The risk of developing osteoporosis increases with aging, especially after menopause in women. Discovering the signaling pathways that play a significant role in aging- and menopause-induced osteoporosis should accelerate osteoporosis drug discovery. In this study, we found that bile acid membrane receptor Tgr5 knockout C57BL/6J mice had similar bone mass as wild-type mice during early and middle-age (before 4 months old) bone remodeling; however, Tgr5 markedly decreased bone mass in aged (more than 7 months old) and ovariectomized (OVX) mice compared with wild-type mice. Moreover, Tgr5 knockout strongly induced osteoclast differentiation but had no effect on osteoblast activity. Treatment with different TGR5 agonists consistently inhibited osteoclast differentiation. Importantly, our results showed that Tgr5 regulates osteoclastogenesis by the AMP-activated protein kinase (AMPK) signaling pathway, which is a central metabolic pathway involved in the pathophysiology of aging and age-related diseases. The bile acid nuclear receptor FXR is an established regulator of bone metabolism. We screened the derivatives of betulinic acid (BA), a known TGR5 agonist, to identify novel dual agonists of FXR and TGR5. The derivative SH-479, a pentacyclic triterpene acid, could activate both TGR5 and FXR, with a better inhibitory effect on osteoclastogenesis compared with agonists solely activating FXR or TGR5 and additionally enhanced osteoblastogenesis. Furthermore, SH-479 therapeutically abrogated bone loss in C57BL/6J mice through the bone remodeling pathways. Together, our results demonstrate that dual targeting the bile acid membrane receptor TGR5 and nuclear receptor FXR is a promising strategy for osteoporosis. © 2018 American Society for Bone and Mineral Research.
骨质疏松症是一种全球性的骨骼疾病,其特征是骨矿物质密度(BMD)降低,骨折风险增加。骨质疏松症的发病风险随着年龄的增长而增加,尤其是女性绝经后。发现对衰老和绝经引起的骨质疏松症起重要作用的信号通路,应该可以加速骨质疏松症药物的发现。在这项研究中,我们发现胆汁酸膜受体 Tgr5 敲除 C57BL/6J 小鼠在早期和中期(4 个月前)骨重塑期间的骨量与野生型小鼠相似;然而,与野生型小鼠相比,Tgr5 明显降低了老年(7 个月以上)和去卵巢(OVX)小鼠的骨量。此外,Tgr5 敲除强烈诱导破骨细胞分化,但对成骨细胞活性没有影响。用不同的 TGR5 激动剂处理一致抑制破骨细胞分化。重要的是,我们的结果表明,Tgr5 通过 AMP 激活蛋白激酶(AMPK)信号通路调节破骨细胞的分化,该信号通路是涉及衰老和与年龄相关疾病的病理生理学的中央代谢途径。胆汁酸核受体 FXR 是骨代谢的既定调节剂。我们筛选了 betulinic 酸(BA)的衍生物,BA 是一种已知的 TGR5 激动剂,以鉴定新型 FXR 和 TGR5 的双重激动剂。衍生物 SH-479 是一种五环三萜酸,可激活 TGR5 和 FXR,与仅激活 FXR 或 TGR5 的激动剂相比,对破骨细胞的分化具有更好的抑制作用,并可增强成骨细胞的分化。此外,SH-479 通过骨重塑途径在 C57BL/6J 小鼠中治疗性地阻断了骨丢失。总之,我们的结果表明,双重靶向胆汁酸膜受体 TGR5 和核受体 FXR 是治疗骨质疏松症的一种很有前途的策略。
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