长双歧杆菌补充剂可改善与年龄相关的骨折修复延迟。

Bifidobacterium longum supplementation improves age-related delays in fracture repair.

机构信息

Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia, USA.

Atlanta VA Health Care System, Decatur, Georgia, USA.

出版信息

Aging Cell. 2023 Apr;22(4):e13786. doi: 10.1111/acel.13786. Epub 2023 Jan 27.

Abstract

Age-related delays in bone repair remains an important clinical issue that can prolong pain and suffering. It is now well established that inflammation increases with aging and that this exacerbated inflammatory response can influence skeletal regeneration. Recently, simple dietary supplementation with beneficial probiotic bacteria has been shown to influence fracture repair in young mice. However, the contribution of the gut microbiota to age-related impairments in fracture healing remains unknown. Here, we sought to determine whether supplementation with a single beneficial probiotic species, Bifidobacterium longum (B. longum), would promote fracture repair in aged (18-month-old) female mice. We found that B. longum supplementation accelerated bony callus formation which improved mechanical properties of the fractured limb. We attribute these pro-regenerative effects of B. longum to preservation of intestinal barrier, dampened systemic inflammation, and maintenance of the microbiota community structure. Moreover, B. longum attenuated many of the fracture-induced systemic pathologies. Our study provides evidence that targeting the gut microbiota using simple dietary approaches can improve fracture healing outcomes and minimize systemic pathologies in the context of aging.

摘要

与年龄相关的骨骼修复延迟仍然是一个重要的临床问题,它会延长疼痛和不适的时间。现在已经证实,炎症会随着年龄的增长而加剧,而这种加剧的炎症反应会影响骨骼再生。最近,研究表明,简单地通过饮食补充有益的益生菌可以影响年轻小鼠的骨折修复。然而,肠道微生物群对与年龄相关的骨折愈合损伤的贡献尚不清楚。在这里,我们试图确定补充单一有益的益生菌种类,长双歧杆菌(B. longum),是否会促进老年(18 个月大)雌性小鼠的骨折修复。我们发现,B. longum 的补充加速了骨痂的形成,从而改善了骨折肢体的机械性能。我们将 B. longum 的这些促进再生的作用归因于肠道屏障的维持、全身炎症的减弱以及微生物群落结构的维持。此外,B. longum 减轻了许多骨折引起的全身病理变化。我们的研究提供了证据,表明使用简单的饮食方法靶向肠道微生物群可以改善骨折愈合的结果,并在衰老的背景下最小化全身病理变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479c/10086533/a5216f79e958/ACEL-22-e13786-g004.jpg

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