School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Front Endocrinol (Lausanne). 2023 Mar 9;14:1109296. doi: 10.3389/fendo.2023.1109296. eCollection 2023.
Osteoporosis is a systemic multifactorial bone disease characterized by low bone quality and density and bone microstructure damage, increasing bone fragility and fracture vulnerability. Increased osteoclast differentiation and activity are important factors contributing to bone loss, which is a common pathological manifestation of bone diseases such as osteoporosis. TNF-a/NF-κB is an inflammatory signaling pathway with a key regulatory role in regulating osteoclast formation, and the classical pathway RANKL/RANK/OPG assists osteoclast formation. Activation of this inflammatory pathway promotes the formation of osteoclasts and accelerates the process of osteoporosis. Recent studies and emerging evidence have consistently demonstrated the potential of probiotics to modulate bone health. Secretions of , a genus of probiotic bacteria in the phylum Actinobacteria, such as short-chain fatty acids, equol, and exopolysaccharides, have indicated beneficial effects on bone health. This review discusses the molecular mechanisms of the TNF-a/NF-κB inflammatory pathway in regulating osteoclast formation and describes the secretions produced by and their potential effects on bone health through this pathway, opening up new directions for future research.
骨质疏松症是一种全身性多因素骨病,其特征是骨质量和密度低,骨微观结构损伤,骨脆性增加,骨折易感性增加。破骨细胞分化和活性增加是导致骨丢失的重要因素,骨丢失是骨质疏松症等骨病的常见病理表现。TNF-a/NF-κB 是炎症信号通路,在调节破骨细胞形成中具有关键的调节作用,经典途径 RANKL/RANK/OPG 辅助破骨细胞形成。该炎症通路的激活促进破骨细胞的形成,并加速骨质疏松症的进程。最近的研究和新出现的证据一致表明益生菌具有调节骨骼健康的潜力。放线菌门细菌属的益生菌如短链脂肪酸、雌马酚和胞外多糖等分泌的物质对骨骼健康有有益的影响。本文讨论了 TNF-a/NF-κB 炎症通路在调节破骨细胞形成中的分子机制,并描述了 通过该通路产生的分泌物及其对骨骼健康的潜在影响,为未来的研究开辟了新的方向。