Department of Orthopedics, Peking University Third Hospital, Beijing, China.
Beijing Key Laboratory of Spinal Diseases, Beijing, China.
Pharmacol Res. 2023 Oct;196:106930. doi: 10.1016/j.phrs.2023.106930. Epub 2023 Sep 16.
Postmenopausal osteoporosis is a common bone metabolic disease, and gut microbiota (GM) imbalance plays an important role in the development of metabolic bone disease. Here, we show that ovariectomized mice had high levels of lipopolysaccharide in serum and gut microbiota dysbiosis through increases in luminal Firmicutes:Bacteroidetes ratio. We depleted the GM through antibiotic treatment and observed improvements in bone mass, bone microstructure, and bone strength in ovariectomized mice. Conversely, transplantation of GM adapted to ovariectomy induced bone loss. However, GM depletion reversed ovariectomy-induced gene expression in the tibia and increased periosteal bone formation. Furthermore, bioinformatics analysis revealed that the G-protein-coupled bile acid receptor (TGR5) and systemic inflammatory factors play key roles in bone metabolism. Silencing TGR5 expression through small interfering RNA (siRNA) in the local tibia and knockout of TGR5 attenuated the effects of GM depletion in ovariectomized mice, confirming these findings. Thus, this study highlights the critical role of the GM in inducing bone loss in ovariectomized mice and suggests that targeting TGR5 within the GM may have therapeutic potential for postmenopausal osteoporosis.
绝经后骨质疏松症是一种常见的骨骼代谢疾病,肠道微生物群(GM)失衡在代谢性骨骼疾病的发展中起着重要作用。在这里,我们表明,通过增加腔Firmicutes:Bacteroidetes 比例,去卵巢小鼠的血清中脂多糖水平升高,肠道微生物群失调。我们通过抗生素治疗耗尽 GM,观察到去卵巢小鼠的骨量、骨微结构和骨强度得到改善。相反,适应去卵巢的 GM 移植会导致骨丢失。然而,GM 耗竭逆转了去卵巢引起的胫骨基因表达,并增加了骨膜骨形成。此外,生物信息学分析表明,G 蛋白偶联胆汁酸受体(TGR5)和全身炎症因子在骨骼代谢中发挥关键作用。通过小干扰 RNA(siRNA)在局部胫骨中沉默 TGR5 的表达以及敲除 TGR5 减弱了 GM 耗竭对去卵巢小鼠的影响,证实了这一发现。因此,这项研究强调了 GM 在诱导去卵巢小鼠骨丢失中的关键作用,并表明靶向 GM 内的 TGR5 可能对绝经后骨质疏松症具有治疗潜力。