Chen Yueqi, Yang Chuan, Deng Zihan, Xiang Tingwen, Ni Qingrong, Xu Jianzhong, Sun Dong, Luo Fei
Department of Orthopedics, Southwest Hospital, Third Military Medical University, Chongqing, China.
Department of Orthopedics, Chinese PLA 76th Army Corps Hospital, Beijing, Xining, China.
J Pineal Res. 2024 Apr;76(3):e12954. doi: 10.1111/jpi.12954.
Osteoporosis (OP) is a severe global health issue that has significant implications for productivity and human lifespan. Gut microbiota dysbiosis has been demonstrated to be closely associated with OP progression. Melatonin (MLT) is an important endogenous hormone that modulates bone metabolism, maintains bone homeostasis, and improves OP progression. Multiple studies indicated that MLT participates in the regulation of intestinal microbiota and gut barrier function. However, the promising effects of gut microbiota-derived MLT in OP remain unclear. Here, we found that OP resulted in intestinal tryptophan disorder and decreased the production of gut microbiota-derived MLT, while administration with MLT could mitigate OP-related clinical symptoms and reverse gut microbiota dysbiosis, including the diversity of intestinal microbiota, the relative abundance of many probiotics such as Allobaculum and Parasutterella, and metabolic function of intestinal flora such as amino acid metabolism, nucleotide metabolism, and energy metabolism. Notably, MLT significantly increased the production of short-chain fatty acids and decreased trimethylamine N-oxide-related metabolites. Importantly, MLT could modulate the dynamic balance of M1/M2 macrophages, reduce the serum levels of pro-inflammatory cytokines, and restore gut-barrier function. Taken together, our results highlighted the important roles of gut microbially derived MLT in OP progression via the "gut-bone" axis associated with SCFA metabolism, which may provide novel insight into the development of MLT as a promising drug for treating OP.
骨质疏松症(OP)是一个严重的全球性健康问题,对生产力和人类寿命有着重大影响。肠道微生物群失调已被证明与OP的进展密切相关。褪黑素(MLT)是一种重要的内源性激素,可调节骨代谢、维持骨稳态并改善OP的进展。多项研究表明,MLT参与肠道微生物群和肠道屏障功能的调节。然而,肠道微生物群衍生的MLT在OP中的潜在作用仍不清楚。在这里,我们发现OP导致肠道色氨酸紊乱,并降低了肠道微生物群衍生的MLT的产生,而给予MLT可以减轻与OP相关的临床症状,并逆转肠道微生物群失调,包括肠道微生物群的多样性、许多益生菌如Allobaculum和Parasutterella的相对丰度,以及肠道菌群的代谢功能,如氨基酸代谢、核苷酸代谢和能量代谢。值得注意的是,MLT显著增加了短链脂肪酸的产生,并降低了与氧化三甲胺相关的代谢物。重要的是,MLT可以调节M1/M2巨噬细胞的动态平衡,降低促炎细胞因子的血清水平,并恢复肠道屏障功能。综上所述,我们的结果突出了肠道微生物群衍生的MLT在OP进展中通过与SCFA代谢相关的“肠-骨”轴所起的重要作用,这可能为将MLT开发成为一种有前景的治疗OP的药物提供新的见解。
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