Toejing Parichart, Myint Ohnmar, Leelahavanichkul Asada, Sridurongrit Somyoth, Greenblatt Matthew B, Lotinun Sutada
Center of Excellence in Skeletal Disorders and Enzyme Reaction Mechanism, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand.
Division of Immunology, Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Int J Mol Sci. 2025 Mar 17;26(6):2704. doi: 10.3390/ijms26062704.
Transforming growth factor beta (TGF-β), a master regulator of renal fibrosis, is the hallmark of chronic kidney disease (CKD) progression, and CKD worsens bone remodeling. However, the effects of the dysregulation of signaling on bone remodeling during CKD have not been investigated. Here, we determined the effects of TGF-β receptor I () overexpression under the control of Mx1-Cre on bone remodeling in CKD mice (-CKD mice). Our results demonstrated that kidney fibrosis and serum urea nitrogen levels were elevated in -CKD mice compared to WT-CKD, indicating that overexpression exacerbated renal injury during CKD. Serum calcium was decreased, while PTH was enhanced, in -CKD mice. -CKD mice displayed severe osteopenia as assessed by uCT in both femurs and mandibles. An histomorphometric analysis showed that tibial cancellous bone volume was decreased in -CKD. Likewise, mRNA expression levels of an osteoclastogenesis marker, was increased, and osteoblast marker genes and were decreased in -CKD mice. -CKD mice displayed increased inflammatory cytokines levels. Together, our results indicated that in the setting of CKD, overexpression induced both CKD progression and the dysregulation of bone remodeling, leading to severe bone loss. As such, these data provide an avenue for the future development of therapeutics for CKD-induced osteoporosis.
转化生长因子β(TGF-β)是肾纤维化的主要调节因子,是慢性肾脏病(CKD)进展的标志,且CKD会使骨重塑恶化。然而,CKD期间信号失调对骨重塑的影响尚未得到研究。在此,我们确定了在Mx1-Cre控制下TGF-β受体I( )过表达对CKD小鼠( -CKD小鼠)骨重塑的影响。我们的结果表明,与野生型CKD小鼠(WT-CKD)相比, -CKD小鼠的肾纤维化和血清尿素氮水平升高,表明 过表达加剧了CKD期间的肾损伤。 -CKD小鼠的血清钙降低,而甲状旁腺激素(PTH)升高。通过微计算机断层扫描(uCT)评估, -CKD小鼠的股骨和下颌骨均显示出严重的骨质减少。组织形态计量学分析表明, -CKD小鼠胫骨松质骨体积减少。同样, -CKD小鼠中破骨细胞生成标志物 的mRNA表达水平升高,而成骨细胞标志物基因 和 降低。 -CKD小鼠的炎性细胞因子水平升高。总之,我们的结果表明,在CKD背景下, 过表达既诱导了CKD进展,又导致了骨重塑失调,从而导致严重的骨质流失。因此,这些数据为未来开发治疗CKD诱导的骨质疏松症的疗法提供了途径。