通过调节“肠道-免疫-骨骼”轴改善绝经后骨质疏松症中的炎症性骨质流失。
ameliorates inflammatory bone loss in post-menopausal osteoporosis via modulating the "Gut-Immune-Bone" axis.
作者信息
Sapra Leena, Saini Chaman, Mishra Pradyumna K, Garg Bhavuk, Gupta Sarika, Manhas Vikrant, Srivastava Rupesh K
机构信息
Translational Immunology, Osteoimmunology & Immunoporosis Lab (TIOIL), An ICMR-Collaborating Centre of Excellence in Bone Health, Department of Biotechnology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Department of Molecular Biology, ICMR-National Institute for Research in Environmental Health, Bhopal, India.
出版信息
Gut Microbes. 2025 Dec;17(1):2492378. doi: 10.1080/19490976.2025.2492378. Epub 2025 Apr 24.
Osteoporosis is a systemic skeletal disease that leads to lower bone mineral density and intensifies the risk of unexpected fractures. Recently, our group reported that numerical defect in the frequencies of Bregs along with their compromised tendency to produce IL-10 cytokine further aggravates inflammatory bone loss in post-menopausal osteoporosis (PMO). Dysbiosis induced mucosal injury and leaky gut are the predominant contributors involved in the progression of inflammatory diseases including PMO. Furthermore, several evidence suggest that gut microbial composition plays a crucial role in the development and differentiation of Bregs. Nevertheless, the potential role of dysbiotic gut microbiota (GM) and Bregs under estrogen deficient PMO conditions has never been deciphered. Here, we evaluated the role of GM in the onset and progression of PMO along with its role in modulating the anti-osteoporotic potential of Bregs. We found that enhancement in the endotoxin producing bacteria and concomitant reduction in the short chain fatty acids producing bacteria, both under pre-clinical and clinical osteoporotic condition augment inflammatory bone loss. This suggests that dysbiosis of GM potentially exacerbates bone deterioration under estrogen deficient PMO conditions. Remarkably, supplementation of probiotic significantly improved the bone mineral density, bone strength, and bone microarchitecture by modulating the anti-osteoclastogenic, immunosuppressive and immunomodulatory potential of Bregs. The present study delves deeper into the role of immune homeostasis ("Breg-Treg-Th17" cell axis) and GM profile in the pathophysiology of PMO. Altogether, findings of the present study open novel therapeutic avenues, suggesting restoration of GM composition as one of the viable therapeutic options in mitigating inflammatory bone loss under PMO conditions via modulating the "Gut-Immune-Bone" axis.
骨质疏松症是一种全身性骨骼疾病,会导致骨矿物质密度降低,并增加意外骨折的风险。最近,我们的研究小组报告称,B细胞调节因子(Bregs)频率的数值缺陷及其产生白细胞介素-10细胞因子的能力受损,会进一步加重绝经后骨质疏松症(PMO)中的炎症性骨质流失。生态失调引起的黏膜损伤和肠道渗漏是包括PMO在内的炎症性疾病进展的主要因素。此外,有多项证据表明,肠道微生物组成在Bregs的发育和分化中起着关键作用。然而,在雌激素缺乏的PMO条件下,生态失调的肠道微生物群(GM)和Bregs的潜在作用尚未得到阐明。在此,我们评估了GM在PMO发病和进展中的作用及其在调节Bregs抗骨质疏松潜力中的作用。我们发现,在临床前和临床骨质疏松症状态下,产生内毒素的细菌增加,同时产生短链脂肪酸的细菌减少,都会加剧炎症性骨质流失。这表明,在雌激素缺乏的PMO条件下,GM的生态失调可能会加剧骨质恶化。值得注意的是,补充益生菌可通过调节Bregs的抗破骨细胞生成、免疫抑制和免疫调节潜力,显著改善骨矿物质密度、骨强度和骨微结构。本研究更深入地探讨了免疫稳态(“Breg-Treg-Th17”细胞轴)和GM谱在PMO病理生理学中的作用。总之,本研究的结果开辟了新的治疗途径,表明恢复GM组成是通过调节“肠道-免疫-骨骼”轴减轻PMO条件下炎症性骨质流失的可行治疗选择之一。