Chen Yuhui, Li Chao, Jia Jishan, Jiang Yuhui, Zhang Ping, Cheng Caiyu, Zhang Guangyan, Gao Lang, Yang Xiang, Zhao Jiawei, Li Kaiqun, Yu Bin
Division of Orthopedics and Traumatology, Department of Orthopedics, Nanfang Hospital, Southern Medical University, No. 1838 North of Guangzhou Avenue, Guangzhou, 510515, Guangdong, China.
Guangdong Provincial Key Laboratory of Bone and Cartilage Regenerative Medicine, Nanfang Hospital, Southern Medical University, No. 1838 North of Guangzhou Avenue, Guangzhou, 510515, Guangdong, China.
Mol Med. 2025 May 7;31(1):177. doi: 10.1186/s10020-025-01202-9.
Bone loss in Staphylococcus aureus (S. aureus) osteomyelitis poses a serious challenge to orthopedic treatment, but the underlying mechanism of systemic osteoporosis caused by chronic infection is not completely clear. In this study, γ-irradiation-killed S. aureus (IKSA) was applied to simulate the inflammation and explore the mechanism of systemic bone loss caused by it. In this study, we found that the systemic application of IKSA caused bone loss in mice through increasing osteoclasts and decreasing osteoblasts. An immune response profile with up-regulated COX-2 is identified based on our transcriptional data from IKSA mice bone marrow cells. COX-2 expression is widely up-regulated in bone marrow immune cells, such as myeloid-derived suppressor cells (MDSCs), neutrophils and macrophages in the IKSA-treated mice. Mechanistically, COX-2 stimulated the increasing proportion of MDSCs and neutrophils and the inflammatory response of the bone marrow immune cells, that may regulate bone metabolism. Importantly, COX-2 inhibitor, celecoxib could rescue the bone loss induced by IKSA, which may reason from decrease of inflammatory gene expression in MDSCs, neutrophils and macrophages. Excitingly, COX-2 expression is also increased in bone marrow from mice and patients with S. aureus osteomyelitis. These findings suggested a therapeutic potential for inhibiting COX-2 in combating bone loss in S. aureus osteomyelitis.
金黄色葡萄球菌骨髓炎中的骨质流失给骨科治疗带来了严峻挑战,但慢性感染导致全身性骨质疏松的潜在机制尚不完全清楚。在本研究中,应用γ射线照射灭活的金黄色葡萄球菌(IKSA)来模拟炎症并探究其导致全身性骨质流失的机制。在本研究中,我们发现全身性应用IKSA通过增加破骨细胞和成骨细胞减少导致小鼠骨质流失。基于来自IKSA小鼠骨髓细胞的转录数据,确定了一种COX-2上调的免疫反应谱。在IKSA处理的小鼠中,骨髓免疫细胞如髓系来源的抑制细胞(MDSCs)、中性粒细胞和巨噬细胞中COX-2表达广泛上调。从机制上讲,COX-2刺激了MDSCs和中性粒细胞比例的增加以及骨髓免疫细胞的炎症反应,这可能调节骨代谢。重要的是,COX-2抑制剂塞来昔布可以挽救IKSA诱导的骨质流失,这可能是由于MDSCs、中性粒细胞和巨噬细胞中炎症基因表达的降低。令人兴奋的是,在金黄色葡萄球菌骨髓炎小鼠和患者的骨髓中COX-2表达也增加。这些发现表明抑制COX-2在对抗金黄色葡萄球菌骨髓炎骨质流失方面具有治疗潜力。
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