2020
DOI: 10.1038/s41467-019-14148-4
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PTH induces bone loss via microbial-dependent expansion of intestinal TNF+ T cells and Th17 cells

Abstract: Bone loss is a frequent but not universal complication of hyperparathyroidism. Using antibiotic-treated or germ-free mice, we show that parathyroid hormone (PTH) only caused bone loss in mice whose microbiota was enriched by the Th17 cell-inducing taxa segmented filamentous bacteria (SFB). SFB + microbiota enabled PTH to expand intestinal TNF + T and Th17 cells and increase their S1P-receptor-1 mediated egress from the intestine and recruitment to the bone marrow (BM) that causes bone loss. CXCR3-mediated TNF … Show more

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Cited by 86 publications
(119 citation statements)
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“…The secretion of inflammatory or osteoclastogenic cytokines of T cells and bone cells was facilitated under long-term PTH administration, such as RANKL, TNF-α, and IL-17, which promoted the bone resorption ( 83 ). PTH induced bone loss via the expansion of intestinal TNF + T and Th17 cells, and the increase in their S1P-receptor-1 mediated egress from the intestine and recruitment to the BM ( 84 ). So targeting the gut microbiota or T cell migration may represent novel therapeutic strategies for PTH-induced osteoporosis.…”
Section: The T Cells In the Regulation Of Various Osteoporosismentioning
confidence: 99%
“…The secretion of inflammatory or osteoclastogenic cytokines of T cells and bone cells was facilitated under long-term PTH administration, such as RANKL, TNF-α, and IL-17, which promoted the bone resorption ( 83 ). PTH induced bone loss via the expansion of intestinal TNF + T and Th17 cells, and the increase in their S1P-receptor-1 mediated egress from the intestine and recruitment to the BM ( 84 ). So targeting the gut microbiota or T cell migration may represent novel therapeutic strategies for PTH-induced osteoporosis.…”
Section: The T Cells In the Regulation Of Various Osteoporosismentioning
confidence: 99%
“…Also PTH induced bone loss has been known to depend on T cell activation (Gao et al, 2008[ 53 ]; Tawfeek et al, 2010[ 118 ]), but it was not clear if these T-cells originate in the bone marrow or in the intestine. Only recently, it was shown by Yu et al that bone loss induced by PTH depends on activation of intestinal TNF + and Th17 T cells in response to the gut microbiota and recruitment of these cells to the bone marrow (Yu et al, 2020[ 132 ]). Taken together, increasing evidence attributes the microbiome and metabolites produced by the microbiome, in particular SCFAs, a key regulatory function in bone homeostasis.…”
Section: Pathophysiology Of Osteoporosismentioning
confidence: 99%
“…Development of the research of gut microbiome involves not only the drug and TCM but also the daily diet of humans. Recently, a rapidly increasing number of studies have indicated the crucial role of the diet for the treatment of disease (Leboeuf et al, 2020;Li et al, 2020b;Moayyedi et al, 2020;Naudin et al, 2020;Yu et al, 2020). In addition, studies about the close relationship between the diet and the intestinal flora have gradually aroused attention, which may offer us some new perspective for disease prevention.…”
Section: Close Relationships Among Diet Gut Microbiome and Health Carementioning
confidence: 99%