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Updated: Feb 22, 2026

An Intestinal Gut Organ Culture System for Analyzing Host-Microbiota Interactions
Published on: June 30, 2021
Gut Microbiota, Immune System, and Bone
1Gerontology and Bone Metabolic Diseases Section, Department of Medical Science, University of Torino, CorsoDogliotti 14, 10126, Turin, Italy. patrizia.damelio@unito.it.
Abstract:
The gut microbiota (GM) is the whole of commensal, symbiotic, and pathogenic microorganisms living in our intestine. The GM-host interactions contribute to the maturation of the host immune system, modulating its systemic response. It is well documented that GM can interact with non-enteral cells such as immune cells, dendritic cells, and hepatocytes, producing molecules such as short-chain fatty acids, indole derivatives, polyamines, and secondary bile acid. The receptors for some of these molecules are expressed on immune cells, and modulate the differentiation of T effector and regulatory cells: this is the reason why dysbiosis is correlated with several autoimmune, metabolic, and neurodegenerative diseases. Due to the close interplay between immune and bone cells, GM has a central role in maintaining bone health and influences bone turnover and density. GM can improve bone health also increasing calcium absorption and modulating the production of gut serotonin, a molecule that interacts with bone cells and has been suggested to act as a bone mass regulator. Thus, GM manipulation by consumption of antibiotics, changes in dietary habits, and the use of pre- and probiotics may affect bone health. This review summarizes evidences on the influence of GM on immune system and on bone turnover and density and how GM manipulation may influence bone health.
Insights
The gut microbiota influences immune responses and bone health. Manipulating the gut microbiota through diet or probiotics can impact bone density and turnover.
Area of Science:
- Microbiology
- Immunology
- Bone Biology
Background:
- The gut microbiota (GM) comprises microorganisms in the intestine, crucial for host immune system development and systemic response modulation.
- GM interacts with immune cells and hepatocytes, producing metabolites like short-chain fatty acids and indole derivatives that influence immune cell differentiation.
- Dysbiosis, an imbalance in GM, is linked to autoimmune, metabolic, and neurodegenerative diseases due to altered immune signaling.
Purpose of the Study:
- To review the influence of the gut microbiota on the immune system.
- To summarize evidence on the gut microbiota's role in bone turnover and density.
- To explore how gut microbiota manipulation affects bone health.
Main Methods:
- Literature review of existing studies on gut microbiota, immune system, and bone health.
- Analysis of mechanisms by which gut microbiota metabolites affect immune and bone cells.
- Examination of the impact of gut microbiota modulation strategies on bone parameters.
Main Results:
- Gut microbiota plays a central role in maintaining bone health by influencing bone turnover and density.
- GM enhances bone health by increasing calcium absorption and modulating gut serotonin production, a bone mass regulator.
- Gut microbiota manipulation, via antibiotics, diet, or pre/probiotics, can significantly affect bone health outcomes.
Conclusions:
- The gut microbiota is a key regulator of both immune function and bone metabolism.
- Understanding GM-host interactions provides insights into diseases associated with dysbiosis.
- Targeting the gut microbiota presents a potential therapeutic strategy for maintaining and improving bone health.
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