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Liraglutide Inhibits Osteoclastogenesis and Improves Bone Loss by Downregulating Trem2 in Female Type 1 Diabetic
Jie Yu1, Yan-Chuan Shi2,3, Fan Ping1
1Key Laboratory of Endocrinology of National Health Commission, Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Background:
The mechanisms of bone fragility in type 1 diabetes (T1D) are not fully understood. Whether glucagon-like peptide-1 receptor (GLP-1R) agonists could improve bone quality in T1D context also remains elusive.
Aims:
We aimed to explore the possible mechanisms of bone loss in T1D and clarify whether liraglutide has effects on bone quality of T1D mice using transcriptomics.
Methods:
Female streptozotocin-induced diabetic C57BL/6J mice were randomly divided into four groups and received the following treatments daily for 8 weeks: saline as controls, insulin, liraglutide, and liraglutide combined with insulin. These groups were also compared with non-STZ-treated normal glucose tolerance (NGT) group. Trunk blood and bone tissues were collected for analysis. Three tibia from each of the NGT, saline-treated, and liraglutide-treated groups were randomly selected for transcriptomics.
Results:
Compared with NGT mice, saline-treated T1D mice manifested markedly hyperglycemia and weight loss, and micro-CT revealed significantly lower bone mineral density (BMD) and deficient microarchitectures in tibias. Eight weeks of treatment with liraglutide alone or combined with insulin rescued the decreased BMD and partly corrected the compromised trabecular microarchitectures. Transcriptomics analysis showed there were 789 differentially expressed genes mainly mapped to osteoclastogenesis and inflammation pathways. The RT-qPCR verified that the gene expression of Trem2, Nfatc1, Trap, and Ctsk were significantly increased in the tibia of T1D compared with those in the NGT group. Liraglutide treatment alone or combined with insulin could effectively suppress osteoclastogenesis by downregulating the gene expression of Trem2, Nfatc1, Ctsk, and Trap.
Conclusions:
Taken together, increased osteoclastogenesis with upregulated expression of Trem2 played an important role in bone loss of T1D mice. Liraglutide provided protective effects on bone loss in T1D mice by suppressing osteoclastogenesis.
Insights
Type 1 diabetes (T1D) causes bone loss by increasing osteoclastogenesis. Liraglutide, a GLP-1 receptor agonist, protects bone in T1D mice by suppressing this process, offering a potential therapeutic strategy.
Area of Science:
- Endocrinology
- Bone Biology
- Pharmacology
Background:
- Type 1 diabetes (T1D) is associated with bone fragility, but the underlying mechanisms remain unclear.
- The potential of glucagon-like peptide-1 receptor (GLP-1R) agonists to improve bone quality in T1D is not well-established.
Purpose of the Study:
- To investigate the mechanisms of bone loss in T1D.
- To determine the effects of liraglutide on bone quality in a mouse model of T1D using transcriptomics.
Main Methods:
- Female mice with streptozotocin-induced T1D were treated with saline, insulin, liraglutide, or a combination for 8 weeks.
- Transcriptomics analysis of tibia was performed on normal glucose tolerance (NGT), saline-treated T1D, and liraglutide-treated T1D groups.
Main Results:
- T1D mice exhibited hyperglycemia, weight loss, reduced bone mineral density (BMD), and impaired microarchitecture.
- Liraglutide treatment improved BMD and partially corrected microarchitectural defects.
- Transcriptomics revealed upregulated genes related to osteoclastogenesis and inflammation in T1D mice, which were downregulated by liraglutide.
Conclusions:
- Increased osteoclastogenesis, evidenced by upregulated Trem2 expression, contributes significantly to bone loss in T1D.
- Liraglutide demonstrates protective effects against bone loss in T1D by suppressing osteoclastogenesis.
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