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.

Abstract

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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