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Echinococcus granulosus promotes MAPK pathway-mediated osteoclast differentiation by inhibiting Nrf2 in osseous
Yaqing Liu1,2, Jing Li1, Zhendong Zhang1
1The First Affiliated Hospital of Shihezi University, Xinjiang Uygur Autonomous Region, Shihezi, 832000, China.
Abstract:
Osseous echinococcosis causes severe "osteolytic" changes in the bone tissue of Echinococcus granulosus (E. granulosus) infection sites by promoting the over-differentiation of osteoclasts at the site. Nrf2 is a key regulator of osteoclast differentiation and formation, and this study investigated the regulatory mechanism by which Nrf2 promotes osteoclast differentiation after E. granulosus infection. In vitro, our study revealed that PSC intervention suppressed the expression levels of intracellular Nrf2 and its downstream effector, heme oxygenase-1 (HO-1), while increasing the content of intracellular reactive oxygen species (ROS), thereby promoting osteoclast differentiation. Next, we treated bone marrow mononuclear cells (BMMCs) with protoscoleces (PSC) and found that Nrf2 knockdown significantly promoted osteoclast formation, whereas Nrf2 activation had the opposite effect. We also verified that phosphorylation of the MAPK pathway was promoted after PSC intervention. In vivo, we established an osseous CE model and reported that Nrf2 knockout mice presented more pronounced bone destruction and more active osteoclast differentiation in infected bone tissue. In this study, we demonstrated that Nrf2 plays an important regulatory role in echinococcosis of the bone caused by E. granulosus infection both in vitro and in vivo. E. granulosus infection inhibits the expression of Nrf2 in cells, which leads to increased osteoclast differentiation and active bone resorption. This study provides not only a direction for more precise mechanistic research but also a new molecular target for the drug treatment of osseous echinococcosis.
Insights
Echinococcus granulosus infection causes bone loss by inhibiting Nrf2, which normally prevents osteoclast over-differentiation. Restoring Nrf2 function could treat osseous echinococcosis.
Area of Science:
- Immunology
- Molecular Biology
- Pathology
Background:
- Osseous echinococcosis, caused by Echinococcus granulosus, leads to significant bone destruction.
- Osteolytic changes are driven by excessive osteoclast differentiation at infection sites.
- Nrf2 is a critical regulator of osteoclast formation and function.
Purpose of the Study:
- To investigate the regulatory role of Nrf2 in osteoclast differentiation during Echinococcus granulosus infection.
- To elucidate the mechanism by which Nrf2 influences bone resorption in osseous echinococcosis.
Main Methods:
- In vitro studies using bone marrow mononuclear cells (BMMCs) treated with protoscoleces (PSC).
- Nrf2 knockdown and activation experiments.
- In vivo studies using a murine model of osseous cystic echinococcosis (CE) and Nrf2 knockout mice.
- Analysis of intracellular reactive oxygen species (ROS) and MAPK pathway phosphorylation.
Main Results:
- PSC intervention suppressed Nrf2 and heme oxygenase-1 (HO-1) expression, increased ROS, and promoted osteoclast differentiation.
- Nrf2 knockdown enhanced osteoclast formation, while Nrf2 activation inhibited it.
- Nrf2 knockout mice exhibited more severe bone destruction and osteoclast activity in vivo.
- MAPK pathway phosphorylation was increased after PSC intervention.
Conclusions:
- Echinococcus granulosus infection inhibits Nrf2 expression, leading to increased osteoclast differentiation and bone resorption.
- Nrf2 plays a crucial role in regulating bone destruction in osseous echinococcosis.
- Nrf2 represents a potential molecular target for therapeutic interventions against osseous echinococcosis.
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