HSD17B7 Counters Bone Loss in Estrogen Deficiency via Estrogen Receptor Stabilization and Mediates the Effect of

Junyue Zhang1, Yiping Song1, Jeong-Hyun Koo1

  • 1Department of Biochemistry and Molecular Biology Jeonbuk National University Medical School Jeonju Republic of Korea.

Medcomm
|February 3, 2026
PubMed

Insights

HSD17B7 protein stabilizes estrogen receptor alpha (ERα), preventing bone loss in estrogen-deficient osteoporosis. This discovery highlights HSD17B7 as a potential therapeutic target for osteoporosis.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Bone Biology

Background:

  • Estrogen receptor alpha (ERα) is crucial for regulating osteoclasts and bone density, particularly in estrogen deficiency.
  • The precise mechanisms governing ERα interactions with coactivators remain incompletely understood.
  • Understanding these interactions is key to developing treatments for osteoporosis.

Purpose of the Study:

  • To identify novel proteins interacting with ERα.
  • To elucidate the role of HSD17B7 in ERα regulation and its impact on estrogen-deficient osteoporosis.
  • To explore HSD17B7 as a potential therapeutic target.

Main Methods:

  • Protein-protein interaction screening using Liquid Chromatography-Mass Spectrometry/Mass Spectrometry (LC-MS/MS).
  • Analysis of ERα degradation pathways and ERE activity.
  • Assessment of bone loss in HSD17B7-deficient mice models.
  • Investigation of preosteoclasts from osteoporosis patients.

Main Results:

  • Identified a physical interaction between HSD17B7 and ERα, with ERα binding to the 119-172 domain of HSD17B7.
  • This interaction inhibits ERα degradation and enhances ERE activity.
  • HSD17B7 deficiency in preosteoclasts exacerbates bone loss in estrogen-deficient mice, linked to PLD1-mTOR signaling and mitochondrial biogenesis.
  • Reduced HSD17B7 and ERα expression observed in preosteoclasts from severe osteoporosis patients.
  • Raloxifene efficacy in preventing bone loss is dependent on HSD17B7 presence.

Conclusions:

  • HSD17B7 stabilizes ERα, playing a critical role in preventing bone loss during estrogen deficiency.
  • HSD17B7-mediated regulation of ERα represents a novel therapeutic strategy for estrogen-deficient osteoporosis.
  • Targeting HSD17B7 offers a promising avenue for osteoporosis treatment.

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