ABCA8 drives bone loss via disrupting Th17/Treg imbalance: a novel immunometabolic target for osteoporosis

Wenjing Yi1,2, Wenan Xu1,3, Tao Yang1,4

  • 1Shenzhen Clinical College of Stomatology, School of Stomatology, Southern Medical University, Shenzhen, 518000, Guangdong, China.

Abstract

Insights

ATP-binding cassette subfamily A member 8 (ABCA8) is linked to osteoporosis progression by disrupting immune balance. Targeting ABCA8 may offer new therapeutic strategies for osteoporosis treatment.

Area of Science:

  • Bone Biology and Immunology
  • Molecular Genetics
  • Disease Pathogenesis

Background:

  • Osteoporosis is a metabolic bone disease marked by decreased bone mass and deteriorating bone structure.
  • Complex molecular networks and immune dysregulation are involved in osteoporosis pathogenesis.

Purpose of the Study:

  • To investigate the immune-associated regulatory role of ATP-binding cassette subfamily A member 8 (ABCA8) in osteoporosis.
  • To elucidate the connection between ABCA8 expression and immune cell signatures in osteoporosis.

Main Methods:

  • Differential gene expression analysis and weighted gene co-expression network analysis (WGCNA) identified key osteoporosis genes.
  • Machine learning algorithms (LASSO, random forest, Boruta) selected significant osteoporosis-associated genes.
  • Gene set enrichment analysis (GSEA) and ssGSEA explored immune signatures, including Th17 and regulatory T cell (Treg) pathways. In vivo studies used ovariectomized (OVX) rats to validate findings.

Main Results:

  • ABCA8 was upregulated in osteoporotic samples and correlated with immune-associated transcriptional features, including Th17/Treg signatures.
  • ABCA8 knockdown in OVX rats improved bone microarchitecture and modulated osteogenic/osteoclastic markers.
  • ABCA8 overexpression exacerbated bone loss, disrupted Th17/Treg balance, and increased pro-inflammatory cytokines (IL-6, TNF-α, IL-17).

Conclusions:

  • ABCA8 is implicated in osteoporosis progression via dysregulation of the osteoimmune balance.
  • ABCA8 influences immune cell signatures and inflammatory responses in osteoporosis.
  • ABCA8 presents a potential immunoregulatory target for osteoporosis therapeutics.

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