从肠道微生物群的角度探索骨质疏松症:基于肠-肌肉-骨轴的机制性见解和治疗潜力
Hao-Bo Jiang1,2, Jun-Qi Zhang2, Hao Liang2
1Department of Orthopedics, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China.
Frontiers in microbiology
|February 20, 2026
概括
骨髓缩症 (OS),骨和肌肉在衰老中的衰退,与肠道微生物群 (GM) 不平衡有关. 通过饮食,益生菌或FMT向转基因可能为这种疾病提供新的治疗途径.
科学领域:
- 老年学和肌肉骨健康
- 微生物组研究 微生物组研究
- 代谢和炎症途径
背景情况:
- 骨髓缩症 (OS) 涉及同时发生的骨和肌肉损失,增加骨折,残疾和死亡风险.
- 人们越来越认识到肠道微生物群 (GM) 在调节骨和肌肉健康方面的作用.
- 了解肠 - 肌肉 - 骨轴对于解决OS病变的产生至关重要.
研究的目的:
- 审查和整合有关骨骨症的肠肌骨轴的证据.
- 阐明转基因生物失调有助于OS的机制.
- 探索潜在的转基因向的治疗策略OS.
主要方法:
- 对有关肠道微生物群,骨健康和肌肉健康的当前文献进行系统审查.
- 整合了骨质疏松症,肉症和机械学研究的证据.
- 在OS中开发肠-肌肉-骨轴的概念框架.
主要成果:
- 转基因生物失调可以通过受损的肠道屏障,慢性炎症和改变营养吸收来驱动OS.
- 转基因代谢物 (如SCFA) 和系统性炎症会影响骨和肌肉细胞.
- 通过肌基因和骨基因的双向信号调节肌肉骨平衡.
结论:
- 肠 - 肌肉 - 骨轴为了解OS的病原体提供了一个框架.
- 以微生物群为中心的干预措施 (饮食,益生菌,FMT) 对OS有希望.
- 需要进一步的临床研究来验证针对骨质沙症的转基因向疗法.
相关概念视频
Osteoclasts in Bone Remodeling
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone Remodeling and Repair
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Functions of the Gut Microbiota
The gut microbiota includes trillions of microorganisms that colonize the human gastrointestinal tract, including bacteria, archaea, viruses, and fungi. This complex ecosystem plays a critical role in maintaining intestinal and systemic health. Most of these microbes inhabit the large intestine, establishing a relatively stable and diverse community that contributes to gut homeostasis through various metabolic, immunological, and protective mechanisms.Dominant bacterial phyla, such as...
Dysbiosis of the Gut Microbiota
The human gut microbiome includes a diverse array of microbial species, including beneficial commensals and opportunistic pathogens, which interact to support host health. These microbes contribute to essential functions such as nutrient metabolism, immune system modulation, and maintenance of intestinal barrier integrity. However, disruptions to this equilibrium—referred to as dysbiosis—can have widespread physiological consequences.Dysbiosis is often characterized by reduced microbial...
Microbiota Modulation by Antibiotics
Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...


