肠肝轴中的失生症与小鼠胆固醇症期间的低骨质量有关
Brooke Hutchison1,2,3, Jamie Fornsaglio4, Ridgeway Case1,2,3
1Organ Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
概括
胆固醇症是一种肝脏疾病,导致肠道失调和改变胆酸,通过影响骨细胞导致骨质损失. 准肠肝轴可能会在肝病中保护骨健康.
科学领域:
- 胃肠病学和肝病学
- 内分泌学和新陈代谢学
- 整形外科和骨生物学
背景情况:
- 肠肝轴描述了肠道微生物群与肝脏的相互作用,对健康至关重要.
- 肠道功能失调和胆汁酸 (BA) 稳态中断与胆固醇性肝病有关.
- 胆病患者的骨质损失加速,骨折风险增加,但机制尚不清楚.
研究的目的:
- 为了研究肠肝轴和BA信号传递在胆固醇期骨平衡中的作用.
- 阐明连接胆固醇酶诱导的肠道失调,BA失调和骨质损失的机制.
主要方法:
- 通过使用3,5-diethoxycarbonyl-1,4-dihydrocollidine诱导胆固醇症小鼠模型.
- 用16s rDNA测序分析了肠道微生物组成.
- 评估了肝脏基因表达,骨微型结构 (微型CT),骨质细胞/骨质细胞活性 (体型测量) 和血清/骨髓BA水平 (质谱).
- 在体外研究中使用了用BA刺激的MC3T3-E1 (骨质细胞) 和RAW 264.7 (骨质细胞) 细胞.
主要成果:
- 与对照组相比,胆固醇性小鼠的骨质量减少,骨质细胞增加和骨质细胞减少.
- 胆固醇诱导肠道失调,增加肝脏BA排泄物运输体表达,以及骨髓BA度升高.
- 在体外,胆固醇性小鼠的骨髓BA抑制了骨质母细胞发生,并促进了骨质母细胞发生.
- 法尔内索伊德X受体 (FXR) 激素治疗在试验室中挽救了这些效应.
结论:
- 肠肝轴是胆固醇性肝病中骨平衡的新型调节器.
- 由肠道失调驱动的失调的BA信号,有助于胆固醇期的骨质损失.
- 准肠肝轴和BA信号通路可能为胆固醇患者的骨质疏松症提供治疗策略.
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