[HTML][HTML] PTH induces bone loss via microbial-dependent expansion of intestinal TNF+ T cells and Th17 cells

M Yu, A Malik Tyagi, JY Li, J Adams, TL Denning… - Nature …, 2020 - nature.com
M Yu, A Malik Tyagi, JY Li, J Adams, TL Denning, MN Weitzmann, RM Jones, R Pacifici
Nature communications, 2020nature.com
Bone loss is a frequent but not universal complication of hyperparathyroidism. Using
antibiotic-treated or germ-free mice, we show that parathyroid hormone (PTH) only caused
bone loss in mice whose microbiota was enriched by the Th17 cell-inducing taxa segmented
filamentous bacteria (SFB). SFB+ microbiota enabled PTH to expand intestinal TNF+ T and
Th17 cells and increase their S1P-receptor-1 mediated egress from the intestine and
recruitment to the bone marrow (BM) that causes bone loss. CXCR3-mediated TNF+ T cell …
Abstract
Bone loss is a frequent but not universal complication of hyperparathyroidism. Using antibiotic-treated or germ-free mice, we show that parathyroid hormone (PTH) only caused bone loss in mice whose microbiota was enriched by the Th17 cell-inducing taxa segmented filamentous bacteria (SFB). SFB+ microbiota enabled PTH to expand intestinal TNF+ T and Th17 cells and increase their S1P-receptor-1 mediated egress from the intestine and recruitment to the bone marrow (BM) that causes bone loss. CXCR3-mediated TNF+ T cell homing to the BM upregulated the Th17 chemoattractant CCL20, which recruited Th17 cells to the BM. This study reveals mechanisms for microbiota-mediated gut–bone crosstalk in mice models of hyperparathyroidism that may help predict its clinical course. Targeting the gut microbiota or T cell migration may represent therapeutic strategies for hyperparathyroidism.
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