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Publication : PTH induces bone loss via microbial-dependent expansion of intestinal TNF<sup>+</sup> T cells and Th17 cells.

First Author  Yu M Year  2020
Journal  Nat Commun Volume  11
Issue  1 Pages  468
PubMed ID  31980603 Mgi Jnum  J:289851
Mgi Id  MGI:6387507 Doi  10.1038/s41467-019-14148-4
Citation  Yu M, et al. (2020) PTH induces bone loss via microbial-dependent expansion of intestinal TNF(+) T cells and Th17 cells. Nat Commun 11(1):468
abstractText  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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