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Publication : A novel macrolide-Del-1 axis to regenerate bone in old age.

First Author  Sirisereephap K Year  2024
Journal  iScience Volume  27
Issue  2 Pages  108798
PubMed ID  38261928 Mgi Jnum  J:351218
Mgi Id  MGI:7578541 Doi  10.1016/j.isci.2024.108798
Citation  Sirisereephap K, et al. (2024) A novel macrolide-Del-1 axis to regenerate bone in old age. iScience 27(2):108798
abstractText  Aging is associated with increased susceptibility to chronic inflammatory bone loss disorders, such as periodontitis, in large part due to the impaired regenerative potential of aging tissues. DEL-1 exerts osteogenic activity and promotes bone regeneration. However, DEL-1 expression declines with age. Here we show that systemically administered macrolide antibiotics and a non-antibiotic erythromycin derivative, EM-523, restore DEL-1 expression in 18-month-old ("aged") mice while promoting regeneration of bone lost due to naturally occurring age-related periodontitis. These compounds failed to induce bone regeneration in age-matched DEL-1-deficient mice. Consequently, these drugs promoted DEL-1-dependent functions, including alkaline phosphatase activity and osteogenic gene expression in the periodontal tissue while inhibiting osteoclastogenesis, leading to net bone growth. Macrolide-treated aged mice exhibited increased skeletal bone mass, suggesting that this treatment may be pertinent to systemic bone loss disorders. In conclusion, we identified a macrolide-DEL-1 axis that can regenerate bone lost due to aging-related disease.
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