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12 pages, 1766 KiB  
Study Protocol
The Effectiveness of a Lactobacilli-Based Probiotic Food Supplement on Bone Mineral Density and Bone Metabolism in Australian Early Postmenopausal Women: Protocol for a Double-Blind Randomized Placebo-Controlled Trial
by Stephanie M. Resciniti, Jessica R. Biesiekierski, Ali Ghasem-Zadeh and George Moschonis
Nutrients 2024, 16(8), 1150; https://doi.org/10.3390/nu16081150 - 12 Apr 2024
Cited by 6 | Viewed by 4298
Abstract
Osteoporosis affects one in three women over the age of 50 and results in fragility fractures. Oestrogen deficiency during and after menopause exacerbates bone loss, accounting for higher prevalence of fragility fractures in women. The gut microbiota (GM) has been proposed as a [...] Read more.
Osteoporosis affects one in three women over the age of 50 and results in fragility fractures. Oestrogen deficiency during and after menopause exacerbates bone loss, accounting for higher prevalence of fragility fractures in women. The gut microbiota (GM) has been proposed as a key regulator of bone health, as it performs vital functions such as immune regulation and biosynthesis of vitamins. Therefore, GM modulation via probiotic supplementation has been proposed as a target for potential therapeutic intervention to reduce bone loss. While promising results have been observed in mouse model studies, translation into human trials is limited. Here, we present the study protocol for a double-blind randomized controlled trial that aims to examine the effectiveness of three lactobacilli strains on volumetric bone mineral density (vBMD), trabecular, and cortical microstructure, as measured using High Resolution peripheral Quantitative Computed Tomography (HR-pQCT). The trial will randomize 124 healthy early postmenopausal women (up to 8 years from menopause) to receive either probiotic or placebo administered once daily for 12 months. Secondary outcomes will investigate the probiotics’ effects on areal BMD and specific mechanistic biomarkers, including bone metabolism and inflammatory markers. The trial is registered with Australian New Zealand Clinical Trials Registry (ACTRN12621000810819). Full article
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23 pages, 7473 KiB  
Article
Cissus quadrangularis (Hadjod) Inhibits RANKL-Induced Osteoclastogenesis and Augments Bone Health in an Estrogen-Deficient Preclinical Model of Osteoporosis Via Modulating the Host Osteoimmune System
by Zaffar Azam, Leena Sapra, Kalpana Baghel, Niharika Sinha, Rajesh K. Gupta, Vandana Soni, Chaman Saini, Pradyumna K. Mishra and Rupesh K. Srivastava
Cells 2023, 12(2), 216; https://doi.org/10.3390/cells12020216 - 4 Jan 2023
Cited by 14 | Viewed by 6303
Abstract
Osteoporosis is a systemic skeletal disease characterised by low bone mineral density (BMD), degeneration of bone micro-architecture, and impaired bone strength. Cissus quadrangularis (CQ), popularly known as Hadjod (bone setter) in Hindi, is a traditional medicinal herb exhibiting osteoprotective potential in various bone [...] Read more.
Osteoporosis is a systemic skeletal disease characterised by low bone mineral density (BMD), degeneration of bone micro-architecture, and impaired bone strength. Cissus quadrangularis (CQ), popularly known as Hadjod (bone setter) in Hindi, is a traditional medicinal herb exhibiting osteoprotective potential in various bone diseases, especially osteoporosis and fractures. However, the cellular mechanisms underpinning its direct effect on bone health through altering the host immune system have never been elucidated. In the present study, we interrogated the osteoprotective and immunoporotic (the osteoprotective potential of CQ via modulating the host immune system) potential of CQ in preventing inflammatory bone loss under oestrogen-deficient conditions. The current study outlines the CQ’s osteoprotective potential under both ex vivo and in vivo (ovariectomized) conditions. Our ex vivo data demonstrated that, in a dose-dependent manner CQ, suppresses the RANKL-induced osteoclastogenesis (p < 0.001) as well as inhibiting the osteoclast functional activity (p < 0.001) in mouse bone marrow cells (BMCs). Our in vivo µ-CT and flow cytometry data further showed that CQ administration improves bone health and preserves bone micro-architecture by markedly raising the proportion of anti-osteoclastogenic immune cells, such as Th1 (p < 0.05), Th2 (p < 0.05), Tregs (p < 0.05), and Bregs (p < 0.01), while concurrently lowering the osteoclastogenic Th17 cells in bone marrow, mesenteric lymph nodes, Peyer’s patches, and spleen in comparison to the control group. Serum cytokine analysis further supported the osteoprotective and immunoporotic potential of CQ, showing a significant increase in the levels of anti-osteoclastogenic cytokines (p < 0.05) (IFN-γ, IL-4, and IL-10) and a concurrent decrease in the levels of osteoclastogenic cytokines (p < 0.05) (TNF-α, IL-6, and IL-17). In conclusion, our data for the first time delineates the novel cellular and immunological mechanism of the osteoprotective potential of CQ under postmenopausal osteoporotic conditions. Full article
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18 pages, 2132 KiB  
Article
The Epigenetic Regulatory Protein CBX2 Promotes mTORC1 Signalling and Inhibits DREAM Complex Activity to Drive Breast Cancer Cell Growth
by Lucie J. Bilton, Chloe Warren, Rebecca M. Humphries, Shannon Kalsi, Ella Waters, Thomas Francis, Wojtek Dobrowinski, Pedro Beltran-Alvarez and Mark A. Wade
Cancers 2022, 14(14), 3491; https://doi.org/10.3390/cancers14143491 - 18 Jul 2022
Cited by 18 | Viewed by 3441
Abstract
Chromobox 2 (CBX2) is a chromatin-binding component of polycomb repressive complex 1, which causes gene silencing. CBX2 expression is elevated in triple-negative breast cancer (TNBC), for which there are few therapeutic options. Here, we aimed to investigate the functional role of CBX2 in [...] Read more.
Chromobox 2 (CBX2) is a chromatin-binding component of polycomb repressive complex 1, which causes gene silencing. CBX2 expression is elevated in triple-negative breast cancer (TNBC), for which there are few therapeutic options. Here, we aimed to investigate the functional role of CBX2 in TNBC. CBX2 knockdown in TNBC models reduced cell numbers, which was rescued by ectopic expression of wild-type CBX2 but not a chromatin binding-deficient mutant. Blocking CBX2 chromatin interactions using the inhibitor SW2_152F also reduced cell growth, suggesting CBX2 chromatin binding is crucial for TNBC progression. RNA sequencing and gene set enrichment analysis of CBX2-depleted cells identified downregulation of oncogenic signalling pathways, including mTORC1 and E2F signalling. Subsequent analysis identified that CBX2 represses the expression of mTORC1 inhibitors and the tumour suppressor RBL2. RBL2 repression, in turn, inhibits DREAM complex activity. The DREAM complex inhibits E2F signalling, causing cell senescence; therefore, inhibition of the DREAM complex via CBX2 may be a key oncogenic driver. We observed similar effects in oestrogen receptor-positive breast cancer, and analysis of patient datasets suggested CBX2 inhibits RBL2 activity in other cancer types. Therapeutic inhibition of CBX2 could therefore repress mTORC1 activation and promote DREAM complex-mediated senescence in TNBC and could have similar effects in other cancer types. Full article
(This article belongs to the Special Issue Oncology: State-of-the-Art Research in UK)
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2 pages, 182 KiB  
Abstract
Changes in Plasma and Liver Lycopene Concentrations, Body Composition and Gut Bacteria Following ‘Red’ versus ‘Moonglow’ Tomato Feeding in Ovariectomized Rats
by Umani S. Walallawita, Frances M. Wolber, Ayelet Ziv-Gal, Marlena C. Kruger and Julian A. Heyes
Med. Sci. Forum 2022, 9(1), 33; https://doi.org/10.3390/msf2022009033 - 12 May 2022
Viewed by 1113
Abstract
Cis- isomers of lycopene have been reported to be more bioavailable than all-trans-lycopene. ‘Moonglow’(MG) is an orange heirloom tomato variety with >90% of its lycopene in the more bioavailable cis-isomeric form, compared to ‘Red’ (R) tomatoes with all trans- lycopene. [...] Read more.
Cis- isomers of lycopene have been reported to be more bioavailable than all-trans-lycopene. ‘Moonglow’(MG) is an orange heirloom tomato variety with >90% of its lycopene in the more bioavailable cis-isomeric form, compared to ‘Red’ (R) tomatoes with all trans- lycopene. Oestrogen deficiency after menopause changes the body composition and gut microbes. This study evaluated the plasma and liver lycopene concentration and the effect of lycopene on body composition and gut microbiota in female ovariectomised rats following ‘Red’ versus ‘Moonglow’ tomato feeding. Female Sprague Dawley rats underwent no surgery (Sham) or ovariectomy (OVX) surgery at the age of 16 weeks to induce a menopause-like status. Sham-C and OVX-C groups received a daily dietary supplement containing no tomato powder; ‘post-R’ and ‘post-MG’ received dietary supplements containing tomato powder for 8 weeks post-surgery; ‘pre-R’ and ‘pre-MG’ received dietary supplements containing tomato powder for 8 weeks prior to and post-surgery (N = 12–15/group). Each dietary tomato supplement contained 0.172 mg of lycopene (~0.35 mg lycopene/kg body weight/day). After 8 or 16 weeks of tomato supplementation, the mean plasma lycopene concentrations in ‘pre-MG’ and ‘post-MG’ groups were ~8X higher than ‘pre-R’ and ‘post-R’ groups, but liver lycopene stores did not differ between the groups. Caecal pH ranged from 6.79 ± 0.08 to 7.05 ± 0.11 and was not significantly different among the groups. Ovariectomy reduced the abundance of gut bacteria compared to Sham-C. Both ‘pre-MG’ and ‘post-MG’ restored the numbers of Lactobacillus, Enterococcus, Bacteroides and E. coli, whereas the ‘post-R’ group only increased Lactobacillus. A significant increase in fat mass and reduction in lean mass was found in all OVX rats compared to Sham-C after 16 weeks, and individual fat pad weights strongly correlated with total body fat, with no benefit from lycopene supplementation. These results demonstrate that ‘Moonglow’ cis- lycopene is significantly more bioavailable than ‘Red’ trans- lycopene and that ‘Moonglow’ tomato has a greater prebiotic-like effect. Full article
21 pages, 33240 KiB  
Article
Expression of Calbindin, a Marker of Gamma-Aminobutyric Acid Neurons, Is Reduced in the Amygdala of Oestrogen Receptor β-Deficient Female Mice
by Daniel Kalinowski, Krystyna Bogus-Nowakowska, Anna Kozłowska and Maciej Równiak
J. Clin. Med. 2022, 11(7), 1760; https://doi.org/10.3390/jcm11071760 - 22 Mar 2022
Cited by 6 | Viewed by 4069
Abstract
Oestrogen receptor β (ERβ) knock-out female mice display increased anxiety and decreased threshold for synaptic plasticity induction in the basolateral amygdala. This may suggest that the γ-aminobutyric acid (GABA) inhibitory system is altered. Therefore, the immunoreactivity of main GABAergic markers—i.e., calbindin, parvalbumin, calretinin, [...] Read more.
Oestrogen receptor β (ERβ) knock-out female mice display increased anxiety and decreased threshold for synaptic plasticity induction in the basolateral amygdala. This may suggest that the γ-aminobutyric acid (GABA) inhibitory system is altered. Therefore, the immunoreactivity of main GABAergic markers—i.e., calbindin, parvalbumin, calretinin, somatostatin, α1 subunit-containing GABAA receptor and vesicular GABA transporter—were compared in the six subregions (LA, BL, BM, ME, CE and CO) of the amygdala of adult female wild-type and ERβ knock-out mice using immunohistochemistry and quantitative methods. The influence of ERβ knock-out on neuronal loss and glia was also elucidated using pan-neuronal and astrocyte markers. The results show severe neuronal deficits in all main amygdala regions in ERβ knock-out mice accompanied by astroglia overexpression only in the medial, basomedial and cortical nuclei and a decrease in calbindin-expressing neurons (CB+) in the amygdala in ERβ knock-out mice compared with controls, while other markers of the GABAergic system remain unchanged. Concluding, the lack of ERβ led to failure in the structural integrity of the CB+ subpopulation, reducing interneuron firing and resulting in a disinhibitory effect over pyramidal function. This fear-promoting excitatory/inhibitory alteration may lead to the increased anxiety observed in these mice. The impact of neuronal deficits and astroglia overexpression on the amygdala functions remains unknown. Full article
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11 pages, 807 KiB  
Review
The Effect of Menopause Hypoestrogenism on Osteogenic Differentiation of Periodontal Ligament Cells (PDLC) and Stem Cells (PDLCs): A Systematic Review
by Edoardo Di Naro, Matteo Loverro, Ilaria Converti, Maria Teresa Loverro, Elisabetta Ferrara and Biagio Rapone
Healthcare 2021, 9(5), 572; https://doi.org/10.3390/healthcare9050572 - 12 May 2021
Cited by 36 | Viewed by 3447
Abstract
(1) Background: Menopause is a physiological condition typified by drastic hormonal changes, and the effects of this transition have long-term significant clinical implications on the general health, including symptoms or physical changes. In menopausal women, the periodontium can be affected directly or through [...] Read more.
(1) Background: Menopause is a physiological condition typified by drastic hormonal changes, and the effects of this transition have long-term significant clinical implications on the general health, including symptoms or physical changes. In menopausal women, the periodontium can be affected directly or through neural mechanism by oestrogen (E2) deficiency. The majority of the biological effects of E2 are modulated via both oestrogen receptor-α (ERα) and oestrogen receptor- β (ERβ). There is evidence that hypoestrogenism has a substantial impact on the aetiology, manifestation and severity of periodontitis, via the regulation of the expression of osteoprogesterin and RANKL in human periodontal ligament cells through ERβ. However, the mechanistic understanding of oestrogen in periodontal status has been partially clarified. The aim of this paper was to synopsize the recent scientific evidence concerning the link between the menopause and periodontitis, through the investigation of physio-pathological impact of the oestrogen deficiency on osteogenic differentiation of PDLSCs and PDLSC, as well as the dynamic change of ERα and ERβ. (2) Methods: Search was conducted for significant studies by exploring electronic PubMed and EMBASE databases, and it was independently performed by two researchers. All studies on the impact of oestrogen level on alveolar bone resorption were searched from 2005 to July 2020. Data selection was in concordance with PRISMA guidelines. (3) Results: Eight studies met the criteria and were included in this systematic review. All studies reported that oestrogen deficiency impairs the osteogenic and osteoblastic differentiation of PDL cells and oestrogen affects the bone formation capacity of cells. Seven studies were conducted on animal samples, divided into two groups: the OVX animals and animals who received the sham operation. (4) Conclusions: There is a multitude of data available showing the influence of menopause on periodontal status. However, the evidence of this line to investigation needs more research and could help explain the physiological linkage between menopause state and periodontal disease. Full article
(This article belongs to the Collection Healthcare in Dentistry)
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14 pages, 946 KiB  
Review
Bone Marrow Adipocytes—Role in Physiology and Various Nutritional Conditions in Human and Animal Models
by Katarzyna Piotrowska and Maciej Tarnowski
Nutrients 2021, 13(5), 1412; https://doi.org/10.3390/nu13051412 - 22 Apr 2021
Cited by 32 | Viewed by 5236
Abstract
In recent years, adipose tissue has attracted a lot of attention. It is not only an energy reservoir but also plays important immune, paracrine and endocrine roles. BMAT (bone marrow adipose tissue) is a heterogeneous tissue, found mostly in the medullary canal of [...] Read more.
In recent years, adipose tissue has attracted a lot of attention. It is not only an energy reservoir but also plays important immune, paracrine and endocrine roles. BMAT (bone marrow adipose tissue) is a heterogeneous tissue, found mostly in the medullary canal of the long bones (tibia, femur and humerus), in the vertebrae and iliac crest. Adipogenesis in bone marrow cavities is a consequence of ageing or may accompany pathologies like diabetes mellitus type 1 (T1DM), T2DM, anorexia nervosa, oestrogen and growth hormone deficiencies or impaired haematopoiesis and osteoporosis. This paper focuses on studies concerning BMAT and its physiology in dietary interventions, like obesity in humans and high fat diet in rodent studies; and opposite: anorexia nervosa and calorie restriction in animal models. Full article
(This article belongs to the Section Nutrition and Public Health)
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13 pages, 221 KiB  
Review
Nutrient and Dietary Patterns in Relation to the Pathogenesis of Postmenopausal Osteoporosis—A Literature Review
by Bolaji Lilian Ilesanmi-Oyelere and Marlena C. Kruger
Life 2020, 10(10), 220; https://doi.org/10.3390/life10100220 - 25 Sep 2020
Cited by 32 | Viewed by 5513
Abstract
Postmenopausal women tend to be susceptible to primary osteoporosis due to its association with oestrogen deficiency. There is emerging evidence that an unhealthy dietary pattern drives an increase in the risk of postmenopausal osteoporosis (PO), whereas a healthy dietary pattern may decrease its [...] Read more.
Postmenopausal women tend to be susceptible to primary osteoporosis due to its association with oestrogen deficiency. There is emerging evidence that an unhealthy dietary pattern drives an increase in the risk of postmenopausal osteoporosis (PO), whereas a healthy dietary pattern may decrease its occurrence. In this narrative literature review, we sought to review the role of nutrient and dietary patterns in the pathogenesis of PO. Therefore, we searched and reported all research articles from 2001 to May 2020 in Web of Science, Cinahl and Scopus that have researched a relationship between nutrient and/or dietary patterns and postmenopausal osteoporosis. Nutrients such as calcium, phosphorus, magnesium and vitamin D have been proven to be beneficial for bone health. Meanwhile, for the dietary patterns, foods such as dairy products especially milk, fibre and protein-rich foods, e.g., meat were directly linked to a positive association with bone mineral density (BMD). Likewise, fruits, vegetables and probiotic and prebiotic foods were reported for its positive relationship with BMD. Therefore, aside from physical activity, nutrition and diet in adequate proportions are suggested to be an important tool for ameliorating osteoporosis and bone health issues in older age. Full article
(This article belongs to the Section Physiology and Pathology)
14 pages, 1199 KiB  
Article
Resistant Starch Attenuates Bone Loss in Ovariectomised Mice by Regulating the Intestinal Microbiota and Bone-Marrow Inflammation
by Yuko Tousen, Yu Matsumoto, Yuya Nagahata, Isao Kobayashi, Masahiro Inoue and Yoshiko Ishimi
Nutrients 2019, 11(2), 297; https://doi.org/10.3390/nu11020297 - 30 Jan 2019
Cited by 45 | Viewed by 6576
Abstract
The intestinal microbiota may regulate bone metabolism by reducing levels of pro-inflammatory cytokines, and T cells in bone tissues of oestrogen-deficient mice have been reported. Resistant starch (RS) is a type of dietary fibre and results in changes in the composition of the [...] Read more.
The intestinal microbiota may regulate bone metabolism by reducing levels of pro-inflammatory cytokines, and T cells in bone tissues of oestrogen-deficient mice have been reported. Resistant starch (RS) is a type of dietary fibre and results in changes in the composition of the gut microbiota. We evaluated the effects of RS supplemented in diets on intestinal microbial composition, bone mineral density, and inflammatory-gene expression in the colon and bone marrow of ovariectomised (OVX) mice. OVX mice were divided randomly into three groups: OVX control, OVX fed a 20% high amylose corn starch (HAS) diet, and OVX fed a 20% acid-hydrolysed HAS (AH-HAS) diet. HAS and AH-HAS diets contained 6.8% and 12% of RS, respectively. After 6 weeks, treatment with HAS or AH-HAS increased the abundance of Bifidobacterium spp. in faeces. The AH-HAS diet tended to upregulate mRNA expression of interleukin (IL)-10 in the colon, and downregulate expression of receptor activator of nuclear factor kappa-B ligand and IL-7 receptor genes in the bone marrow of OVX mice. AH-HAS treatment attenuated ovariectomy-induced bone loss. These findings suggest that AH-HAS might change the microbiota and immune status of the bone marrow, resulting in attenuated bone resorption in OVX mice. Full article
(This article belongs to the Special Issue Nutritional Status and Bone Health)
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32 pages, 597 KiB  
Review
Factors Affecting 25-Hydroxyvitamin D Concentration in Response to Vitamin D Supplementation
by Hajar Mazahery and Pamela R. Von Hurst
Nutrients 2015, 7(7), 5111-5142; https://doi.org/10.3390/nu7075111 - 25 Jun 2015
Cited by 171 | Viewed by 12236
Abstract
Sun exposure is the main source of vitamin D. Due to many lifestyle risk factors vitamin D deficiency/insufficiency is becoming a worldwide health problem. Low 25(OH)D concentration is associated with adverse musculoskeletal and non-musculoskeletal health outcomes. Vitamin D supplementation is currently the best [...] Read more.
Sun exposure is the main source of vitamin D. Due to many lifestyle risk factors vitamin D deficiency/insufficiency is becoming a worldwide health problem. Low 25(OH)D concentration is associated with adverse musculoskeletal and non-musculoskeletal health outcomes. Vitamin D supplementation is currently the best approach to treat deficiency and to maintain adequacy. In response to a given dose of vitamin D, the effect on 25(OH)D concentration differs between individuals, and it is imperative that factors affecting this response be identified. For this review, a comprehensive literature search was conducted to identify those factors and to explore their significance in relation to circulating 25(OH)D response to vitamin D supplementation. The effect of several demographic/biological factors such as baseline 25(OH)D, aging, body mass index(BMI)/body fat percentage, ethnicity, calcium intake, genetics, oestrogen use, dietary fat content and composition, and some diseases and medications has been addressed. Furthermore, strategies employed by researchers or health care providers (type, dose and duration of vitamin D supplementation) and environment (season) are other contributing factors. With the exception of baseline 25(OH)D, BMI/body fat percentage, dose and type of vitamin D, the relative importance of other factors and the mechanisms by which these factors may affect the response remains to be determined. Full article
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