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

M Yu, S Pal, CW Paterson, JY Li… - The Journal of …, 2021 - Am Soc Clin Investig
M Yu, S Pal, CW Paterson, JY Li, AM Tyagi, J Adams, CM Coopersmith, MN Weitzmann…
The Journal of clinical investigation, 2021Am Soc Clin Investig
Estrogen deficiency causes a gut microbiome–dependent expansion of BM Th17 cells and
TNF-α–producing T cells. The resulting increased BM levels of IL-17a (IL-17) and TNF
stimulate RANKL expression and activity, causing bone loss. However, the origin of BM
Th17 cells and TNF+ T cells is unknown. Here, we show that ovariectomy (ovx) expanded
intestinal Th17 cells and TNF+ T cells, increased their S1P receptor 1–mediated (S1PR1-
mediated) egress from the intestine, and enhanced their subsequent influx into the BM …
Estrogen deficiency causes a gut microbiome–dependent expansion of BM Th17 cells and TNF-α–producing T cells. The resulting increased BM levels of IL-17a (IL-17) and TNF stimulate RANKL expression and activity, causing bone loss. However, the origin of BM Th17 cells and TNF+ T cells is unknown. Here, we show that ovariectomy (ovx) expanded intestinal Th17 cells and TNF+ T cells, increased their S1P receptor 1–mediated (S1PR1-mediated) egress from the intestine, and enhanced their subsequent influx into the BM through CXCR3- and CCL20-mediated mechanisms. Demonstrating the functional relevance of T cell trafficking, blockade of Th17 cell and TNF+ T cell egress from the gut or their influx into the BM prevented ovx-induced bone loss. Therefore, intestinal T cells are a proximal target of sex steroid deficiency relevant for bone loss. Blockade of intestinal T cell migration may represent a therapeutic strategy for the treatment of postmenopausal bone loss.
The Journal of Clinical Investigation