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  1. Article ; Online: Role of Gut Microbiota in the Skeletal Response to PTH.

    Pacifici, Roberto

    The Journal of clinical endocrinology and metabolism

    2020  Volume 106, Issue 3, Page(s) 636–645

    Abstract: Exposed surfaces of mammals are colonized with 100 trillion indigenous bacteria, fungi, and viruses, creating a diverse ecosystem known as the human microbiome. The gut microbiome is the richest microbiome and is now known to regulate postnatal skeletal ... ...

    Abstract Exposed surfaces of mammals are colonized with 100 trillion indigenous bacteria, fungi, and viruses, creating a diverse ecosystem known as the human microbiome. The gut microbiome is the richest microbiome and is now known to regulate postnatal skeletal development and the activity of the major endocrine regulators of bone. Parathyroid hormone (PTH) is one of the bone-regulating hormone that requires elements of the gut microbiome to exert both its bone catabolic and its bone anabolic effects. How the gut microbiome regulates the skeletal response to PTH is object of intense research. Involved mechanisms include absorption and diffusion of bacterial metabolites, such as short-chain fatty acids, and trafficking of immune cells from the gut to the bone marrow. This review will focus on how the gut microbiome communicates and regulates bone marrow cells in order to modulate the skeletal effects of PTH.
    MeSH term(s) Animals ; Bone Development/drug effects ; Bone Marrow/drug effects ; Bone Marrow/physiology ; Bone Marrow Cells/drug effects ; Bone Marrow Cells/physiology ; Bone Remodeling/drug effects ; Bone and Bones/drug effects ; Bone and Bones/physiology ; Gastrointestinal Microbiome/physiology ; Humans ; Parathyroid Hormone/pharmacology
    Chemical Substances Parathyroid Hormone
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgaa895
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Bone Remodeling and the Microbiome.

    Pacifici, Roberto

    Cold Spring Harbor perspectives in medicine

    2018  Volume 8, Issue 4

    Abstract: Exposed surfaces of mammals are colonized with 100 trillion indigenous bacteria, fungi, and viruses, creating a diverse ecosystem known as the microbiome. The gastrointestinal tract harbors the greatest numbers of these microorganisms, which regulate ... ...

    Abstract Exposed surfaces of mammals are colonized with 100 trillion indigenous bacteria, fungi, and viruses, creating a diverse ecosystem known as the microbiome. The gastrointestinal tract harbors the greatest numbers of these microorganisms, which regulate human nutrition, metabolism, and immune system function. Moreover, the intestinal microbiota contains pro- and anti-inflammatory products that modulate immune responses and may play a role in maintaining gut barrier function. Therefore, the community composition of the microbiota has profound effects on the immune status of the host and impacts the development and/or progression of inflammatory diseases. Accordingly, numerous studies have shown differences in the microbiota of patients with and without a given inflammatory condition. There is now strong evidence that the gut microbiome regulates bone homeostasis in health and disease, and that prebiotic and probiotics protect against bone loss. Herein, the evidence supporting the role of the microbiota and the effects of prebiotic and probiotics will be reviewed.
    MeSH term(s) Animals ; Bone Remodeling/immunology ; Bone and Bones/physiology ; Female ; Gastrointestinal Microbiome/immunology ; Gonadal Steroid Hormones/deficiency ; Humans ; Intestinal Mucosa/microbiology ; Male ; Mice ; Osteoporosis/immunology ; Osteoporosis/metabolism ; Osteoporosis/prevention & control ; Prebiotics/administration & dosage ; Prebiotics/microbiology ; Probiotics/administration & dosage ; Probiotics/pharmacology
    Chemical Substances Gonadal Steroid Hormones ; Prebiotics
    Language English
    Publishing date 2018-04-02
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2157-1422
    ISSN (online) 2157-1422
    DOI 10.1101/cshperspect.a031203
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Inflammation and gut dysbiosis as drivers of CKD-MBD.

    Evenepoel, Pieter / Stenvinkel, Peter / Shanahan, Catherine / Pacifici, Roberto

    Nature reviews. Nephrology

    2023  Volume 19, Issue 10, Page(s) 646–657

    Abstract: Two decades ago, Kidney Disease: Improving Global Outcomes coined the term chronic kidney disease-mineral and bone disorder (CKD-MBD) to describe the syndrome of biochemical, bone and extra-skeletal calcification abnormalities that occur in patients with ...

    Abstract Two decades ago, Kidney Disease: Improving Global Outcomes coined the term chronic kidney disease-mineral and bone disorder (CKD-MBD) to describe the syndrome of biochemical, bone and extra-skeletal calcification abnormalities that occur in patients with CKD. CKD-MBD is a prevalent complication and contributes to the excessively high burden of fractures and cardiovascular disease, loss of quality of life and premature mortality in patients with CKD. Thus far, therapy has focused primarily on phosphate retention, abnormal vitamin D metabolism and parathyroid hormone disturbances, but these strategies have largely proved unsuccessful, thus calling for paradigm-shifting concepts and innovative therapeutic approaches. Interorgan crosstalk is increasingly acknowledged to have an important role in health and disease. Accordingly, mounting evidence suggests a role for both the immune system and the gut microbiome in bone and vascular biology. Gut dysbiosis, compromised gut epithelial barrier and immune cell dysfunction are prominent features of the uraemic milieu. These alterations might contribute to the inflammatory state observed in CKD and could have a central role in the pathogenesis of CKD-MBD. The emerging fields of osteoimmunology and osteomicrobiology add another level of complexity to the pathogenesis of CKD-MBD, but also create novel therapeutic opportunities.
    MeSH term(s) Humans ; Chronic Kidney Disease-Mineral and Bone Disorder/etiology ; Dysbiosis/complications ; Quality of Life ; Renal Insufficiency, Chronic/metabolism ; Inflammation ; Parathyroid Hormone
    Chemical Substances Parathyroid Hormone
    Language English
    Publishing date 2023-07-24
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2490366-8
    ISSN 1759-507X ; 1759-5061
    ISSN (online) 1759-507X
    ISSN 1759-5061
    DOI 10.1038/s41581-023-00736-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Role of IL-17 and TH17 Cells in the Bone Catabolic Activity of PTH.

    Pacifici, Roberto

    Frontiers in immunology

    2016  Volume 7, Page(s) 57

    Abstract: Osteoimmunology is field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate the skeleton in health and disease are T lymphocytes, T cells secrete inflammatory/ ... ...

    Abstract Osteoimmunology is field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate the skeleton in health and disease are T lymphocytes, T cells secrete inflammatory/osteoclastogenic cytokines such as RANKL, TNF, and IL-17, as well as factors that stimulate bone formation, including Wnt ligands. In addition, T cells regulate the differentiation and life span of stromal cells via CD40L and other costimulatory molecules expressed on their surface. Consensus exists that parathyroid hormone (PTH) induces bone loss by increasing the production of RANKL by osteocytes and osteoblast. However, new evidence suggests that PTH expands Th17 cells and increases IL-17 levels in mice and humans. Studies in the mouse of further shown that Th17 cell produced IL-17 acts as an "upstream cytokine" that increases the sensitivity of osteoblasts and osteocytes to PTH. As a result, PTH stimulates osteocytic and osteoblastic release of RANKL. Therefore, PTH cause bone loss only in the presence of IL-17 signaling. This article reviews the evidence that the effects of PTH are mediated not only by osteoblasts and osteocytes, but also T cells and IL-17.
    Language English
    Publishing date 2016
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2606827-8
    ISSN 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2016.00057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: T cells, osteoblasts, and osteocytes: interacting lineages key for the bone anabolic and catabolic activities of parathyroid hormone.

    Pacifici, Roberto

    Annals of the New York Academy of Sciences

    2015  Volume 1364, Page(s) 11–24

    Abstract: Osteoimmunology is a field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate bone turnover and the responsiveness of bone cells to calciothropic hormones are bone ...

    Abstract Osteoimmunology is a field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate bone turnover and the responsiveness of bone cells to calciothropic hormones are bone marrow T lymphocytes. T cells secrete osteoclastogenic cytokines such as RANKL and TNF-α, as well as factors that stimulate bone formation, one of which is Wnt10b. In addition, T cells regulate the differentiation and life span of stromal cells (SCs) and their responsiveness to parathyroid hormone (PTH) via costimulatory molecules expressed on their surface. The conditioning effect of T cells on SCs is inherited by the osteoblastic and osteocytic progeny of SCs. As a result, osteoblastic cells of T cell-deficient mice have functional characteristics different from corresponding cells of T cell-replete mice. These differences include the ratio of RANKL/OPG produced in response to continuous PTH treatment, and the osteoblastogenic response to intermittent PTH treatment. This article reviews the evidence indicating that the effects of PTH are mediated not only by osteoblasts and osteocytes but also by T cells.
    MeSH term(s) Animals ; Bone Marrow Cells/cytology ; Bone Marrow Cells/immunology ; Bone Marrow Cells/metabolism ; Bone Marrow Cells/pathology ; Bone Morphogenetic Proteins/metabolism ; Bone Remodeling ; Bone and Bones/cytology ; Bone and Bones/immunology ; Bone and Bones/metabolism ; Cell Communication ; Cell Lineage ; Cytokines/metabolism ; Genetic Markers ; Humans ; Models, Biological ; Osteoblasts/cytology ; Osteoblasts/immunology ; Osteoblasts/metabolism ; Osteocytes/cytology ; Osteocytes/immunology ; Osteocytes/metabolism ; Parathyroid Hormone/immunology ; Parathyroid Hormone/metabolism ; Proto-Oncogene Proteins/metabolism ; Stromal Cells/cytology ; Stromal Cells/immunology ; Stromal Cells/metabolism ; T-Lymphocytes/cytology ; T-Lymphocytes/immunology ; T-Lymphocytes/metabolism ; Wnt Proteins/metabolism
    Chemical Substances Bone Morphogenetic Proteins ; Cytokines ; Genetic Markers ; PTH protein, human ; Parathyroid Hormone ; Proto-Oncogene Proteins ; SOST protein, human ; WNT10B protein, human ; Wnt Proteins
    Language English
    Publishing date 2015-12-10
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 211003-9
    ISSN 1749-6632 ; 0077-8923
    ISSN (online) 1749-6632
    ISSN 0077-8923
    DOI 10.1111/nyas.12969
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Dietary phosphorus consumption alters T cell populations, cytokine production, and bone volume in mice.

    Roberts, Joseph L / Yu, Mingcan / Viggeswarapu, Manjula / Arnst, Jamie L / Pacifici, Roberto / Beck, George R

    JCI insight

    2023  Volume 8, Issue 10

    Abstract: The intake of dietary phosphate far exceeds recommended levels; however, the long-term health consequences remain relatively unknown. Here, the chronic physiological response to sustained elevated and reduced dietary phosphate consumption was ... ...

    Abstract The intake of dietary phosphate far exceeds recommended levels; however, the long-term health consequences remain relatively unknown. Here, the chronic physiological response to sustained elevated and reduced dietary phosphate consumption was investigated in mice. Although serum phosphate levels were brought into homeostatic balance, the prolonged intake of a high-phosphate diet dramatically and negatively impacted bone volume; generated a sustained increase in the phosphate responsive circulating factors FGF23, PTH, osteopontin and osteocalcin; and produced a chronic low-grade inflammatory state in the BM, marked by increased numbers of T cells expressing IL-17a, RANKL, and TNF-α. In contrast, a low-phosphate diet preserved trabecular bone while increasing cortical bone volume over time, and it reduced inflammatory T cell populations. Cell-based studies identified a direct response of T cells to elevated extracellular phosphate. Neutralizing antibodies against proosteoclastic cytokines RANKL, TNF-α, and IL-17a blunted the high-phosphate diet-induced bone loss identifying bone resorption as a regulatory mechanism. Collectively, this study illuminates that habitual consumption of a high-phosphate diet in mice induces chronic inflammation in bone, even in the absence of elevated serum phosphate. Furthermore, the study supports the concept that a reduced phosphate diet may be a simple yet effective strategy to reduce inflammation and improve bone health during aging.
    MeSH term(s) Mice ; Animals ; Interleukin-17 ; Phosphorus, Dietary ; Tumor Necrosis Factor-alpha ; T-Lymphocytes ; Bone Resorption ; Cytokines ; Inflammation ; Phosphates
    Chemical Substances Interleukin-17 ; Phosphorus, Dietary ; Tumor Necrosis Factor-alpha ; Cytokines ; Phosphates
    Language English
    Publishing date 2023-05-22
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ISSN 2379-3708
    ISSN (online) 2379-3708
    DOI 10.1172/jci.insight.154729
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Role of T cells in the modulation of PTH action: physiological and clinical significance.

    Pacifici, Roberto

    Endocrine

    2013  Volume 44, Issue 3, Page(s) 576–582

    Abstract: Osteoimmunology is new field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate bone and hemopoietic cells are T lymphocytes. These cells secrete osteoclastogenic ... ...

    Abstract Osteoimmunology is new field of research dedicated to the study of the interactions between the immune system and bone. Among the cells of the immune system that regulate bone and hemopoietic cells are T lymphocytes. These cells secrete osteoclastogenic cytokines such as RANKL and TNF, as well as factors that stimulate bone formation and hemopoietic cells, one of which is Wnt10b. This article will review the evidence that T cells are implicated in the mechanism of action of parathyroid hormone (PTH) in bone and on the hemopoietic system.
    MeSH term(s) Bone and Bones/immunology ; Bone and Bones/metabolism ; Bone and Bones/physiology ; Cytokines/metabolism ; Humans ; Immune System/physiology ; Osteogenesis/immunology ; Osteogenesis/physiology ; Parathyroid Hormone/physiology ; T-Lymphocytes/metabolism
    Chemical Substances Cytokines ; Parathyroid Hormone
    Language English
    Publishing date 2013-06-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1194484-5
    ISSN 1559-0100 ; 1355-008X ; 0969-711X
    ISSN (online) 1559-0100
    ISSN 1355-008X ; 0969-711X
    DOI 10.1007/s12020-013-9960-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Role of T cells in ovariectomy induced bone loss--revisited.

    Pacifici, Roberto

    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research

    2012  Volume 27, Issue 2, Page(s) 231–239

    MeSH term(s) Animals ; Bone Resorption/immunology ; Bone Resorption/pathology ; Estrogens/pharmacology ; Female ; Humans ; Lymphocyte Activation/drug effects ; Lymphocyte Activation/immunology ; Ovariectomy ; Stromal Cells/drug effects ; Stromal Cells/pathology ; T-Lymphocytes/drug effects ; T-Lymphocytes/immunology
    Chemical Substances Estrogens
    Language English
    Publishing date 2012-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632783-7
    ISSN 1523-4681 ; 0884-0431
    ISSN (online) 1523-4681
    ISSN 0884-0431
    DOI 10.1002/jbmr.1500
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Cyclic Adenosine Monophosphate (cAMP)-Dependent Phosphodiesterase Inhibition Promotes Bone Anabolism Through CD8

    Roser-Page, Susanne / Weiss, Daiana / Vikulina, Tatyana / Yu, Mingcan / Pacifici, Roberto / Weitzmann, M Neale

    JBMR plus

    2022  Volume 6, Issue 7, Page(s) e10636

    Abstract: Cyclic adenosine monophosphate (cAMP)-dependent phosphodiesterase (PDE) inhibitors such as pentoxifylline (PTX) suppress cAMP degradation and promote cAMP-dependent signal transduction. PDE inhibitors increase bone formation and bone mass in preclinical ... ...

    Abstract Cyclic adenosine monophosphate (cAMP)-dependent phosphodiesterase (PDE) inhibitors such as pentoxifylline (PTX) suppress cAMP degradation and promote cAMP-dependent signal transduction. PDE inhibitors increase bone formation and bone mass in preclinical models and are used clinically to treat psoriatic arthritis by targeting inflammatory mediators including activated T cells. T cell activation requires two signals: antigen-dependent CD3-activation, which stimulates cAMP production; and CD28 co-stimulation, which downregulates cAMP-signaling, through PDE activation. PDE-inhibitors consequently suppress T cell activation by disrupting CD28 co-stimulation. Interestingly, we have reported that when CD8
    Language English
    Publishing date 2022-05-31
    Publishing country England
    Document type Journal Article
    ISSN 2473-4039
    ISSN (online) 2473-4039
    DOI 10.1002/jbm4.10636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Differences in Hepatocellular Iron Metabolism Underlie Sexual Dimorphism in Hepatocyte Ferroptosis.

    Tao, Hui / Dar, Hamid Y / Tian, Cheng / Banerjee, Somesh / Glazer, Evan S / Srinivasan, Shanthi / Zhu, Liqin / Pacifici, Roberto / He, Peijian

    bioRxiv : the preprint server for biology

    2023  

    Abstract: Males show higher incidence and severity than females in hepatic injury and many liver diseases, but the mechanisms are not well understood. Ferroptosis, an iron-mediated lipid peroxidation-dependent death, plays an important role in the pathogenesis of ... ...

    Abstract Males show higher incidence and severity than females in hepatic injury and many liver diseases, but the mechanisms are not well understood. Ferroptosis, an iron-mediated lipid peroxidation-dependent death, plays an important role in the pathogenesis of liver diseases. We determined whether hepatocyte ferroptosis displays gender difference, accounting for sexual dimorphism in liver diseases. Compared to female hepatocytes, male hepatocytes were much more vulnerable to ferroptosis by iron and pharmacological inducers including RSL3 and iFSP1. Male but not female hepatocytes exhibited significant increases in mitochondrial Fe
    Language English
    Publishing date 2023-06-26
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.06.24.546395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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