The brain serves as the core component of the central nervous system and plays a pivotal role in regulating the functions of various essential organs throughout the body.The skeletal system serves as the fundamental s...The brain serves as the core component of the central nervous system and plays a pivotal role in regulating the functions of various essential organs throughout the body.The skeletal system serves as the fundamental supportive and protective framework of the human body and is extensively innervated by nerves.Currently,a large body of epidemiological and experimental evidence confirms the close interplay between bones and the brain,but the underlying mechanisms remain unclear.This review is anchored on the concept of the brain-bone axis,aiming to gain a deeper understanding of the physiological and pathological interactions between these two organs.A comprehensive analysis of the potential foundations and mechanisms underlying the intricate association between the brain and the skeleton is offered.In summary,the brain can influence skeletal homeostasis through modulation of the neuromolecules,extracellular vesicles,and brain-marrow neural circuit;conversely,the skeleton can influence the brain in its development,function,and pathology by physical exercise,massage therapy,and skeletal trauma.Simultaneously,the strategies for the treatment of skeletal and neurological disorders were organized,in which Traditional Chinese Medicine appears to offer new perspectives for the prevention and disease management,ultimately aiming to furnish patients with more effective therapeutic methods.展开更多
基金supported by the National Natural Science Foundation of China(82374615)the Major Science and Technology Innovation Project of Shandong Province(2022CXGC020510 and 2024CXGC010609)+4 种基金the Natural Science Foundation of Shandong Province(ZR2024MH189)the University Youth Innovation Team of Shandong Province(2023KJ176)Shandong Province Traditional Chinese Medicine Science and Technology project(M-2022253)Shandong Provincial Medical and Health Science and Technology Project(202412040294)the clinical-basic joint innovation team project of Shandong First Medical University(CX202408)。
文摘The brain serves as the core component of the central nervous system and plays a pivotal role in regulating the functions of various essential organs throughout the body.The skeletal system serves as the fundamental supportive and protective framework of the human body and is extensively innervated by nerves.Currently,a large body of epidemiological and experimental evidence confirms the close interplay between bones and the brain,but the underlying mechanisms remain unclear.This review is anchored on the concept of the brain-bone axis,aiming to gain a deeper understanding of the physiological and pathological interactions between these two organs.A comprehensive analysis of the potential foundations and mechanisms underlying the intricate association between the brain and the skeleton is offered.In summary,the brain can influence skeletal homeostasis through modulation of the neuromolecules,extracellular vesicles,and brain-marrow neural circuit;conversely,the skeleton can influence the brain in its development,function,and pathology by physical exercise,massage therapy,and skeletal trauma.Simultaneously,the strategies for the treatment of skeletal and neurological disorders were organized,in which Traditional Chinese Medicine appears to offer new perspectives for the prevention and disease management,ultimately aiming to furnish patients with more effective therapeutic methods.
文摘目的基于“脑-肠-骨轴”初步探讨左归丸对老年性骨质疏松症(senile osteoporosis,SOP)模型小鼠海马区神经元退行性病变、肠道菌群变化及骨量丢失的作用。方法连续12周腹腔注射D-半乳糖(120 mg/kg)构建SOP模型,将小鼠随机分为空白组、模型组、左归丸高剂量组、左归丸低剂量组;予以左归丸药物干预8周,随后进行Morris水迷宫实验检测小鼠认知功能。取材后检测各组脑组织氧化应激指标,尼氏染色法检测海马尼式神经元完整性,16 S rRNA检测肠道菌群多样性,小动物X光机检测小鼠骨量丢失情况,小鼠血清检测骨代谢指标,免疫组织化学法检测骨代谢通路相关蛋白,采用spearman分析法对血清骨代谢因子、脑组织氧化应激因子与肠道菌群中的差异菌群进行关联分析。结果与Model组相比,左归丸给药组可显著缩短逃避潜伏期时间(P<0.05);显著增加海马区尼式小体数量(P<0.01);提高脑组织抗氧化酶含量(P<0.05);在门水平上,Model组小鼠肠道菌群中Bacteroidota相对丰度显著增高(P<0.01),左归丸给药组Verrucomicrobiota等菌群相对丰度显著升高(P<0.05),Bacteroidota相对丰度显著下降(P<0.05)。小鼠股骨干骺端与骨干区的骨量丢失得到改善,显著改善血清骨代谢指标(P<0.01),显著提高OPG/RANKL蛋白含量比值(P<0.01)。相关性分析显示,过氧化氢酶与肠道菌群中的Proteobacteria呈正相关(P<0.01),与Prevotellaceae_NK3B31_group呈负相关(P<0.01)。结论左归丸依据“脑-肠-骨轴”改善SOP小鼠肠道菌群丰度,进而缓解海马神经元退行性病变,调节OPG/RANK/RANKL通路缓解骨量丢失。
