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Intestinal clock system regulates skeletal homeostasis
Masanobu Kawai, … , Keiichi Ozono, Toshimi Michigami
Masanobu Kawai, … , Keiichi Ozono, Toshimi Michigami
Published February 7, 2019
Citation Information: JCI Insight. 2019;4(5):e121798. https://doi.org/10.1172/jci.insight.121798.
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Research Article Bone biology Gastroenterology

Intestinal clock system regulates skeletal homeostasis

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Abstract

The circadian clock network is an evolutionarily conserved system involved in the regulation of metabolic homeostasis; however, its impacts on skeletal metabolism remain largely unknown. We herein demonstrated that the circadian clock network in the intestines plays pivotal roles in skeletal metabolism such that the lack of the Bmal1 gene in the intestines (Bmal1Int–/– mice) caused bone loss, with bone resorption being activated and bone formation suppressed. Mechanistically, Clock protein interaction with the vitamin D receptor (VDR) accelerated its binding to the VDR response element by enhancing histone acetylation in a circadian-dependent manner, and this was lost in Bmal1Int–/– mice because nuclear translocation of Clock required the presence of Bmal1. Accordingly, the rhythmic expression of VDR target genes involved in transcellular calcium (Ca) absorption was created, and this was not observed in Bmal1Int–/– mice. As a result, transcellular Ca absorption was impaired and bone resorption was activated in Bmal1Int–/– mice. Additionally, sympathetic tone, the activation of which suppresses bone formation, was elevated through afferent vagal nerves in Bmal1Int–/– mice, the blockade of which partially recovered bone loss by increasing bone formation and suppressing bone resorption in Bmal1Int–/– mice. These results demonstrate that the intestinal circadian system regulates skeletal bone homeostasis.

Authors

Masanobu Kawai, Saori Kinoshita, Miwa Yamazaki, Keiko Yamamoto, Clifford J. Rosen, Shigeki Shimba, Keiichi Ozono, Toshimi Michigami

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Figure 9

Sympathetic activation is partially responsible for bone loss in Bmal1Int–/– mice.

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Sympathetic activation is partially responsible for bone loss in Bmal1In...
(A and B) μCT analysis of the femur was performed to analyze the trabecular bone microarchitecture of 16-week-old mice treated with or without propranolol (PRO). A representative μCT image (A) and the parameters of the μCT analysis are shown (B) (n = 10–13). *P < 0.01, **P < 0.05 by 1-way ANOVA. (C) Dynamic histomorphometric data of 16-week-old mice treated with PRO (n = 5). *P < 0.05 by Student’s t test. The difference in the values of bone resorption markers between control and Bmal1Int–/– mice in the presence of PRO is shown, and this is smaller than those in the absence of PRO (see Figure 7B). (D) Serum levels of P1NP were determined at ZT2 (n = 8–11). (E) Schematic model of the effects of the clock network in the intestines on skeletal metabolism. The lack of Bmal1 in the intestines blunts the Clock-mediated activation of VDR transcriptional activity, which results in decreases in transcellular Ca absorption. This leads to osteoclastic activation and bone loss. Additionally, sympathetic tone is activated through afferent vagal nerves when Bmal1 is deleted in the intestines, which leads to bone loss through the suppression of bone formation and stimulation of bone resorption.
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