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Inhibition of C5AR1 impairs osteoclast mobilization and prevents bone loss.


ABSTRACT: Age-related and chemotherapy-induced bone loss depends on cellular senescence and the cell secretory phenotype. However, the factors secreted in the senescent microenvironment that contribute to bone loss remain elusive. Here, we report a central role for the inflammatory alternative complement system in skeletal bone loss. Through transcriptomic analysis of bone samples, we identified complement factor D, a rate-limiting factor of the alternative pathway of complement, which is among the most responsive factors to chemotherapy or estrogen deficiency. We show that osteoblasts and osteocytes are major inducers of complement activation, while monocytes and osteoclasts are their primary targets. Genetic deletion of C5ar1, the receptor of the anaphylatoxin C5a, or treatment with a C5AR1 inhibitor reduced monocyte chemotaxis and osteoclast differentiation. Moreover, genetic deficiency or inhibition of C5AR1 partially prevented bone loss and osteoclastogenesis upon chemotherapy or ovariectomy. Altogether, these lines of evidence support the idea that inhibition of alternative complement pathways may have some therapeutic benefit in osteopenic disorders.

SUBMITTER: Pimenta-Lopes C 

PROVIDER: S-EPMC10422003 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Inhibition of C5AR1 impairs osteoclast mobilization and prevents bone loss.

Pimenta-Lopes Carolina C   Sánchez-de-Diego Cristina C   Deber Alexandre A   Egea-Cortés Andrea A   Valer José Antonio JA   Alcalá Albert A   Méndez-Lucas Andrés A   Esteve-Codina Anna A   Rosa Jose Luis JL   Ventura Francesc F  

Molecular therapy : the journal of the American Society of Gene Therapy 20230504 8


Age-related and chemotherapy-induced bone loss depends on cellular senescence and the cell secretory phenotype. However, the factors secreted in the senescent microenvironment that contribute to bone loss remain elusive. Here, we report a central role for the inflammatory alternative complement system in skeletal bone loss. Through transcriptomic analysis of bone samples, we identified complement factor D, a rate-limiting factor of the alternative pathway of complement, which is among the most r  ...[more]

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