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<front>
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<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
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<issn pub-type="epub">2296-861X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="doi">10.3389/fnut.2025.1734220</article-id>
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<subj-group subj-group-type="heading">
<subject>Original Research</subject>
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<title-group>
<article-title><italic>Lactobacillus rhamnosus</italic> GG mitigates bone loss induced by mechanical unloading via regulation of the gut-bone axis</article-title>
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<aff id="aff1"><label>1</label><institution>Department of Gastroenterology, The 940th Hospital of Joint Logistics Support Force of Chinese PLA</institution>, <city>Lanzhou</city>, <country country="cn">China</country></aff>
<aff id="aff2"><label>2</label><institution>Graduate School of Gansu University of Traditional Chinese Medicine</institution>, <city>Lanzhou</city>, <country country="cn">China</country></aff>
<aff id="aff3"><label>3</label><institution>Department of Basic Medical Laboratory, The 940th Hospital of Joint Logistics Support Force of Chinese PLA</institution>, <city>Lanzhou</city>, <country country="cn">China</country></aff>
<aff id="aff4"><label>4</label><institution>Department of Emergency, An Ning Attached Medical Area, The 940th Hospital of Joint Logistics Support Force of Chinese PLA</institution>, <city>Lanzhou</city>, <country country="cn">China</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Yixuan Wang, <email xlink:href="mailto:wangyx1992@126.com">wangyx1992@126.com</email>; Jiayu Chen, <email xlink:href="mailto:chenjiayu65@163.com">chenjiayu65@163.com</email></corresp>
<fn fn-type="equal" id="fn0001">
<label>&#x2020;</label>
<p>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-02">
<day>02</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1734220</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>22</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>12</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Qin, Lian, Tang, Chai, Gao, Ma, Guo, Wang, Wang, Wang, Chen and Wang.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Qin, Lian, Tang, Chai, Gao, Ma, Guo, Wang, Wang, Wang, Chen and Wang</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-02">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Bone loss is a serious complication of mechanical unloading, such as that experienced during spaceflight or prolonged bed rest, and represents a significant clinical concern. Although the gut-bone axis has been implicated in bone homeostasis, its role under unloading conditions remains underexplored.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this study, we employed a hindlimb unloading (HU) mouse model to investigate the underlying mechanisms of HU-induced bone loss and the potential protective role of <italic>Lactobacillus rhamnosus</italic> GG (LGG). Gut microbiota (16S rRNA sequencing), short-chain fatty acids (LC&#x2013;MS/MS), intestinal barrier proteins (ZO-1/Occludin), inflammatory cytokines in bone tissue (TNF-&#x03B1;/IL-1&#x03B2;/IL-10), regulatory T (Treg), bone markers (BALP/OPG/OCN/PINP/CTX), and microarchitecture (Micro-CT) were analyzed.</p>
</sec>
<sec>
<title>Results</title>
<p>Hindlimb unloading (HU) disrupted gut microbiota composition, reduced short-chain fatty acids (SCFA)-producing bacteria, and decreased SCFA levels, which was accompanied by reduced expression of ZO-1 and Occludin, elevated circulating LPS levels, and enhanced inflammatory markers in the bone microenvironment. Additionally, the proportion of Treg cells was reduced, which was associated with markers indicative of disrupted bone remodeling. LGG treatment was associated with partial restoration of microbial composition and SCFA levels, accompanied by improved intestinal barrier markers, reduced LPS and inflammatory cytokines, increased Treg proportions, and amelioration of bone microarchitecture.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>These findings suggested that LGG may have conferred protection against unloading-induced bone loss, potentially through modulation of the gut microbiota, alterations in SCFA profiles, improvement of intestinal barrier function, and immune regulatory changes involving Treg cells. This work highlighted the therapeutic potential of targeting the gut-bone axis to mitigate bone loss in microgravity or immobilization settings.</p>
</sec>
</abstract>
<kwd-group>
<kwd>bone loss</kwd>
<kwd>gut-bone axis</kwd>
<kwd><italic>Lactobacillus rhamnosus</italic> GG</kwd>
<kwd>mechanical unloading</kwd>
<kwd>short-chain fatty acids</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This work was supported by the National Natural Science Foundation of China (82302112), the Youth Science and Technology Foundation of Gansu Province (23JRRA320) and the Science and Technology Program of Lanzhou (2023-4-5).</funding-statement>
</funding-group>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="67"/>
<page-count count="13"/>
<word-count count="8860"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Nutrition and Microbes</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Prolonged exposure to microgravity environments, such as during spaceflight, or extended periods of bed rest due to illness, has been strongly associated with bone loss resulting from sustained mechanical unloading (<xref ref-type="bibr" rid="ref1 ref2 ref3">1&#x2013;3</xref>). With the growing demand for space exploration, long-duration space habitation is becoming inevitable. However, during extended space missions, even healthy astronauts lose approximately 1&#x2013;2% of bone mineral density (BMD) per month at weight-bearing sites such as the hip and lumbar vertebrae. In addition, parameters such as BALP, OCN, PICP, and CTX also undergo significant changes (<xref ref-type="bibr" rid="ref4 ref5 ref6">4&#x2013;6</xref>). Alarmingly, this bone loss can persist for months even after returning to Earth (<xref ref-type="bibr" rid="ref7">7</xref>). Similarly, patients who are bedridden due to chronic illness often develop disuse osteoporosis as a result of reduced mobility (<xref ref-type="bibr" rid="ref8">8</xref>). While the association between mechanical unloading and bone loss has been well established, effective therapeutic strategies to prevent or mitigate this condition remain limited and represent a critical challenge.</p>
<p>Recently, the notion of the gut-bone axis has gradually emerged, proposing that the gut microbiota can influence host bone metabolism through multiple mechanisms (<xref ref-type="bibr" rid="ref9">9</xref>). Short-chain fatty acids (SCFAs), generated by probiotic bacteria, serve as critical mediators of this axis (<xref ref-type="bibr" rid="ref10">10</xref>). SCFAs not only facilitate the proliferation of beneficial bacteria and preserve gut barrier integrity but also act on the immune system by promoting the expansion of Treg cells (<xref ref-type="bibr" rid="ref11">11</xref>, <xref ref-type="bibr" rid="ref12">12</xref>). Tregs are known to release IL-10 and TGF-&#x03B2;, and suppress osteoclastogenesis, thereby maintaining bone mass (<xref ref-type="bibr" rid="ref13">13</xref>). In addition, gut microbes can directly modulate intestinal barrier function (<xref ref-type="bibr" rid="ref14">14</xref>, <xref ref-type="bibr" rid="ref15">15</xref>). Dysbiosis or increased gut permeability allows endotoxins such as LPS to enter circulation, triggering chronic inflammation, promoting osteoclast hyperactivity, and accelerating bone loss (<xref ref-type="bibr" rid="ref16 ref17 ref18">16&#x2013;18</xref>). Recent studies have also confirmed that unloading models such as tail suspension induce pronounced inflammatory responses in the bone marrow microenvironment, characterized by elevated expression of pro-inflammatory mediators, disrupting bone remodeling and leading to bone loss (<xref ref-type="bibr" rid="ref19 ref20 ref21">19&#x2013;21</xref>). However, the contribution of the gut-bone axis under mechanical unloading conditions remains largely unexplored.</p>
<p>With growing interest in the gut-bone axis, the use of probiotics to mitigate osteoporosis has become a research hotspot. Several studies have demonstrated that supplementation with specific probiotic strains can significantly reduce trabecular bone loss and enhance BMD in the femur and vertebrae (<xref ref-type="bibr" rid="ref22 ref23 ref24">22&#x2013;24</xref>). Among these, <italic>Lactobacillus rhamnosus</italic> GG (LGG) has garnered considerable attention. Notably, LGG has been shown to modulate the human immune system and restore bone remodeling homeostasis in Ovariectomized (OVX) mice (<xref ref-type="bibr" rid="ref12">12</xref>, <xref ref-type="bibr" rid="ref25">25</xref>, <xref ref-type="bibr" rid="ref26">26</xref>). Additionally, in mouse models of experimental periodontitis and drug-induced bone loss, LGG has also been demonstrated to suppress inflammation and attenuate bone loss (<xref ref-type="bibr" rid="ref27">27</xref>, <xref ref-type="bibr" rid="ref28">28</xref>). However, the protective effect of LGG against bone loss induced by mechanical unloading has not been reported.</p>
<p>In this study, we hypothesized that LGG may attenuate bone loss by influencing gut microbiota composition, which could be associated with changes in SCFA production. Alterations in SCFA levels may contribute to improved intestinal barrier integrity and could be associated with changes in Treg cell abundance in the bone microenvironment, thereby reducing inflammatory stimuli and ultimately mitigating bone loss under mechanical unloading conditions. The present study aims to extend OVX-related findings to the microgravity context, elucidate the role of the gut-bone axis in unloading-induced bone loss, and propose novel strategies for bone health management in astronauts and bedridden populations.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<title>Materials and methods</title>
<sec id="sec3">
<title>Animals</title>
<p>SPF grade male C57BL/6 mice (8&#x202F;weeks old, 26&#x202F;&#x00B1;&#x202F;2&#x202F;g) were obtained from the Xi&#x2019;an branch of Chongqing Tengxin Biotechnology Co., Ltd. (Xian, China). The experimental procedures were reviewed and authorized by the Ethics Committee of the 940th Hospital of the Joint Logistic Support Force (Approval No.: 2022KYLL021). All animals were kept under SPF conditions at 25&#x202F;&#x00B0;C with a 12-h light/dark photo period. Following a 7-day adaptation period, animals were allocated to Control (Con), Hindlimb unloading (HU), and Hindlimb unloading with LGG treatment (HU&#x202F;+&#x202F;LGG) group. All analyses were conducted on samples collected from five randomly selected mice in each group.</p>
</sec>
<sec id="sec4">
<title>HU model</title>
<p>The HU model was developed following the protocol outlined by Qi et al. (<xref ref-type="bibr" rid="ref29">29</xref>). Medical adhesive tape was wrapped around two-thirds of the tail length of each mouse, and a rotating tape was applied and fixed to maintain a head-down tilt position with hindlimbs suspended without weight-bearing, while forelimbs retained free movement. A schematic overview of the experimental workflow was provided in <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1</xref>. After 1 week of environmental adaptation, mice in the HU and HU&#x202F;+&#x202F;LGG groups were subjected to HU for one additional week as a model acclimation phase. Both groups underwent continuous HU for 4&#x202F;weeks. Simultaneously, the HU&#x202F;+&#x202F;LGG group received oral gavage of LGG suspension (1 &#x00D7; 10<sup>9</sup>&#x202F;CFU per mouse), five times per week, for the entire 4-week period. The dose was selected based on previously published studies in which this concentration was shown to effectively modulate the gut microbiota and host physiology in mice without causing adverse effects (<xref ref-type="bibr" rid="ref13">13</xref>). Due to experimental limitations, only a single dose was evaluated in the present study. Mice in the HU group were administered an equivalent volume of tap water, while those in the Con group remained untreated with ad libitum access to drinking water. After 4&#x202F;weeks of intervention, all animals were humanely euthanized by rapid cervical dislocation performed by experienced personnel in strict accordance with the American Veterinary Medical Association (AVMA) Guidelines for the Euthanasia of Animals (2020). Death was confirmed by the absence of respiration, heartbeat, and pupillary reflex, after which samples were promptly collected for further analysis.</p>
</sec>
<sec id="sec5">
<title>16S rRNA amplification and sequencing</title>
<p>Mouse fecal samples were collected using sterile disposable forceps and immediately transferred to &#x2212;80&#x202F;&#x00B0;C for storage. Microbial genomic DNA was isolated through the FastPure Stool DNA Isolation Kit (Majorbio, Shanghai, China). DNA integrity was verified by electrophoresis on a 1% agarose gel. The resulting DNA served as a template for amplifying the gene using primers 338F (ACTCCTACGGAGGCAGCAG) and 806R (GGACTACHVGGGTWTCTAAT). PCR products were examined by electrophoresis on a 1.5% agarose gel. Subsequently, the PCR products were purified using a QIAquick Gel Extraction Kit (Qiagen, Hilden, Germany). Then, the concentration of the purified PCR products was measured using a NanoDrop (Thermo Fisher Scientific, Waltham, MA, United States). Sequencing was conducted on the Illumina NextSeq 2000PE300 platform (Shanghai Meiji Biological Pharmaceutical Technology Co., Ltd., Shanghai, China). Raw fastq data will be made available upon request to the corresponding author.</p>
</sec>
<sec id="sec6">
<title>SCFA detection via LC-MS/MS</title>
<p>The SCFAs standard solutions were prepared. Under sterile conditions, small intestinal samples and serum were obtained. A 40&#x202F;mg aliquot of intestinal tissue or 150&#x202F;&#x03BC;L of serum was homogenized and mixed with an extraction solution (methanol:water&#x202F;=&#x202F;4:1). The samples were ground using a cryogenic grinder, followed by ultrasonication under low temperature. The mixture was centrifuged at 13,000 rcf for 15&#x202F;min at 4&#x202F;&#x00B0;C. The supernatant was transferred into a new tube, followed by the addition of 20&#x202F;&#x03BC;L of 3N HCl and 20&#x202F;&#x03BC;L of EDTA HCl solution. The samples were incubated at 40&#x202F;&#x00B0;C for 30&#x202F;min, then diluted with an acetonitrile-water mixture to a final volume of 1,000&#x202F;&#x03BC;L for analysis. After analysis, raw data were imported into the AB Sciex quantitative software system (AB Sciex, Framingham, MA, United States) for generating linear regression standard curves and calculating the sample concentrations.</p>
</sec>
<sec id="sec7">
<title>ELISA</title>
<p>Expression level of OCN, OPG, BALP, CTX, PINP, TNF-<italic>&#x03B1;</italic>, IL-1&#x03B2;, IL-10, and LPS were assessed via ELISA (Thermo Fisher Scientific, Waltham, MA, United States). Each group included five replicates, and each sample was measured in at least three technical replicates.</p>
</sec>
<sec id="sec8">
<title>Western blot (WB)</title>
<p>Total protein was isolated from colonic tissues and bone marrow, followed by SDS-PAGE. Membrane transfer was performed using a semi-dry method. Protein expression levels of ZO-1 and Occludin in colon tissues and TNF-&#x03B1;, IL-1&#x03B2;, and IL-10 in bone marrow were detected by WB. GAPDH was used as the internal reference. Primary antibodies, GAPDH (ab9485), ZO-1 (ab276131), Occludin (ab216327), TNF-&#x03B1; (ab183218), IL-1&#x03B2; (ab283818), and IL-10 (ab133575) were purchased from Abcam (Cambridge, United Kingdom). The secondary antibody used was goat anti-rabbit IgG (ab97051, Abcam, Cambridge, United Kingdom).</p>
</sec>
<sec id="sec9">
<title>Quantification of LGG by qPCR</title>
<p>Bacterial pellets from fecal samples were obtained according to previously described methods (<xref ref-type="bibr" rid="ref30">30</xref>). Genomic DNA (gDNA) of LGG was isolated using the NucleoSpin kit (Takara, Kusatsu, Shiga, Japan). Quantitative polymerase chain reaction (qPCR) was performed to determine the abundance of LGG. Ct values of the samples were compared with a standard curve generated from pure cultures of LGG or fecal samples spiked with known concentrations of LGG, as previously described (<xref ref-type="bibr" rid="ref30">30</xref>). The primers were listed in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref>.</p>
</sec>
<sec id="sec10">
<title>qRT-PCR</title>
<p>Primers for the Foxp3 and TLR4 gene in <italic>Mus musculus</italic> were designed based on its CDS sequence. The relative mRNA levels was carried out by CFX96 Touch Real-Time PCR Detection System (Bio-Rad Laboratories, Hercules, CA, United States). GAPDH was served as the internal control. Gene relative expression was assessed via the 2<sup>&#x2212;&#x0394;&#x0394;Ct</sup> approach. Each sample was assayed in at least three replicates. The primers were listed in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S2</xref>.</p>
</sec>
<sec id="sec11">
<title>Immunohistological analysis</title>
<p>The pre-section steps are similar to H&#x0026;E staining, so only the post-section steps are covered. Deparaffinize and dehydrate the colon sections, perform antigen retrieval, block endogenous peroxidase activity, and incubate with rabbit serum at ambient temperature for 30&#x202F;min. After rinsing, the sections were incubated overnight at 4&#x202F;&#x00B0;C with ZO-1 (1:500) and Occludin (1:500) antibodies. Apply the secondary antibody (HRP-labeled), corresponding to the species of the primary antibody, and incubate at room temperature for 50&#x202F;min. HRP-conjugated secondary antibodies corresponding to the host species of the primaries were applied and incubated at room temperature. Positive expression of ZO-1 and Occludin is considered positive when brown-yellow staining is detected. Finally, use ImageJ software to analyze the average optical density of all immunohistochemically stained sections.</p>
</sec>
<sec id="sec12">
<title>Femoral Tregs detection</title>
<p>Dissect the left femur of the mouse, remove any attached soft tissue, and sever both ends of the femur using bone scissors. Using a syringe, aspirate an appropriate volume of PBS and repeatedly flush the bone marrow cavity, collecting the released bone marrow cells into a centrifuge tube. Filter the solution through a 70&#x202F;&#x03BC;m cell strainer, centrifuge the filtrate, and add red blood cell lysis buffer. Cells were subjected to three rounds of lysis to obtain a single-cell suspension. Take a small aliquot, stain with trypan blue, and enumerate the cells. Add 100&#x202F;&#x03BC;L of the cell suspension into a centrifuge tube, followed by 5&#x202F;&#x03BC;L each of CD45, CD3, CD4, and CD25 fluorescently labeled antibodies (BD Biosciences, San Jose, CA, United States) at the dose recommended by the manufacturer. Ensure thorough mixing, then incubate the samples in darkness at 4&#x202F;&#x00B0;C for 30&#x202F;min. Subsequently, centrifuge and remove the supernatant, followed by the addition of a cell membrane permeabilization reagent. Resuspend the cells gently, centrifuge once more, and discard the resulting supernatant. Repeat the resuspension using a permeabilization buffer for the fixed cells, centrifuge again, discard the liquid phase, and finally add 5&#x202F;&#x03BC;L of Foxp3-specific antibody. Mix thoroughly and maintain in the dark at 4&#x202F;&#x00B0;C for 50&#x202F;min. After two resuspensions, analyze the cells using a flow cytometer and generate plots with CytExpert flow analysis software version CytExpert_Setup-2.5.0.77.</p>
</sec>
<sec id="sec13">
<title>Micro-CT scanning</title>
<p>The right femur of the mouse was dissected, the attached soft tissues were removed, and the specimen was fixed in 4% paraformaldehyde. Each experimental group consisted of five animals. Micro-CT scanning was performed as previously described (<xref ref-type="bibr" rid="ref31">31</xref>, <xref ref-type="bibr" rid="ref32">32</xref>). Three-dimensional images of trabecular bone and corresponding microstructural parameters were subsequently obtained. The bone was removed from the 4% paraformaldehyde, gently dried with absorbent paper, wrapped in gauze, and subsequently placed into the scanning chamber. After scanning with Cruiser software, slice images were generated. The largest cross-sectional plane was designated for quantitative evaluation of trabecular parameters. The Avatar system was employed to analyze the morphological variations of trabecular architecture, focusing on the region 1&#x2013;1.5&#x202F;mm distal to the growth plate. Three-dimensional reconstructions of trabecular parameters, including trabecular bone density (Tb. BMD), trabecular surface area to tissue volume ratio (Tb. BS/TV), trabecular thickness (Tb. Th), trabecular volume fraction (Tb. BV/TV%), trabecular pattern factor (Tb. PF), trabecular separation (Tb. Sp), trabecular number (Tb. N), and trabecular surface area to volume ratio (Tb. BS/BV), were measured.</p>
<p>In addition, cortical bone parameters were evaluated in the femoral mid-diaphysis. Cortical thickness (Ct. Th), cortical area (Ct. Ar), and cortical bone mineral density (Ct. BMD) were quantified to assess cortical bone alterations.</p>
</sec>
<sec id="sec14">
<title>H&#x0026;E staining</title>
<p>Dissect the right femur of the mouse, carefully remove the attached soft tissue, fix the sample in 4% paraformaldehyde, followed by dehydration, paraffin embedding, and sectioning. Stain the sections with H&#x0026;E, and subsequently observe the area of the trabeculae. The trabecular bone area was analyzed using ImageJ. Within the same defined region, three fields of view were randomly selected for quantitative analysis.</p>
</sec>
<sec id="sec15">
<title>Statistical analysis</title>
<p>For microbial relative abundance data, log<sub>10</sub> transformation was applied prior to statistical analysis to reduce skewness and approximate normal distribution. Chao1, Ace, Shannon, and Sobs were analyzed via the Kruskal&#x2013;Wallis test. Beta diversity differences were assessed via principal coordinate analysis (PCoA) based on Bray&#x2013;Curtis distance matrices and tested for significance using permutational multivariate analysis of variance (PERMANOVA).</p>
<p>In addition, other data were analyzed using SPSS 26.0. For group comparisons, the Shapiro&#x2013;Wilk test was used to assess data normality, while Levene&#x2019;s test assessed variance homogeneity. For data meeting parametric assumptions, one-way ANOVA followed by Tukey&#x2019;s multiple comparisons was conducted. Non-parametric Kruskal&#x2013;Wallis tests coupled with Dunn&#x2019;s <italic>post hoc</italic> corrections were used for datasets violating parametric assumptions. In all statistical results, &#x201C;&#x002A;&#x201D; indicates <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x201C;&#x002A;&#x002A;&#x201D; indicates <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, and &#x201C;&#x002A;&#x002A;&#x002A;&#x201D; indicates <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</sec>
</sec>
<sec sec-type="results" id="sec16">
<title>Results</title>
<sec id="sec17">
<title>Supplementation with LGG remodels gut microbiota composition</title>
<p>Gut microbiota dysbiosis has been shown to contribute to bone loss via the &#x201C;gut-bone axis,&#x201D; however, studies focusing on microbiota alterations under conditions of mechanical unloading remain limited. To elucidate changes in gut microbial structure under mechanical unloading and to determine whether LGG plays a role, 16S rRNA gene sequencing was conducted on fecal from mice in the Con, HU, and HU&#x202F;+&#x202F;LGG groups. Rarefaction curves indicated sufficient sequencing depth (<xref ref-type="fig" rid="fig1">Figures 1A</xref>,<xref ref-type="fig" rid="fig1">B</xref>). Principal coordinate analysis (PCoA) showed clear separation between Con and HU groups, while HU&#x202F;+&#x202F;LGG clustered closer to Con, suggesting partial restoration of microbial structure by LGG (<xref ref-type="fig" rid="fig1">Figure 1C</xref> and <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S2</xref>). HU significantly reduced <italic>&#x03B1;</italic>-diversity indices (Ace, Chao, and Sobs), indicating decreased species richness, whereas LGG supplementation reversed this decline (<xref ref-type="fig" rid="fig1">Figures 1D</xref>&#x2013;<xref ref-type="fig" rid="fig1">G</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Analysis of gut microbial community structure via 16S rRNA sequencing. <bold>(A,B)</bold> Rarefaction plots generated using the Sobs and Shannon indices demonstrated that sequencing coverage was adequate to reflect the microbial diversity present in the samples. <bold>(C)</bold> Principal coordinate analysis (PCoA) was utilized to depict group-level differences in microbial community composition. <bold>(D&#x2013;G)</bold> The Ace, Chao1, Sobs, and Shannon metrics applied to assess the richness and variety of the intestinal microbiota. <bold>(H&#x2013;K)</bold> The taxonomic distribution of gut microbes at the phylum, family, genus, and species levels, respectively. Data are shown as mean &#x00B1; SD. Each dot represents one sample. Statistical significance: &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01.</p>
</caption>
<graphic xlink:href="fnut-12-1734220-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Rarefaction curves (A, B) show the Sobs and Shannon indices for three groups: Con (control), HU, and HU+LGG, with different numbers of reads sampled. PCoA plot (C) illustrates genus-level clustering of samples with three groups represented by different colors. Boxplots (D-G) compare Ace, Chao, Sobs, and Shannon indices at ASV level using one-way ANOVA for the three groups. Bar plots (H-K) display relative abundances at phylum, family, genus, and species levels, showing community composition differences across the groups.</alt-text>
</graphic>
</fig>
<p>To more intuitively assess alterations in gut microbial composition, relative abundance was examined across phylum, family, genus, and species levels. At the phylum level, the proportion of <italic>Bacteroidota</italic> increased while <italic>Firmicutes</italic> and other phyla decreased in the HU group, most of which were partially reversed in the HU&#x202F;+&#x202F;LGG group (<xref ref-type="fig" rid="fig1">Figure 1H</xref>). Further analysis at the family and genus levels allowed for a more detailed understanding of microbial regulation by HU and LGG (<xref ref-type="fig" rid="fig1">Figures 1I</xref>,<xref ref-type="fig" rid="fig1">J</xref>). At the genus level, HU elevated <italic>Muribaculaceae</italic> and <italic>Bacteroides</italic> while reducing <italic>Dubosiella</italic> and <italic>Lachnospiraceae</italic>. These alterations were partially reversed following LGG treatment. At the species level, HU markedly elevated uncultured bacterium and Bacteroidales bacterium from the <italic>Muribaculaceae</italic> family, which were effectively reduced by LGG supplementation (<xref ref-type="fig" rid="fig1">Figure 1K</xref>).</p>
</sec>
<sec id="sec18">
<title>LGG promotes the metabolism of SCFAs</title>
<p>To determine whether LGG modulates SCFA metabolism under mechanical unloading, LC&#x2013;MS/MS was used to quantify SCFAs in serum and intestinal tissues. Mechanical unloading significantly reduced acetic, propanoic, and butanoic acid levels, whereas LGG supplementation restored these metabolites in both serum and intestine (<xref ref-type="fig" rid="fig2">Figures 2A</xref>&#x2013;<xref ref-type="fig" rid="fig2">C,G</xref>). KEGG pathway enrichment revealed that SCFAs were mainly involved in metabolic processes, including carbohydrate and energy metabolism, and were enriched in the &#x201C;protein digestion and absorption&#x201D; pathway, indicating their importance in nutrient processing (<xref ref-type="fig" rid="fig2">Figures 2D</xref>,<xref ref-type="fig" rid="fig2">E</xref>,<xref ref-type="fig" rid="fig2">J</xref>,<xref ref-type="fig" rid="fig2">K</xref>). Acetic, propanoic, and butanoic acids were the predominant SCFAs, with no significant differences in minor acids such as hexanoic or isovaleric acid among groups (<xref ref-type="fig" rid="fig2">Figures 2F</xref>,<xref ref-type="fig" rid="fig2">L</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>SCFA analysis in intestinal tissues and serum by LC&#x2013;MS/MS. <bold>(A&#x2013;C)</bold> Concentrations (ng/mL) of acetic, propanoic, and butanoic acid in serum. <bold>(D,E)</bold> KEGG pathway enrichment analyses of SCFAs in serum. <bold>(F)</bold> Composition of SCFAs in serum. <bold>(G&#x2013;I)</bold> Concentrations (ng/mL) of acetic, propanoic, and butanoic acid in the small intestine. <bold>(J,K)</bold> KEGG pathway enrichment analyses based on small intestinal SCFA profiles. <bold>(L)</bold> Composition of SCFAs in the small intestine. Data are shown as mean &#x00B1; SEM. Each dot in the statistical graph represents one sample. Statistical significance: &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001.</p>
</caption>
<graphic xlink:href="fnut-12-1734220-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">This image consists of multiple panels illustrating biochemical data. Panels A, B, and C present bar graphs displaying the expression levels of acetic acid, pyruvic acid, and butyric acid, respectively, under different experimental conditions. Panel D shows a bar chart for KEGG enrichment analysis across categories like human diseases and metabolism. Panel E is a scatter plot visualizing KEGG undefined enrichment analysis. Panel F displays a bar graph of various compounds' concentrations. Panels G, H, and I replicate A, B, and C with different data values. Panels J and K mirror D and E respectively. Panel L presents a bar graph similar to F with varied concentrations.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec19">
<title>LGG restores intestinal barrier integrity under mechanical unloading</title>
<p>LGG abundance in fecal samples was first quantified by qPCR. The results showed that LGG was detectable in the HU&#x202F;+&#x202F;LGG group, with levels ranging from approximately 10<sup>4</sup> to 10<sup>6</sup>&#x202F;CFU per gram of feces, whereas LGG was not detected in fecal samples from the Control and HU groups (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S3</xref>). Given the critical role of the intestinal barrier in regulating systemic inflammation and nutrient absorption, immunohistochemistry and WB were performed to detect the expression of ZO-1 and Occludin in colonic tissues. The results demonstrated that HU significantly reduced the protein expression of ZO-1 and Occludin, with mean optical density values significantly decreased (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05), indicating compromised intestinal barrier integrity and increased intestinal permeability (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). Following oral LGG supplementation, the levels of ZO-1 and Occludin were markedly restored, indicating enhanced intestinal barrier integrity and decreased epithelial permeability (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) (<xref ref-type="fig" rid="fig3">Figures 3B</xref>&#x2013;<xref ref-type="fig" rid="fig3">D</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Assessment of intestinal barrier integrity and function. <bold>(A)</bold> Immunohistochemical detection of ZO-1 and occludin proteins in colon sections. Black scale bar represents 10&#x202F;&#x03BC;m. <bold>(B,C)</bold> Densitometric quantification of ZO-1 and occludin staining intensity based on immunohistochemical images. <bold>(D)</bold> Western blot analysis of ZO-1 and occludin protein expression. <bold>(E)</bold> Enzyme-linked immunosorbent assay (ELISA) used to quantify circulating LPS concentrations in serum. Data are shown as mean &#x00B1; SEM. Each dot represents one sample. Statistical significance: &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001.</p>
</caption>
<graphic xlink:href="fnut-12-1734220-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Histological and bar graph data, comparing control (Con), hindlimb unloading (HU), and HU with LGG treatment groups. Panel A shows stained tissue sections for ZO-1 and Occludin proteins, with visible differences between groups. Panels B and C present bar graphs for mean density of ZO-1 and Occludin, respectively, showing significant effects marked by asterisks. Panel D includes western blot images and corresponding bar graph indicating relative protein expression levels. Panel E displays a bar graph of LPS levels, with significant differences noted among groups.</alt-text>
</graphic>
</fig>
<p>LPS, a marker of bacterial endotoxin, is known to provoke inflammatory responses in the bone microenvironment, contributing to bone loss (<xref ref-type="bibr" rid="ref33">33</xref>, <xref ref-type="bibr" rid="ref34">34</xref>). Increased intestinal permeability may facilitate LPS translocation into the serum, potentially aggravating inflammatory infiltration and osteolysis. HU markedly increased serum LPS levels (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001), consistent with compromised barrier function and elevated permeability (<xref ref-type="fig" rid="fig3">Figure 3E</xref>). LGG supplementation significantly reduced serum LPS concentrations, further supporting its protective role in barrier integrity. Consistently, qRT-PCR analysis showed that the mRNA expression level of TLR4 was significantly increased in the HU group (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001), whereas LGG treatment partially reversed this increase (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S4</xref>).</p>
</sec>
<sec id="sec20">
<title>LGG promotes bone marrow Treg cell expansion and suppresses inflammatory responses</title>
<p>To explore whether LGG-induced improvements in gut and metabolic function could modulate inflammation in the bone microenvironment, the levels of key inflammatory markers and the proportion of Treg cells in bone marrow were assessed. ELISA results revealed that HU significantly elevated TNF-&#x03B1; and IL-1&#x03B2;, while reducing IL-10 (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001) (<xref ref-type="fig" rid="fig4">Figures 4A</xref>&#x2013;<xref ref-type="fig" rid="fig4">C</xref>). This was corroborated by WB, which confirmed increased TNF-&#x03B1; and IL-1&#x03B2; protein levels and decreased IL-10 expression following HU (<xref ref-type="fig" rid="fig4">Figure 4D</xref>). These findings, in line with elevated serum LPS levels and impaired intestinal barrier function, indicate that HU provokes inflammatory responses in the bone microenvironment. LGG intervention significantly suppressed TNF-&#x03B1; and IL-1&#x03B2; (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05) expression while restoring IL-10 levels (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.001), thereby rebalancing the inflammatory milieu.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Expression of inflammatory markers and proportions of Treg cells. <bold>(A&#x2013;C)</bold> ELISA quantification of TNF-&#x03B1;, IL-1&#x03B2;, and IL-10 in the bone microenvironment. <bold>(D)</bold> WB analysis of inflammatory cytokine expression. <bold>(E)</bold> Flow cytometric detection of Treg cell proportions in Con, HU, and HU&#x202F;+&#x202F;LGG groups. <bold>(F)</bold> Statistical analysis of flow cytometry results. Data are presented as mean &#x00B1; SEM. Each dot represents one sample. Statistical significance: &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001.</p>
</caption>
<graphic xlink:href="fnut-12-1734220-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs and protein blot analysis illustrate the effects of treatments on TNF-&#x03B1;, IL-1&#x03B2;, and IL-10 levels across Control, HU, and HU+LGG groups. Panels A to C show cytokine concentrations, with HU and HU+LGG groups upregulated compared to control. Panel D displays protein expression with corresponding blots, highlighting significant changes. Panel E presents flow cytometry plots, showing changes in CD4+ T cell populations. Panel F indicates the percentage of Foxp3+ T cells, showing HU reduces but LGG partially restores levels. Statistical significance is denoted by asterisks.</alt-text>
</graphic>
</fig>
<p>Considering the critical function of Treg cells in modulating immune suppression and influencing bone remodeling, flow cytometry was employed to quantify CD4<sup>+</sup>CD25<sup>+</sup>Foxp3<sup>+</sup> Treg cells in bone marrow (<xref ref-type="fig" rid="fig4">Figures 4E</xref>,<xref ref-type="fig" rid="fig4">F</xref> and <xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S5</xref>) (<xref ref-type="bibr" rid="ref35">35</xref>, <xref ref-type="bibr" rid="ref36">36</xref>).</p>
</sec>
<sec id="sec21">
<title>LGG improves skeletal microarchitecture and bone metabolism</title>
<p>To determine whether LGG could alleviate bone deterioration induced by mechanical unloading, key trabecular parameters of the distal femur were analyzed. Histological evaluation was performed, and bone metabolic markers in the bone marrow were quantified. Micro-CT results (<xref ref-type="fig" rid="fig5">Figures 5A</xref>&#x2013;<xref ref-type="fig" rid="fig5">G</xref>) indicated that trabecular bone in the HU group was substantially reduced, as reflected by significantly decreased values of BMD, BV/TV, BS/TV, Tb. N, and Tb. Th, along with a notable rise in Tb. Sp (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05). Oral administration of LGG was found to improve these parameters, indicating that LGG supplementation could mitigate HU-induced trabecular damage. These findings were corroborated histologically by H&#x0026;E staining, which revealed a pronounced reduction in trabecular area and sparse bone matrix in the HU group (<xref ref-type="fig" rid="fig5">Figures 5H</xref>,<xref ref-type="fig" rid="fig5">I</xref>), whereas LGG-supplemented mice exhibited denser trabecular structures and more regular architecture. HU also induced significant changes in cortical bone microarchitecture, which were partially attenuated by LGG treatment (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S6</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Detection of trabecular damage and related indicators. <bold>(A)</bold> Micro-CT visualization of trabeculae. White scale bar: 1&#x202F;mm. <bold>(B&#x2013;G)</bold> Quantitative analysis of BMD, BV/TV, BS/TV, Tb. N, Tb. Th, and Tb. Sp in trabecular bone. <bold>(H)</bold> H&#x0026;E staining of trabecular bone. Black scale bar: 200&#x202F;&#x03BC;m. <bold>(I&#x2013;N)</bold> Quantification of B. Ar/T. Ar, BALP, OCN, OPG, CTX, and PINP. Data are presented as mean &#x00B1; SEM. Each dot represents one sample. Statistical significance: &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001.</p>
</caption>
<graphic xlink:href="fnut-12-1734220-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Scientific image with multiple panels showing bone analysis and related data. Panel A displays three 3D bone structure models under different conditions: Control (Con), Hindlimb Unloading (HU), and HU with Lactobacillus rhamnosus GG (HU+LGG). Panels B to G present bar graphs of various bone metrics, including BMD, BV/TV, and Tb.Th, showing differences between conditions. Panel H shows histological images comparing bone tissue among the same conditions. Panels I to N contain bar graphs depicting additional metrics, such as serum markers, with significant differences noted between groups. Statistical significance is indicated with stars.</alt-text>
</graphic>
</fig>
<p>To gain deeper insights into the influence of LGG on bone remodeling balance, serum levels of BALP, OPG, OCN, CTX, and PINP were measured (<xref ref-type="fig" rid="fig5">Figures 5J</xref>&#x2013;<xref ref-type="fig" rid="fig5">N</xref>). HU significantly decreased BALP, OPG, OCN, and PINP levels while markedly increasing CTX levels, indicating reduced osteoblast activity and enhanced osteoclast-mediated bone resorption, thereby disrupting bone remodeling homeostasis. Notably, LGG supplementation was able to modulate the differentiation and maturation of both osteoblasts and osteoclasts, as evidenced by the restorative elevation of BALP, OPG, OCN, and PINP levels, and a concurrent reduction in CTX concentration.</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec22">
<title>Discussion</title>
<p>Bone loss induced by mechanical unloading poses a significant health risk to long-term bedridden patients and astronauts exposed to microgravity environments. Although probiotic strategies targeting the gut microbiota have shown promise in regulating bone metabolism, their role under unloading conditions remains unclear. This study employed a HU mouse model to explore the gut-bone axis in the context of mechanical unloading.</p>
<p>Intestinal microbiota is recognized as key regulators of host metabolic processes. Alterations in microbial composition, particularly the reduction of beneficial anti-inflammatory bacteria and the increase in opportunistic pathogens, have been shown to affect immune responses and impair the overall health of astronauts during spaceflight (<xref ref-type="bibr" rid="ref37">37</xref>). The HU model revealed significant alterations in gut microbiota, notably an increase in <italic>Bacteroidota</italic> and a decrease in <italic>Firmicutes</italic>. The ratio of <italic>Firmicutes</italic> to <italic>Bacteroidota</italic> (F/B), widely regarded as a marker of gut metabolic balance, is closely associated with nutrient absorption and energy harvesting efficiency (<xref ref-type="bibr" rid="ref38 ref39 ref40 ref41">38&#x2013;41</xref>). A reduction in F/B ratio observed in the HU group indicates a disturbance in gut metabolic homeostasis, which may contribute to systemic consequences (<xref ref-type="bibr" rid="ref42">42</xref>). Moreover, HU led to a significant decrease in beneficial bacteria such as <italic>Dubosiella</italic>, <italic>Lachnospiraceae</italic>, and <italic>Clostridium</italic>. <italic>Dubosiella</italic>, known for its protective effects against ulcerative colitis and its ability to enhance the intestinal barrier, has also been reported to alleviate osteoporosis by correcting metabolic disturbances. Notably, <italic>Dubosiella</italic>, <italic>Lachnospiraceae</italic>, and <italic>Clostridium</italic> are major producers of SCFAs (<xref ref-type="bibr" rid="ref43 ref44 ref45">43&#x2013;45</xref>). The reduction in their abundance may thus be a key factor underlying the reduction of SCFA levels observed under HU conditions (<xref ref-type="bibr" rid="ref46">46</xref>). These findings demonstrate that mechanical unloading via hindlimb suspension profoundly disrupts gut microbial homeostasis and may affect intestinal or systemic SCFA levels.</p>
<p>Short-chain fatty acids, primarily acetic, propanoic, and butanoic acid, are key mediators of the gut-bone axis (<xref ref-type="bibr" rid="ref47 ref48 ref49">47&#x2013;49</xref>). SCFAs serve as critical signaling molecules linking the gut microbiota with inflammatory responses and bone metabolic homeostasis. In models of periodontitis, rheumatoid arthritis, and metabolism-associated bone loss, SCFAs have been shown to significantly suppress the expression of pro-inflammatory cytokines, ameliorate both local and systemic inflammatory states, thereby attenuating bone resorption and promoting the restoration of bone homeostasis (<xref ref-type="bibr" rid="ref50">50</xref>, <xref ref-type="bibr" rid="ref51">51</xref>). Furthermore, SCFAs have been reported to influence the bone-immune microenvironment by regulating immune cell metabolism and differentiation (<xref ref-type="bibr" rid="ref24">24</xref>). Under conditions of stress or metabolic dysregulation, reductions in SCFA levels are frequently accompanied by activation of inflammatory signaling pathways and exacerbation of bone loss (<xref ref-type="bibr" rid="ref52">52</xref>). Collectively, these findings indicate that SCFAs act as a critical mechanistic bridge between inflammatory regulation and metabolic bone loss. In addition, SCFAs help regulate immune homeostasis by modulating G protein-coupled receptors (GPRs), thereby balancing pro- and anti-inflammatory responses (<xref ref-type="bibr" rid="ref53 ref54 ref55">53&#x2013;55</xref>). Specifically, SCFAs promote osteogenesis and modulate inflammation through the inhibition of histone deacetylases and the expansion of Treg cells (<xref ref-type="bibr" rid="ref56">56</xref>, <xref ref-type="bibr" rid="ref57">57</xref>). In particular, butyrate supplementation has been reported to increase Treg abundance and induce Wnt10b expression in CD8<sup>+</sup> T cells, thereby suppressing bone resorption (<xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref58">58</xref>). Our findings revealed a marked reduction in Treg cell proportions under mechanical unloading, suggesting that SCFAs may influence inflammatory responses and bone homeostasis via Treg regulation under such conditions.</p>
<p>In addition, certain gut microbes, such as members of the <italic>Muribaculaceae</italic> family, can secrete LPS, leading to chronic intestinal inflammation and barrier dysfunction (<xref ref-type="bibr" rid="ref59">59</xref>, <xref ref-type="bibr" rid="ref60">60</xref>). Our microbiota analysis revealed a significant increase in <italic>Muribaculaceae</italic> and <italic>Bacteroides</italic> in the HU group, which may exacerbate intestinal inflammation and compromise epithelial barrier integrity. Consistently, we observed altered expression of colonic ZO-1 and Occludin, suggesting increased intestinal permeability under HU conditions (<xref ref-type="bibr" rid="ref61">61</xref>, <xref ref-type="bibr" rid="ref62">62</xref>). This may facilitate the translocation of pathogenic factors such as LPS into systemic circulation, thereby provoking inflammatory responses (<xref ref-type="bibr" rid="ref63">63</xref>). In the HU group, significantly elevated levels of TNF-&#x03B1; and IL-1&#x03B2;, along with a marked reduction in IL-10, were observed&#x2014;indicative of an inflammatory response. These observations suggest that alterations in Treg cell proportions and elevated serum LPS levels may contribute to a pro-inflammatory milieu. Inflammation is recognized as a major determinant of bone loss, as it fundamentally influences bone metabolism, leading to reduced bone mass and increased fracture risk (<xref ref-type="bibr" rid="ref64">64</xref>). Consistent with this, HU mice exhibited decreased BMD and disrupted trabecular architecture. Moreover, bone formation markers (BALP, OCN, and PINP) and the bone resorption marker (CTX) were significantly altered, indicating that mechanical unloading ultimately caused an imbalance in bone homeostasis and accelerated bone loss (<xref ref-type="bibr" rid="ref65">65</xref>).</p>
<p>The LGG is a widely studied probiotic. Early-life colonization with LGG has been reported to upregulate the population of SCFA-producing bacteria and reduce inflammation (<xref ref-type="bibr" rid="ref66">66</xref>). In addition, LGG can regulate the expression of ZO-1 and Occludin, thereby alleviating barrier dysfunction (<xref ref-type="bibr" rid="ref67">67</xref>), suggesting its essential role in protecting against inflammatory damage and preserving intestinal barrier integrity. In our study, oral administration of LGG in HU mice significantly reshaped the gut microbiota, partially restoring the F/B ratio and increasing the abundance of SCFA-producing genera. We also observed elevated SCFA levels in both serum and small intestine following LGG treatment, indicating that LGG may enhance SCFA synthesis and transport by modulating microbial composition. Furthermore, the increased SCFA levels contributed to the recovery of tight junction protein expression, potentially preventing LPS translocation into the bloodstream. SCFAs also promoted the restoration of Treg cell proportions. Collectively, these effects may ultimately lead to increased BMD and improved trabecular microarchitecture in LGG-treated mice.</p>
<sec id="sec23">
<title>Limitations</title>
<p>The HU mouse model is a widely used animal model for simulating mechanical unloading, such as that induced by microgravity or prolonged bed rest. However, its translational applicability to human physiology remains limited. Additionally, the use of LGG in this study was restricted to animal models, and its clinical relevance has yet to be evaluated. While the biosafety of LGG has been partially demonstrated, further comprehensive validation of its safety profile may be of great importance for future clinical translation. Moreover, most experimental groups in the present study consisted of five biological replicates, which may reduce statistical power and should be considered when interpreting the results.</p>
<p>This study did not include a separate healthy + LGG (positive control) group, as our primary objective was to investigate the protective effects of LGG under mechanical unloading conditions, rather than its baseline influence under normal physiological states. Previous studies have consistently shown that LGG does not exert adverse effects on skeletal parameters in healthy animals. Nevertheless, the lack of a positive control group may still be considered a limitation, potentially restricting the interpretation of LGG&#x2019;s independent effects unrelated to unloading. More rigorous experimental grouping will be considered in future mechanistic investigations.</p>
<p>This study primarily focused on phenotypic observations of bone loss modulation via the gut-bone axis under HU and LGG intervention. Nevertheless, the core molecular pathways governing this regulatory process have yet to be elucidated. Additional studies are warranted to delineate the specific signaling pathways involved in this axis.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="sec24">
<title>Conclusion</title>
<p>In conclusion, our study demonstrates that LGG effectively alleviates bone loss induced by mechanical unloading, an effect that may be attributed to its ability to remodel the gut microbiota, thereby restoring SCFA levels and repairing intestinal barrier integrity. These improvements further enhance Treg cell activation and reduce systemic inflammation. These findings highlight the potential involvement of the gut-bone axis in unloading-induced osteoporosis and support the therapeutic potential of LGG as a microbiota-targeted intervention to maintain bone health under conditions of microgravity or prolonged immobility. Nevertheless, additional mechanistic and translational studies are warranted to validate the clinical applicability of LGG and to explore its incorporation into countermeasure strategies for astronauts and bedridden populations.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec25">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref rid="SM1" ref-type="supplementary-material">Supplementary material</xref>, further inquiries can be directed to the corresponding authors. The raw reads were deposited in the Sequence Read Archive (SRA) database (SRA accession: PRJNA1399705).</p>
</sec>
<sec sec-type="ethics-statement" id="sec26">
<title>Ethics statement</title>
<p>The animal studies were approved by the Ethics Committee of the 940th Hospital of the Joint Logistic Support Force (Approval no.: 2022KYLL021). The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec sec-type="author-contributions" id="sec27">
<title>Author contributions</title>
<p>XQ: Conceptualization, Writing &#x2013; original draft, Validation, Data curation, Investigation, Writing &#x2013; review &#x0026; editing, Formal analysis. Y-EL: Investigation, Conceptualization, Writing &#x2013; review &#x0026; editing, Data curation, Formal analysis, Writing &#x2013; original draft, Resources. HT: Writing &#x2013; review &#x0026; editing, Investigation, Data curation, Methodology, Conceptualization, Writing &#x2013; original draft, Formal analysis. XC: Resources, Conceptualization, Formal analysis, Data curation, Supervision, Writing &#x2013; review &#x0026; editing, Software. YG: Resources, Writing &#x2013; review &#x0026; editing, Visualization, Formal analysis, Conceptualization, Data curation, Supervision. YM: Conceptualization, Validation, Data curation, Formal analysis, Methodology, Writing &#x2013; review &#x0026; editing, Investigation, Supervision. JG: Formal analysis, Writing &#x2013; review &#x0026; editing, Methodology, Validation, Investigation, Conceptualization, Software, Data curation. HW: Formal analysis, Resources, Visualization, Methodology, Conceptualization, Investigation, Writing &#x2013; review &#x0026; editing, Data curation. YaW: Data curation, Resources, Conceptualization, Visualization, Supervision, Writing &#x2013; review &#x0026; editing, Software. BW: Formal analysis, Writing &#x2013; review &#x0026; editing, Data curation, Methodology, Conceptualization, Software, Validation, Resources. JC: Supervision, Funding acquisition, Formal analysis, Writing &#x2013; review &#x0026; editing, Resources, Data curation, Project administration, Conceptualization. YiW: Project administration, Funding acquisition, Resources, Formal analysis, Data curation, Conceptualization, Writing &#x2013; review &#x0026; editing, Methodology.</p>
</sec>
<sec sec-type="COI-statement" id="sec28">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec29">
<title>Generative AI statement</title>
<p>The author(s) declared that Generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec30">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec31">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fnut.2025.1734220/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fnut.2025.1734220/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Man</surname><given-names>J</given-names></name> <name><surname>Graham</surname><given-names>T</given-names></name> <name><surname>Squires-Donelly</surname><given-names>G</given-names></name> <name><surname>Laslett</surname><given-names>AL</given-names></name></person-group>. <article-title>The effects of microgravity on bone structure and function</article-title>. <source>NPJ Microgravity</source>. (<year>2022</year>) <volume>8</volume>:<fpage>9</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41526-022-00194-8</pub-id>, <pub-id pub-id-type="pmid">35383182</pub-id></mixed-citation></ref>
<ref id="ref2"><label>2.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stavnichuk</surname><given-names>M</given-names></name> <name><surname>Mikolajewicz</surname><given-names>N</given-names></name> <name><surname>Corlett</surname><given-names>T</given-names></name> <name><surname>Morris</surname><given-names>M</given-names></name> <name><surname>Komarova</surname><given-names>SV</given-names></name></person-group>. <article-title>A systematic review and meta-analysis of bone loss in space travelers</article-title>. <source>NPJ Microgravity</source>. (<year>2020</year>) <volume>6</volume>:<fpage>13</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41526-020-0103-2</pub-id>, <pub-id pub-id-type="pmid">32411816</pub-id></mixed-citation></ref>
<ref id="ref3"><label>3.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>L</given-names></name> <name><surname>Li</surname><given-names>G</given-names></name> <name><surname>Wang</surname><given-names>K</given-names></name> <name><surname>Wang</surname><given-names>Y</given-names></name> <name><surname>Dong</surname><given-names>J</given-names></name> <name><surname>Wang</surname><given-names>H</given-names></name> <etal/></person-group>. <article-title>MiR-30 family members inhibit osteoblast differentiation by suppressing Runx2 under unloading conditions in MC3T3-E1 cells</article-title>. <source>Biochem Biophys Res Commun</source>. (<year>2020</year>) <volume>522</volume>:<fpage>164</fpage>&#x2013;<lpage>70</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bbrc.2019.11.057</pub-id>, <pub-id pub-id-type="pmid">31757419</pub-id></mixed-citation></ref>
<ref id="ref4"><label>4.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Axpe</surname><given-names>E</given-names></name> <name><surname>Chan</surname><given-names>D</given-names></name> <name><surname>Abegaz</surname><given-names>MF</given-names></name> <name><surname>Schreurs</surname><given-names>AS</given-names></name> <name><surname>Alwood</surname><given-names>JS</given-names></name> <name><surname>Globus</surname><given-names>RK</given-names></name> <etal/></person-group>. <article-title>A human mission to Mars: predicting the bone mineral density loss of astronauts</article-title>. <source>PLoS One</source>. (<year>2020</year>) <volume>15</volume>:<fpage>e0226434</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0226434</pub-id>, <pub-id pub-id-type="pmid">31967993</pub-id></mixed-citation></ref>
<ref id="ref5"><label>5.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caillot-Augusseau</surname><given-names>A</given-names></name> <name><surname>Lafage-Proust</surname><given-names>MH</given-names></name> <name><surname>Soler</surname><given-names>C</given-names></name> <name><surname>Pernod</surname><given-names>J</given-names></name> <name><surname>Dubois</surname><given-names>F</given-names></name> <name><surname>Alexandre</surname><given-names>C</given-names></name></person-group>. <article-title>Bone formation and resorption biological markers in cosmonauts during and after a 180-day space flight (Euromir 95)</article-title>. <source>Clin Chem</source>. (<year>1998</year>) <volume>44</volume>:<fpage>578</fpage>&#x2013;<lpage>85</lpage>. doi: <pub-id pub-id-type="doi">10.1093/clinchem/44.3.578</pub-id>, <pub-id pub-id-type="pmid">9510865</pub-id></mixed-citation></ref>
<ref id="ref6"><label>6.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gabel</surname><given-names>L</given-names></name> <name><surname>Liphardt</surname><given-names>AM</given-names></name> <name><surname>Hulme</surname><given-names>PA</given-names></name> <name><surname>Heer</surname><given-names>M</given-names></name> <name><surname>Zwart</surname><given-names>SR</given-names></name> <name><surname>Sibonga</surname><given-names>JD</given-names></name> <etal/></person-group>. <article-title>Incomplete recovery of bone strength and trabecular microarchitecture at the distal tibia 1 year after return from long duration spaceflight</article-title>. <source>Sci Rep</source>. (<year>2022</year>) <volume>12</volume>:<fpage>9446</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-022-13461-1</pub-id>, <pub-id pub-id-type="pmid">35773442</pub-id></mixed-citation></ref>
<ref id="ref7"><label>7.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tavella</surname><given-names>S</given-names></name> <name><surname>Ruggiu</surname><given-names>A</given-names></name> <name><surname>Giuliani</surname><given-names>A</given-names></name> <name><surname>Brun</surname><given-names>F</given-names></name> <name><surname>Canciani</surname><given-names>B</given-names></name> <name><surname>Manescu</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Bone turnover in wild type and pleiotrophin-transgenic mice housed for three months in the international Space Station (ISS)</article-title>. <source>PLoS One</source>. (<year>2012</year>) <volume>7</volume>:<fpage>e33179</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0033179</pub-id>, <pub-id pub-id-type="pmid">22438896</pub-id></mixed-citation></ref>
<ref id="ref8"><label>8.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cunningham</surname><given-names>HC</given-names></name> <name><surname>West</surname><given-names>DWD</given-names></name> <name><surname>Baehr</surname><given-names>LM</given-names></name> <name><surname>Tarke</surname><given-names>FD</given-names></name> <name><surname>Baar</surname><given-names>K</given-names></name> <name><surname>Bodine</surname><given-names>SC</given-names></name> <etal/></person-group>. <article-title>Age-dependent bone loss and recovery during hindlimb unloading and subsequent reloading in rats</article-title>. <source>BMC Musculoskelet Disord</source>. (<year>2018</year>) <volume>19</volume>:<fpage>223</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12891-018-2156-x</pub-id>, <pub-id pub-id-type="pmid">30021585</pub-id></mixed-citation></ref>
<ref id="ref9"><label>9.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xiao</surname><given-names>H</given-names></name> <name><surname>Wang</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>R</given-names></name> <name><surname>Yang</surname><given-names>C</given-names></name> <name><surname>Geng</surname><given-names>B</given-names></name> <etal/></person-group>. <article-title>Gut-bone axis research: unveiling the impact of gut microbiota on postmenopausal osteoporosis and osteoclasts through Mendelian randomization</article-title>. <source>Front Endocrinol</source>. (<year>2024</year>) <volume>15</volume>:<fpage>1419566</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fendo.2024.1419566</pub-id>, <pub-id pub-id-type="pmid">38883609</pub-id></mixed-citation></ref>
<ref id="ref10"><label>10.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname><given-names>J</given-names></name> <name><surname>Shu</surname><given-names>G</given-names></name> <name><surname>Yang</surname><given-names>J</given-names></name> <name><surname>Wang</surname><given-names>B</given-names></name> <name><surname>Chen</surname><given-names>L</given-names></name> <name><surname>Gong</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title>Mechanistic study on the alleviation of postmenopausal osteoporosis by <italic>Lactobacillus acidophilus</italic> through butyrate-mediated inhibition of osteoclast activity</article-title>. <source>Sci Rep</source>. (<year>2024</year>) <volume>14</volume>:<fpage>7042</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-024-57122-x</pub-id>, <pub-id pub-id-type="pmid">38528074</pub-id></mixed-citation></ref>
<ref id="ref11"><label>11.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name> <name><surname>Li</surname><given-names>Y</given-names></name> <name><surname>Zhai</surname><given-names>Z</given-names></name> <name><surname>Wang</surname><given-names>H</given-names></name> <name><surname>Lin</surname><given-names>Y</given-names></name> <name><surname>Chang</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title><italic>Bifidobacterium animalis</italic> subsp. lactis A6 ameliorates bone and muscle loss via modulating gut microbiota composition and enhancing butyrate production</article-title>. <source>Bone Res</source>. (<year>2025</year>) <volume>13</volume>:<fpage>28</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41413-024-00381-1</pub-id>, <pub-id pub-id-type="pmid">40000617</pub-id></mixed-citation></ref>
<ref id="ref12"><label>12.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sapra</surname><given-names>L</given-names></name> <name><surname>Dar</surname><given-names>HY</given-names></name> <name><surname>Bhardwaj</surname><given-names>A</given-names></name> <name><surname>Pandey</surname><given-names>A</given-names></name> <name><surname>Kumari</surname><given-names>S</given-names></name> <name><surname>Azam</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title><italic>Lactobacillus rhamnosus</italic> attenuates bone loss and maintains bone health by skewing Treg-Th17 cell balance in Ovx mice</article-title>. <source>Sci Rep</source>. (<year>2021</year>) <volume>11</volume>:<fpage>1807</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-020-80536-2</pub-id>, <pub-id pub-id-type="pmid">33469043</pub-id></mixed-citation></ref>
<ref id="ref13"><label>13.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tyagi</surname><given-names>AM</given-names></name> <name><surname>Yu</surname><given-names>M</given-names></name> <name><surname>Darby</surname><given-names>TM</given-names></name> <name><surname>Vaccaro</surname><given-names>C</given-names></name> <name><surname>Li</surname><given-names>JY</given-names></name> <name><surname>Owens</surname><given-names>JA</given-names></name> <etal/></person-group>. <article-title>The microbial metabolite butyrate stimulates bone formation via T regulatory cell-mediated regulation of WNT10B expression</article-title>. <source>Immunity</source>. (<year>2018</year>) <volume>49</volume>:<fpage>1116</fpage>&#x2013;<lpage>31.e7</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.immuni.2018.10.013</pub-id>, <pub-id pub-id-type="pmid">30446387</pub-id></mixed-citation></ref>
<ref id="ref14"><label>14.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>Z</given-names></name> <name><surname>Liu</surname><given-names>Y</given-names></name> <name><surname>Shen</surname><given-names>W</given-names></name> <name><surname>Yang</surname><given-names>J</given-names></name> <name><surname>Wang</surname><given-names>T</given-names></name> <name><surname>Li</surname><given-names>Y</given-names></name> <etal/></person-group>. <article-title>Osteoporosis in postmenopausal women is associated with disturbances in gut microbiota and migration of peripheral immune cells</article-title>. <source>BMC Musculoskelet Disord</source>. (<year>2024</year>) <volume>25</volume>:<fpage>791</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12891-024-07904-1</pub-id>, <pub-id pub-id-type="pmid">39375626</pub-id></mixed-citation></ref>
<ref id="ref15"><label>15.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>XQ</given-names></name> <name><surname>Wang</surname><given-names>DB</given-names></name> <name><surname>Jiang</surname><given-names>YR</given-names></name> <name><surname>Song</surname><given-names>CL</given-names></name></person-group>. <article-title>Gut microbiota and microbial metabolites for osteoporosis</article-title>. <source>Gut Microbes</source>. (<year>2025</year>) <volume>17</volume>:<fpage>2437247</fpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2024.2437247</pub-id>, <pub-id pub-id-type="pmid">39690861</pub-id></mixed-citation></ref>
<ref id="ref16"><label>16.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lyu</surname><given-names>Z</given-names></name> <name><surname>Hu</surname><given-names>Y</given-names></name> <name><surname>Guo</surname><given-names>Y</given-names></name> <name><surname>Liu</surname><given-names>D</given-names></name></person-group>. <article-title>Modulation of bone remodeling by the gut microbiota: a new therapy for osteoporosis</article-title>. <source>Bone Res</source>. (<year>2023</year>) <volume>11</volume>:<fpage>31</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41413-023-00264-x</pub-id>, <pub-id pub-id-type="pmid">37296111</pub-id></mixed-citation></ref>
<ref id="ref17"><label>17.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shieh</surname><given-names>A</given-names></name> <name><surname>Epeldegui</surname><given-names>M</given-names></name> <name><surname>Karlamangla</surname><given-names>AS</given-names></name> <name><surname>Greendale</surname><given-names>GA</given-names></name></person-group>. <article-title>Gut permeability, inflammation, and bone density across the menopause transition</article-title>. <source>JCI Insight</source>. (<year>2020</year>) <volume>5</volume>:<fpage>e134092</fpage>. doi: <pub-id pub-id-type="doi">10.1172/jci.insight.134092</pub-id>, <pub-id pub-id-type="pmid">31830000</pub-id></mixed-citation></ref>
<ref id="ref18"><label>18.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kverka</surname><given-names>M</given-names></name> <name><surname>Stepan</surname><given-names>JJ</given-names></name></person-group>. <article-title>Associations among estrogens, the gut microbiome and osteoporosis</article-title>. <source>Curr Osteoporos Rep</source>. (<year>2024</year>) <volume>23</volume>:<fpage>2</fpage>. doi: <pub-id pub-id-type="doi">10.1007/s11914-024-00896-w</pub-id>, <pub-id pub-id-type="pmid">39585466</pub-id></mixed-citation></ref>
<ref id="ref19"><label>19.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>W</given-names></name> <name><surname>Zheng</surname><given-names>X</given-names></name> <name><surname>Wang</surname><given-names>H</given-names></name> <name><surname>Zuo</surname><given-names>B</given-names></name> <name><surname>Chen</surname><given-names>S</given-names></name> <name><surname>Li</surname><given-names>J</given-names></name></person-group>. <article-title>Mechanical unloading promotes osteoclastic differentiation and bone resorption by modulating the MSC Secretome to favor inflammation</article-title>. <source>Cell Transplant</source>. (<year>2024</year>) <volume>33</volume>:<fpage>9636897241236584</fpage>. doi: <pub-id pub-id-type="doi">10.1177/09636897241236584</pub-id>, <pub-id pub-id-type="pmid">38501500</pub-id></mixed-citation></ref>
<ref id="ref20"><label>20.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>Z</given-names></name> <name><surname>Li</surname><given-names>DX</given-names></name> <name><surname>Lan</surname><given-names>X</given-names></name> <name><surname>Bubelenyi</surname><given-names>A</given-names></name> <name><surname>Vyhlidal</surname><given-names>M</given-names></name> <name><surname>Kunze</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Short-term response of primary human meniscus cells to simulated microgravity</article-title>. <source>Cell Commun Signal</source>. (<year>2024</year>) <volume>22</volume>:<fpage>342</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12964-024-01684-w</pub-id>, <pub-id pub-id-type="pmid">38907358</pub-id></mixed-citation></ref>
<ref id="ref21"><label>21.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ponzetti</surname><given-names>M</given-names></name> <name><surname>Ucci</surname><given-names>A</given-names></name> <name><surname>Maurizi</surname><given-names>A</given-names></name> <name><surname>Giacchi</surname><given-names>L</given-names></name> <name><surname>Teti</surname><given-names>A</given-names></name> <name><surname>Rucci</surname><given-names>N</given-names></name></person-group>. <article-title>Lipocalin 2 influences bone and muscle phenotype in the MDX mouse model of Duchenne muscular dystrophy</article-title>. <source>Int J Mol Sci</source>. (<year>2022</year>) <volume>23</volume>:<fpage>958</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms23020958</pub-id>, <pub-id pub-id-type="pmid">35055145</pub-id></mixed-citation></ref>
<ref id="ref22"><label>22.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yumol</surname><given-names>JL</given-names></name> <name><surname>Gittings</surname><given-names>W</given-names></name> <name><surname>de Souza</surname><given-names>RJ</given-names></name> <name><surname>Ward</surname><given-names>WE</given-names></name></person-group>. <article-title>A systematic review and meta-analysis of the effects of probiotics on bone outcomes in rodent models</article-title>. <source>J Bone Mineral Res</source>. (<year>2024</year>) <volume>40</volume>:<fpage>100</fpage>&#x2013;<lpage>13</lpage>. doi: <pub-id pub-id-type="doi">10.1093/jbmr/zjae187</pub-id>, <pub-id pub-id-type="pmid">39545776</pub-id></mixed-citation></ref>
<ref id="ref23"><label>23.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bose</surname><given-names>S</given-names></name> <name><surname>Sharan</surname><given-names>K</given-names></name></person-group>. <article-title>Effect of probiotics on postmenopausal bone health: a preclinical meta-analysis</article-title>. <source>Br J Nutr</source>. (<year>2024</year>) <volume>131</volume>:<fpage>567</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1017/s0007114523002362</pub-id>, <pub-id pub-id-type="pmid">37869975</pub-id></mixed-citation></ref>
<ref id="ref24"><label>24.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shen</surname><given-names>J</given-names></name> <name><surname>Yang</surname><given-names>L</given-names></name> <name><surname>You</surname><given-names>K</given-names></name> <name><surname>Chen</surname><given-names>T</given-names></name> <name><surname>Su</surname><given-names>Z</given-names></name> <name><surname>Cui</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title>Indole-3-acetic acid alters intestinal microbiota and alleviates ankylosing spondylitis in mice</article-title>. <source>Front Immunol</source>. (<year>2022</year>) <volume>13</volume>:<fpage>762580</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fimmu.2022.762580</pub-id>, <pub-id pub-id-type="pmid">35185872</pub-id></mixed-citation></ref>
<ref id="ref25"><label>25.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dabeer</surname><given-names>S</given-names></name> <name><surname>Tripathi</surname><given-names>AK</given-names></name> <name><surname>Weiss</surname><given-names>D</given-names></name> <name><surname>Vikulina</surname><given-names>T</given-names></name> <name><surname>Ofotokun</surname><given-names>I</given-names></name> <name><surname>Weitzmann</surname><given-names>MN</given-names></name></person-group>. <article-title>Combined sequential antiretroviral therapy-induced immune reconstitution bone loss and estrogen deficiency bone loss are cumulative in mice models</article-title>. <source>J Infect Dis</source>. (<year>2025</year>) <volume>231</volume>:<fpage>967</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1093/infdis/jiae643</pub-id>, <pub-id pub-id-type="pmid">39726127</pub-id></mixed-citation></ref>
<ref id="ref26"><label>26.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>M</given-names></name> <name><surname>Liu</surname><given-names>H</given-names></name> <name><surname>Yu</surname><given-names>Y</given-names></name> <name><surname>Zhu</surname><given-names>X</given-names></name> <name><surname>Xie</surname><given-names>H</given-names></name> <name><surname>Wei</surname><given-names>C</given-names></name> <etal/></person-group>. <article-title><italic>Lactobacillus rhamnosus</italic> GG ameliorates osteoporosis in ovariectomized rats by regulating the Th17/Treg balance and gut microbiota structure</article-title>. <source>Gut Microbes</source>. (<year>2023</year>) <volume>15</volume>:<fpage>2190304</fpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2023.2190304</pub-id>, <pub-id pub-id-type="pmid">36941563</pub-id></mixed-citation></ref>
<ref id="ref27"><label>27.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gatej</surname><given-names>SM</given-names></name> <name><surname>Marino</surname><given-names>V</given-names></name> <name><surname>Bright</surname><given-names>R</given-names></name> <name><surname>Fitzsimmons</surname><given-names>TR</given-names></name> <name><surname>Gully</surname><given-names>N</given-names></name> <name><surname>Zilm</surname><given-names>P</given-names></name> <etal/></person-group>. <article-title>Probiotic <italic>Lactobacillus rhamnosus</italic> GG prevents alveolar bone loss in a mouse model of experimental periodontitis</article-title>. <source>J Clin Periodontol</source>. (<year>2018</year>) <volume>45</volume>:<fpage>204</fpage>&#x2013;<lpage>12</lpage>. doi: <pub-id pub-id-type="doi">10.1111/jcpe.12838</pub-id>, <pub-id pub-id-type="pmid">29121411</pub-id></mixed-citation></ref>
<ref id="ref28"><label>28.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>H</given-names></name> <name><surname>Gu</surname><given-names>R</given-names></name> <name><surname>Li</surname><given-names>W</given-names></name> <name><surname>Zhou</surname><given-names>W</given-names></name> <name><surname>Cong</surname><given-names>Z</given-names></name> <name><surname>Xue</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title><italic>Lactobacillus rhamnosus</italic> GG attenuates tenofovir disoproxil fumarate-induced bone loss in male mice via gut-microbiota-dependent anti-inflammation</article-title>. <source>Ther Adv Chronic Dis</source>. (<year>2019</year>) <volume>10</volume>:<fpage>2040622319860653</fpage>. doi: <pub-id pub-id-type="doi">10.1177/2040622319860653</pub-id>, <pub-id pub-id-type="pmid">31321013</pub-id></mixed-citation></ref>
<ref id="ref29"><label>29.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qi</surname><given-names>W</given-names></name> <name><surname>Ma</surname><given-names>T</given-names></name> <name><surname>Ji</surname><given-names>Y</given-names></name> <name><surname>Jia</surname><given-names>H</given-names></name> <name><surname>Sun</surname><given-names>Q</given-names></name> <name><surname>Zhang</surname><given-names>D</given-names></name></person-group>. <article-title>Cordymin alleviates osteoporosis induced by hindlimb unloading via regulating the gut-microelements -bone axis --for non-clinical studies</article-title>. <source>BMC Musculoskelet Disord</source>. (<year>2023</year>) <volume>24</volume>:<fpage>932</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12891-023-07057-7</pub-id>, <pub-id pub-id-type="pmid">38041019</pub-id></mixed-citation></ref>
<ref id="ref30"><label>30.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ahlroos</surname><given-names>T</given-names></name> <name><surname>Tynkkynen</surname><given-names>S</given-names></name></person-group>. <article-title>Quantitative strain-specific detection of <italic>Lactobacillus rhamnosus</italic> GG in human faecal samples by real-time PCR</article-title>. <source>J Appl Microbiol</source>. (<year>2009</year>) <volume>106</volume>:<fpage>506</fpage>&#x2013;<lpage>14</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1365-2672.2008.04018.x</pub-id>, <pub-id pub-id-type="pmid">19200317</pub-id></mixed-citation></ref>
<ref id="ref31"><label>31.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>H</given-names></name> <name><surname>Chai</surname><given-names>X</given-names></name> <name><surname>Qin</surname><given-names>X</given-names></name> <name><surname>Lian</surname><given-names>YE</given-names></name> <name><surname>Gao</surname><given-names>Y</given-names></name> <name><surname>Wang</surname><given-names>H</given-names></name> <etal/></person-group>. <article-title>The impact of mechanical unloading on the gut microbiota and the mitigating role of butyrate in bone loss</article-title>. <source>Int Immunopharmacol</source>. (<year>2025</year>) <volume>159</volume>:<fpage>114909</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.intimp.2025.114909</pub-id>, <pub-id pub-id-type="pmid">40424649</pub-id></mixed-citation></ref>
<ref id="ref32"><label>32.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aootaphao</surname><given-names>S</given-names></name> <name><surname>Thongvigitmanee</surname><given-names>SS</given-names></name> <name><surname>Rajruangrabin</surname><given-names>J</given-names></name> <name><surname>Thanasupsombat</surname><given-names>C</given-names></name> <name><surname>Srivongsa</surname><given-names>T</given-names></name> <name><surname>Thajchayapong</surname><given-names>P</given-names></name></person-group>. <article-title>X-ray scatter correction on soft tissue images for portable cone beam CT</article-title>. <source>Biomed Res Int</source>. (<year>2016</year>) <volume>2016</volume>:<fpage>1</fpage>&#x2013;<lpage>12</lpage>. doi: <pub-id pub-id-type="doi">10.1155/2016/3262795</pub-id>, <pub-id pub-id-type="pmid">27022608</pub-id></mixed-citation></ref>
<ref id="ref33"><label>33.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Behrends</surname><given-names>DA</given-names></name> <name><surname>Hui</surname><given-names>D</given-names></name> <name><surname>Gao</surname><given-names>C</given-names></name> <name><surname>Awlia</surname><given-names>A</given-names></name> <name><surname>Al-Saran</surname><given-names>Y</given-names></name> <name><surname>Li</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Defective bone repair in C57Bl6 mice with acute systemic inflammation</article-title>. <source>Clin Orthop Relat Res</source>. (<year>2017</year>) <volume>475</volume>:<fpage>906</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11999-016-5159-7</pub-id>, <pub-id pub-id-type="pmid">27844403</pub-id></mixed-citation></ref>
<ref id="ref34"><label>34.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>XF</given-names></name> <name><surname>Wang</surname><given-names>YJ</given-names></name> <name><surname>Li</surname><given-names>TY</given-names></name> <name><surname>Guo</surname><given-names>JX</given-names></name> <name><surname>Lv</surname><given-names>F</given-names></name> <name><surname>Li</surname><given-names>CL</given-names></name> <etal/></person-group>. <article-title>Colony-stimulating factor 1 receptor inhibition prevents against lipopolysaccharide -induced osteoporosis by inhibiting osteoclast formation</article-title>. <source>Biomed Pharmacother</source>. (<year>2019</year>) <volume>115</volume>:<fpage>108916</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.biopha.2019.108916</pub-id>, <pub-id pub-id-type="pmid">31054506</pub-id></mixed-citation></ref>
<ref id="ref35"><label>35.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bozec</surname><given-names>A</given-names></name> <name><surname>Zaiss</surname><given-names>MM</given-names></name></person-group>. <article-title>T regulatory cells in bone remodelling</article-title>. <source>Curr Osteoporos Rep</source>. (<year>2017</year>) <volume>15</volume>:<fpage>121</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11914-017-0356-1</pub-id>, <pub-id pub-id-type="pmid">28432597</pub-id></mixed-citation></ref>
<ref id="ref36"><label>36.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zaiss</surname><given-names>MM</given-names></name> <name><surname>Sarter</surname><given-names>K</given-names></name> <name><surname>Hess</surname><given-names>A</given-names></name> <name><surname>Engelke</surname><given-names>K</given-names></name> <name><surname>B&#x00F6;hm</surname><given-names>C</given-names></name> <name><surname>Nimmerjahn</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Increased bone density and resistance to ovariectomy-induced bone loss in FoxP3-transgenic mice based on impaired osteoclast differentiation</article-title>. <source>Arthritis Rheum</source>. (<year>2010</year>) <volume>62</volume>:<fpage>2328</fpage>&#x2013;<lpage>38</lpage>. doi: <pub-id pub-id-type="doi">10.1002/art.27535</pub-id>, <pub-id pub-id-type="pmid">20506516</pub-id></mixed-citation></ref>
<ref id="ref37"><label>37.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marchal</surname><given-names>S</given-names></name> <name><surname>Chouk&#x00E9;r</surname><given-names>A</given-names></name> <name><surname>Bereiter-Hahn</surname><given-names>J</given-names></name> <name><surname>Kraus</surname><given-names>A</given-names></name> <name><surname>Grimm</surname><given-names>D</given-names></name> <name><surname>Kr&#x00FC;ger</surname><given-names>M</given-names></name></person-group>. <article-title>Challenges for the human immune system after leaving earth</article-title>. <source>NPJ Microgravity</source>. (<year>2024</year>) <volume>10</volume>:<fpage>106</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41526-024-00446-9</pub-id>, <pub-id pub-id-type="pmid">39557881</pub-id></mixed-citation></ref>
<ref id="ref38"><label>38.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qi</surname><given-names>J</given-names></name> <name><surname>Zhou</surname><given-names>S</given-names></name> <name><surname>Wang</surname><given-names>G</given-names></name> <name><surname>Hua</surname><given-names>R</given-names></name> <name><surname>Wang</surname><given-names>X</given-names></name> <name><surname>He</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title>The antioxidant <italic>Dendrobium officinale</italic> polysaccharide modulates host metabolism and gut microbiota to alleviate high-fat diet-induced atherosclerosis in ApoE(&#x2212;/&#x2212;) mice</article-title>. <source>Antioxidants</source>. (<year>2024</year>) <volume>13</volume>:<fpage>599</fpage>. doi: <pub-id pub-id-type="doi">10.3390/antiox13050599</pub-id>, <pub-id pub-id-type="pmid">38790704</pub-id></mixed-citation></ref>
<ref id="ref39"><label>39.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yuan</surname><given-names>T</given-names></name> <name><surname>Cheng</surname><given-names>X</given-names></name> <name><surname>Shen</surname><given-names>L</given-names></name> <name><surname>Liu</surname><given-names>Z</given-names></name> <name><surname>Ye</surname><given-names>X</given-names></name> <name><surname>Yan</surname><given-names>Z</given-names></name> <etal/></person-group>. <article-title>Novel human Milk fat substitutes based on medium- and long-chain triacylglycerol regulate thermogenesis, lipid metabolism, and gut microbiota diversity in C57BL/6J mice</article-title>. <source>J Agric Food Chem</source>. (<year>2024</year>) <volume>72</volume>:<fpage>6213</fpage>&#x2013;<lpage>25</lpage>. doi: <pub-id pub-id-type="doi">10.1021/acs.jafc.3c07902</pub-id>, <pub-id pub-id-type="pmid">38501388</pub-id></mixed-citation></ref>
<ref id="ref40"><label>40.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pu</surname><given-names>M</given-names></name> <name><surname>Wang</surname><given-names>Q</given-names></name> <name><surname>Hui</surname><given-names>Y</given-names></name> <name><surname>Zhao</surname><given-names>A</given-names></name> <name><surname>Wei</surname><given-names>L</given-names></name> <name><surname>Chen</surname><given-names>L</given-names></name> <etal/></person-group>. <article-title>Untargeted metabolomics analysis of probiotic jujube juice and its anti-obesity effects on high-fat-diet-induced obese mice</article-title>. <source>J Sci Food Agric</source>. (<year>2024</year>) <volume>104</volume>:<fpage>4989</fpage>&#x2013;<lpage>5000</lpage>. doi: <pub-id pub-id-type="doi">10.1002/jsfa.13353</pub-id>, <pub-id pub-id-type="pmid">38308575</pub-id></mixed-citation></ref>
<ref id="ref41"><label>41.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shin</surname><given-names>HH</given-names></name> <name><surname>Kim</surname><given-names>JH</given-names></name> <name><surname>Jung</surname><given-names>YJ</given-names></name> <name><surname>Kwak</surname><given-names>MS</given-names></name> <name><surname>Sung</surname><given-names>MH</given-names></name> <name><surname>Imm</surname><given-names>JY</given-names></name></person-group>. <article-title>Postbiotic potential of <italic>Bacillus velezensis</italic> KMU01 cell-free supernatant for the alleviation of obesity in mice</article-title>. <source>Heliyon</source>. (<year>2024</year>) <volume>10</volume>:<fpage>e25263</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.heliyon.2024.e25263</pub-id>, <pub-id pub-id-type="pmid">38495172</pub-id></mixed-citation></ref>
<ref id="ref42"><label>42.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname><given-names>JT</given-names></name> <name><surname>Chan</surname><given-names>GC</given-names></name> <name><surname>Li</surname><given-names>JC</given-names></name></person-group>. <article-title>Systemic effects of gut microbiota and its relationship with disease and modulation</article-title>. <source>BMC Immunol</source>. (<year>2015</year>) <volume>16</volume>:<fpage>21</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12865-015-0083-2</pub-id>, <pub-id pub-id-type="pmid">25896342</pub-id></mixed-citation></ref>
<ref id="ref43"><label>43.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fusco</surname><given-names>W</given-names></name> <name><surname>Lorenzo</surname><given-names>MB</given-names></name> <name><surname>Cintoni</surname><given-names>M</given-names></name> <name><surname>Porcari</surname><given-names>S</given-names></name> <name><surname>Rinninella</surname><given-names>E</given-names></name> <name><surname>Kaitsas</surname><given-names>F</given-names></name> <etal/></person-group>. <article-title>Short-chain fatty-acid-producing Bacteria: key components of the human gut microbiota</article-title>. <source>Nutrients</source>. (<year>2023</year>) <volume>15</volume>:<fpage>2211</fpage>. doi: <pub-id pub-id-type="doi">10.3390/nu15092211</pub-id>, <pub-id pub-id-type="pmid">37432351</pub-id></mixed-citation></ref>
<ref id="ref44"><label>44.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>P</given-names></name> <name><surname>Zhang</surname><given-names>K</given-names></name> <name><surname>Ma</surname><given-names>X</given-names></name> <name><surname>He</surname><given-names>P</given-names></name></person-group>. <article-title>Clostridium species as probiotics: potentials and challenges</article-title>. <source>J Animal Sci Biotechnol</source>. (<year>2020</year>) <volume>11</volume>:<fpage>24</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s40104-019-0402-1</pub-id>, <pub-id pub-id-type="pmid">32099648</pub-id></mixed-citation></ref>
<ref id="ref45"><label>45.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>Y</given-names></name> <name><surname>Liu</surname><given-names>W</given-names></name> <name><surname>Luo</surname><given-names>X</given-names></name> <name><surname>Zhao</surname><given-names>M</given-names></name> <name><surname>Wang</surname><given-names>J</given-names></name> <name><surname>Ullah</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>Lauric-&#x03B1;-linolenic lipids modulate gut microbiota, preventing obesity, insulin resistance and inflammation in high-fat diet mice</article-title>. <source>NPJ Sci Food</source>. (<year>2024</year>) <volume>8</volume>:<fpage>115</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41538-024-00349-9</pub-id>, <pub-id pub-id-type="pmid">39738097</pub-id></mixed-citation></ref>
<ref id="ref46"><label>46.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cao</surname><given-names>YG</given-names></name> <name><surname>Bae</surname><given-names>S</given-names></name> <name><surname>Villarreal</surname><given-names>J</given-names></name> <name><surname>Moy</surname><given-names>M</given-names></name> <name><surname>Chun</surname><given-names>E</given-names></name> <name><surname>Michaud</surname><given-names>M</given-names></name> <etal/></person-group>. <article-title>Faecalibaculum rodentium remodels retinoic acid signaling to govern eosinophil-dependent intestinal epithelial homeostasis</article-title>. <source>Cell Host Microbe</source>. (<year>2022</year>) <volume>30</volume>:<fpage>1295</fpage>&#x2013;<lpage>310.e8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chom.2022.07.015</pub-id>, <pub-id pub-id-type="pmid">35985335</pub-id></mixed-citation></ref>
<ref id="ref47"><label>47.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akhtar</surname><given-names>M</given-names></name> <name><surname>Chen</surname><given-names>Y</given-names></name> <name><surname>Ma</surname><given-names>Z</given-names></name> <name><surname>Zhang</surname><given-names>X</given-names></name> <name><surname>Shi</surname><given-names>D</given-names></name> <name><surname>Khan</surname><given-names>JA</given-names></name> <etal/></person-group>. <article-title>Gut microbiota-derived short chain fatty acids are potential mediators in gut inflammation</article-title>. <source>Animal Nutr</source>. (<year>2022</year>) <volume>8</volume>:<fpage>350</fpage>&#x2013;<lpage>60</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.aninu.2021.11.005</pub-id>, <pub-id pub-id-type="pmid">35510031</pub-id></mixed-citation></ref>
<ref id="ref48"><label>48.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>de la Cuesta-Zuluaga</surname><given-names>J</given-names></name> <name><surname>Mueller</surname><given-names>NT</given-names></name> <name><surname>&#x00C1;lvarez-Quintero</surname><given-names>R</given-names></name> <name><surname>Vel&#x00E1;squez-Mej&#x00ED;a</surname><given-names>EP</given-names></name> <name><surname>Sierra</surname><given-names>JA</given-names></name> <name><surname>Corrales-Agudelo</surname><given-names>V</given-names></name> <etal/></person-group>. <article-title>Higher fecal short-chain fatty acid levels are associated with gut microbiome dysbiosis, obesity, hypertension and cardiometabolic disease risk factors</article-title>. <source>Nutrients</source>. (<year>2018</year>) <volume>11</volume>:<fpage>51</fpage>. doi: <pub-id pub-id-type="doi">10.3390/nu11010051</pub-id></mixed-citation></ref>
<ref id="ref49"><label>49.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname><given-names>J</given-names></name> <name><surname>Takakura</surname><given-names>A</given-names></name> <name><surname>Zandi-Nejad</surname><given-names>K</given-names></name> <name><surname>Charles</surname><given-names>JF</given-names></name></person-group>. <article-title>Mechanisms of gut microbiota-mediated bone remodeling</article-title>. <source>Gut Microbes</source>. (<year>2018</year>) <volume>9</volume>:<fpage>84</fpage>&#x2013;<lpage>92</lpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2017.1371893</pub-id>, <pub-id pub-id-type="pmid">28961041</pub-id></mixed-citation></ref>
<ref id="ref50"><label>50.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lucas</surname><given-names>S</given-names></name> <name><surname>Omata</surname><given-names>Y</given-names></name> <name><surname>Hofmann</surname><given-names>J</given-names></name> <name><surname>Bottcher</surname><given-names>M</given-names></name> <name><surname>Iljazovic</surname><given-names>A</given-names></name> <name><surname>Sarter</surname><given-names>K</given-names></name> <etal/></person-group>. <article-title>Short-chain fatty acids regulate systemic bone mass and protect from pathological bone loss</article-title>. <source>Nat Commun</source>, (<year>2018</year>). <volume>9</volume>:<fpage>55</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-017-02490-4</pub-id></mixed-citation></ref>
<ref id="ref51"><label>51.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>You</surname><given-names>K</given-names></name> <name><surname>Yang</surname><given-names>L</given-names></name> <name><surname>Su</surname><given-names>Z</given-names></name> <name><surname>Shen</surname><given-names>J</given-names></name> <name><surname>Fan</surname><given-names>X</given-names></name> <name><surname>Guo</surname><given-names>Y</given-names></name> <etal/></person-group>. <article-title>Butyric acid modulates gut microbiota to alleviate inflammation and secondary bone loss in ankylosing spondylitis</article-title>. <source>Biomedicine</source>. (<year>2024</year>) <volume>13</volume>:<fpage>9</fpage>. doi: <pub-id pub-id-type="doi">10.3390/biomedicines13010009</pub-id>, <pub-id pub-id-type="pmid">39857593</pub-id></mixed-citation></ref>
<ref id="ref52"><label>52.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>KC</given-names></name> <name><surname>Lin</surname><given-names>CY</given-names></name> <name><surname>Chuang</surname><given-names>PY</given-names></name> <name><surname>Yang</surname><given-names>TY</given-names></name> <name><surname>Tsai</surname><given-names>YH</given-names></name> <name><surname>Li</surname><given-names>YY</given-names></name> <etal/></person-group>. <article-title>Microbiota diversity and its influence on diabetic osteoporosis development</article-title>. <source>Biochem Biophys Res Commun</source>. (<year>2025</year>) <volume>790</volume>:<fpage>152884</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bbrc.2025.152884</pub-id>, <pub-id pub-id-type="pmid">41172807</pub-id></mixed-citation></ref>
<ref id="ref53"><label>53.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>F</given-names></name> <name><surname>Wu</surname><given-names>W</given-names></name> <name><surname>Sun</surname><given-names>M</given-names></name> <name><surname>Bilotta</surname><given-names>AJ</given-names></name> <name><surname>Yao</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>GPR43 mediates microbiota metabolite SCFA regulation of antimicrobial peptide expression in intestinal epithelial cells via activation of mTOR and STAT3</article-title>. <source>Mucosal Immunol</source>. (<year>2018</year>) <volume>11</volume>:<fpage>752</fpage>&#x2013;<lpage>62</lpage>. doi: <pub-id pub-id-type="doi">10.1038/mi.2017.118</pub-id>, <pub-id pub-id-type="pmid">29411774</pub-id></mixed-citation></ref>
<ref id="ref54"><label>54.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>N</given-names></name> <name><surname>Li</surname><given-names>C</given-names></name> <name><surname>Zhang</surname><given-names>Z</given-names></name></person-group>. <article-title>Arctigenin ameliorates high-fat diet-induced metabolic disorders by reshaping gut microbiota and modulating GPR/HDAC3 and TLR4/NF-&#x03BA;B pathways</article-title>. <source>Phytomedicine</source>. (<year>2024</year>) <volume>135</volume>:<fpage>156123</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.phymed.2024.156123</pub-id>, <pub-id pub-id-type="pmid">39396403</pub-id></mixed-citation></ref>
<ref id="ref55"><label>55.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>J</given-names></name> <name><surname>Yang</surname><given-names>Q</given-names></name> <name><surname>Wei</surname><given-names>W</given-names></name> <name><surname>Huo</surname><given-names>J</given-names></name> <name><surname>Wang</surname><given-names>W</given-names></name></person-group>. <article-title><italic>Codonopsis pilosula</italic> polysaccharide alleviates ulcerative colitis by modulating gut microbiota and SCFA/GPR/NLRP3 pathway</article-title>. <source>J Ethnopharmacol</source>. (<year>2025</year>) <volume>337</volume>:<fpage>118928</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jep.2024.118928</pub-id>, <pub-id pub-id-type="pmid">39393557</pub-id></mixed-citation></ref>
<ref id="ref56"><label>56.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Du</surname><given-names>HX</given-names></name> <name><surname>Yue</surname><given-names>SY</given-names></name> <name><surname>Niu</surname><given-names>D</given-names></name> <name><surname>Liu</surname><given-names>C</given-names></name> <name><surname>Zhang</surname><given-names>LG</given-names></name> <name><surname>Chen</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title>Gut microflora modulates Th17/Treg cell differentiation in experimental autoimmune prostatitis via the short-chain fatty acid propionate</article-title>. <source>Front Immunol</source>. (<year>2022</year>) <volume>13</volume>:<fpage>915218</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fimmu.2022.915218</pub-id>, <pub-id pub-id-type="pmid">35860242</pub-id></mixed-citation></ref>
<ref id="ref57"><label>57.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arpaia</surname><given-names>N</given-names></name> <name><surname>Campbell</surname><given-names>C</given-names></name> <name><surname>Fan</surname><given-names>X</given-names></name> <name><surname>Dikiy</surname><given-names>S</given-names></name> <name><surname>van der Veeken</surname><given-names>J</given-names></name> <name><surname>deRoos</surname><given-names>P</given-names></name> <etal/></person-group>. <article-title>Metabolites produced by commensal bacteria promote peripheral regulatory T-cell generation</article-title>. <source>Nature</source>. (<year>2013</year>) <volume>504</volume>:<fpage>451</fpage>&#x2013;<lpage>5</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nature12726</pub-id>, <pub-id pub-id-type="pmid">24226773</pub-id></mixed-citation></ref>
<ref id="ref58"><label>58.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Y</given-names></name> <name><surname>Hu</surname><given-names>G</given-names></name> <name><surname>Jia</surname><given-names>Y</given-names></name> <name><surname>Qin</surname><given-names>L</given-names></name> <name><surname>Xu</surname><given-names>L</given-names></name> <name><surname>Chang</surname><given-names>Y</given-names></name> <etal/></person-group>. <article-title>Wnt10b knockdown regulates the relative balance of adipose tissue-resident T cells and inhibits white fat deposition</article-title>. <source>Mol Biol Rep</source>. (<year>2024</year>) <volume>51</volume>:<fpage>272</fpage>. doi: <pub-id pub-id-type="doi">10.1007/s11033-024-09249-3</pub-id>, <pub-id pub-id-type="pmid">38302806</pub-id></mixed-citation></ref>
<ref id="ref59"><label>59.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>X</given-names></name> <name><surname>Fan</surname><given-names>M</given-names></name> <name><surname>Huang</surname><given-names>W</given-names></name></person-group>. <article-title>Pleiotropic roles of FXR in liver and colorectal cancers</article-title>. <source>Mol Cell Endocrinol</source>. (<year>2022</year>) <volume>543</volume>:<fpage>111543</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.mce.2021.111543</pub-id>, <pub-id pub-id-type="pmid">34995680</pub-id></mixed-citation></ref>
<ref id="ref60"><label>60.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Degirolamo</surname><given-names>C</given-names></name> <name><surname>Modica</surname><given-names>S</given-names></name> <name><surname>Vacca</surname><given-names>M</given-names></name> <name><surname>Di Tullio</surname><given-names>G</given-names></name> <name><surname>Morgano</surname><given-names>A</given-names></name> <name><surname>D'Orazio</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Prevention of spontaneous hepatocarcinogenesis in farnesoid X receptor-null mice by intestinal-specific farnesoid X receptor reactivation</article-title>. <source>Hepatology</source>. (<year>2015</year>) <volume>61</volume>:<fpage>161</fpage>&#x2013;<lpage>70</lpage>. doi: <pub-id pub-id-type="doi">10.1002/hep.27274</pub-id>, <pub-id pub-id-type="pmid">24954587</pub-id></mixed-citation></ref>
<ref id="ref61"><label>61.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>Y</given-names></name> <name><surname>Yu</surname><given-names>Y</given-names></name> <name><surname>Chen</surname><given-names>M</given-names></name> <name><surname>Zhang</surname><given-names>H</given-names></name> <name><surname>Wang</surname><given-names>W</given-names></name> <name><surname>Fan</surname><given-names>X</given-names></name> <etal/></person-group>. <article-title>Abdominal LIPUS stimulation prevents cognitive decline in hind limb unloaded mice by regulating gut microbiota</article-title>. <source>Mol Neurobiol</source>. (<year>2025</year>) <volume>62</volume>:<fpage>7313</fpage>&#x2013;<lpage>29</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s12035-025-04709-8</pub-id>, <pub-id pub-id-type="pmid">39878866</pub-id></mixed-citation></ref>
<ref id="ref62"><label>62.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alvarez</surname><given-names>R</given-names></name> <name><surname>Stork</surname><given-names>CA</given-names></name> <name><surname>Sayoc-Becerra</surname><given-names>A</given-names></name> <name><surname>Marchelletta</surname><given-names>RR</given-names></name> <name><surname>Prisk</surname><given-names>GK</given-names></name> <name><surname>McCole</surname><given-names>DF</given-names></name></person-group>. <article-title>A simulated microgravity environment causes a sustained defect in epithelial barrier function</article-title>. <source>Sci Rep</source>. (<year>2019</year>) <volume>9</volume>:<fpage>17531</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-019-53862-3</pub-id>, <pub-id pub-id-type="pmid">31772208</pub-id></mixed-citation></ref>
<ref id="ref63"><label>63.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Candelli</surname><given-names>M</given-names></name> <name><surname>Franza</surname><given-names>L</given-names></name> <name><surname>Pignataro</surname><given-names>G</given-names></name> <name><surname>Ojetti</surname><given-names>V</given-names></name> <name><surname>Covino</surname><given-names>M</given-names></name> <name><surname>Piccioni</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Interaction between lipopolysaccharide and gut microbiota in inflammatory bowel diseases</article-title>. <source>Int J Mol Sci</source>. (<year>2021</year>) <volume>22</volume>:<fpage>6242</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms22126242</pub-id>, <pub-id pub-id-type="pmid">34200555</pub-id></mixed-citation></ref>
<ref id="ref64"><label>64.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adami</surname><given-names>G</given-names></name></person-group>. <article-title>Regulation of bone mass in inflammatory diseases</article-title>. <source>Best Pract Res Clin Endocrinol Metab</source>. (<year>2022</year>) <volume>36</volume>:<fpage>101611</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.beem.2021.101611</pub-id>, <pub-id pub-id-type="pmid">35120799</pub-id></mixed-citation></ref>
<ref id="ref65"><label>65.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>H&#x00F8;jsager</surname><given-names>FD</given-names></name> <name><surname>Rand</surname><given-names>MS</given-names></name> <name><surname>Pedersen</surname><given-names>SB</given-names></name> <name><surname>Nissen</surname><given-names>N</given-names></name> <name><surname>J&#x00F8;rgensen</surname><given-names>NR</given-names></name></person-group>. <article-title>Fracture-induced changes in biomarkers CTX, PINP, OC, and BAP-a systematic review</article-title>. <source>Osteoporos Int</source>. (<year>2019</year>) <volume>30</volume>:<fpage>2381</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00198-019-05132-1</pub-id>, <pub-id pub-id-type="pmid">31446441</pub-id></mixed-citation></ref>
<ref id="ref66"><label>66.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>T</given-names></name> <name><surname>Song</surname><given-names>X</given-names></name> <name><surname>An</surname><given-names>Y</given-names></name> <name><surname>Wu</surname><given-names>X</given-names></name> <name><surname>Zhang</surname><given-names>W</given-names></name> <name><surname>Li</surname><given-names>J</given-names></name> <etal/></person-group>. <article-title><italic>Lactobacillus rhamnosus</italic> GG colonization in early life ameliorates Inflammaging of offspring by activating SIRT1/AMPK/PGC-1&#x03B1; pathway</article-title>. <source>Oxidative Med Cell Longev</source>. (<year>2021</year>) <volume>2021</volume>:<fpage>3328505</fpage>. doi: <pub-id pub-id-type="doi">10.1155/2021/3328505</pub-id>, <pub-id pub-id-type="pmid">34804363</pub-id></mixed-citation></ref>
<ref id="ref67"><label>67.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Han</surname><given-names>X</given-names></name> <name><surname>Lee</surname><given-names>A</given-names></name> <name><surname>Huang</surname><given-names>S</given-names></name> <name><surname>Gao</surname><given-names>J</given-names></name> <name><surname>Spence</surname><given-names>JR</given-names></name> <name><surname>Owyang</surname><given-names>C</given-names></name></person-group>. <article-title><italic>Lactobacillus rhamnosus</italic> GG prevents epithelial barrier dysfunction induced by interferon-gamma and fecal supernatants from irritable bowel syndrome patients in human intestinal enteroids and colonoids</article-title>. <source>Gut Microbes</source>. (<year>2019</year>) <volume>10</volume>:<fpage>59</fpage>&#x2013;<lpage>76</lpage>. doi: <pub-id pub-id-type="doi">10.1080/19490976.2018.1479625</pub-id>, <pub-id pub-id-type="pmid">30040527</pub-id></mixed-citation></ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0002">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/927672/overview">Balamurugan Ramadass</ext-link>, All India Institute of Medical Sciences Bhubaneswar, India</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0003">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2360946/overview">Marius Emil Rusu</ext-link>, University of Medicine and Pharmacy Iuliu Hatieganu, Romania</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3213508/overview">Ke You</ext-link>, University of Macau, Macau SAR, China</p>
</fn>
</fn-group>
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</article>