PMID- 30690795 OWN - NLM STAT- MEDLINE DCOM- 20200715 LR - 20231012 IS - 1523-4681 (Electronic) IS - 0884-0431 (Print) IS - 0884-0431 (Linking) VI - 34 IP - 4 DP - 2019 Apr TI - Probiotic Lactobacillus reuteri Prevents Postantibiotic Bone Loss by Reducing Intestinal Dysbiosis and Preventing Barrier Disruption. PG - 681-698 LID - 10.1002/jbmr.3635 [doi] AB - Antibiotic treatment, commonly prescribed for bacterial infections, depletes and subsequently causes long-term alterations in intestinal microbiota composition. Knowing the importance of the microbiome in the regulation of bone density, we investigated the effect of postantibiotic treatment on gut and bone health. Intestinal microbiome repopulation at 4-weeks postantibiotic treatment resulted in an increase in the Firmicutes:Bacteroidetes ratio, increased intestinal permeability, and notably reduced femoral trabecular bone volume (approximately 30%, p < 0.01). Treatment with a mucus supplement (a high-molecular-weight polymer, MDY-1001 [MDY]) prevented the postantibiotic-induced barrier break as well as bone loss, indicating a mechanistic link between increased intestinal permeability and bone loss. A link between the microbiome composition and bone density was demonstrated by supplementing the mice with probiotic bacteria. Specifically, Lactobacillus reuteri, but not Lactobacillus rhamnosus GG or nonpathogenic Escherichia coli, reduced the postantibiotic elevation of the Firmicutes:Bacteroidetes ratio and prevented femoral and vertebral trabecular bone loss. Consistent with causing bone loss, postantibiotic-induced dysbiosis decreased osteoblast and increased osteoclast activities, changes that were prevented by both L. reuteri and MDY. These data underscore the importance of microbial dysbiosis in the regulation of intestinal permeability and bone health, as well as identify L. reuteri and MDY as novel therapies for preventing these adverse effects. (c) 2018 American Society for Bone and Mineral Research. CI - (c) 2018 American Society for Bone and Mineral Research. FAU - Schepper, Jonathan D AU - Schepper JD AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. FAU - Collins, Fraser L AU - Collins FL AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. FAU - Rios-Arce, Naiomy Deliz AU - Rios-Arce ND AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. AD - Comparative Medicine and Integrative Biology Program, Michigan State University, East Lansing, MI, USA. FAU - Raehtz, Sandi AU - Raehtz S AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. FAU - Schaefer, Laura AU - Schaefer L AD - Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA. FAU - Gardinier, Joseph D AU - Gardinier JD AD - Henry Ford Health System-Bone and Joint Center, Detroit, MI, USA. FAU - Britton, Robert A AU - Britton RA AD - Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA. FAU - Parameswaran, Narayanan AU - Parameswaran N AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. FAU - McCabe, Laura R AU - McCabe LR AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. LA - eng GR - AT007695/National Institute of Health/International GR - R01 DK101050/DK/NIDDK NIH HHS/United States GR - R01 AT007695/AT/NCCIH NIH HHS/United States GR - P30 DK020572/DK/NIDDK NIH HHS/United States GR - RO1 DK101050/National Institute of Health/International PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190128 PL - England TA - J Bone Miner Res JT - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research JID - 8610640 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Animals MH - Anti-Bacterial Agents/*adverse effects/pharmacology MH - Bacteroides/classification/growth & development MH - *Bone Resorption/chemically induced/microbiology/pathology/prevention & control MH - *Dysbiosis/chemically induced/microbiology/prevention & control MH - Firmicutes/classification/growth & development MH - Gastrointestinal Microbiome/*drug effects MH - *Limosilactobacillus reuteri MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Probiotics/*pharmacology PMC - PMC6557403 MID - NIHMS1023688 OTO - NOTNLM OT - AMPICILLIN OT - ANTIBIOTIC OT - DYSBIOSIS OT - INTESTINAL PERMEABILITY OT - MICROBIOTA OT - OSTEOBLAST OT - OSTEOCLAST OT - TRABECULAR BONE EDAT- 2019/01/29 06:00 MHDA- 2020/07/16 06:00 PMCR- 2020/04/01 CRDT- 2019/01/29 06:00 PHST- 2018/08/31 00:00 [received] PHST- 2018/10/24 00:00 [revised] PHST- 2018/11/11 00:00 [accepted] PHST- 2019/01/29 06:00 [pubmed] PHST- 2020/07/16 06:00 [medline] PHST- 2019/01/29 06:00 [entrez] PHST- 2020/04/01 00:00 [pmc-release] AID - 10.1002/jbmr.3635 [doi] PST - ppublish SO - J Bone Miner Res. 2019 Apr;34(4):681-698. doi: 10.1002/jbmr.3635. Epub 2019 Jan 28.