Title UČINAK KORTIKOSTEROIDA NA KOŠTANI METABOLIZAM
TIJEKOM UPALNE BOLESTI CRIJEVA U ŠTAKORA
Title (english) THE EFFECT OF CORTICOSTEROIDS
ON BONE METABOLISM DURING
INFLAMMATORY BOWEL DISEASE IN RATS
Author Ivana Smoljan
Mentor Ivana Marić (mentor)
Mentor Sandra Milić (komentor)
Committee member Tanja Ćelić (predsjednik povjerenstva)
Committee member Silvija Čuković-Čavka (član povjerenstva)
Committee member Lara Batičić (član povjerenstva)
Committee member Ivana Marić (član povjerenstva)
Committee member Sandra Milić (član povjerenstva)
Granter University of Rijeka Faculty of Medicine Rijeka
Defense date and country 2025, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Basic Medical Sciences
Universal decimal classification (UDC ) 61 - Medical sciences
Abstract Cilj istraživanja: Upalna bolest crijeva (UBC) povećava rizik od osteoporoze i
patoloških prijeloma kostiju, što utječe na porast morbiditeta i mortaliteta u ovih
bolesnika i povećava ekonomsko opterećenje zdravstvenog sustava. Gubitak koštane
mase u UBC najvećim je dijelom pod utjecajem RANKL/RANK/OPG sustava, a
pogoršava se terapijskom primjenom kortikosteroida (KS). Koštani morfogenetski
protein 7 (BMP7, eng. bone morphogenetic protein 7) ima složenu ulogu u koštanom
metabolizmu i upalnim procesima, ali nedovoljno je poznata njegova protuupalna i
osteoprotektivna uloga u kroničnom kolitisu. Istražili smo utjecaj sustavne primjene
BMP7 i KS na težinu upalnih promjena, diferencijaciju makrofaga i regeneraciju kosti
u pokusnom modelu kolitisa.
Materijali i metode: Akutni i kronični kolitis induciran je u muških Sprague Dawley
štakora intrarektalnom primjenom 2,4,6-trinitrobenzenesulfonske kiseline (TNBS), a
zatim je slijedila primjena BMP7 i KS kroz pet dana. Akutni kolitis induciran je
jednokratnom primjenom TNBS-a, a kronični kolitis tjednom primjenom TNBS-a kroz
21 dan. U tkivu crijeva i serumu ispitali smo razine inflamatornih citokina, molekula
RANKL/RANK/OPG sustava te markere polarizacije makrofaga pomoću RT-qPCR,
ELISA i imunohistokemijske metode. Koštane morfometrijske parametre analizirali
smo pomoću mikrokompjuterizirane tomografije (micro-CT).
Rezultati: Nakon primjene BMP7 ublažena je upala crijeva i povećane su vrijednosti
OPG i RANK-a u tkivu crijeva, uz smanjenje razine TNF-α i povećanje razine IL-10 i
TGF-β. U usporedbi s kolitisom, nakon BMP7 tretmana utvrđen je smanjen izražaj
CD163, biljega M2 makrofaga, a za iNOS, biljeg M1 makrofaga, nije nađena razlika
među grupama. BMP7 je također poboljšao morfometrijske parametre trabekularne
kosti.
Zaključak: Utvrdili smo da BMP7 smanjuje upalni odgovor u kroničnoj upalnoj bolesti
crijeva, u ovom radu Crohnovoj bolesti, uglavnom modulacijom citokinskog profila i
molekula RANKL/RANK/OPG sustava, bez utjecaja na polarizaciju makrofaga. S
obzirom na pozitivan utjecaj na koštani metabolizam, BMP7 bi mogao imati važnu
ulogu u ublažavanju osteoporoze u upalnoj bolesti crijeva te bi njegov terapijski
potencijal trebalo detaljnije istražiti u daljnjim studijama.
Abstract (english) Objectives: Patients with inflammatory bowel disease (IBD) have an increased risk of
osteoporosis and fractures, which rises morbidity and mortality rates and poses a high
economic burden on healthcare systems. Bone loss in IBD is a process mostly
controlled by the RANKL/RANK/OPG system and is aggravated by corticosteroid
treatment. Bone morphogenetic protein 7 (BMP7) has a complex role in bone
metabolism and inflammation but little is known about its anti-inflammatory and
osteoprotective potential in chronic colitis. We investigated the effect of systemically
administered BMP7 and corticosteroids on the severity of inflammation, macrophage
differentiation, and bone regeneration in a colitis model.
Material and methods: Acute and chronic colitis were induced in male Sprague
Dawley rats via intrarectal administration of 2,4,6-trinitrobenzenesulfonic acid (TNBS)
following BMP7 or corticosteroid systemic treatment for five days. Acute colitis was
induced by a single TNBS administration while chronic colitis was induced by weekly
TNBS administration for 21 days. The levels of serum and colon tissue inflammatory
cytokines, RANKL/OPG system components, as well as markers of macrophage
polarization, were detected using RT-qPCR, ELISA, or immunohistochemistry. Long
bone analyses were performed using microcomputed tomography (micro-CT).
Results: BMP7 ameliorated inflammation and led to elevated OPG and RANK in the
colon with a simultaneous decrease in TNF-α and an increase in IL-10 and TGF-β.
Decreased expression of the M2 macrophage marker CD163 was found in the BMP7
treated rats compared with the colitis group, whereas the number of M1 marker iNOS
positive cells did not differ between the groups. BMP7 also improved morphometric
parameters of trabecular bone.
Conclusions: We showed that BMP7 suppressed inflammatory response in IBD, in
this study in Crohn colitis, mainly by shifting the cytokine balance and by triggering
alterations in the RANKL/OPG system rather than through a macrophage polarization
imbalance. In addition, considering the demonstrated effect of BMP7 on bone
morphology and structure, it can be suggested that BMP7 plays a role in improving
osteoporosis in IBD, and thus, its therapeutic potential in the treatment of IBD should
be evaluated in further studies.
Keywords
aktivacija makrofaga
citokini
koštana mikroarhitektura
koštani morfogenetski proteini
ligand receptora za pobudu jezgrinog čimbenika κB
osteoprotegerin
upalna bolest crijeva
Keywords (english)
bone microarchitecture
bone morphogenetic proteins
cytokines
inflammatory bowel disease
macrophage activation
nuclear factor-κB ligand activator
osteoprotegerin
Language croatian
URN:NBN urn:nbn:hr:184:425922
Promotion 2025
Project Number: 062-0620226-0209 Title: Koštani morfogenetski protein-7 i kost u modelu upalne bolesti crijeva Title: Bone morphogenetic protein-7 and bone in experimental inflammatory bowel disease Leader: Ivana Marić Jurisdiction: Croatia Funder: Ministarstvo znanosti, obrazovanja i mladih Republike Hrvatske Funding stream: zProjects
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
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Created on 2025-03-28 12:39:56