Osteoporosis, bone & mineral

Bacterial Lipopolysaccharides Exacerbate Neurogenic Heterotopic Ossification Development

J Bone Miner ResPublished Mechanistic study

Authors' conclusion

Together these data suggest a functional association between gram-negative bacterial infections and NHO development

Study context

Population
Mice with spinal cord injury (SCI) between vertebrae T11 to T13; human fibro-adipogenic progenitors from muscles surrounding neurogenic heterotopic ossifications (NHO) biopsies; patients with traumatic brain injuries
Comparison
Lipopolysaccharides (LPS) exposure vs none in mouse model of NHO induced by SCI
Outcome
NHO development
Methodological detailsmouse model of SCI-induced NHO, human cell culture, case-control retrospective study
  • Mouse model of SCI-induced NHO
  • Human cell culture
  • Case-control retrospective study

Main finding

As reported in the abstract

  • LPS from gram-negative bacteria exacerbate NHO development in a TLR4-dependent manner, signaling through TRIF/TICAM1 rather than MYD88
  • T11 to T13 SCI did not significantly alter intestinal integrity nor cause intestinal bacteria translocation or endotoxemia
  • LPS increased expression of osteoblast markers in cultures of human fibro-adipogenic progenitors
  • In patients with traumatic brain injuries, infections with gram-negative Pseudomonas species were significantly associated with NHO development

Original publication

Bacterial Lipopolysaccharides Exacerbate Neurogenic Heterotopic Ossification Development. J Bone Miner Res. Published 23 September 2023. doi:10.1002/jbmr.4905

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