Osteoporosis, bone & mineral

Complement factor H (CFH), an immune factor enhances osteoblast differentiation and correlates with bone density

J Bone Miner ResPublished Mechanistic study

Authors' conclusion

These findings establish CFH as a key regulator of osteogenesis and bone homeostasis, with potential implications for bone-related disorders.

Study context

Population
Human bone marrow skeletal stem cells (hBMSCs), CFH-deficient (CFH-/-) mice and patients (bone marrow plasma and plasma CFH levels)
Comparison
CFH deficiency vs CFH overexpression/supplementation and wild-type
Outcome
Effects of CFH on OB differentiation and bone homeostasis
Methodological detailsin vitro hBMSC experiments, CFH-deficient mice, clinical association analysis
  • In vitro hBMSC experiments
  • CFH-deficient mice
  • Clinical association analysis

Main finding

As reported in the abstract

  • CFH-deficient hBMSCs exhibited impaired osteoblast (OB) differentiation; CFH overexpression or supplementation enhanced OB differentiation
  • CFH-/- mice: reduced trabecular and cortical bone mass, decreased bone formation, diminished bone strength
  • CFH-/- mBMSCs: reduced osteogenesis, enhanced osteoclast differentiation; lower serum P1NP, elevated TRAPc and CTX-1
  • CFH-/- mice: delayed fracture healing and accelerated bone loss after ovariectomy or high-fat diet
  • Bone marrow plasma CFH negatively correlated with fracture risk in patients
  • Plasma CFH positively associated with bone mineral density (BMD) and significantly reduced in osteoporosis

Original publication

Complement factor H (CFH), an immune factor enhances osteoblast differentiation and correlates with bone density. J Bone Miner Res. Published 16 June 2026. doi:10.1093/jbmr/zjag095

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