Effects of minas frescal cheese enriched with Lactobacillus acidophilus La-05 on bone health in a preclinical model of chronic kidney disease
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Manuela Fernandes da Silva Melo
, Jéssica da Costa Mota
, Patricia Pereira Almeida
, Beatriz Oliveira Da Cruz
, Michele Lima Brito
, Renato de Souza Abboud
, Jonas de Toledo Guimarães
und Milena Barcza Stockler-Pinto
Abstract
Objectives
Milk products are good vehicles for probiotics due to their physical-chemical characteristics, improving probiotic survival in food and in the gastrointestinal tract. Lactobacillus acidophilus La-05 is known to modulate gut microbiota, and probiotics have been reported to influence mineral absorption by improving the gut microbiota profile, highlighting the gut-bone axis. This intervention could be relevant in nephrology due to the high prevalence of renal osteodystrophy in chronic kidney disease (CKD). Given the potential role of gut microbiota in bone metabolism, this is the first study to evaluate the effects of consuming Minas Frescal cheese enriched with L. acidophilus La-05 on bone parameters in nephrectomized Wistar rats.
Methods
Rats were divided into Sham and CKD groups receiving conventional or probiotic-enriched Minas cheese (20 g/day) for 6 weeks. Bone mineral density (BMD) of the femur and tibia was measured using dual-energy X-ray absorptiometry, and femoral biomechanical properties (maximum force, breaking strength, flexural modulus) were assessed using a three-point bending test.
Results
CKD significantly reduced tibial (0.08 ± 0.01 vs. 0.11 ± 0.01 g/cm3, p=0.0147) and femoral (0.14 ± 0.01 vs. 0.16 ± 0.01 g/cm3, p=0.0217) BMD in rats, and probiotic supplementation did not mitigate this loss. Probiotic intervention was associated with a significant decrease in femur length in CKD rats (3.74 ± 0.14 vs. 3.92 ± 0.10 mm, p=0.0221).
Conclusions
Short-term probiotic supplementation in a cheese matrix did not improve BMD or femoral biomechanics, suggesting a limited effect on CKD-related bone loss.
Funding source: Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ)
Award Identifier / Grant number: E−26/201.373/2021
Funding source: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Funding source: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) – Brazil
Award Identifier / Grant number: Code 001
Funding source: Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Award Identifier / Grant number: 2022/14824-4
Acknowledgments
We are grateful to the Fluminense Federal University laboratories below for their support: Integrated Food and Nutrition Center (CIAN), Nutritional and Functional Assessment Laboratory (LANUFF), Restorative Biomaterials Analytical Laboratory (LABiom-R), Clinical Research Unit (UPC)—Antônio Pedro University Hospital, and Multi-User Cryogenics Laboratory (CRIO). We would also like to thank all the collaborators involved in the laboratory’s routine activities.
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Research ethics: The study complied with all current regulations on the use and handling of animals in research. The university’s ethics committee approval number is 2304150818/2018.
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Informed consent: Not applicable.
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Author contributions: Manuela Fernandes da Silva Melo, Jéssica da Costa Mota, Nathalia da Silva Costa, and Milena Barcza Stockler-Pinto were responsible for the conception, drafting, interpretation of data, design, and revision of the article, contributing intellectual content of critical relevance to the described work. Jéssica da Costa Mota, Joana Ramos de Araujo, Patricia Pereira Almeida, Beatriz Oliveira Da Cruz, Michele Lima Brito, Renato de Souza Abboud, and Eduardo Moreira da Silva were responsible for the collection, analysis, and interpretation of data. Ramon Silva Rocha, Adriano Gomes da Cruz, and Jonas Toledo Guimarães were responsible for the interpretation of data and revision of the article, contributing intellectual content of critical relevance to he described work.
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Use of Large Language Models, AI and Machine Learning Tools: Figures were created using Canva and BioRender (BioRender.com).
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Conflict of interest: Authors state no conflict of interest.
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Research funding: This study was supported by [Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ) [E−26/201.373/2021], Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) – Brazil [Code 001] and Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) [2022/14824-4].
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Data availability: The data that support the findings of this study are available from the corresponding author, Stockler-Pinto, MB, upon reasonable request.
References
1. Connelly, K, Collister, D, Tangri, N. Fracture risk and treatment in chronic kidney disease. Curr Opin Nephrol Hypertens 2018;27:221. https://doi.org/10.1097/MNH.0000000000000411.Suche in Google Scholar PubMed
2. Tariq, MH, Sulaiman, SAS. Prevalence of osteopenia and osteoporosis among chronic kidney disease patients. Syst Rev 2020;13:5–12. https://doi.org/10.2174/1874303X02013010005.Suche in Google Scholar
3. Yamada, S, Nakano, T. Role of chronic kidney disease (CKD)-mineral and bone disorder (MBD) in the pathogenesis of cardiovascular disease in CKD. J Atherosclerosis Thromb 2023;30:835–50. https://doi.org/10.5551/jat.RV22006.Suche in Google Scholar PubMed PubMed Central
4. Cannata-Andía, JB, Martín-Carro, B, Martín-Vírgala, J, Rodríguez-Carrio, J, Bande-Fernández, JJ, Alonso-Montes, C, et al.. Chronic kidney disease-mineral and bone disorders: pathogenesis and management. Calcif Tissue Int 2021;108:410–22. https://doi.org/10.1007/s00223-020-00777-1.Suche in Google Scholar PubMed
5. Maranduca, MA, Cozma, CT, Clim, A, Pinzariu, AC, Tudorancea, I, Popa, IP, et al.. The molecular mechanisms underlying the systemic effects mediated by parathormone in the context of chronic kidney disease. Curr Issues Mol Biol 2024;46:3877–905. https://doi.org/10.3390/cimb46050241.Suche in Google Scholar PubMed PubMed Central
6. Mehreen, A, Faisal, M, Zulfiqar, B, Hays, D, Dhananjaya, K, Yaseen, F, et al.. Connecting bone remodeling and regeneration: unraveling hormones and signaling pathways. Biology 2025;14:274. https://doi.org/10.3390/biology14030274.Suche in Google Scholar PubMed PubMed Central
7. Ciosek, Ż, Kot, K, Kosik-Bogacka, D, Łanocha-Arendarczyk, N, Rotter, I. The effects of calcium, magnesium, phosphorus, fluoride, and lead on bone tissue. Biomolecules 2021;11:506. https://doi.org/10.3390/biom11040506.Suche in Google Scholar PubMed PubMed Central
8. Rodrigues, FG, Ormanji, MS, Heilberg, IP, Bakker, SJL, de Borst, MH. Interplay between gut microbiota, bone health and vascular calcification in chronic kidney disease. Eur J Clin Invest 2021;51:e13588. https://doi.org/10.1111/eci.13588.Suche in Google Scholar PubMed PubMed Central
9. Yan, J, Herzog, JW, Tsang, K, Brennan, CA, Bower, MA, Garrett, WS, et al.. Gut microbiota induce IGF-1 and promote bone formation and growth. Proc Natl Acad Sci U S A 2016;113:E7554–63. https://doi.org/10.1073/pnas.1607235113.Suche in Google Scholar PubMed PubMed Central
10. Nilsson, AG, Sundh, D, Bäckhed, F, Lorentzon, M. Lactobacillus reuteri reduces bone loss in older women with low bone mineral density: a randomized, placebo-controlled, double-blind, clinical trial. J Intern Med 2018;284:307–17. https://doi.org/10.1111/joim.12805.Suche in Google Scholar PubMed
11. Parvaneh, K, Ebrahimi, M, Sabran, MR, Karimi, G, Hwei, ANM, Abdul-Majeed, S, et al.. Probiotics (Bifidobacterium longum) increase bone mass density and upregulate sparc and Bmp-2 genes in rats with bone loss resulting from ovariectomy. BioMed Res Int 2015;2015:897639. https://doi.org/10.1155/2015/897639.Suche in Google Scholar PubMed PubMed Central
12. Mccabe, LR, Irwin, R, Schaefer, L, Britton, RA. Probiotic use decreases intestinal inflammation and increases bone density in healthy Male but not female mice. J Cell Physiol 2013;228:1793–8. https://doi.org/10.1002/jcp.24340.Suche in Google Scholar PubMed PubMed Central
13. Bose, S, Sharan, K. Effect of probiotics on postmenopausal bone health: a preclinical meta-analysis. Br J Nutr 2024;131:567–80. https://doi.org/10.1017/S0007114523002362.Suche in Google Scholar PubMed
14. Collins, FL, Rios-Arce, ND, Schepper, JD, Jones, AD, Schaefer, L, Britton, RA, et al.. Beneficial effects of Lactobacillus reuteri 6475 on bone density in Male mice is dependent on lymphocytes. Sci Rep 2019;9:14708. https://doi.org/10.1038/s41598-019-51293-8.Suche in Google Scholar PubMed PubMed Central
15. Harahap, IA, Suliburska, J. Probiotics and isoflavones as a promising therapeutic for calcium status and bone health: a narrative review. Foods Basel Switz 2021;10:2685. https://doi.org/10.3390/foods10112685.Suche in Google Scholar PubMed PubMed Central
16. Harahap, IA, Moszak, M, Czlapka-Matyasik, M, Skrypnik, K, Bogdański, P, Suliburska, J. Effects of daily probiotic supplementation with Lactobacillus acidophilus on calcium status, bone metabolism biomarkers, and bone mineral density in postmenopausal women: a controlled and randomized clinical study. Front Nutr 2024;11. https://doi.org/10.3389/fnut.2024.1401920.Suche in Google Scholar PubMed PubMed Central
17. Harahap, IA, Kuligowski, M, Schmidt, M, Kołodziejski, PA, Suliburska, J. Effects of isoflavone and probiotic intake on calcium transport and bone metabolism biomarkers in female rats. Food Sci Nutr 2023;11:6324–35. https://doi.org/10.1002/fsn3.3571.Suche in Google Scholar PubMed PubMed Central
18. Harahap, IA, Kuligowski, M, Schmidt, M, Suliburska, J. The impact of soy products, isoflavones, and Lactobacillus acidophilus on iron status and morphological parameters in healthy female rats. J Trace Elem Med Biol Organ Soc Miner Trace Elem GMS 2023;78:127183. https://doi.org/10.1016/j.jtemb.2023.127183.Suche in Google Scholar PubMed
19. Harahap, IA, Kuligowski, M, Schmidt, M, Kurzawa, P, Suliburska, J. Influence of isoflavones and probiotics on magnesium status in healthy female rats. Foods Basel Switz 2023;12:3908. https://doi.org/10.3390/foods12213908.Suche in Google Scholar PubMed PubMed Central
20. Malmir, H, Ejtahed, HS, Soroush, AR, Mortazavian, AM, Fahimfar, N, Ostovar, A, et al.. Probiotics as a new regulator for bone health: a systematic review and meta-analysis. Evid-Based Complement Altern Med ECAM 2021;2021:3582989. https://doi.org/10.1155/2021/3582989.Suche in Google Scholar PubMed PubMed Central
21. Vaziri, ND, Wong, J, Pahl, M, Piceno, YM, Yuan, J, DeSantis, TZ, et al.. Chronic kidney disease alters intestinal microbial flora. Kidney Int 2013;83:308–15. https://doi.org/10.1038/ki.2012.345.Suche in Google Scholar PubMed
22. Dong, J, Shu, G, Yang, J, Wang, B, Chen, L, Gong, Z, et al.. Mechanistic study on the alleviation of postmenopausal osteoporosis by Lactobacillus acidophilus through butyrate-mediated inhibition of osteoclast activity. Sci Rep 2024;14:7042. https://doi.org/10.1038/s41598-024-57122-x.Suche in Google Scholar PubMed PubMed Central
23. Clementino, JR, de Oliveira, LIG, Salgaço, MK, de Oliveira, FL, Mesa, V, Tavares, JF, et al.. β-Glucan alone or combined with Lactobacillus acidophilus positively influences the bacterial diversity and metabolites in the colonic microbiota of type II diabetic patients. Probiotics Antimicrob Proteins 2025. https://doi.org/10.1007/s12602-025-10491-9.Suche in Google Scholar
24. Kerry, RG, Patra, JK, Gouda, S, Park, Y, Shin, H-S, Das, G. Benefaction of probiotics for human health: a review. J Food Drug Anal 2018;26:927–39. https://doi.org/10.1016/j.jfda.2018.01.002.Suche in Google Scholar PubMed PubMed Central
25. Ondee, T, Pongpirul, K, Visitchanakun, P, Saisorn, W, Kanacharoen, S, Wongsaroj, L, et al.. Lactobacillus acidophilus LA5 improves saturated fat-induced obesity mouse model through the enhanced intestinal Akkermansia muciniphila. Sci Rep 2021;11:6367. https://doi.org/10.1038/s41598-021-85449-2.Suche in Google Scholar PubMed PubMed Central
26. Harahap, IA, Schmidt, M, Pruszyńska-Oszmałek, E, Sassek, M, Suliburska, J. Impact of Lactobacillus acidophilus and its combination with isoflavone products on calcium status, calcium transporters, and bone metabolism biomarkers in a post-menopausal osteoporotic rat model. Nutrients 2024;16:2524. https://doi.org/10.3390/nu16152524.Suche in Google Scholar PubMed PubMed Central
27. Ribeiro, KM, Pereira, LC, Souza, CHBD, Saad, SMI. [Particular behavior of different Lactobacillus acidophilus strains in petit-suisse cheese]. Arch Latinoam Nutr 2012;62:347–54.Suche in Google Scholar
28. Yilmaztekin, M, Ozer, BH, Atasoy, F. Survival of lactobacillus acidophilus LA-5 and bifidobacterium bifidum BB-02 in white-brined cheese. Int J Food Sci Nutr 2004;55:53–60. https://doi.org/10.1080/09637480310001642484.Suche in Google Scholar PubMed
29. Lopes, LAA, Pimentel, TC, Carvalho, RDSF, Madruga, MS, Galvão, MDS, Bezerra, TKA, et al.. Spreadable goat ricotta cheese added with Lactobacillus acidophilus La-05: can microencapsulation improve the probiotic survival and the quality parameters? Food Chem 2021;346:128769. https://doi.org/10.1016/j.foodchem.2020.128769.Suche in Google Scholar PubMed
30. Gao, J, Li, X, Zhang, G, Sadiq, FA, Simal-Gandara, J, Xiao, J, et al.. Probiotics in the dairy industry-advances and opportunities. Compr Rev Food Sci Food Saf 2021;20:3937–82. https://doi.org/10.1111/1541-4337.12755.Suche in Google Scholar PubMed
31. Grosso, CRF, Fávaro-Trindade, CS. Stability of free and immobilized Lactobacillus acidophilus and Bifidobacterium lactis in acidified milk and of immobilized B. lactis in yoghurt. Braz J Microbiol 2004;35:151–6. https://doi.org/10.1590/S1517-83822004000100025.Suche in Google Scholar
32. Souza, CHB, Saad, SMI. Viability of Lactobacillus acidophilus La-5 added solely or in co-culture with a yoghurt starter culture and implications on physico-chemical and related properties of minas fresh cheese during storage. LWT--Food Sci Technol 2009;42:633–40. https://doi.org/10.1016/j.lwt.2008.07.015.Suche in Google Scholar
33. Kisan, BS, Ganguly, S, Khetra, Y, Raju, PN, Ashok, SP, Sakhala, S. Effect of ricotta matrix on viability of probiotic organism exposed to simulated gastro-intestinal (GI) digestion. LWT 2021;151:112099. https://doi.org/10.1016/j.lwt.2021.112099.Suche in Google Scholar
34. Lollo, PCB, Morato, PN, Moura, CS, Almada, CN, Felicio, TL, Esmerino, EA, et al.. Hypertension parameters are attenuated by the continuous consumption of probiotic minas cheese. Food Res Int Ott Ont 2015;76:611–7. https://doi.org/10.1016/j.foodres.2015.07.015.Suche in Google Scholar PubMed
35. Sperry, MF, Silva, HLA, Balthazar, CF, Esmerino, EA, Verruck, S, Prudencio, ES, et al.. Probiotic minas frescal cheese added with L. casei 01: physicochemical and bioactivity characterization and effects on hematological/biochemical parameters of hypertensive overweighted women – a randomized double-blind pilot trial. J Funct Foods 2018;45:435–43. https://doi.org/10.1016/j.jff.2018.04.015.Suche in Google Scholar
36. Mead, R. The design of experiments: statistical principles for practical applications. New York, NY, US: Cambridge University Press; 1988.Suche in Google Scholar
37. Festing, MFW. Randomized block experimental designs can increase the power and reproducibility of laboratory animal experiments. ILAR J 2014;55:472–6. https://doi.org/10.1093/ilar/ilu045.Suche in Google Scholar PubMed
38. Almeida, PPD, Thomasi, BBDM, Costa, NDS, Valdetaro, L, Pereira, AD, Gomes, ALT, et al.. Brazil nut (Bertholletia excelsa H.B.K) retards gastric emptying and modulates enteric glial cells in a dose-dependent manner. J Am Nutr Assoc 2022;41:157–65. https://doi.org/10.1080/07315724.2020.1852981.Suche in Google Scholar PubMed
39. Almeida, PP, Da Cruz, BO, Thomasi, B, Menezes, ÁC, Brito, ML, Costa, NDS, et al.. Brazil nut-enriched diet modulates enteric glial cells and gut microbiota in an experimental model of chronic kidney disease. J Am Nutr Assoc 2024;43:201–12. https://doi.org/10.1080/27697061.2023.2247057.Suche in Google Scholar PubMed
40. da Silva Costa, N, Almeida, PP, Da Cruz, BO, Brito, ML, Maldonado-Campos, J, Menezes, AC, et al.. Supplementation of diet with Brazil nut modulates body composition, bone parameters, and lipid peroxidation in wistar rats. J Food Biochem 2022;46:e14294. https://doi.org/10.1111/jfbc.14294.Suche in Google Scholar PubMed
41. Russell, WMS, Burch, RL. The principles of humane experimental technique. London: Methuen; 1959.Suche in Google Scholar
42. Diwan, V, Small, D, Kauter, K, Gobe, GC, Brown, L. Gender differences in adenine-induced chronic kidney disease and cardiovascular complications in rats. Am J Physiol Ren Physiol 2014;307:F1169-78. https://doi.org/10.1152/ajprenal.00676.2013.Suche in Google Scholar PubMed
43. Carrero, JJ, Hecking, M, Chesnaye, NC, Jager, KJ. Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nat Rev Nephrol 2018;14:151–64. https://doi.org/10.1038/nrneph.2017.181.Suche in Google Scholar PubMed
44. Swartling, O, Rydell, H, Stendahl, M, Segelmark, M, Trolle Lagerros, Y, Evans, M. CKD progression and mortality among men and women: a nationwide study in Sweden. Am J Kidney Dis Off J Natl Kidney Found 2021;78:190–9.e1. https://doi.org/10.1053/j.ajkd.2020.11.026.Suche in Google Scholar PubMed
45. da Silva Costa, N, de Araujo, JR, da Silva Melo, MF, da Costa Mota, J, Almeida, PP, Coutinho-Wolino, KS, et al.. Effects of probiotic-enriched minas cheese (Lactobacillus acidophilus La-05) on cardiovascular parameters in 5/6 nephrectomized rats. Probiotics Antimicrob Proteins 2023;17:873–87. https://doi.org/10.1007/s12602-023-10173-4.Suche in Google Scholar PubMed
46. Reeves, PG, Nielsen, FH, Fahey, GC. AIN-93 purified diets for laboratory rodents: final report of the American institute of nutrition ad hoc writing committee on the reformulation of the AIN-76A rodent diet. J Nutr 1993;123:1939–51. https://doi.org/10.1093/jn/123.11.1939.Suche in Google Scholar PubMed
47. Ohlsson, C, Engdahl, C, Fåk, F, Andersson, A, Windahl, SH, Farman, HH, et al.. Probiotics protect mice from ovariectomy-induced cortical bone loss. PLoS One 2014;9:e92368. https://doi.org/10.1371/journal.pone.0092368.Suche in Google Scholar PubMed PubMed Central
48. Guo, M, Liu, H, Yu, Y, Zhu, X, Xie, H, Wei, C, et al.. Lactobacillus rhamnosus GG ameliorates osteoporosis in ovariectomized rats by regulating the Th17/Treg balance and gut microbiota structure. Gut Microbes 2023;15:2190304. https://doi.org/10.1080/19490976.2023.2190304.Suche in Google Scholar PubMed PubMed Central
49. Yumol, JL, Gittings, W, de Souza, RJ, Ward, WE. A systematic review and meta-analysis of the effects of probiotics on bone outcomes in rodent models. J Bone Miner Res Off J Am Soc Bone Miner Res 2024;40:100–13. https://doi.org/10.1093/jbmr/zjae187.Suche in Google Scholar PubMed PubMed Central
50. Lollo, PCB, Cruz, AG, Morato, PN, Moura, CS, Carvalho-Silva, LB, Oliveira, CAF, et al.. Probiotic cheese attenuates exercise-induced immune suppression in wistar rats. J Dairy Sci 2012;95:3549–58. https://doi.org/10.3168/jds.2011-5124.Suche in Google Scholar PubMed
51. Costa, JDA, Gomes, JMG, Ribeiro, PVDM, Alfenas, RDCG. Increased consumption of calcium from fat-free milk, energy-restricted diet and educational activities improves metabolic control in overweight type 2 diabetic patients. Br J Nutr 2020;123:553–63. https://doi.org/10.1017/S0007114519003192.Suche in Google Scholar PubMed
52. Matera, J, Luna, AS, Batista, DB, Pimentel, TC, Moraes, J, Kamimura, BA, et al.. Brazilian cheeses: a survey covering physicochemical characteristics, mineral content, fatty acid profile and volatile compounds. Food Res Int 2018;108:18–26. https://doi.org/10.1016/j.foodres.2018.03.014.Suche in Google Scholar PubMed
53. Messina, C, Albano, D, Gitto, S, Tofanelli, L, Bazzocchi, A, Ulivieri, FM, et al.. Body composition with dual energy X-ray absorptiometry: from basics to new tools. Quant Imag Med Surg 2020;10:1687–98. https://doi.org/10.21037/qims.2020.03.02.Suche in Google Scholar PubMed PubMed Central
54. Oliveira, MADS, Moraes, R, Castanha, EB, Prevedello, AS, Vieira Filho, J, Bussolaro, FA, et al.. Osteoporosis screening: applied methods and technological trends. Med Eng Phys 2022;108:103887. https://doi.org/10.1016/j.medengphy.2022.103887.Suche in Google Scholar PubMed
55. Latempa, AMA, Almeida, SA, Nunes, NF, da Silva, EM, Guimarães, JGA, Poskus, LT. Techniques for restoring enlarged canals: an evaluation of fracture resistance and bond strength. Int Endod J 2015;48:28–36. https://doi.org/10.1111/iej.12272.Suche in Google Scholar PubMed
56. Da Cruz, BO, Almeida, PP, Silva-Costa, N, Brito, ML, Degani, VAN, da Silva, EM, et al.. Brazil nut–enriched diet modulates bone mineral density and body composition in an experimental model of chronic kidney disease. Nutrition 2024;125:112482. https://doi.org/10.1016/j.nut.2024.112482.Suche in Google Scholar PubMed
57. Florencio-Silva, R, Sasso, GRDS, Sasso-Cerri, E, Simões, MJ, Cerri, PS. Biology of bone tissue: structure, function, and factors that influence bone cells. BioMed Res Int 2015;2015:421746. https://doi.org/10.1155/2015/421746.Suche in Google Scholar PubMed PubMed Central
58. Fidan, N, Inci, A, Coban, M, Ulman, C, Kursat, S. Bone mineral density and biochemical markers of bone metabolism in predialysis patients with chronic kidney disease. J Investig Med Off Publ Am Fed Clin Res 2016;64:861–6. https://doi.org/10.1136/jim-2015-000043.Suche in Google Scholar PubMed
59. Kim, CS, Bae, EH, Ma, SK, Han, SH, Lee, KB, Lee, J, et al.. Chronic kidney disease-mineral bone disorder in Korean patients: a report from the KoreaN cohort study for outcomes in patients with chronic kidney disease (KNOW-CKD). J Kor Med Sci 2017;32:240–8. https://doi.org/10.3346/jkms.2017.32.2.240.Suche in Google Scholar PubMed PubMed Central
60. Huang, JF, Zheng, XQ, Sun, XL, Zhou, X, Liu, J, Li, YM, et al.. Association between bone mineral density and severity of chronic kidney disease. Internet J Endocrinol 2020;2020:8852690. https://doi.org/10.1155/2020/8852690.Suche in Google Scholar PubMed PubMed Central
61. Jokihaara, J, Järvinen, TLN, Jolma, P, Kööbi, P, Kalliovalkama, J, Tuukkanen, J, et al.. Renal insufficiency-induced bone loss is associated with an increase in bone size and preservation of strength in rat proximal femur. Bone 2006;39:353–60. https://doi.org/10.1016/j.bone.2006.01.157.Suche in Google Scholar PubMed
62. Cory, E, Nazarian, A, Entezari, V, Vartanians, V, Müller, R, Snyder, BD. Compressive axial mechanical properties of rat bone as functions of bone volume fraction, apparent density and micro-ct based mineral density. J Biomech 2010;43:953–60. https://doi.org/10.1016/j.jbiomech.2009.10.047.Suche in Google Scholar PubMed PubMed Central
63. Liu, H, Gu, R, Li, W, Zhou, W, Cong, Z, Xue, J, et al.. Lactobacillus rhamnosus GG attenuates tenofovir disoproxil fumarate-induced bone loss in Male mice via gut-microbiota-dependent anti-inflammation. Ther Adv Chronic Dis 2019;10. 2040622319860653 https://doi.org/10.1177/2040622319860653.Suche in Google Scholar PubMed PubMed Central
64. Pan, H, Guo, R, Ju, Y, Wang, Q, Zhu, J, Xie, Y, et al.. A single bacterium restores the microbiome dysbiosis to protect bones from destruction in a rat model of rheumatoid arthritis. Microbiome 2019;7:107. https://doi.org/10.1186/s40168-019-0719-1.Suche in Google Scholar PubMed PubMed Central
65. Owaga, E, Hsieh, RH, Mugendi, B, Masuku, S, Shih, CK, Chang, JS. Th17 cells as potential probiotic therapeutic targets in inflammatory bowel diseases. Int J Mol Sci 2015;16:20841–58. https://doi.org/10.3390/ijms160920841.Suche in Google Scholar PubMed PubMed Central
66. Li, N, Wang, H, Zhao, H, Wang, M, Cai, J, Hao, Y, et al.. Cooperative interactions between Veillonella ratti and Lactobacillus acidophilus ameliorate DSS-Induced ulcerative colitis in mice. Food Funct 2023;14:10475–92. https://doi.org/10.1039/d3fo03898j.Suche in Google Scholar PubMed
67. Li, S, Mao, Y, Zhou, F, Yang, H, Shi, Q, Meng, B. Gut microbiome and osteoporosis: a review. Bone Jt Res 2020;9:524–30. https://doi.org/10.1302/2046-3758.98.BJR-2020-0089.R1.Suche in Google Scholar PubMed PubMed Central
68. Sharma, T, Islam, N, Ahmad, J, Akhtar, N, Beg, M. Correlation between bone mineral density and oxidative stress in postmenopausal women. Indian J Endocrinol Metab 2015;19:491–7. https://doi.org/10.4103/2230-8210.159053.Suche in Google Scholar PubMed PubMed Central
69. Massy, ZA, Drueke, TB. Gut microbiota orchestrates PTH action in bone: role of butyrate and T cells. Kidney Int 2020;98:269–72. https://doi.org/10.1016/j.kint.2020.03.004.Suche in Google Scholar PubMed
70. Rizzoli, R. Dairy products and bone health. Aging Clin Exp Res 2022;34:9–24. https://doi.org/10.1007/s40520-021-01970-4.Suche in Google Scholar PubMed PubMed Central
71. Yang, LC, Lin, SW, Li, IC, Chen, YP, Tzu, SY, Chou, W, et al.. Lactobacillus plantarum GKM3 and Lactobacillus paracasei GKS6 supplementation ameliorates bone loss in ovariectomized mice by promoting osteoblast differentiation and inhibiting osteoclast formation. Nutrients 2020;12:1914. https://doi.org/10.3390/nu12071914.Suche in Google Scholar PubMed PubMed Central
72. Lee, S, Jung, DH, Park, M, Yeon, SW, Jung, SH, Yun, SI, et al.. The effect of Lactobacillus gasseri BNR17 on postmenopausal symptoms in ovariectomized rats. J Microbiol Biotechnol 2021;31:1281–7. https://doi.org/10.4014/jmb.2105.05032.Suche in Google Scholar PubMed PubMed Central
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