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RESEARCH PAPER / 2025-05-09

The bone-muscle unit: from mechanical coupling to soluble factors-mediated signaling.

Amir Mohammad Malvandi, Laura Gerosa, Giuseppe Banfi, Giovanni Lombardi

Laboratory of Experimental Biochemistry & Advanced Diagnostics, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy. · pubmed

Abstract

Skeletal muscles (SKM) and bones form a morpho-functional unit, interconnected throughout life primarily through biomechanical coupling. This relationship serves as a key reciprocal stimulus, but they also interact via various hormones, such as sex steroids, growth hormone-insulin-like growth factor 1 (GH-IGF1) axis hormones, and adipokines like leptin and adiponectin. Additionally, myokines (released by muscles) and osteokines (released by bones) facilitate dense crosstalk, influencing each other's activity. Key myokines include interleukin (IL)-6, IL-7, IL-15, and myostatin, while osteocalcin (OC) and sclerostin are crucial bone-derived mediators affecting SKM cells. Moreover, miRNAs act as endocrine-like regulators, contributing to a complex network. This review covers the current understanding of bone-muscle crosstalk, which is essential for grasping the musculoskeletal apparatus's role in disease pathogenesis and may inform therapeutic development.

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Research summary

The paper discusses the crosstalk between skeletal muscle and bone, highlighting their interactions through various signaling factors. This research is relevant as it explores the underlying mechanisms of musculoskeletal health, which are crucial for understanding age-related decline and potential interventions for longevity.

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