REVIEW article

Front. Endocrinol.

Sec. Bone Research

Volume 16 - 2025 | doi: 10.3389/fendo.2025.1553655

Deciphering the Gut Microbiome's Metabolic Code: Pathways to Bone Health and Novel Therapeutic Avenues

Provisionally accepted
Daniel  HwangDaniel Hwang1Esther  ChongEsther Chong2Yanxiu  LiYanxiu Li3Yanling  LiYanling Li3Kangsan  RohKangsan Roh4*
  • 1Oxford Academy, Cypress, California, United States
  • 2The Science Academy STEM Magnet North Hollywood, California, United States
  • 3Crean Lutheran High School, Irvine, California, United States
  • 4Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States

The final, formatted version of the article will be published soon.

The gut microbiome plays an important role in the protection against various systemic diseases. Its metabolic products profoundly influence a wide range of pathophysiological events, including the regulation of bone health. This review discusses the recently established connections between the gut microbiome and bone metabolism, focusing on the impact of microbiome-derived metabolites such as SCFAs, Bile Acids, and tryptophan to the control of bone remodeling and immunoreactions. Recent advances in metagenomics and microbiome profiling have unveiled new exciting therapeutic opportunities, ranging from the use of probiotics, prebiotics, engineered microbes, and to fecal microbiota transplantation. Understanding of the interplay among diet, microbiota, and bone health provides new avenues for tailored interventions aimed at reducing disease risk in osteoporosis and other related disorders. By drawing knowledge from microbiology, metabolism, and bone biology, this review highlights the potential of microbiome-targeted therapies to transform skeletal health and the management of bone diseases.

Keywords: gut microbiome, Bone health, Osteoporosis, Microbial Metabolites, Bone Remodeling

Received: 17 Feb 2025; Accepted: 25 Apr 2025.

Copyright: © 2025 Hwang, Chong, Li, Li and Roh. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Kangsan Roh, Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, Massachusetts, United States

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