RT Journal Article SR Electronic T1 Specific targeting of inflammatory osteoclastogenesis by the probiotic yeast S. boulardii CNCM I-745 reduces bone loss in osteoporosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.08.01.502322 DO 10.1101/2022.08.01.502322 A1 Maria-Bernadette Madel A1 Julia Halper A1 Lidia Ibáñez A1 Claire Lozano A1 Matthieu Rouleau A1 Antoine Boutin A1 Rodolphe Pontier-Bres A1 Thomas Ciucci A1 Majlinda Topi A1 Christophe Hue A1 Jérôme Amiaud A1 Salvador Iborra A1 David Sancho A1 Dominique Heymann A1 Henri-Jean Garchon A1 Dorota Czerucka A1 Florence Apparailly A1 Isabelle Duroux-Richard A1 Abdelilah Wakkach A1 Claudine Blin-Wakkach YR 2022 UL http://biorxiv.org/content/early/2022/08/03/2022.08.01.502322.abstract AB Bone destruction is a hallmark of chronic inflammation, and bone-resorbing osteoclasts arising under such a condition differ from steady-state ones. However, osteoclast diversity remains poorly explored. Here, we combined transcriptomic profiling, differentiation assays and in vivo analysis in mouse to decipher specific traits for inflammatory and steady state osteoclasts. We identified and validated the pattern-recognition receptors (PRR) TLR2, Dectin-1 and Mincle, all involved in yeast recognition as major regulators of inflammatory osteoclasts. We showed that administration of the yeast probiotic Saccharomyces boulardi CNCM I-745 (Sb) in vivo reduced bone loss in OVX but not sham mice by reducing inflammatory osteoclasts. This beneficial impact of Sb is mediated by the regulation of the inflammatory environment required for the generation of inflammatory osteoclasts. We also showed that Sb derivatives as well as agonists of TLR2, Dectin-1 and Mincle specifically inhibited directly the differentiation of inflammatory but not steady state osteoclasts in vitro. These findings demonstrate a preferential use of the PRR-associated costimulatory differentiation pathway by inflammatory osteoclasts, thus enabling their specific inhibition, which opens new therapeutic perspectives for inflammatory bone loss.Competing Interest StatementC.B-W. and D.C received a research grant from Biocodex. Biocodex had no role in the design of the study, in the analysis and interpretation of the data and in the preparation of the manuscript. All other authors declare no conflict of interest.