Inhibiting hepatocytes MAGL alleviates osteoporosis caused by high-fat diet-induced liver fibrosis in male mice

  • J Endocr Soc. 2026 May 18;10(7):bvag114. doi: 10.1210/jendso/bvag114.
Qing Zhang  1  2 Zhixiang Lin  3 Peng Wang  3 Haixiang Xiao  3 Wenming Li  3 Lei Yu  3  4 Xiaolong Liang  3 Wentao Wang  3 Jing Qu  5 Gaoran Ge  3 Liangliang Wang  6 Hongtao Zhang  1  3
Affiliations
  • 1. Department of Orthopedics, The Fourth Affiliated Hospital of Soochow University, Suzhou 215000, China.
  • 2. The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an 223000, China.
  • 3. The First Affiliated Hospital of Soochow University, Suzhou 215000, China.
  • 4. Qilu Hospital of Shangdong University, Jinan 250100, China.
  • 5. Department of Cell Biology, Suzhou Medical College of Soochow University, Suzhou 215123, China.
  • 6. Department of Orthopedics, The Second People's Hospital of Changzhou, The Third Affiliated Hospital of Nanjing Medical University, Changzhou 213000, China.
Abstract

Hepatic osteoporosis is mediated through the liver-bone axis, but the precise mechanisms underlying osteoporosis in severe liver disease remain elusive. A high-fat diet can induce hepatic steatosis, which may subsequently progress to liver fibrosis. Monoacylglycerol Lipase (MAGL), a rate-limiting enzyme in monoacylglycerol degradation, exhibits elevated expression in the liver. The potential of hepatic MAGL inhibition to attenuate osteoclast activation and mitigate osteoporosis remains unexplored. This study demonstrated that a high-fat culture medium upregulated MAGL and CB1R expression in mice hepatocytes. Pharmacological inhibition of MAGL using MJN110 resulted in reduced CB1R expression and decreased levels of the Apoptosis marker SMAD3, indicating a reduction in liver fibrosis and hepatocyte Apoptosis, respectively. Furthermore, we confirmed that CB1R expression decreased in mice hepatocytes with silenced mgll gene expression, mirroring the reduction in MAGL expression. Subsequent stimulation of osteoclasts with concentrated supernatants from hepatocytes cultured in control and mgll-silenced groups revealed a significant reduction in osteoclast activation markers via Western blot and PCR analyses. In vivo, mice fed a high-fat diet to induce liver fibrosis exhibited significant alleviation of liver fibrosis following intraperitoneal injection of MJN110. Notably, osteoclast activation in the femoral germinal layer of mice with liver fibrosis was elevated, whereas this activation was attenuated in the MJN110-treated group. In conclusion, these findings suggest that hepatic MAGL inhibition can alleviate femoral osteoclast activation and bone destruction associated with high-fat diet-induced liver fibrosis, offering a novel therapeutic avenue for hepatic osteoporosis.

Keywords
hepatic osteoporosis; liver-bone axis; monoacylglycerol lipase.
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