Gut Microbiome

Propionate attenuates osteoarthritis progression by regulating the gut-joint axis.

TL;DR

Propionate, a gut-derived short-chain fatty acid, alleviated pain, protected cartilage, reduced inflammation, restored gut barrier integrity, and rebalanced microbiota in OA rats, and in human OA chondrocytes it upregulated ECM-related genes, downregulated inflammatory mediators, and enhanced autophagy, suggesting it may serve as a promising disease-modifying therapy for OA.

Key Findings

Propionate attenuated pain behaviors in MIA-induced OA rats.

  • A monosodium iodoacetate (MIA)-induced OA rat model was used to evaluate the effects of propionate on pain and inflammation.
  • Behavioral assessments were used to measure pain outcomes.
  • Propionate treatment improved pain behaviors compared to untreated OA rats.
  • Nociceptive markers were reduced following propionate treatment.

Propionate preserved cartilage structure and reduced inflammatory markers in MIA-induced OA rats.

  • Histological analysis was used to assess cartilage structure in MIA-induced rats.
  • Propionate treatment preserved cartilage structure compared to OA controls.
  • Both nociceptive and inflammatory markers were reduced with propionate treatment.
  • Findings were assessed through histological analysis of joint tissue.

Propionate restored intestinal barrier function in MIA-induced OA rats.

  • The intestinal environment was assessed by histology and tight junction protein analysis.
  • Propionate treatment restored intestinal barrier function in OA rats.
  • Tight junction protein expression was analyzed to evaluate barrier integrity.
  • Results indicate propionate acts on the gut-joint axis to influence OA progression.

Propionate rebalanced gut microbiota composition in MIA-induced OA rats.

  • Gut microbiota profiling was performed in MIA-induced rats with and without propionate treatment.
  • Propionate treatment restored microbial balance in OA rats.
  • Dysregulation of the gut-joint axis was identified as a contributor to OA progression.
  • Microbiota characterization confirmed compositional changes associated with propionate treatment.

Propionate modulated inflammatory and extracellular matrix (ECM)-related gene expression in human OA chondrocytes stimulated with IL-1β.

  • Human OA chondrocytes were analyzed using qPCR and RNA sequencing following IL-1β stimulation with or without propionate treatment.
  • Propionate upregulated ECM-related genes in human OA chondrocytes.
  • Propionate downregulated inflammatory mediators in IL-1β-stimulated human OA chondrocytes.
  • RNA sequencing was used to comprehensively profile gene expression changes.

Propionate promoted autophagy and suppressed catabolic and inflammatory cell death pathways in human OA chondrocytes.

  • Autophagy promotion was identified through gene expression analysis in human OA chondrocytes treated with propionate.
  • Propionate suppressed catabolic pathways in IL-1β-stimulated human OA chondrocytes.
  • Inflammatory cell death pathways were also suppressed by propionate treatment.
  • These effects were identified via qPCR and RNA sequencing analyses.

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Citation

Han S, Cho K, Na H, Jhun J, Moon Y, Choi J, et al.. (2026). Propionate attenuates osteoarthritis progression by regulating the gut-joint axis.. Frontiers in immunology. https://doi.org/10.3389/fimmu.2026.1717556