Anti-osteoporosis effects and underpinning mechanisms of food-derived bioactive peptides: A review

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Trends in Food Science & Technology 147 (2024) 104431
Available online 18 March 2024
0924-2244/© 2024 Elsevier Ltd. All rights reserved.
Anti-osteoporosis effects and underpinning mechanisms of food-derived
bioactive peptides: A review
Yan Zhang
1
, Zhaojun Zheng
1
, Yuanfa Liu
*
State Key Laboratory of Food Science and Resources, School of Food Science and Technology, National Engineering Research Center for Functional Food, National
Engineering Research Center of Cereal Fermentation and Food Biomanufacturing, Collaborative Innovation Center of Food Safety and Quality Control in Jiangsu Province,
Jiangnan University, 1800 Lihu Road, Wuxi, Jiangsu 214122, China
ARTICLE INFO
Keywords:
Food protein
Bioactive peptides
Anti-osteoporosis
Osteoblasts
Osteoclasts
ABSTRACT
Background: Osteoporosis is a public health issue resulting in the reduced bone mass and the enhanced fracture
susceptibility. Antiresorptive and osteoanabolic drugs provide accessible options for osteoporosis treatment,
whereas both of them are accompanied by potential side effects. Hence, seeking for safe and efcient alternative
therapies is imminent. Recently, bioactive peptides derived from natural foods have emerged as a promising
candidate for preventing osteoporosis and improving bone health, owing to their excellent potential to positively
regulate bone metabolism.
Scope and approach: This review summarizes the latest advances in food-derived peptides with anti-osteoporotic
activity, focusing on their screening techniques from various dietary proteins, preventive effects in different types
of osteoporosis, and the underlying molecular mechanisms.
Key ndings and conclusions: Bioactive peptides derived from food proteins, particularly short peptides containing
10 amino acid residues, have shown the remarkable effects in osteoporosis treatment. Virtual screening
technology combined with bioactivity-oriented assays provides a potent strategy for the high-throughput dis-
covery for food-derived anti-osteoporotic peptides. In addition to common animal proteins, plant proteins such as
soy, wheat, and microalgae proteins are acknowledged as the attractive sources of bioactive peptides against
osteoporosis. These peptides can either directly promote bone formation and inhibit bone resorption, or indi-
rectly modulate bone remodeling by enhancing calcium absorption, improving oxidative stress, and suppressing
inammation. To realize the efcient implementation of food-derived peptides in future anti-osteoporosis
therapy, their structure-activity relationships, therapeutic targets relevance, and clinical efcacy need further
clarication.
1. Introduction
As a systemic skeletal disease, osteoporosis has become a severe
public health concern which aficts more than 200 million people
worldwide, especially those over 50 years old. Whats worse, the prev-
alence of this disease is consistently increasing with the acceleration of
population aging and the extension of life expectancy (Reginster &
Burlet, 2006). The global prevalence of osteoporosis in elderly women is
reportedly about three times larger than that in elderly men, owing to
the sharp declination of estrogen level and endocrine metabolic imbal-
ance after menopause (Salari et al., 2021). Osteoporosis is a silent
metabolic disorder featured with the declined bone mass, deteriorative
bone microstructure, and enhanced fracture susceptibility. Fractures
induced by osteoporosis lead to the high disabilities and mortality rates
in patients (Fig. 1), thereby seriously causing the diminution of the
quality of life and the increase of the economic burden. The total cost of
treating and preventing osteoporosis-related fractures is expected to
reach
46 billion in European Union by 2025 (Hernlund, Svedbom,
Ivergrd, Compston, & Cooper, 2013). Similarly, around $ 17.9 billion
and £ 4 billion need to be paid annually for osteoporosis management in
United States and United Kingdom, respectively (Clynes, Harvey, Curtis,
Fuggle, & Cooper, 2020). Therefore, it is of great signicance that
effective treatments are in place to reduce the risk of osteoporosis and its
complications.
* Corresponding author.
E-mail address: yiu@jiangnan.edu.cn (Y. Liu).
1
Authors contributed equally.
Contents lists available at ScienceDirect
Trends in Food Science & Technology
journal homepage: www.elsevier.com/locate/tifs
https://doi.org/10.1016/j.tifs.2024.104431
Received 14 November 2023; Received in revised form 27 February 2024; Accepted 10 March 2024
Trends in Food Science & Technology 147 (2024) 104431
2
Osteoporosis is induced by abnormal bone remodeling, i.e., the
disequilibrium between bone resorption by osteoclasts and bone for-
mation by osteoblasts. It can be inuenced by a variety of factors, such
as genetics, age, lifestyle and endocrine environment (Walker-Bone,
2012). Based on its pathogenesis, clinical drugs for osteoporosis treat-
ment are categorized into antiresorptive and osteoanabolic agents.
Bisphosphonates like alendronate sodium are commonly prescribed to
treat osteoporosis via effectively inhibiting osteoclast function and
reducing bone resorption (Khosla S, Bilezikian JP, & DW, 2012). On the
other hand, osteoanabolic agents like parathyroid hormone analogues
have positive effects in stimulating osteoblast activity and then pro-
moting bone formation, which is conducive to the integrity of bone
microarchitecture. Notably, both categories of drugs have advantages in
enhancing bone mass and lowering the incidence of fractures, but the
prolonged administration may raise the risks of diseases such as breast
cancer, osteosarcoma, and cardiovascular diseases (Tian, Ran, Zhang,
Yan, & Li, 2018). Consequently, exploring safer alternatives to prevent
osteoporosis and improve bone health is urgent.
There is growing evidence that dietary nutrients from natural foods
have great potential to positively regulate bone metabolism, providing
an opportunity for developing safe and cost-effective strategies for
osteoporosis management. Food ingredients such as minerals, vitamins,
phytoestrogens, proteins and peptides have been reported to act favor-
able roles in enhancing bone health (Guo et al., 2021). Among them,
bioactive peptides liberated from food proteins, generally composed of
220 amino acids, have aroused extensive interests in academia and
health care industry owing to their splendid absorptivity and biological
activities such as antioxidant, anti-inammatory, and antihypertensive
activities. More importantly, food-derived bioactive peptides have
exhibited good osteogenic effects both in vitro and in vivo, and their
anti-osteoporotic property has been gradually explored in recent years.
Herein, this review summarizes the current updates of food-derived
bioactive peptides against osteoporosis, with emphasis on their discov-
ery strategies, anti-osteoporosis effects and underlying molecular
mechanisms, aiming to provide systematic theoretical support for the
efcient implementation of food-derived peptides in osteoporosis
intervention.
2. Pathogenesis of osteoporosis
The skeleton of adult is consisted of cortical (~75%) and cancellous
bone (~25%), and their proportions vary according to the skeletal site.
The skeleton is renewed about every 10 years caused by bone remod-
eling process, which involves the replacement of old bone by new bone.
Specically, osteoclasts are recruited and then a quantum of mineralized
bone is resorbed, and this process lasts for approximately 13 weeks.
Subsequently, the apoptosis of osteoclasts and the recruitment of oste-
oblasts occur successively at the resorption cavity, which eventually
forms new osteoid and mineralized bone. This reversal phase is
completed within 36 months. Bone resorption always appears prior to
bone formation, with spatial and temporal coupling between the two
processes (Criseno, 2019). Bone remodeling results in the formation of
bone units in cortical bone and new bone trabeculae on the surface of
cancellous bone. Before adulthood, human bones are continuously
remodeled, and the amount of bone formed is greater than bone resor-
bed, contributing to a constant increase in bone mass until reaching the
peak. The remodeling balance between bone formation and resorption is
dynamically maintained in the adult skeleton. However, when this
balance is disrupted, bone quality is decreased and bone mass is lost,
furtherly leading to osteoporosis (Fig. 2). Obviously, the reduced
cortical thickness and increased cortical porosity can be observed in
cortical bone, whereas cancellous bone shows trabecular thinning and
loss of trabeculae (Zebaze, Ghasem-Zadeh, Bohte, Iuliano-Burns, &
Seeman, 2010).
Osteoporosis is generally classied into primary and secondary
osteoporosis. The former includes postmenopausal, senile, and idio-
pathic osteoporosis, which has a strong genetic susceptibility. Addi-
tionally, primary osteoporosis can also be induced under the conditions
of sex hormone deciency, cell function decline caused by aging, cal-
cium and vitamin D insufciency, muscle mass reduction, or bad living
habits. As the most crucial pathogenic factor, estrogen deciency makes
osteoclasts more active than osteoblasts, furtherly increasing overall
bone resorption and weakening bones in postmenopausal women
(Garnero, Sornay-Rendu, Chapuy, & Delmas, 2010). Postmenopausal
osteoporosis usually develops within 510 years after menopause.
During the process of aging, bone loss and microarchitecture disruption
Fig. 1. Global map of deaths caused by osteoporosis-related fractures in 2019 (adapted from Shen et al., 2022).
Y. Zhang et al.
Anti-osteoporosis effects and underpinning mechanisms of food-derived bioactive peptides: A review.pdf

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