Inhibition of AhR improves cortical bone and skeletal muscle function via preservation of neuromuscular junctions
Open accessAbstract
The aryl hydrocarbon receptor (AhR) is proposed to mediate the frailty-promoting effects of the tryptophan metabolite kynurenine, which increases with age in mice and humans. The goal of the current study was to test whether administration of pharmacological AhR inhibitors, BAY2416964 and CH-223191, could abrogate musculoskeletal decline in aging mice. Female C57BL/6 mice (18 months old) were treated with vehicle (VEH) or 30 mg/kg BAY2416964 (BAY) via daily oral gavage 5 days/week for 8 weeks. A second AhR antagonist, CH-223191, was administered to 16-month-old male and female C57BL/6 mice via intraperitoneal injections (3.3 mg/kg) 3 days/week for 12 weeks. While grip strength declined over time in VEH-treated mice, BAY preserved grip strength in part by improving integrity of neuromuscular junctions (NMJs), an effect replicated during in vitro studies with siRNA against AhR. Cortical bone mass was also greater in BAY- than VEH-treated mice. Similarly, CH-223191 treatment improved cortical bone and showed beneficial effects in skeletal muscle, including reducing oxidative stress as compared with VEH-treated animals. Transcriptomic and proteomic data from BAY-treated mice supported a positive impact of BAY on molecular targets that affect NMJ function. Taken together, these data support AhR as a therapeutic target for improving musculoskeletal health during aging.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Pharmacologic AhR inhibition improves cortical bone quality in aging models.
“Pharmacologic AhR inhibition has been shown to improve cortical bone quality in aging models, emphasizing its relevance to skeletal degeneration [58]”
From Interorgan Communications in Skeletal Pathophysiology: From Molecular Pathways to Multidisciplinary Therapies (2026) · cites this paper as [58]
The Discussion reports that pharmacologic AhR inhibition improved cortical bone mass in aged mice. The Results report greater cortical thickness and bone volume fraction with BAY treatment, but do not establish an improvement in cortical bone quality as distinct from those structural measures. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Lee, J. S., Cella, M., McDonald, K. G., Garlanda, C., Kennedy, G. D., Nukaya, M., Mantovani, A., Kopan, R., Bradfield, C. A., Newberry, R. D., et al. (2012) · Nature Immunology · doi:10.1038/ni.2187 · Cited by 777 · see citing works
Metidji, A., Omenetti, S., Crotta, S., Li, Y., Nye, E., Ross, E., Li, V., Maradana, M. R., Schiering, C., & Stockinger, B. (2018) · Immunity · doi:10.1016/j.immuni.2018.07.010 · Cited by 402 · see citing works
The aryl hydrocarbon receptor and the gut–brain axis
Barroso, A., Mahler, J. V., Fonseca-Castro, P. H., & Quintana, F. J. (2021) · Cellular & Molecular Immunology · doi:10.1038/s41423-020-00585-5 · Cited by 152 · see citing works
Iqbal, J., Sun, L., Cao, J., Yuen, T., Lu, P., Bab, I., Leu, N. A., Srinivasan, S., Wagage, S., Hunter, C. A., et al. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1220919110 · Cited by 126 · see citing works
Eisa, N. H., Reddy, S. V., Elmansi, A. M., Kondrikova, G., Kondrikov, D., Shi, X.-M., Novince, C. M., Hamrick, M. W., McGee-Lawrence, M. E., Isales, C. M., et al. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21217931 · Cited by 55 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 53
- [1]Lanis JM et al Tryptophan metabolite activation of the aryl hydrocarbon receptor regulates IL-10 receptor expression on intestinal epithelia Mucosal Immunol 2017 10 5 1133 1144 10.1038/mi.2016.133 28098246 PMC5515702 · DOI
- [3]Alhamad DW et al Aryl hydrocarbon receptor (AhR)-mediated signaling as a critical regulator of skeletal cell biology J Mol Endocrinol 2022 69 3 R109 R124 10.1530/JME-22-0076 35900841 PMC9448512 · DOI
- [5]Elmansi AM et al Age-related increase of kynurenine enhances miR29b-1-5p to decrease both CXCL12 signaling and the epigenetic enzyme Hdac3 in bone marrow stromal cells Bone Rep 2020 12 100270 10.1016/j.bonr.2020.100270 32395570 PMC7210406 · DOI
- [6]Refaey ME et al Kynurenine, a tryptophan metabolite that accumulates with age, induces bone loss J Bone Miner Res 2017 32 11 2182 2193 10.1002/jbmr.3224 28727234 PMC5685888 · DOI
- [7]Sipahi H et al Tryptophan degradation and neopterin levels by aging Pteridines 2013 24 1 33 39 10.1515/pterid-2013-0008 · DOI
- [8]Jang IY et al The association of circulating kynurenine, a tryptophan metabolite, with frailty in older adults Aging (Albany NY) 2020 12 21 22253 22265 10.18632/aging.104179 33188590 PMC11623974 · DOI
- [9]Westbrook R et al Kynurenines link chronic inflammation to functional decline and physical frailty JCI Insight 2020 5 16 e136091 10.1172/jci.insight.136091 32814718 PMC7455140 · DOI
- [10]Kim BJ et al The detrimental effects of kynurenine, a tryptophan metabolite, on human bone metabolism J Clin Endocrinol Metab 2019 104 6 2334 2342 10.1210/jc.2018-02481 30715395 PMC6497841 · DOI
- [12]Kaiser H et al Kynurenine, a tryptophan metabolite that increases with age, induces muscle atrophy and lipid peroxidation Oxid Med Cell Longev 2019 2019 9894238 10.1155/2019/9894238 31737181 PMC6815546 · DOI
- [13]Kondrikov D et al Kynurenine inhibits autophagy and promotes senescence in aged bone marrow mesenchymal stem cells through the aryl hydrocarbon receptor pathway Exp Gerontol 2020 130 110805 10.1016/j.exger.2019.110805 31812582 PMC7861134 · DOI
- [14]Pierce JL et al Kynurenine suppresses osteoblastic cell energetics in vitro and osteoblast numbers in vivo Exp Gerontol 2020 130 110818 10.1016/j.exger.2019.110818 31862422 PMC7003726 · DOI
- [15]Bensreti H et al Orchiectomy sensitizes cortical bone in male mice to the harmful effects of kynurenine Bone 2023 173 116811 10.1016/j.bone.2023.116811 37244427 PMC10330684 · DOI
- [16]Wilson RH et al Generation of an allelic series at the Ahr locus using an edited recombinant approach Toxicol Sci 2021 180 2 239 251 10.1093/toxsci/kfab005 33480436 PMC8041461 · DOI · Paper page
- [17]Korkalainen M et al Dioxins interfere with differentiation of osteoblasts and osteoclasts Bone 2009 44 6 1134 1142 10.1016/j.bone.2009.02.019 19264158 · DOI
- [18]Yu TY et al Aryl hydrocarbon receptor catabolic activity in bone metabolism is osteoclast dependent in vivo Biochem Biophys Res Commun 2014 450 1 416 422 10.1016/j.bbrc.2014.05.114 24938130 · DOI
- [19]Kim SH et al Novel compound 2-methyl-2H-pyrazole-3-carboxylic acid (2-methyl-4-o-tolylazo-phenyl)-amide (CH-223191) prevents 2,3,7,8-TCDD-induced toxicity by antagonizing the aryl hydrocarbon receptor Mol Pharmacol 2006 69 6 1871 1878 10.1124/mol.105.021832 16540597 · DOI
- [20]Zhao B et al CH223191 is a ligand-selective antagonist of the Ah (Dioxin) receptor Toxicol Sci 2010 117 2 393 403 10.1093/toxsci/kfq217 20634293 PMC2940411 · DOI · Paper page
- [21]Kober C et al Targeting the aryl hydrocarbon receptor (AhR) with BAY 2416964: a selective small molecule inhibitor for cancer immunotherapy J Immunother Cancer 2023 11 11 e007495 10.1136/jitc-2023-007495 37963637 PMC10649913 · DOI
- [22]Dumbrava EE et al Multicenter phase II trial of the WEE1 inhibitor adavosertib in refractory solid tumors harboring CCNE1 amplification J Clin Oncol 2023 41 9 1725 1734 10.1200/JCO.22.00830 36469840 PMC10489509 · DOI
- [23]Wang XM et al Comprehensive three-dimensional microCT and signaling analysis reveal the teratogenic effect of 2,3,7,8-tetrachlorodibenzo-p-dioxin on craniofacial bone development in mice Ecotoxicol Environ Saf 2025 290 117743 10.1016/j.ecoenv.2025.117743 39823675 · DOI
- [24]Stockinger B et al AHR in the intestinal microenvironment: safeguarding barrier function Nat Rev Gastroenterol Hepatol 2021 18 8 559 570 10.1038/s41575-021-00430-8 33742166 PMC7611426 · DOI
- [26]Mar JS et al IL-22 alters gut microbiota composition and function to increase aryl hydrocarbon receptor activity in mice and humans Microbiome 2023 11 1 47 10.1186/s40168-023-01486-1 36894983 PMC9997005 · DOI
- [27]Postal BG et al AhR activation defends gut barrier integrity against damage occurring in obesity Mol Metab 2020 39 101007 10.1016/j.molmet.2020.101007 32360426 PMC7267728 · DOI
- [28]Zhang FM et al Transcriptome profiling of fast/glycolytic and slow/oxidative muscle fibers in aging and obesity Cell Death Dis 2024 15 6 459 10.1038/s41419-024-06851-y 38942747 PMC11213941 · DOI
- [29]Grubbs FE Procedures for detecting outlying observations in samples Technometrics 1969 11 1 1 21 10.1080/00401706.1969.10490657 · DOI · Paper page
- [30]You W et al Limited role of biological aging in unhealthy aging: A cross-sectional analysis of global life expectancy and disability data Arch Gerontol Geriatr 2025 129 105691 10.1016/j.archger.2024.105691 39541749 · DOI
- [31]Ding YY et al Pathways from physical frailty to activity limitation in older people: identifying moderators and mediators in the English Longitudinal Study of Ageing Exp Gerontol 2017 98 169 176 10.1016/j.exger.2017.08.029 28844857 · DOI
- [32]Seals DR et al Physiological geroscience: targeting function to increase healthspan and achieve optimal longevity J Physiol 2016 594 8 2001 2024 10.1113/jphysiol.2014.282665 25639909 PMC4933122 · DOI
- [33]Izquierdo M et al Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) J Nutr Health Aging 2025 29 1 100401 10.1016/j.jnha.2024.100401 39743381 PMC11812118 · DOI · Paper page
- [34]Karismaz A et al The connection between anemia and limitations in daily activities among older males: the critical role of dynapenia Aging Clin Exp Res 2024 36 1 213 10.1007/s40520-024-02859-8 39460859 PMC11512871 · DOI
- [35]Gustafsson T Ulfhake B Aging skeletal muscles: what are the mechanisms of age-related loss of strength and muscle mass, and can we impede its development and progression? Int J Mol Sci 2024 25 20 10932 10.3390/ijms252010932 39456714 PMC11507513 · DOI
- [36]Choi EY et al Development of novel CH223191-based antagonists of the aryl hydrocarbon receptor Mol Pharmacol 2012 81 1 3 11 10.1124/mol.111.073643 21967751 PMC3250110 · DOI
- [37]Olafsen NE et al Long-term exposure to BAY2416964 reduces proliferation, migration and recapitulates transcriptional changes induced by AHR loss in PyMT-induced mammary tumor cells Front Oncol 2024 14 1466658 10.3389/fonc.2024.1466658 39450255 PMC11499230 · DOI
- [38]Emch MJ et al Estrogen-regulated miRs in bone enhance osteoblast differentiation and matrix mineralization Mol Ther Nucleic Acids 2023 33 28 41 10.1016/j.omtn.2023.05.026 37359348 PMC10285552 · DOI
- [39]Sultana S et al The kynurenine pathway in HIV, frailty and inflammaging Front Immunol 2023 14 1244622 10.3389/fimmu.2023.1244622 37744363 PMC10514395 · DOI
- [40]Chen NX et al The uremic toxin indoxyl sulfate decreases osteocyte RANKL/OPG and increases Wnt inhibitor RNA expression that is reversed by PTH JBMR Plus 2025 9 1 ziae136 10.1093/jbmrpl/ziae136 39664935 PMC11631378 · DOI
- [41]Balestrieri N et al Activation of the aryl hydrocarbon receptor in muscle exacerbates ischemic pathology in chronic kidney disease Circ Res 2023 133 2 158 176 10.1161/CIRCRESAHA.123.322875 37325935 PMC10330629 · DOI
- [42]Fernandez-Salguero PM et al Lesions of aryl-hydrocarbon receptor-deficient mice Vet Pathol 1997 34 6 605 614 10.1177/030098589703400609 9396142 · DOI
- [43]Bravo-Ferrer I et al Lack of the aryl hydrocarbon receptor accelerates aging in mice FASEB J 2019 33 11 12644 12654 10.1096/fj.201901333R 31483997 · DOI
- [46]Monteleone I et al Aryl hydrocarbon receptor-induced signals up-regulate IL-22 production and inhibit inflammation in the gastrointestinal tract Gastroenterology 2011 141 1 237 48, 248 10.1053/j.gastro.2011.04.007 21600206 · DOI · Paper page
- [47]Ji T et al Aryl hydrocarbon receptor activation down-regulates IL-7 and reduces inflammation in a mouse model of DSS-induced colitis Dig Dis Sci 2015 60 7 1958 1966 10.1007/s10620-015-3632-x 25799939 · DOI
- [48]Ogawa M et al B cell ontogeny in murine embryo studied by a culture system with the monolayer of a stromal cell clone, ST2: B cell progenitor develops first in the embryonal body rather than in the yolk sac EMBO J 1988 7 5 1337 1343 10.1002/j.1460-2075.1988.tb02949.x 3261687 PMC458381 · DOI
- [49]Tarnow P et al A novel dual-color luciferase reporter assay for simultaneous detection of estrogen and aryl hydrocarbon receptor activation Chem Res Toxicol 2017 30 7 1436 1447 10.1021/acs.chemrestox.7b00076 28614665 · DOI
- [50]Pezinski M et al An improved method for culturing myotubes on laminins for the robust clustering of postsynaptic machinery Sci Rep 2020 10 1 4524 10.1038/s41598-020-61347-x 32161296 PMC7066178 · DOI
- [51]Islam BN et al Sildenafil suppresses inflammation-driven colorectal cancer in mice Cancer Prev Res (Phila) 2017 10 7 377 388 10.1158/1940-6207.CAPR-17-0015 28468928 PMC5530733 · DOI
- [52]Wang R et al cGMP signaling increases antioxidant gene expression by activating forkhead box O3A in the colon epithelium Am J Pathol 2017 187 2 377 389 10.1016/j.ajpath.2016.10.016 27998725 PMC5389370 · DOI
- [53]Kawamoto T Kawamoto K Preparation of thin frozen sections from nonfixed and undecalcified hard tissues using Kawamoto’s Film Method (2020) Methods Mol Biol 2021 2230 2020 259 281 10.1007/978-1-0716-1028-2_15 33197019 · DOI
- [54]Jones RA et al NMJ-morph reveals principal components of synaptic morphology influencing structure-function relationships at the neuromuscular junction Open Biol 2016 6 12 160240 10.1098/rsob.160240 27927794 PMC5204123 · DOI
- [55]Davis C et al MicroRNA-183-5p increases with age in bone-derived extracellular vesicles, suppresses bone marrow stromal (Stem) cell proliferation, and induces stem cell senescence Tissue Eng Part A 2017 23 21-22 1231 1240 10.1089/ten.tea.2016.0525 28363268 PMC5689127 · DOI
- [56]Pierce JL et al The glucocorticoid receptor in osterix-expressing cells regulates bone mass, bone marrow adipose tissue, and systemic metabolism in female mice during aging J Bone Miner Res 2022 37 2 285 302 10.1002/jbmr.4468 34747055 PMC9976194 · DOI
- [57]Pierce JL et al The glucocorticoid receptor in osteoprogenitors regulates bone mass and marrow fat J Endocrinol 2019 243 1 27 42 10.1530/JOE-19-0230 31370004 PMC6938567 · DOI
- [58]McGee-Lawrence ME et al Hdac3 deficiency increases marrow adiposity and induces lipid storage and glucocorticoid metabolism in osteochondroprogenitor cells J Bone Miner Res 2016 31 1 116 128 10.1002/jbmr.2602 26211746 PMC4758691 · DOI
- [59]Käll L et al Semi-supervised learning for peptide identification from shotgun proteomics datasets Nat Methods 2007 4 11 923 925 10.1038/nmeth1113 17952086 · DOI · Paper page
Cited by
Sorted by citations
Gan, D., Qin, L., & Xiao, G. (2026) · Research · doi:10.34133/research.1319 · Cited by 1 · see citing works
“Pharmacologic AhR inhibition has been shown to improve cortical bone quality in aging models, emphasizing its relevance to skeletal degeneration [ 58 ].”
- Authors
- Yu, K., Vyavahare, S., Alhamad, D., Bensreti, H., Ruan, L., Tuladhar, A., Dai, C., Shaver, J. C., Tripathi, A., Ding, K., Pacholczyk, R., Cooley, M. A., Zhong, R., Johnson, M. H., Chen, J., Bollag, W. B., Isales, C. M., Hill, W. D., Hamrick, M. W., Fulzele, S., & McGee-Lawrence, M. E.
- Affiliations
- Augusta University (US)
- Department of Medicine, Medical College of Georgia,
- Georgia Cancer Center,
- Department of Oral Biology & Diagnostic Sciences, Dental College of Georgia,
- Medical University of South Carolina (US)
- Department of Cellular Biology and Anatomy, Medical College of Georgia,
- Corresponding author
- Fulzele, Sadanand
- ORCID
- Venue
- JCI Insight
- Published
- 2025-07-15
- Volume
- 10
- Issue
- 16
- ISSN
- 2379-3708 (ISSN-L)
- PMC
- PMC12406733
- OpenAlex
- W4412430295
- Cited by
- 12
- References
- 5
- Citations by year
- 2026: 9 · 2025: 3
- FWCI
- 3.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- JCI Insight (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Aging (P01 AG036675, R01 067510)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR082307)
- NIH Office of the Director (S10 OD025177)
- Veterans Administration Medical Center (IK6 BX00569)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- aryl hydrocarbon receptor, CH223191, kynurenine, tryptophan metabolism, aging, frailty, neuromuscular junction, cortical bone mass, skeletal muscle function, grip strength, oxidative stress, age-related decline
- MeSH terms
- Cortical Bone, Aging, Animals, Female, Humans, Male, Mice, Inbred C57BL, Neuromuscular Junction, Pyrazoles, Receptors, Aryl Hydrocarbon, Muscle, Skeletal, Hand Strength, Mice, Basic Helix-Loop-Helix Transcription Factors, Basic Helix-Loop-Helix Proteins
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review