Evidence map›Paper›PMID 42352378›Full record

SynthesisBiomolecules2026

The Gut-Bone Axis and Skeletal Health: Regulatory Mechanisms and Therapeutic Applications of Plant-Derived Bioactive Compounds.

Tianzhu Zhang, Yufei Li, Jiahui Pei, Qingxia Zhang, Fengyun Lin, Shuzhen Li

Abstract readSystematic Review
In one paragraph

Synthesis in Biomolecules, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tianzhu ZhangCollege of Pharmacy, Chongqing Medical and Pharmaceutical College, Chongqing 401331, China.
Yufei LiDepartment of Food Science, College of Public Health, Shenyang Medical College, Shenyang 110034, China.
Jiahui PeiDepartment of Food Science, College of Public Health, Shenyang Medical College, Shenyang 110034, China.
Qingxia ZhangDepartment of Food Science, College of Public Health, Shenyang Medical College, Shenyang 110034, China.
Fengyun LinCollege of Pharmacy, Chongqing Medical and Pharmaceutical College, Chongqing 401331, China.
Shuzhen LiDepartment of Immunology, College of Basic Medical Sciences, Shenyang Medical College, Shenyang 110034, China.

Funding

Chongqing Municipality Education Commission KJQN202502803
6 · The paper itself

Abstract

The gut microbiota and its metabolites, as components of the gut-bone axis, play a pivotal role in regulating skeletal homeostasis through the bidirectional communication network. In this systematic review, evidence was collected from mainstream databases following standardized inclusion/exclusion criteria for screening, to comprehensively retrieve and screen eligible studies from multiple mainstream databases according to standardized inclusion and exclusion criteria, and systematically summarize current research progress on plant-derived bioactive compounds targeting the gut-bone axis for skeletal health regulation. This review systematically explores the underlying mechanisms of the gut-bone axis and critically evaluates the regulatory effects and therapeutic potential of plant-derived bioactive compounds. Particular attention is given to targeted interventions involving prebiotics, probiotics, synbiotics, and plant-rich diets or functional foods. Among these interventions, synbiotics represent the most successful strategy and show the most prominent therapeutic possibilities in bone-related disorders. Different from single prebiotics (only nourish endogenous intestinal microbes), individual probiotics (easy to be degraded in gastrointestinal tract with poor colonization) and ordinary plant-rich diets (unfixed effective dosage and weak targeting property), synbiotics combine prebiotic carriers and viable probiotic strains to produce complementary advantages, which is the core reason for its outstanding therapeutic prospect against bone diseases. Synbiotics exert synergistic effects on gut microecology, mineral absorption, and immune regulation, leading to more robust and consistent improvements in bone health than single prebiotics, probiotics, or general plant-rich diets. They have been verified in preclinical and clinical studies to ameliorate osteoporosis and related skeletal diseases via the gut-bone axis. These strategies offer novel insights into the prevention and treatment of bone metabolic disorders, such as osteoporosis, by targeting the gut-bone axis with phytochemicals. Key outcomes of this review include that synbiotics, soy isoflavones, naringin, curcumin, and resveratrol effectively improve bone mineral density, restore gut microbiota balance, and inhibit pathological bone resorption via the gut-bone axis. Collectively, the above bioactive substances realize bone protection mainly by reshaping gut flora, elevating mineral uptake and suppressing excessive osteoclast activity. Representative cases include soy isoflavones mitigating estrogen-deficient bone loss in OVX models, naringin improving the trabecular microarchitecture, and probiotic

Indexed as

Bone and BonesBone DiseasesGastrointestinal MicrobiomePhytochemicalsAnimalsHumansPrebioticsProbioticsSynbioticsPhytochemicalsPrebioticsbone healthdietary interventiongut–bone axisphytochemicalsplant-derived bioactive compounds

Identifiers

PMID42352378
PMCPMC13297176

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.