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Introduction Osteoporosis is a systemic metabolic disease characterized by disrupted homeostasis between osteoclast-mediated bone resorption and osteoblast-mediated bone formation. Accumulating evidence indicates that chronic systemic pathological states can exert sustained effects on osteo-immune homeostasis. However, how these disturbances promote immune-mediated osteoclast dysregulation remains unclear. Methods Candidate miRNAs targeting Fcgr4 were identified using bioinformatic prediction tools, and the direct interaction between miR-1a-3p and Fcgr4 was validated by dual-luciferase reporter assay. RAW264.7 cells were transfected with miR-1a-3p mimics or inhibitors to assess the effects of miR-1a-3p on osteoclast, which was evaluated by tartrate-resistant acid phosphatase (TRAP) staining, RT-qPCR, and Western blotting. miR-1a-3p expression was further analyzed in human osteoporosis cohorts and animal models of bone loss. Furthermore, to investigate whether systemic psychological stress—a chronic pathological state with sustained immunoregulatory consequences—regulates this axis, a chronic unpredictable mild stress (CUMS) model was established to examine stress-associated regulation of this axis. miR-1a-3p expression were detected by qRT-PCR, and FcγRIV–SYK–NFATc1 pathway activation was assessed by immunofluorescence staining, qRT-PCR, and Western blot. Results We identified Fcgr4 as a direct target of miR-1a-3p and found that miR-1a-3p overexpression significantly suppressed osteoclast activity by inhibiting Fcgr4 -dependent signaling. Consistent with this regulatory relationship, miR-1a-3p expression was significantly reduced in both human osteoporosis cohorts and animal models of bone loss. In the CUMS model, decreased miR-1a-3p expression was accompanied by increased Fcgr4 expression, activation of the FcγRIV–SYK–NFATc1 signaling pathway, enhanced osteoclast activity, and osteoporotic bone loss. Discussion These findings support a role for the miR-1a-3p– Fcgr4 axis in linking systemic pathological changes to immune-mediated osteoclast dysregulation, providing a mechanistic framework for pathological bone loss and a basis for understanding immune-bone interactions in chronic systemic diseases.
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Zhang et al. (2026) studied this question.
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