Bone marrow-derived leptin receptor-expressing (LepR + ) stromal cells (LepR + BMSCs) have been identified as the primary source of osteoblasts, adipocytes, and fibroblasts in the bone marrow, and they play key roles in the maintenance of the bone marrow microenvironment; however, research on the fate and immunomodulatory changes of human LepR + BMSCs is limited. Here, we isolated LepR + BMSCs from a young donor and studied their fate changes of osteogenic, adipogenic, myogenic differentiation, and immunomodulation with or without CXM102, a novel compound that we have previously demonstrated its anti-osteoporotic effects in mice. Our results showed that CXM102 facilitated a preferential lineage shift toward osteogenesis from adipogenesis of LepR + BMSCs in vitro , as evidenced by increased RUNX 2 expression and decreased PPARγ in a bivalent differentiation system. Moreover, interleukin-6 (IL-6), interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) were markedly downregulated in HS-5 stromal cells cocultured with conditioned medium from CXM102-treated LepR + BMSCs. Furthermore, CXM102 also inhibited collagen I deposition in LepR + BMSCs when induced into myogenesis. These results demonstrated that CXM102 could promote osteogenesis, but inhibit adipogenesis and myogenesis of LepR + BMSCs, while also showing benign immunomodulation in vitro .
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Qiu et al. (2026) studied this question.
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