RT Journal Article T1 A cholinergic neuroskeletal interface promotes bone formation during postnatal growth and exercise. A1 Gadomski, Stephen A1 Fielding, Claire A1 Garcia-Garcia, Andres A1 Korn, Claudia A1 Kapeni, Chrysa A1 Ashraf, Sadaf A1 Villadiego, Javier A1 Toro, Raquel Del A1 Domingues, Olivia A1 Skepper, Jeremy N A1 Michel, Tatiana A1 Zimmer, Jacques A1 Sendtner, Regine A1 Dillon, Scott A1 Poole, Kenneth E S A1 Holdsworth, Gill A1 Sendtner, Michael A1 Toledo-Aral, Juan J A1 De Bari, Cosimo A1 McCaskie, Andrew W A1 Robey, Pamela G A1 Mendez-Ferrer, Simon K1 anabolic K1 autonomic K1 bone K1 cholinergic K1 development K1 exercise K1 neuroskeletal K1 osteocyte K1 skeletal K1 sympathetic AB The autonomic nervous system is a master regulator of homeostatic processes and stress responses. Sympathetic noradrenergic nerve fibers decrease bone mass, but the role of cholinergic signaling in bone has remained largely unknown. Here, we describe that early postnatally, a subset of sympathetic nerve fibers undergoes an interleukin-6 (IL-6)-induced cholinergic switch upon contacting the bone. A neurotrophic dependency mediated through GDNF-family receptor-α2 (GFRα2) and its ligand, neurturin (NRTN), is established between sympathetic cholinergic fibers and bone-embedded osteocytes, which require cholinergic innervation for their survival and connectivity. Bone-lining osteoprogenitors amplify and propagate cholinergic signals in the bone marrow (BM). Moderate exercise augments trabecular bone partly through an IL-6-dependent expansion of sympathetic cholinergic nerve fibers. Consequently, loss of cholinergic skeletal innervation reduces osteocyte survival and function, causing osteopenia and impaired skeletal adaptation to moderate exercise. These results uncover a cholinergic neuro-osteocyte interface that regulates skeletogenesis and skeletal turnover through bone-anabolic effects. PB Cell Press YR 2022 FD 2022-03-10 LK http://hdl.handle.net/10668/22525 UL http://hdl.handle.net/10668/22525 LA en NO Gadomski S, Fielding C, García-García A, Korn C, Kapeni C, Ashraf S, et al. A cholinergic neuroskeletal interface promotes bone formation during postnatal growth and exercise. Cell Stem Cell. 2022 Apr 7;29(4):528-544.e9. DS RISalud RD Apr 20, 2025