益生菌干预骨质疏松症相关机制的研究进展
Advance on the mechanisms of probiotics intervention on osteoporosis
  
DOI:10.3969/j.issn.1006.7108.2018.01.024
中文关键词:  骨质疏松症  肠道菌群  益生菌  机制
英文关键词:Osteoporosis  Gut microbiota  Probiotics  Mechanism
基金项目:山西省应用基础研究项目(201701D121097)
作者单位
陈剑1 孙海飚2* 韩晓强2 张子楠1 郑彩玉3 1.山西医科大学第一临床学院山西 太原030001 2.山西医科大学第一医院骨科山西 太原030001 3.厦门大学附属第一医院内分泌科福建厦门361000 
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中文摘要:
      骨质疏松症是一种以骨量减低和骨组织微结构退化为特征的骨骼疾病。随着社会人口老龄化的进展,骨质疏松症的发 病率将会越来越髙,尤其是绝经期女性,其发生骨质疏松症的风险较男性更髙。骨质疏松症所带来的问题日趋严重,其给社 会及家庭带来巨大的负担,尤其是骨质疏松症导致的身体重要部位的骨折。目前骨质疏松症的治疗方法有限,药物的治疗虽 然有一定成效,但是药物并不能彻底根治骨质疏松症且药物需长期使用,因此药物的副作用的问题不容忽视。在人类的肠道 定植着数量繁多且对机体健康有着重要作用的菌群,其中益生菌的健康效应也逐渐被挖掘。目前研究发现益生菌对机体诸 多的疾病有显著的疗效,其中益生菌和骨质疏松症也有着密切的关系。益生菌可以通过复杂的方式干预骨质疏松症,但其具 体机制仍未阐明。本文通过相关的报道进行综述,并从①炎症因子;②基因、配体及信号通路;③破骨细胞;④钙离子吸收等 方面探讨益生菌干预骨质疏松症的可能机制,为骨质疏松症的防治提供新的思路。
英文摘要:
      Osteoporosis is a bone disease characterized by loss of bone mass and tissue microstructure deterioration. With the aging of our society,the incidence rate of osteoporosis is going to increase gradually,especially among postmenopausal women,who have higher risk for osteoporosis than man. Such disease brings the society and the family a huge burden,poses serious threat to human health,especially when major fractures occur. Nowadays,the treatments of osteoporosis are limited. Although drug treatment has certain effect,osteoporosis cannot be cured completely. Due to the need for long-term medication,the side effects of drugs cannot be ignored. In the human intestinal tract,a large number of bacteria colonize,which are beneficial to human health. The health effects of probiotics are gradually being excavated. Current studies found that probiotics have a significant effect on many diseases; moreover,there is a close relationship between probiotics and osteoporosis. Probiotics could intervene in the development of osteoporosis through complicated pathways, but the specific mechanisms remain unclear. In order to provide new ideas for the prevention and treatment of osteoporosis, this paper reviews related reports, and discusses the possible mechanisms of 1) inflammatory factors,2) genes,ligands and signaling pathways,3) osteoclasts,and 4) calcium absorption.
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