绝经后女性铁蓄积与骨代谢及机体炎症反应的相关性研究
The correlation between iron excess and bone metabolism and inflammation in postmenopausal women
  
DOI:10.3969/j.issn.1006-7108.2019.05.014
中文关键词:  铁蓄积  骨代谢  炎症反应  骨质疏松  骨密度
英文关键词:iron excess  bone metabolism  inflammatory reaction  osteoporosis  bone mineral density
基金项目:江苏省妇幼健康科研项目(F201656)
作者单位
程千1,2* 刘起福3 金铭2 赵国阳2 徐又佳4 1.上海交通大学医学院附属同仁医院上海 200050 2.江苏大学附属医院江苏 镇江 212000 3.山东省青州市人民医院山东 潍坊 262500 4.苏州大学附属第二医院江苏 苏州 215000 
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中文摘要:
      目的 研究绝经后女性铁蓄积与骨代谢及机体炎症反应的相关性。方法 将117名绝经后女性体检者按照骨密度(bone mineral density,BMD)值分成3组:骨量正常组(T≥-1)、骨量减少组(-2.5<T<-1)和骨质疏松组(T≤-2.5)。所有体检者均测定:血清生化指标(钙、磷、25-OH、血红蛋白、CRP、白细胞、肌酐、尿酸、丙氨酸氨基转移酶、谷草转氨酶、空腹血糖)、铁代谢指标[血清铁蛋白(Fer)、转铁蛋白(TRF)]、骨代谢指标[Ⅰ型胶原代谢产物(β-CTX、PINP)]。结果 绝经后女性随着年龄增大,体内血清铁蛋白升高,铁蓄积增加,患骨质疏松症的风险增加,同时伴随β-CTX、PINP、CRP升高。其中血清铁蛋白与骨密度呈负相关,与β-CTX、PINP、CRP呈正相关。结论 绝经后女性体内存在铁蓄积,同时伴有慢性炎症反应,铁蓄积可促进I型胶原蛋白降解,加速骨质疏松的进程。
英文摘要:
      Objective To study the correlation between iron excess and bone metabolism and inflammatory response in postmenopausal women. Methods A total of117 postmenopausal women were divided into normal (T≥-1), bone loss (BL)(-2.5<T<-1) and osteoporosis group(T≤-2.5) according to BMD. Serum biochemical indicators including calcium (Ca), phosphorus (P), 25-hydroxyvitamin D (25-OH), white blood cell count (WBC), hemoglobin, glucose, C-reactive protein (CRP), creatinine, uric acid, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) were measured in all patients. Iron metabolism indicators, Fer and TRF, as well as serum bone metabolism indicators β-CTX and PINP were determined. Results With the age increase of the postmenopausal women, the serum ferritin and iron excess elevated in the body, and the risk of osteoporosis increased along with the increase of β-CTX, PINP, and CRP. The serum ferritin is negatively correlated with BMD, but is positively correlated with β-CTX, PINP, and CRP. Conclusion Iron excess in postmenopausal women is accompanied by chronic inflammatory reaction. It promotes the degradation of type I collagen and accelerates the process of osteoporosis.
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