从信号交联角度探讨骨髓脂肪化在原发性骨质疏松中的作用机制
Investigating the development of bone marrow adiposis in primary osteoporosis based on signal crosslinking
  
DOI:10.3969/j.issn.1006-7108.2019.08.026
中文关键词:  骨质疏松  骨髓脂肪化  信号交联  BMSCs  分化失衡
英文关键词:osteoporosis  crosstalk  bone marrow steatosis  BMSCs  differentiation imbalance
基金项目:国家自然科学基金(81473709)
作者单位
甘东浩1 陈德强2 谭国庆2* 徐展望2* 1.山东中医药大学山东 济南 250355 2.山东中医药大学附属医院骨科山东 济南 250014 
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中文摘要:
      骨质疏松症好发于老年人或绝经后妇女, 在骨量不断丢失的同时伴随着骨髓腔内的脂肪细胞增加。研究表明,骨质疏松患者的骨髓间充质干细胞成骨分化能力减弱,更易于向脂肪细胞分化,并促进成骨细胞凋亡,具体机制尚未完全阐明。本文拟从FoxO-β-catenin-PPARγ信号轴角度对骨髓脂肪化在原发性骨质疏松中的作用机制进行综述,为该疾病的诊治提供新的着眼点。
英文摘要:
      Osteoporosis often occurs in the elderly or postmenopausal women, with bone loss accompanied by increased fat cells in the bone marrow cavity. Studies have shown that in osteoporosis patients bone marrow mesenchymal stem cells (BMSCs) have decreased ability for osteogenic differentiation, are more prone to adipocyte differentiation, and promote osteoblast apoptosis, although the specific mechanism has not been fully elucidated. This paper reviews the mechanism of bone marrow steatosis in primary osteoporosis through the angle of FoxO-β-catenin-PPARγ signal Crosstalk, aiming to provide a more accurate direction in the diagnosis and targeted therapy of the disease.
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