基于“骨肉不相亲”理论探讨骨骼肌源性外泌体在老年性骨质疏松中的作用
Exploration of the effect of skeletal muscle-derived exosomes on senile osteoporosis based on disharmony between bone and skeletal muscle theory
  
DOI:10.3969/j.issn.1006-7108.2020.11.026
中文关键词:  中医中药  老年性骨质疏松  骨痿  骨肉不相亲  骨骼肌源性外泌体  骨稳态
英文关键词:Chinese traditional medicine  senile osteoporosis  bone wilting  disharmony between bone and skeletal muscle  skeletal muscle-derived exosomes  bone homeostasis
基金项目:广东省自然科学基金(2018A030310615);广东省高等学校珠江学者岗位计划资助项目(2018年度);广东省教育厅基础研究及应用基础研究项目(2018KZDXM021);广东省中医药局科研项目(20191107);广州中医药大学青年科研培育项目(2019QNPY04)
作者单位
沈耿杨1,2 黄璇2,3 尚奇2,3 江晓兵1,2 余翔1,2 张志达2,3 招文华2,3 汤凯2,3 梁德1,2 任辉1,2* 1.广州中医药大学第一附属医院广东 广州 510405 2.广州中医药大学岭南医学研究中心广东 广州 510405 3.广州中医药大学广东 广州 510405 
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中文摘要:
      中医学“骨肉不相亲”理论高度概括了老年性骨质疏松(senile osteoporosis,SOP)骨骼和骨骼肌的内在失衡状态,外泌体作为一种细胞囊泡可携带多种生物活性分子在“骨-肌交联”中发挥关键的调控作用。本文基于“骨肉不相亲”理论探讨骨骼肌源性外泌体在SOP中的作用,对挖掘中医药防治SOP的新靶点及丰富“骨肉不相亲”理论的现代科学内涵具有重要意义。中医学调理脾肾、强肌健骨是治疗SOP“骨肉不相亲”的关键,为防治SOP提供了新的思路。
英文摘要:
      The theory of disharmony between bone and skeletal muscle in traditional Chinese medicine highly summarizes the status of internal imbalance of bone and skeletal muscle in senile osteoporosis (SOP). Exosomes, a type of extracellular vesicle carrying diverse biological active molecules, play a key regulatory role in bone-muscle crosstalk. In this paper, the molecular mechanism of disharmony between bone and skeletal muscle in SOP is discussed from the perspective of skeletal muscle-derived exosomes regulating bone homeostasis, which is of great significance to explore the new target to prevent and to treat SOP using traditional Chinese medicine and to enrich the modern scientific connotation of the theory of disharmony between bone and skeletal muscle. Regulating spleen and kidney and strengthening muscle and bone in traditional Chinese medicine are the keys to the treatment of SOP, which provide a new idea for the prevention and treatment of SOP.
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