“脾主运化”探讨线粒体铁代谢与骨骼健康的关系
Discussion on the relationship between mitochondrial iron metabolism and bone health based on spleen governing transportation and transformation
  
DOI:10.3969/j.issn.1006-7108.2023.02.030
中文关键词:  脾主运化  线粒体铁代谢  骨骼健康
英文关键词:spleen governing transportation and transformation  mitochondrial iron metabolism  bone health
基金项目:广东省中医药局中医药科研项目(20222281)
作者单位
苏畅怡1 黄文锋2* 胡洲映2 1.广州中医药大学广东 广州 510006 2.广州中医药大学附属湛江第一中医院广东 湛江 524000 
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中文摘要:
      脾居中央,灌四旁,主运化、在体合肉。脾气健运,气血生化有源,脾的合理调节使饮食水谷正常转化为精微物质,经心肺转输和营养全身组织器官,维持全身脏腑组织器官的正常代谢。当脾气虚损时,脾失健运,运化失司,对饮食物的消化功能减弱,水谷精微的吸收不足,则机体代谢异常。线粒体参与合成ATP为细胞提供能量、负责氧化的途径三羧酸循环、氧化磷酸化等功能与气血生化源的“脾脏”功能相类似。线粒体铁代谢失常与很多慢性病有关,如骨质疏松、慢性病贫血、重症肌无力等。线粒体是细胞内铁的代谢场所,铁是一种多功能的辅助因子,对许多代谢途径至关重要。线粒体铁稳态是机体代谢调节中可维持骨骼健康的基础,线粒体铁代谢的稳定调节则促进破骨细胞的正常分化,在骨骼的生长、修复以及重建中起重要作用,而铁超负荷可增加骨骼吸收以及氧化应激,使骨结构和组分发生改变,影响骨骼的健康,从而导致骨质疏松等。因此,本研究基于脾与线粒体铁代谢相关性,从“脾主运化”探讨线粒体铁代谢对骨骼健康的影响及机制。
英文摘要:
      The spleen is centered to irrigate all sides, to govern the transportation, and to integrate the mussels. The spleen qi benefits transportation, leading to the source of qi and blood. The reasonable regulation by the spleen results in normal transformation from the diet to subtle substances, and transfusion through the heart and lung to nourish the tissues and organs of the whole body for the maintenance of the normal metabolism. When the spleen qi is weakened, the spleen loses the function of transportation, the digestive function of the diet is reduced, and the subtle absorption of the water valley is insufficient, then the body's metabolism is abnormal. Mitochondria involve in the synthesis of ATP to provide energy to cells. The pathway responsible for oxidation, the tricarboxylic acid cycle, and oxidative phosphorylation and other functions are similar to the spleen function of qi and blood biochemical sources. The disorder of iron metabolism in the mitochondrion is associated with many chronic diseases, such as osteoporosis, chronic anemia, and myasthenia gravis. Mitochondria are the metabolic sites for iron metabolism within cells. Iron is a versatile cofactor that is essential for many metabolic pathways. Mitochondrial iron homeostasis is basis for the metabolic regulation of maintenance of bone health. The stable regulation of mitochondrial iron metabolism promotes the normal differentiation of osteoclasts, which plays an important role in bone growth, repair and reconstruction. Iron overload increases bone absorption and oxidative stress, so that bone structure and components change, affecting bone health, resulting in osteoporosis. Therefore, based on the correlation between spleen and mitochondrial iron metabolism, this study explores the influence and mechanism of mitochondrial iron metabolism on bone health from the perspective of spleen governing transportation and transformation theory.
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