铁调素水平与骨代谢相关性临床及实验研究
Clinical and experimental studies on the correlation between hepcidin level and bone metabolism
  
DOI:10.3969/j.issn.1006-7108.2024.02.008
中文关键词:  铁调素  绝经后骨质疏松症  随机森林  成骨表型  成骨机制
英文关键词:hepcidin  postmenopausal osteoporosis  random forest  osteogenic phenotype  osteogenic mechanism
基金项目:国家自然科学基金(82072474);姑苏卫生人才计划(GSWS2020024);江苏省体医融合促进老年骨骼健康应用工程研究中心项目;江苏省重点实验室(JSDW202254);老年医学临床技术应用研究项目(LR2021022)
作者单位
王一可1 刘功稳2 王雄毅1 张睿智1 刘炜峰1 谢伊代·如则1 李俊杰1 徐又佳1,3* 1.苏州大学附属第二医院骨科江苏 苏州 215000 2.苏州市中医院江苏 苏州 215000 3.苏州大学附属第二医院骨质疏松症临床中心江苏 苏州 215000 
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中文摘要:
      目的 探讨人群血清铁调素浓度与骨密度的相关性,并了解铁调素对小鼠成骨前体细胞(MC3T3-E1)分化影响及相关机制。方法 ①采用酶联免疫吸附法(ELISA)检测骨量正常与骨质疏松症两组人群血清铁调素水平;②采用细胞计数试剂检测比较成骨前体细胞(MC3T3-E1)在不同浓度铁调素干预后细胞增殖的影响,运用RT-PCR、Western Blot方法了解铁调素对成骨分化功能指标(ALP、Runx2、BMP2、P-SMAD1/5和SMAD5)影响。结果 人群血清铁调素水平与腰椎、髋部骨密度呈显著正相关;铁调素在一定浓度范围(0~10 ng/mL)浓度增加可显著上调细胞功能分化表达(ALP、Runx2)、促进成骨信号通路蛋白表达(BMP2、P-SMAD1/5和SMAD5)。结论 临床数据显示血清铁调素水平和骨量具有显著相关性,铁调素水平低骨密度值也低;而细胞实验显示一定浓度铁调素可显著激活BMP2-SMAD1/5信号通路、上调成骨分化相关基因的表达,诱导细胞成骨分化。因此,本研究结果提示:血清铁调素可能与骨质疏松症存在相关性,临床检测铁调素可能是骨质疏松症诊疗过程中一种新的评估指标,值得进一步研究。
英文摘要:
      Objective To explore the correlation between serum hepcidin concentration and bone density in the population, and to understand the effect of hepcidin on the differentiation of mouse osteoblast precursor cells (MC3T3-E1) and its related mechanisms. Method ① Enzyme linked immunosorbent assay (ELISA) was used to detect serum hepcidin levels in two groups of people with normal bone mass and osteoporosis;② Using cell counting reagents to detect and compare the effects of osteogenic precursor cells (MC3T3-E1) on cell proliferation after intervention with different concentrations of hepcidin RT-PCR and Western Blot methods were used to investigate the effects of hepcidin on osteogenic differentiation functional indicators (ALP, Runx2, BMP2, P-SMAD1/5, and SMAD5). Result There was a significant positive correlation between serum hepcidin levels and bone mineral density of the lumbar spine and hip in the population; An increase in the concentration of hepcidin within a certain range (0-10 ng/mL) can significantly upregulate the expression of cell functional differentiation (ALP, Runx2) and promote the expression of osteogenic signaling pathway proteins (BMP2, P-SMAD1/5, and SMAD5). Conclusion Clinical data shows a significant correlation between serum hepcidin levels and bone mass, with low hepcidin levels and low bone density values; Cell experiments have shown that a certain concentration of hepcidin can significantly activate the BMP2-SMAD1/5 signaling pathway, upregulate the expression of osteogenic differentiation related genes, and induce cell osteogenic differentiation; Therefore, this study suggests that serum hepcidin may be correlated with osteoporosis, and clinical detection of hepcidin may be a new evaluation indicator for the diagnosis and treatment of osteoporosis, which is worth further research.
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