铁过载与骨质疏松症相关性研究进展
Progress in the correlation between iron overload and osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2025.11.012
中文关键词:  铁过载  骨代谢  骨质疏松症
英文关键词:iron overload  bone metabolism  osteoporosis
基金项目:绍兴市科技计划项目(2020018070)
作者单位
张彬1 许超2* 刘悦1 许伟攀1 王敏龙1 丁积勇1 1.浙江中医药大学附属绍兴市中医院浙江 绍兴 312099 2.浙江中医药大学第二临床医学院浙江 杭州 310053 
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中文摘要:
      铁过载是一种体内铁储存过多、超过细胞可耐受阈值的病理状态。由于人体没有有效的铁排泄机制,过量的铁沉积在骨骼等器官组织中,从而导致铁中毒。这些沉积的铁会打破骨代谢平衡,最终造成骨吸收增加,提高罹患骨质疏松风险。最近有许多研究已将铁过载作为骨质疏松症的独立危险因素。铁过载不仅与老年性骨质疏松、绝经后骨质疏松以及青少年骨代谢发育密切相关,还可以直接导致与铁代谢相关的继发性骨质疏松。因此,认清铁过载对人体骨密度的重要影响,梳理铁代谢相关性骨质疏松症主要风险人群,明确其发病机制,对当前骨质疏松症的预防和治疗意义重大。
英文摘要:
      Iron overload is a pathological state in which excessive iron is stored in the body and exceeds the cell tolerance threshold. Due to the lack of effective iron excretion mechanism in the human body, excessive iron is deposited in organs such as the bone, resulting in iron poisoning. These deposited iron will break the balance of bone metabolism, ultimately leading to increased bone resorption and a higher risk of osteoporosis. Recently, many studies have identified iron overload as an independent risk factor for osteoporosis. Iron overload is not only closely related to senile osteoporosis, postmenopausal osteoporosis, and skeletal development in adolescents, but also directly leading to the secondary osteoporosis related to iron metabolism. Therefore, it is of great significance for the prevention and treatment of osteoporosis to recognize the important influence of iron overload on human bone mineral density, to sort out the main risk groups of iron metabolism related osteoporosis, and to clarify its pathogenesis.
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