尿石症与骨质疏松相关性的研究进展
Research progress of the relationship between urinary calculus and osteoporosis
投稿时间:2019-04-08  修订日期:2019-05-22
DOI:
中文关键词:  尿石症  骨质疏松  发病机制
英文关键词:Urinary calculus  Osteoporosis  Pathogenesis
基金项目:
作者单位邮编
张任秋月 重庆医科大学附属第一医院内分泌科 400016
冯正平* 重庆医科大学附属第一医院内分泌科 400016
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中文摘要:
      尿路结石与骨质疏松均存在钙代谢异常,且发病率高,对生活质量造成严重影响,研究表明两者之间存在一定相关性。高钙尿症通过骨吸收增加等,或为两者发病机制间的关键桥梁。对遗传因素的研究中也发现了许多与两者有关的基因,主要为腺苷酸环化酶10基因、1,25-(OH)2D3-24羟化酶基因、钙敏受体与紧密连接蛋白14基因。但对上述一些基因变异与尿石症和骨质疏松的研究尚存在不同结论,且其具体机制仍待进一步研究。雌激素缺乏通过骨丢失、减少瞬时感受器电位阳离子通道V5表达,造成高钙尿、低骨量,导致尿石症及骨质疏松。高蛋白、高钠、低钙等饮食因素也能影响两者的形成。本文综述两者之间相关性的研究进展。
英文摘要:
      Urinary tract stones and osteoporosis both have abnormal calcium metabolism and high incidences, which have serious impacts on the quality of life. Studies have shown that there is a certain correlation between them. Hypercalciuria increases bone resorption and so on, may as a key bridge between the pathogenesis of the two.In the study of genetic factors, many genes related to them were found, mainly including ADCY10 gene, CYP24A1 gene, CaSR and CLDN14 gene. But the study of some gene variations exists different conclusions, and the specific mechanism remains to be further studied.Estrogen deficiency through bone loss, reduced the expression of TRPV5 , resulting in high calcium urine, low bone mass, leading to urolithiasis and osteoporosis. High protein, high sodium, low calcium and other dietary factors can also affect the formation of both. This paper reviews the research progress of the correlation between the two disorders.
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