Journal of Orthopaedic Surgery and Research,
Год журнала:
2023,
Номер
18(1)
Опубликована: Ноя. 13, 2023
Abstract
Osteoporosis
is
a
prevalent
bone
disorder
characterized
by
low
mineral
density
(BMD)
and
deteriorated
microarchitecture,
leading
to
an
increased
risk
of
fractures.
Vitamin
D
(VD),
essential
nutrient
for
skeletal
health,
plays
vital
role
in
maintaining
homeostasis.
The
biological
effects
VD
are
primarily
mediated
through
the
vitamin
receptor
(VDR),
nuclear
that
regulates
transcription
target
genes
involved
calcium
phosphate
metabolism,
mineralization,
remodeling.
In
this
review
article,
we
conduct
thorough
literature
search
PubMed
EMBASE
databases,
spanning
from
January
2000
September
2023.
Utilizing
keywords
“vitamin
D,”
receptor,”
“osteoporosis,”
“therapy,”
aim
provide
exhaustive
overview
VD/VDR
system
osteoporosis
pathogenesis,
highlighting
most
recent
findings
field.
We
explore
molecular
mechanisms
underlying
VDR’s
on
cells,
including
osteoblasts
osteoclasts,
discuss
impact
VDR
polymorphisms
BMD
fracture
risk.
Additionally,
examine
interplay
between
other
factors,
such
as
hormonal
regulation,
genetic
variants,
epigenetic
modifications,
contribute
susceptibility.
therapeutic
implications
targeting
pathway
management
also
discussed.
By
bringing
together
these
diverse
aspects,
enhances
our
understanding
system’s
critical
pathogenesis
highlights
its
significance
potential
target.
Nutrients,
Год журнала:
2021,
Номер
13(12), С. 4499 - 4499
Опубликована: Дек. 16, 2021
Osteoporosis
and
sarcopenia
are
diseases
which
affect
the
myoskeletal
system
often
occur
in
older
adults.
They
characterized
by
low
bone
density
loss
of
muscle
mass
strength,
factors
reduce
quality
life
mobility.
Recently,
apart
from
pharmaceutical
interventions,
many
studies
have
focused
on
non-pharmaceutical
approaches
for
prevention
osteoporosis
with
exercise
nutrition
to
being
most
important
well
studied
those.
The
purpose
current
narrative
review
is
describe
role
adults
define
incidence
osteosarcopenia.
Most
publications
were
included
this
show
that
resistance
endurance
exercises
prevent
development
sarcopenia.
Furthermore,
protein
vitamin
D
intake,
as
a
healthy
diet,
present
protective
against
above
diseases.
However,
scientific
data
not
sufficient
reaching
solid
conclusions.
Although
roles
seem
been
largely
evaluated
literature
over
recent
years,
conducted
high
heterogeneity
small
sample
sizes.
Therefore,
they
cannot
reach
final
In
addition,
osteosarcopenia
seems
be
caused
effects
elderly.
Larger
meta-analyses
randomized
controlled
trials
needed
designed
based
strict
inclusion
criteria,
order
exact
Frontiers in Endocrinology,
Год журнала:
2021,
Номер
12
Опубликована: Май 12, 2021
In
recent
decades,
the
mechanism
underlying
bone
metabolic
disorders
based
on
energy
metabolism
has
been
heavily
researched.
Bone
resorption
by
osteoclasts
plays
an
important
role
in
occurrence
and
development
of
osteoporosis.
However,
osteoclast
disorder
that
interferes
with
homeostasis
not
determined.
is
a
process
consumes
large
amounts
adenosine
triphosphate
(ATP)
produced
glycolysis
oxidative
phosphorylation.
addition
to
glucose,
fatty
acids
amino
can
also
be
used
as
substrates
produce
through
this
review,
we
summarize
analyze
energy-based
phenotypic
changes,
epigenetic
regulation,
coupling
systemic
during
progression
At
same
time,
propose
hypothesis,
compensatory
recovery
(involving
balance
between
survival
functional
activation),
which
may
provide
new
approach
for
treatment
Bone
degeneration
associated
with
various
diseases
is
increasing
due
to
rapid
aging,
sedentary
lifestyles,
and
unhealthy
diets.
Living
bone
tissue
has
bioelectric
properties
critical
remodeling,
under
pathological
conditions
results
in
significant
changes
these
properties.
There
growing
interest
utilizing
biomimetic
electroactive
biomaterials
that
recapitulate
the
natural
electrophysiological
microenvironment
of
healthy
promote
repair.
This
review
first
summarizes
etiology
degenerative
such
as
type
II
diabetes,
osteoporosis,
periodontitis,
osteoarthritis,
rheumatoid
arthritis,
osteomyelitis,
metastatic
osteolysis.
Next,
diverse
array
synthetic
therapeutic
potential
are
discussed.
Putative
mechanistic
pathways
by
which
can
mitigate
critically
examined,
including
enhancement
osteogenesis
angiogenesis,
suppression
inflammation
osteoclastogenesis,
well
their
anti-bacterial
effects.
Finally,
limited
research
on
utilization
treatment
aforementioned
examined.
Previous
studies
have
mostly
focused
using
treat
traumatic
injuries.
It
hoped
this
will
encourage
more
efforts
use
for
treating
conditions.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(19), С. 14583 - 14583
Опубликована: Сен. 26, 2023
Osteoporosis
is
a
major
public
health
concern
affecting
millions
of
people
worldwide
and
resulting
in
significant
economic
costs.
The
condition
characterized
by
changes
bone
homeostasis,
which
lead
to
reduced
mass,
impaired
quality,
an
increased
risk
fractures.
pathophysiology
osteoporosis
complex
multifactorial,
involving
imbalances
hormones,
cytokines,
growth
factors.
Understanding
the
cellular
molecular
mechanisms
underlying
essential
for
appropriate
diagnosis
management
condition.
This
paper
provides
comprehensive
review
normal
followed
in-depth
discussion
proposed
through
osteoimmunological,
gut
microbiome,
senescence
models.
Furthermore,
diagnostic
tools
used
assess
osteoporosis,
including
mineral
density
measurements,
biochemical
markers
turnover,
imaging
modalities,
are
also
discussed.
Finally,
both
current
pharmacological
non-pharmacological
treatment
algorithms
options
exploration
osteoporotic
fragility
fractures,
highlighted.
reveals
need
further
research
fully
elucidate
develop
more
effective
therapeutic
strategies.
Frontiers in Immunology,
Год журнала:
2024,
Номер
14
Опубликована: Янв. 9, 2024
Introduction
Osteoporosis,
one
of
the
most
common
non-communicable
human
diseases
worldwide,
is
prevalent
disease
adult
skeleton.
Glucocorticoid-induced
osteoporosis(GIOP)
foremost
form
secondary
osteoporosis,
extensively
researched
due
to
its
prevalence.Probiotics
constitute
a
primary
bioactive
component
within
numerous
foods,
offering
promise
as
potential
biological
intervention
for
preventing
and
treating
osteoporosis.
This
study
aimed
evaluate
beneficial
effects
probiotic
Lactobacillus
plantarum
on
bone
health
underlying
mechanisms
in
rat
model
glucocorticoid
dexamethasone-induced
using
osteoporosis
treatment
drug
alendronate
reference.
Methods
We
examined
microstructure
(Micro-CT
HE
staining)
analyzed
gut
microbiome
serum
metabolome
rats.
Results
discussion
The
results
revealed
that
L.
significantly
restored
parameters
microstructure,
with
elevated
density,
increased
number
thickness
trabeculae,
decreased
Tb.Sp.
Gut
microbiota
sequencing
showed
microbial
diversity
ratio
Firmicutes
Bacteroidota
decreased.
Beneficial
bacteria
abundance
was
(
Lachnospiraceae
_NK4A136_group,
Ruminococcus
,
UCG_005
Romboutsia
Christensenellaceae
_R_7_group),
harmful
Desulfovibrionaceae
).
According
metabolomics,
significant
changes
metabolites
occurred
different
groups.
These
differential
were
predominantly
enriched
pathways
Pentose
Glucuronate
Interconversions,
well
Propanoate
Metabolism.
Furthermore,
levels
Pyrazine
gamma-Glutamylcysteine,
which
associated
inhibition
osteoclast
formation
promoting
osteoblast
formation.
can
protect
rats
from
DEX-induced
GIOP
by
mediating
“gut
microbial-bone
axis”
production
metabolites.
Therefore
candidate
GIOP.
Frontiers in Cell and Developmental Biology,
Год журнала:
2021,
Номер
8
Опубликована: Янв. 25, 2021
Osteoporosis
is
a
metabolic
disease
characterized
by
decreased
bone
mineral
density
and
the
destruction
of
microstructure,
which
can
lead
to
increased
fragility
risk
fracture.
In
recent
years,
with
deepening
research
on
pathological
mechanism
osteoporosis,
epigenetics
has
made
significant
progress.
Epigenetics
refers
changes
in
gene
expression
levels
that
are
not
caused
sequences,
mainly
including
DNA
methylation,
histone
modification,
non-coding
RNAs
(lncRNA,
microRNA,
circRNA).
play
post-transcriptional
regulatory
role
have
important
functions
biological
signal
network.
Studies
shown
epigenetic
mechanisms
closely
related
osteogenic
differentiation,
osteogenesis,
remodeling
other
metabolism-related
processes.
Abnormal
regulation
series
diseases,
such
as
osteoporosis.
Considering
metabolism,
we
review
progress
(DNA
RNAs)
differentiation
pathogenesis
osteoporosis
provide
new
direction
for
treatment
diseases.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(13), С. 4385 - 4385
Опубликована: Июнь 29, 2023
Bone
metabolism
is
regulated
by
osteoblasts,
osteoclasts,
osteocytes,
and
stem
cells.
Pathologies
such
as
osteoporosis,
osteoarthritis,
osteonecrosis,
traumatic
fractures
require
effective
treatments
that
favor
bone
formation
regeneration.
Among
these,
cell
therapy
based
on
mesenchymal
cells
(MSC)
has
been
proposed.
MSC
are
osteoprogenitors,
but
their
regenerative
activity
depends
in
part
paracrine
properties.
These
mainly
mediated
extracellular
vesicle
(EV)
secretion.
EV
modulates
processes
inflammation,
angiogenesis,
proliferation,
migration,
differentiation.
Thus,
MSC-EV
currently
an
important
tool
for
the
development
of
cell-free
therapies
medicine.
This
review
describes
current
knowledge
effects
different
phases
used
intravenous
injection,
directly
or
combination
with
types
biomaterials,
preclinical
models
diseases.
They
have
shown
great
clinical
potential
medicine
applied
to
bone.
findings
should
be
confirmed
through
standardization
protocols,
a
better
understanding
mechanisms
action,
appropriate
trials.
All
will
allow
translation
human
clinic
applications.
Cells,
Год журнала:
2024,
Номер
13(9), С. 724 - 724
Опубликована: Апрель 23, 2024
Bone
marrow
(BM)
acts
as
a
dynamic
organ
within
the
bone
cavity,
responsible
for
hematopoiesis,
skeletal
remodeling,
and
immune
system
control.
adipose
tissue
(BMAT)
was
long
simply
considered
filler
of
space,
but
now
it
is
known
that
instead
constitutes
an
essential
element
BM
microenvironment
participates
in
homeostasis,
influences
health
alters
hematopoietic
stem
cell
functions,
contributes
to
commitment
mesenchymal
cells,
provides
effects
homeostasis
defense
against
infections,
energy
metabolism
inflammation.
BMAT
has
emerged
significant
contributor
development
progression
various
diseases,
shedding
light
on
its
complex
relationship
with
health.
Notably,
been
implicated
metabolic
disorders,
hematological
malignancies,
conditions.
shown
support
proliferation
tumor
cells
acute
myeloid
leukemia
niche
adipocytes
have
found
protect
cancer
chemotherapy,
contributing
treatment
resistance.
Moreover,
BMAT’s
impact
density
remodeling
can
lead
conditions
like
osteoporosis,
where
high
levels
are
inversely
correlated
mineral
density,
increasing
risk
fractures.
also
associated
diabetes,
obesity,
anorexia
nervosa,
varying
individuals
depending
their
weight
status.
Understanding
interaction
between
different
diseases
may
new
therapeutic
strategies.