Fromigué Olivia, Modrowski Dominique, Marie Pierre J
Laboratory of Osteoblast Biology and Pathology, INSERM U606, Paris, France.
Curr Pharm Des. 2004;10(21):2593-603. doi: 10.2174/1381612043383773.
Osteoporosis is characterised by excess bone fragility resulting from bone loss and altered bone microarchitecture. Bone loss occurring during aging and after menopause in women is known to result from an imbalance between bone formation and resorption. Bone formation is dependent on the commitment of osteoprogenitor cells, the proliferation of pre-osteoblasts, their differentiation into mature osteoblasts synthesising bone matrix and the life-span of mature osteoblasts. Transforming Growth Factor beta (TGFbeta) and Fibroblast Growth Factors (FGFs) are important factors that promote osteoprogenitor cell proliferation and osteogenesis. Reduced expression of TGFbeta in bone was found in several animal models of osteopenia. In addition, both FGF and TGFbeta were found to exert anabolic effects on bone formation in intact animals and to reduce bone loss in experimental models of osteoporosis. Both genetic manipulation of FGF and TGFbeta or their receptors in mice and bone phenotype associated with FGF receptors and TGFbeta mutations or polymorphism suggest that TGFbeta and FGF signalling may contribute to the control of osteogenesis and bone mass in vivo. The determination of molecular mechanisms involved in the anabolic actions of FGF and TGFbeta in cells of the osteoblastic lineage may lead in the future to the development of new therapeutic strategies aimed at improving bone formation in osteoporotic patients.
骨质疏松症的特征是由于骨质流失和骨微结构改变导致骨脆性增加。已知女性在衰老过程中和绝经后发生的骨质流失是由骨形成与骨吸收之间的失衡所致。骨形成取决于骨祖细胞的定向分化、前成骨细胞的增殖、它们分化为合成骨基质的成熟成骨细胞以及成熟成骨细胞的寿命。转化生长因子β(TGFβ)和成纤维细胞生长因子(FGFs)是促进骨祖细胞增殖和成骨的重要因子。在几种骨质减少的动物模型中发现骨中TGFβ的表达降低。此外,在完整动物中发现FGF和TGFβ均对骨形成具有合成代谢作用,并在骨质疏松症实验模型中减少骨质流失。在小鼠中对FGF和TGFβ或其受体进行基因操作以及与FGF受体和TGFβ突变或多态性相关的骨表型表明,TGFβ和FGF信号传导可能有助于体内成骨和骨量的控制。确定FGF和TGFβ在成骨细胞系细胞中的合成代谢作用所涉及的分子机制,未来可能会导致开发旨在改善骨质疏松症患者骨形成的新治疗策略。