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微重力下骨质流失机制的现代分析

Modern analysis of bone loss mechanisms in microgravity.

作者信息

Oganov V S

机构信息

State Research Center Institute of Biomedical Problems, Russian Academy of Sciences. Moscow, Russia.

出版信息

J Gravit Physiol. 2004 Jul;11(2):P143-6.

Abstract

A summary of results of investigations by the author and a brief review of some literature data on human bone tissue deprived of mechanical loading (spaceflight, hypokinesia) is given. The direction and markedness of changes in bone mass--the bone mineral density and the bone mineral content--in different skeletal segments depend on their position relative to the gravity vector. A theoretically expected bone mass reduction was revealed in the trabecular structures of the bones of the lower part of the skeleton (local osteopenia). In the upper part of the skeleton, an increase in the bone mineral content is observed, which is considered as a secondary response and is due to redistribution of body fluids cephalad. The main cause of osteopenia is mechanical unloading. Arguments are presented that osteocyte osteolysis, delayed osteoblast histogenesis, and osteoclast resorption provoked by rearrangement in the hierarchy of the systems of fluid volume and ion regulation, and the endocrine control of calcium homeostasis are the main mechanisms of osteopenia.

摘要

本文给出了作者的研究结果总结,并简要回顾了一些关于缺乏机械负荷的人体骨组织(太空飞行、运动减少)的文献数据。不同骨骼节段骨量(骨矿物质密度和骨矿物质含量)变化的方向和显著程度取决于它们相对于重力矢量的位置。在骨骼下部骨骼的小梁结构中发现了理论上预期的骨量减少(局部骨质减少)。在骨骼上部,观察到骨矿物质含量增加,这被认为是一种继发反应,是由于体液向头侧重新分布所致。骨质减少的主要原因是机械卸载。有观点认为,骨细胞骨溶解、成骨细胞组织发生延迟以及由液体容量和离子调节系统层次结构重排引发的破骨细胞吸收,以及钙稳态的内分泌控制是骨质减少的主要机制。

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