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瘦得皮包骨头。

Nothing but skin and bone.

作者信息

Ross F Patrick, Christiano Angela M

机构信息

Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

出版信息

J Clin Invest. 2006 May;116(5):1140-9. doi: 10.1172/JCI28605.

Abstract

Skin and bone - what comes to mind at hearing this phrase? While certainly a metaphor for disease, it also defines two very different tissues, one a flexible and contiguous outer covering, the other a morphologically diverse hard tissue distributed at over 200 sites in the body. As the accompanying series of Reviews highlights, these tissues are indeed diverse, but there are also surprising similarities. Skin is the interface between the internal organs and the environment, and as such plays a crucial role in the body's defense mechanism. The skin and its many appendages are responsible for functions as diverse as epidermal barrier and defense, immune surveillance, UV protection, thermoregulation, sweating, lubrication, pigmentation, the sensations of pain and touch, and, importantly, the protection of various stem cell niches in the skin. Bone serves a number of purposes: it provides protection for vital organs, a lever for locomotion, a reservoir for calcium, and the site of adult hematopoiesis. The tissue is composed of osteoblasts, osteoclasts, and their individual precursors plus a complex mixture of mesenchymal, myeloid, and lymphoid cells in the marrow space. Finally, the endothelial microenvironment provides nutrition and is a conduit for the influx and emigration of cells that impact bone biology in several important ways. This Review series guides the reader through these various facets of 2 diverse, yet interdependent, tissues.

摘要

皮肤和骨骼——听到这个短语你会想到什么?虽然它肯定是一种疾病的隐喻,但它也定义了两种截然不同的组织,一种是灵活且连续的外部覆盖物,另一种是形态多样的硬组织,分布在身体的200多个部位。正如随附的一系列综述所强调的,这些组织确实各不相同,但也有惊人的相似之处。皮肤是内部器官与环境之间的界面,因此在身体的防御机制中起着至关重要的作用。皮肤及其众多附属器负责多种功能,如表皮屏障和防御、免疫监视、紫外线防护、体温调节、出汗、润滑、色素沉着、疼痛和触觉,以及重要的是,保护皮肤中的各种干细胞龛。骨骼有多种作用:它为重要器官提供保护,为运动提供杠杆,为钙提供储存库,并是成人造血的场所。该组织由成骨细胞、破骨细胞及其各自的前体细胞,加上骨髓空间中复杂的间充质、髓样和淋巴细胞混合物组成。最后,内皮微环境提供营养,并且是细胞流入和流出的通道,这些细胞以几种重要方式影响骨骼生物学。本综述系列引导读者了解这两种不同但相互依存的组织的各个方面。

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