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脂质与葡萄糖代谢及骨矿物质代谢之间的关系:糖尿病和高脂血症治疗药物的多效性作用

[Relationship between lipid and glucose metabolism and bone mineral metabolism : pleiotropic effects of therapeutic agents for diabetes and hyperlipidemia].

作者信息

Hamada Yasuhiro, Fukagawa Masafumi

机构信息

Kobe University School of Medicine, Division of Nephrology and Kidney Center.

出版信息

Clin Calcium. 2008 May;18(5):671-6.

Abstract

Bone mineral metabolism and bone remodeling involve a variety of molecules, for instance, bone morphogenetic proteins (BMPs) , fibroblast growth factors (FGFs) , insulin growth factors (IGFs) , interleukin-1 (IL-1) , prostagrandin E(2) (PGE(2)) , and tumor necrosis factor-alpha (TNF-alpha) . Most of them are also involved in lipid and glucose metabolism. Recent in vitro and in vivo studies have reported that therapeutic agents for diabetes and hyperlipidemia, such as insulin, thiazolidinediones, and 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (statins) have pleiotropic effects on bone mineral metabolism. These agents may be useful tools for treatment of bone and mineral disorders.

摘要

骨矿物质代谢和骨重塑涉及多种分子,例如骨形态发生蛋白(BMPs)、成纤维细胞生长因子(FGFs)、胰岛素生长因子(IGFs)、白细胞介素-1(IL-1)、前列腺素E(2)(PGE(2))和肿瘤坏死因子-α(TNF-α)。其中大多数还参与脂质和葡萄糖代谢。最近的体外和体内研究报告称,糖尿病和高脂血症的治疗药物,如胰岛素、噻唑烷二酮类药物和3-羟基-3-甲基戊二酰辅酶A(HMG-CoA)还原酶抑制剂(他汀类药物)对骨矿物质代谢具有多效性作用。这些药物可能是治疗骨和矿物质疾病的有用工具。

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