Department of Biomedical Engineering, Stony Brook University, Stony Brook, New York, NY 11794-2580, USA.
Nat Rev Rheumatol. 2010 Jan;6(1):50-9. doi: 10.1038/nrrheum.2009.239.
Aging and a sedentary lifestyle conspire to reduce bone quantity and quality, decrease muscle mass and strength, and undermine postural stability, culminating in an elevated risk of skeletal fracture. Concurrently, a marked reduction in the available bone-marrow-derived population of mesenchymal stem cells (MSCs) jeopardizes the regenerative potential that is critical to recovery from musculoskeletal injury and disease. A potential way to combat the deterioration involves harnessing the sensitivity of bone to mechanical signals, which is crucial in defining, maintaining and recovering bone mass. To effectively utilize mechanical signals in the clinic as a non-drug-based intervention for osteoporosis, it is essential to identify the components of the mechanical challenge that are critical to the anabolic process. Large, intense challenges to the skeleton are generally presumed to be the most osteogenic, but brief exposure to mechanical signals of high frequency and extremely low intensity, several orders of magnitude below those that arise during strenuous activity, have been shown to provide a significant anabolic stimulus to bone. Along with positively influencing osteoblast and osteocyte activity, these low-magnitude mechanical signals bias MSC differentiation towards osteoblastogenesis and away from adipogenesis. Mechanical targeting of the bone marrow stem-cell pool might, therefore, represent a novel, drug-free means of slowing the age-related decline of the musculoskeletal system.
衰老和久坐不动的生活方式共同导致骨量和质量减少,肌肉质量和力量下降,破坏姿势稳定性,最终导致骨骼骨折风险增加。同时,骨髓间充质干细胞(MSCs)的可用数量显著减少,危及到从肌肉骨骼损伤和疾病中恢复的再生潜力。一种潜在的对抗这种恶化的方法是利用骨骼对机械信号的敏感性,这对于定义、维持和恢复骨量至关重要。为了在临床上有效地利用机械信号作为骨质疏松症的非药物干预手段,必须确定对合成过程至关重要的机械挑战的组成部分。通常认为,对骨骼的大强度挑战是最成骨的,但短暂暴露于高频和极低强度的机械信号(比剧烈活动时产生的信号低几个数量级)已被证明对骨骼有显著的合成刺激作用。这些低幅度的机械信号除了积极影响成骨细胞和骨细胞的活性外,还使 MSC 分化偏向成骨细胞,而不是脂肪生成。因此,骨髓干细胞池的机械靶向可能代表一种新颖的、无药物的方法,可以减缓肌肉骨骼系统的衰老相关下降。
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