Laboratory of Exercise Physiology and Medicine, Department of Physical Education, Yonsei University, Seoul, Korea.
J Korean Med Sci. 2010 Jul;25(7):985-91. doi: 10.3346/jkms.2010.25.7.985. Epub 2010 Jun 17.
The prevailing model of osteology is that bones constantly undergo a remodeling process, and that the differentiation and functions of osteoblasts are partially regulated by leptin through different central hypothalamic pathways. The finding that bone remodeling is regulated by leptin suggested possible endocrinal effects of bones on energy metabolism. Recently, a reciprocal relationship between bones and energy metabolism was determined whereby leptin influences osteoblast functions and, in turn, the osteoblast-derived protein osteocalcin influences energy metabolism. The metabolic effects of bones are caused by the release of osteocalcin into the circulation in an uncarboxylated form due to incomplete gamma-carboxylation. In this regard, the Esp gene encoding osteotesticular protein tyrosine phosphatase is particularly interesting because it may regulate gamma-carboxylation of osteocalcin. Novel metabolic roles of osteocalcin have been identified, including increased insulin secretion and sensitivity, increased energy expenditure, fat mass reduction, and mitochondrial proliferation and functional enhancement. To date, only a positive correlation between osteocalcin and energy metabolism in humans has been detected, leaving causal effects unresolved. Further research topics include: identification of the osteocalcin receptor; the nature of osteocalcin regulation in other pathways regulating metabolism; crosstalk between nutrition, osteocalcin, and energy metabolism; and potential applications in the treatment of metabolic diseases.
成骨细胞的主流模型认为,骨骼不断经历重塑过程,而瘦素通过不同的中枢下丘脑途径部分调节成骨细胞的分化和功能。骨骼重塑受瘦素调节的发现表明骨骼对能量代谢可能具有内分泌作用。最近,确定了骨骼和能量代谢之间的一种相互关系,即瘦素影响成骨细胞的功能,而成骨细胞衍生的蛋白骨钙素又反过来影响能量代谢。骨骼的代谢作用是由于骨钙素在循环中以未羧化形式释放,因为不完全γ-羧化。在这方面,编码骨睾丸蛋白酪氨酸磷酸酶的 Esp 基因特别有趣,因为它可能调节骨钙素的γ-羧化。已经确定了骨钙素的新的代谢作用,包括增加胰岛素分泌和敏感性、增加能量消耗、减少脂肪量以及线粒体增殖和功能增强。迄今为止,仅在人类中检测到骨钙素与能量代谢之间的正相关,因果关系尚未解决。进一步的研究课题包括:鉴定骨钙素受体;其他调节代谢途径中骨钙素的调节性质;营养、骨钙素和能量代谢之间的串扰;以及在代谢性疾病治疗中的潜在应用。
J Korean Med Sci. 2010-6-17
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