Alonso Guillermo, García-Martín Antonia, Muñoz-Torres Manuel
Unidad de Metabolismo Óseo, Servicio de Endocrinología y Nutrición, Hospital Universitario San Cecilio, Granada, España.
Med Clin (Barc). 2012 Dec 8;139(14):634-9. doi: 10.1016/j.medcli.2012.03.006. Epub 2012 May 19.
The increasing knowledge of bone biology has allowed the identification of new intracellular pathways involved in the regulation of remodelling and osteoblast activity. In this respect, the characterization of the Wnt pathway has been a breakthrough for its involvement and role in disorders of mineral metabolism. A better understanding of these signaling pathways may allow the development of new diagnostic markers and new drugs for metabolic bone disease, where despite extensive available therapies, unmet needs still persist. In this review, we make an approach to the discovery and functions of the Wnt pathway with a focus on bone effects. Next, we briefly review the main data about their endogenous antagonist, sclerostin, precisely where drug research is more advanced.
对骨生物学认识的不断增加,使得人们能够识别出参与重塑调节和成骨细胞活性的新细胞内途径。在这方面,Wnt途径的特征因其在矿物质代谢紊乱中的参与和作用而成为一个突破。对这些信号通路的更好理解可能有助于开发用于代谢性骨病的新诊断标志物和新药,尽管目前有广泛的可用疗法,但未满足的需求仍然存在。在本综述中,我们探讨Wnt途径的发现和功能,重点关注其对骨骼的影响。接下来,我们简要回顾关于其内源性拮抗剂硬化蛋白的主要数据,特别是在药物研究更为先进的方面。