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他汀类药物调节骨合成代谢的机制。

Mechanisms of bone anabolism regulated by statins.

机构信息

Institute of Orthopedics, The Second Hospital, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.

出版信息

Biosci Rep. 2012 Dec;32(6):511-9. doi: 10.1042/BSR20110118.

DOI:10.1042/BSR20110118
PMID:22799752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3499024/
Abstract

Osteoporosis is a common disease in the elderly population. The progress of this disease results in the reduction of bone mass and can increase the incidence of fractures. Drugs presently used clinically can block the aggravation of this disease. However, these drugs cannot increase the bone mass and may result in certain side effects. Statins, also known as HMG-CoA (3-hydroxy-3-methylglutaryl-CoA) reductase inhibitors, have been widely prescribed for CVD (cardiovascular disease) for decades. Nonetheless, several studies have demonstrated that statins exert bone anabolic effect and may be helpful for the treatment of osteoporosis. Several experiments have analysed the mechanisms of bone anabolism regulated by statins. In the present paper, we review the mechanisms of promoting osteogenesis, suppressing osteoblast apoptosis and inhibiting osteoclastogenesis.

摘要

骨质疏松症是老年人群中的一种常见疾病。该疾病的进展导致骨量减少,并可增加骨折的发生率。目前临床上使用的药物可以阻止该疾病的恶化。然而,这些药物不能增加骨量,并且可能会产生某些副作用。他汀类药物,也称为 HMG-CoA(3-羟基-3-甲基戊二酰辅酶 A)还原酶抑制剂,几十年来已被广泛用于 CVD(心血管疾病)的治疗。然而,有几项研究表明,他汀类药物具有骨合成代谢作用,可能有助于骨质疏松症的治疗。一些实验分析了他汀类药物调节的骨合成代谢的机制。在本文中,我们综述了促进成骨、抑制成骨细胞凋亡和抑制破骨细胞生成的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b261/3499024/f2f484850472/bsr348i002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b261/3499024/bded5bfb9e0e/bsr348i001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b261/3499024/f2f484850472/bsr348i002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b261/3499024/bded5bfb9e0e/bsr348i001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b261/3499024/f2f484850472/bsr348i002.jpg

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本文引用的文献

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Int Orthop. 2011 Sep;35(9):1271-80. doi: 10.1007/s00264-011-1301-z. Epub 2011 Jun 23.
2
Effects of farnesyl pyrophosphate accumulation on calvarial osteoblast differentiation.法尼焦磷酸积累对颅骨骨细胞分化的影响。
Endocrinology. 2011 Aug;152(8):3113-22. doi: 10.1210/en.2011-0016. Epub 2011 May 17.
3
Bisphosphonate use and atypical fractures of the femoral shaft.双膦酸盐类药物的应用与股骨干非典型骨折。
辛伐他汀作为有症状根尖周炎患牙根管内药物时对白细胞介素6、白细胞介素10及基质金属蛋白酶-9表达的影响——一项三盲随机对照试验
J Transl Med. 2025 Jul 9;23(1):760. doi: 10.1186/s12967-025-06579-z.
4
Molecular mechanisms underlying the effects of statins on bone metabolism: an evolving paradigm of statins delivery modalities for bone regeneration.他汀类药物对骨代谢影响的分子机制:骨再生中他汀类药物递送方式的不断演变模式。
Pharmacol Rep. 2025 Jun;77(3):624-644. doi: 10.1007/s43440-025-00716-7. Epub 2025 Apr 1.
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Calcif Tissue Int. 2025 Feb 20;116(1):41. doi: 10.1007/s00223-025-01341-5.
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BMC Musculoskelet Disord. 2025 Feb 1;26(1):107. doi: 10.1186/s12891-024-08160-z.
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