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骨重塑的免疫调节

Immunoregulation of bone remodelling.

作者信息

Singh Ajai, Mehdi Abbass A, Srivastava Rajeshwer N, Verma Nar Singh

机构信息

Department of Orthopaedics, Co Trauma Center I/C, C S M Medical University, Lucknow, India.

出版信息

Int J Crit Illn Inj Sci. 2012 May;2(2):75-81. doi: 10.4103/2229-5151.97271.

Abstract

Remodeling, a continuous physiological process maintains the strength of the bones, which maintains a delicate balance between bone formation and resorption process. This review gives an insight to the complex interaction and correlation between the bone remodeling and the corresponding changes in host immunological environment and also summarises the most recent developments occuring in the understanding of this complex field. T cells, both directly and indirectly increase the expression of receptor activator of nuclear factor kB ligand (RANKL); a vital step in the activation of osteoclasts, thus positively regulates the osteoclastogenesis. Though various cytokines, chemikines, transcription factors and co-stimulatory molecules are shared by both skeletal and immune systems, but researches are being conducted to establish and analyse their role and / or control on this complex but vital process. The understanding of this part of research may open new horizons in the management of inflammatory and autoimmune diseases, resulting into bone loss and that of osteoporosis also.

摘要

重塑是一个持续的生理过程,维持骨骼强度,在骨形成和吸收过程之间保持微妙平衡。本综述深入探讨了骨重塑与宿主免疫环境相应变化之间的复杂相互作用和关联,还总结了在理解这一复杂领域方面的最新进展。T细胞直接或间接增加核因子κB受体激活剂配体(RANKL)的表达;这是破骨细胞激活的关键步骤,从而正向调节破骨细胞生成。虽然骨骼和免疫系统共享多种细胞因子、趋化因子、转录因子和共刺激分子,但目前正在进行研究以确定和分析它们在这个复杂但至关重要的过程中的作用和/或调控。对这部分研究的理解可能为炎症性和自身免疫性疾病的治疗开辟新的前景,这些疾病会导致骨质流失以及骨质疏松症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d878/3401821/f0346aaced7d/IJCIIS-2-75-g001.jpg

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