Takeuchi Yasuhiro
Toranomon Hospital Endocrine Center, Japan.
Clin Calcium. 2013 Feb;23(2):195-202.
Accumulating evidence clearly indicates both thyroid hormone and estrogen have a pivotal role in bone metabolism. Pituitary hormones, TSH and FSH, regulate circulating levels of thyroid hormone and estrogen, respectively. Recent works raise a possibility that either TSH or FSH also has its own direct effects on bone cells involved in bone resorption and formation. More recently, it is suggested that oxytocin and vasopressin are also involved in bone metabolism. However, several investigations of genetically manipulated model mice and clinical data from patients with certain diseases have provided inconsistent results. Thus, we need more data that answer the question whether or not each pituitary hormone is physiologically and pathophysiologically involved in controlling bone metabolism in human.
越来越多的证据清楚地表明,甲状腺激素和雌激素在骨代谢中都起着关键作用。垂体激素促甲状腺激素(TSH)和促卵泡激素(FSH)分别调节甲状腺激素和雌激素的循环水平。最近的研究提出了一种可能性,即TSH或FSH对参与骨吸收和形成的骨细胞也有直接作用。最近,有人提出催产素和加压素也参与骨代谢。然而,对基因操作模型小鼠的多项研究以及来自某些疾病患者的临床数据给出了不一致的结果。因此,我们需要更多数据来回答每种垂体激素在生理和病理生理上是否参与控制人类骨代谢这一问题。