成骨细胞和骨细胞的凋亡异常增加了松质骨的形成,但随着年龄的增长会加剧皮质骨孔隙率。
Dysapoptosis of osteoblasts and osteocytes increases cancellous bone formation but exaggerates cortical porosity with age.
作者信息
Jilka Robert L, O'Brien Charles A, Roberson Paula K, Bonewald Lynda F, Weinstein Robert S, Manolagas Stavros C
机构信息
Division of Endocrinology and Metabolism, Center for Osteoporosis and Metabolic Bone Diseases, Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
出版信息
J Bone Miner Res. 2014 Jan;29(1):103-17. doi: 10.1002/jbmr.2007.
Skeletal aging is accompanied by decreased cancellous bone mass and increased formation of pores within cortical bone. The latter accounts for a large portion of the increase in nonvertebral fractures after age 65 years in humans. We selectively deleted Bak and Bax, two genes essential for apoptosis, in two types of terminally differentiated bone cells: the short-lived osteoblasts that elaborate the bone matrix, and the long-lived osteocytes that are immured within the mineralized matrix and choreograph the regeneration of bone. Attenuation of apoptosis in osteoblasts increased their working lifespan and thereby cancellous bone mass in the femur. In long-lived osteocytes, however, it caused dysfunction with advancing age and greatly magnified intracortical femoral porosity associated with increased production of receptor activator of nuclear factor-κB ligand and vascular endothelial growth factor. Increasing bone mass by artificial prolongation of the inherent lifespan of short-lived osteoblasts, while exaggerating the adverse effects of aging on long-lived osteocytes, highlights the seminal role of cell age in bone homeostasis. In addition, our findings suggest that distress signals produced by old and/or dysfunctional osteocytes are the culprits of the increased intracortical porosity in old age.
骨骼衰老伴随着松质骨量减少和皮质骨内孔隙形成增加。后者是人类65岁后非椎体骨折增加的很大一部分原因。我们在两种终末分化骨细胞中选择性删除了Bak和Bax这两个对细胞凋亡至关重要的基因:一种是生成骨基质的短命成骨细胞,另一种是被困在矿化基质中并协调骨再生的长寿骨细胞。成骨细胞凋亡的减弱延长了它们的工作寿命,从而增加了股骨的松质骨量。然而,在长寿骨细胞中,这会随着年龄增长导致功能障碍,并极大地增加股骨皮质内孔隙率,同时核因子κB受体激活剂配体和血管内皮生长因子的产生也会增加。通过人为延长短命成骨细胞的固有寿命来增加骨量,同时又加剧衰老对长寿骨细胞的不利影响,这凸显了细胞年龄在骨稳态中的关键作用。此外,我们的研究结果表明,衰老和/或功能失调的骨细胞产生的应激信号是老年时皮质内孔隙率增加的罪魁祸首。
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