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[脱氢表雄酮(DHEA)与骨代谢]

[Dehydroepiandrosterone(DHEA)and bone metabolism].

作者信息

Ohnaka Keizo

机构信息

Department of Geriatric Medicine, Graduate School of Medical Sciences, Kyushu University, Japan.

出版信息

Clin Calcium. 2016 Jul;26(7):987-93.

Abstract

Dehydroepiandrosterone(DHEA), an adrenal androgen, has attracted much attention as an anti-aging hormone as well as a marker for senescence because of its unique change along with aging. DHEA is reported to have beneficial effects such as anti-diabetes, anti-obesity, and anti-atherosclerosis. It is also shown that DHEA has anti-osteoporosis effects to increase bone mineral density in randomized controlled trials(RCTs). As osteoblasts express aromatase which will convert androgen to estrogen, DHEA may act protectively against osteoporosis through its metabolites. Because there is no report on fracture risk by DHEA administration, further studies are required to clarify DHEA effects on human bone metabolism.

摘要

脱氢表雄酮(DHEA)是一种肾上腺雄激素,因其随衰老而发生的独特变化,作为一种抗衰老激素以及衰老标志物备受关注。据报道,DHEA具有抗糖尿病、抗肥胖和抗动脉粥样硬化等有益作用。在随机对照试验(RCT)中也表明,DHEA具有抗骨质疏松作用,可增加骨矿物质密度。由于成骨细胞表达芳香化酶,可将雄激素转化为雌激素,DHEA可能通过其代谢产物对骨质疏松起到保护作用。由于尚无关于服用DHEA后骨折风险的报道,因此需要进一步研究以阐明DHEA对人体骨代谢的影响。

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