NHC Key Laboratory of Carcinogenesis of Hunan Cancer Hospital and the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan 410013, China.
School of Basic Medical Science, Central South University, Changsha, Hunan 410013, China.
Biochem Soc Trans. 2020 Aug 28;48(4):1623-1636. doi: 10.1042/BST20200005.
Osteoporosis (OP) is a bone metabolic disease, is characterized by degeneration of bone structure and decreased bone mass. It happens in more than 1/3 women and 1/5 men of over than 50 years old, which affects the health and lives of people. The main mechanism of OP is mainly that the dynamic balance between the bone formation and resorption is broken, so that bone resorption is more than bone formation. It is prone to result in bone metabolism disorder. There are many precipitating factor such as elder age, low hormone level, genetic factors and bad hobbies. At the same time, the occurrence of the OP and its complications has different degrees of impact on people's quality of life. Based on the current understanding of the OP, we summarized the etiology, current clinical drugs and potential targeting therapy for OP. Although the research have made many progress in explore what is the novel mechanism and how to improve the effect, there are still many problems in the treatment method that limit its application prospects and need to be solved. In this review, we mainly focus on the mechanism of OP and related research on the targeted treatment of OP. Hopefully, our summary will provide a reference to develop some novel strategies for the target therapy of OP.
骨质疏松症(OP)是一种骨骼代谢疾病,其特征是骨骼结构退化和骨量减少。超过 50 岁的女性中有超过 1/3、男性中有 1/5患有骨质疏松症,这影响了人们的健康和生活。OP 的主要机制主要是骨形成和骨吸收之间的动态平衡被打破,导致骨吸收超过骨形成。这容易导致骨代谢紊乱。许多沉淀因素,如年龄较大、激素水平低、遗传因素和不良嗜好等,都容易导致骨质疏松症的发生及其并发症。同时,OP 的发生及其并发症对人们的生活质量有不同程度的影响。基于目前对 OP 的了解,我们总结了 OP 的病因、目前的临床药物和潜在的靶向治疗方法。虽然在探索新的机制和如何提高疗效方面已经取得了许多进展,但在治疗方法方面仍存在许多限制其应用前景的问题,需要解决。在这篇综述中,我们主要关注 OP 的机制以及 OP 的靶向治疗相关研究。希望我们的总结能为开发 OP 的靶向治疗新策略提供参考。