Chengdu Second People's Hospital, Chengdu 610017, China.
Department of Gastrointestinal Surgery, Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai, China.
J Diabetes Res. 2021 Jun 23;2021:6707464. doi: 10.1155/2021/6707464. eCollection 2021.
Characteristic bone metabolism was observed in obesity and diabetes with controversial conclusions. Type 2 diabetes (T2DM) and obesity may manifest increased bone mineral density. Also, obesity is more easily to occur in T2DM. Therefore, we infer that some factors may be linked to bone and obesity as well as glucose metabolism, which regulate all of them. Bone morphogenetic proteins (BMPs), belonging to the transforming growth factor- (TGF-) beta superfamily, regulate a diverse array of cellular functions during development and in the adult. More and more studies revealed that there exists a relationship between bone metabolism and obesity as well as glucose metabolism. BMP2, BMP4, BMP6, BMP7, and BMP9 have been shown to affect the pathophysiological process of obesity and glucose metabolism beyond bone metabolism. They may exert functions in adipogenesis and differentiation as well as insulin resistance. In the review, we summarize the literature on these BMPs and their association with metabolic diseases including obesity and diabetes.
肥胖和糖尿病患者存在特征性的骨代谢紊乱,但相关结论仍存在争议。2 型糖尿病(T2DM)和肥胖症患者可能表现为骨密度增加。此外,肥胖症在 T2DM 中更为常见。因此,我们推断某些因素可能与骨代谢、肥胖症以及葡萄糖代谢有关,而这些因素之间存在相互调节作用。骨形态发生蛋白(BMPs)属于转化生长因子-β(TGF-β)超家族,在发育和成年过程中调节多种细胞功能。越来越多的研究表明,骨代谢与肥胖症和葡萄糖代谢之间存在关联。BMP2、BMP4、BMP6、BMP7 和 BMP9 除了影响骨代谢之外,还被证明可以影响肥胖和葡萄糖代谢的病理生理过程。它们可能在脂肪生成和分化以及胰岛素抵抗中发挥作用。在本综述中,我们总结了这些 BMPs 与包括肥胖症和糖尿病在内的代谢性疾病之间关联的文献。