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维生素 D 通过激活 OPG/RANKL 和 Wnt/β-连环蛋白信号通路抑制甲状腺毒症小鼠的骨丢失。

Vitamin D inhibits bone loss in mice with thyrotoxicosis by activating the OPG/RANKL and Wnt/β-catenin signaling pathways.

机构信息

Division of Endocrinology and Metabolism Internal Medicine, West China Hospital, Sichuan University, Chengdu, China.

Division of Endocrinology & Metabolism, People's Hospital of Le Shan, Le Shan, China.

出版信息

Front Endocrinol (Lausanne). 2022 Nov 30;13:1066089. doi: 10.3389/fendo.2022.1066089. eCollection 2022.

Abstract

OBJECTIVE

Vitamin D and thyroid hormones have crucial roles in bone metabolism. This study aims to explore the effects of vitamin D on bone metabolism in mice with thyrotoxicosis and its mechanisms.

METHODS

12-week-old mice were randomly divided into 6 groups (6 mice/group), the control (CON) group, vitamin D (VD) group, low-dose LT4 (Low LT4) group, low-dose LT4+VD (Low LT4+VD) group, high-dose LT4 (High LT4) group, high-dose LT4+VD (High LT4+VD) group, LT4 was provided every day and vitamin D3 every other day for 12 weeks. Thyroid function, 25-hydroxy vitamin D, type I collagen carboxy-terminal peptide (CTX), and type I procollagen amino-terminal peptide were determined. In addition, microcomputed tomography, bone histology and histomorphometry, a three-point bending test, and the mRNA expression of osteoprotegerin (OPG), receptor activator of nuclear factor-κB ligand (RANKL) and β-catenin in bone were conducted.

RESULTS

The BMD of lumbar vertebrae and femur decreased and the bone microstructure was destroyed significantly in thyrotoxicosis mice. Addition of vitamin D improved the BMD and bone microstructure only in the low LT4+VD group. Mice with thyrotoxicosis had a significantly higher level of CTX (<0.05), which was decreased by treatment with vitamin D (<0.05). The eroded surface per bone surface (Er. S/BS) of the cancellous bone and elongated surface/endocortical perimeter (Er. S/E Pm) of the cortical bone significantly increased in the Low LT4 and High LT4 groups (<0.05). Treatment with vitamin D significantly decreased the Er. S/BS and Er. S/E Pm. But, treatment with vitamin D did not significantly improve the toughness and rigidity of bones. The ratio of OPG to RANKL and mRNA expression of β-catenin in the Low LT4+VD group were higher than that in the Low LT4 group (<0.05).

CONCLUSION

In mice with thyrotoxicosis, treatment with vitamin D can inhibit bone resorption and improve the BMD and trabecular bone architecture by increasing the ratio of OPG to RANKL and upregulating the expression of Wnt/β-catenin.

摘要

目的

维生素 D 和甲状腺激素在骨骼代谢中起着至关重要的作用。本研究旨在探讨维生素 D 对甲状腺毒症小鼠骨代谢的影响及其机制。

方法

将 12 周龄的小鼠随机分为 6 组(每组 6 只),对照组(CON)、维生素 D 组(VD)、低剂量左甲状腺素钠(Low LT4)组、低剂量左甲状腺素钠+维生素 D 组(Low LT4+VD)、高剂量左甲状腺素钠(High LT4)组、高剂量左甲状腺素钠+维生素 D 组(High LT4+VD)。每天给予左甲状腺素钠,每隔一天给予维生素 D3,共 12 周。测定甲状腺功能、25-羟维生素 D、I 型胶原羧基末端肽(CTX)、I 型前胶原氨基末端肽。此外,还进行了微计算机断层扫描、骨组织学和组织形态计量学、三点弯曲试验以及骨组织中骨保护素(OPG)、核因子-κB 受体激活剂配体(RANKL)和β-连环蛋白的 mRNA 表达。

结果

甲状腺毒症小鼠腰椎和股骨骨密度降低,骨微结构破坏明显。添加维生素 D 仅在低 LT4+VD 组改善了骨密度和骨微结构。甲状腺毒症小鼠的 CTX 水平显著升高(<0.05),用维生素 D 治疗后降低(<0.05)。低 LT4 和高 LT4 组的松质骨骨表面侵蚀率(Er. S/BS)和皮质骨长径/内皮质周径(Er. S/E Pm)显著增加(<0.05)。用维生素 D 治疗后,Er. S/BS 和 Er. S/E Pm 显著降低。然而,用维生素 D 治疗并未显著改善骨骼的韧性和刚性。低 LT4+VD 组的 OPG 与 RANKL 的比值和β-连环蛋白的 mRNA 表达均高于低 LT4 组(<0.05)。

结论

在甲状腺毒症小鼠中,维生素 D 治疗可通过增加 OPG 与 RANKL 的比值和上调 Wnt/β-连环蛋白的表达来抑制骨吸收,提高骨密度和小梁骨结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50e/9748851/c461b36404de/fendo-13-1066089-g001.jpg

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