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Wnt信号通路在糖尿病性骨质疏松症中的作用。

The role of wnt signaling in diabetes-induced osteoporosis.

作者信息

Bao Kairan, Jiao Yinghua, Xing Lei, Zhang Fang, Tian Faming

机构信息

Department of Integrated Traditional & Western Medicine, Affiliated hospital of North, China University of Science and Technology, Jianshe South Road 73, Tangshan, 063000, Hebei, People's Republic of China.

North China University of Science and Technology, Bohai Road 21, Caofeidian Dis, Tangshan, 063210, Hebei, People's Republic of China.

出版信息

Diabetol Metab Syndr. 2023 Apr 28;15(1):84. doi: 10.1186/s13098-023-01067-0.


DOI:10.1186/s13098-023-01067-0
PMID:37106471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10141960/
Abstract

Osteoporosis, a chronic complication of diabetes mellitus, is characterized by a reduction in bone mass, destruction of bone microarchitecture, decreased bone strength, and increased bone fragility. Because of its insidious onset, osteoporosis renders patients highly susceptible to pathological fractures, leading to increased disability and mortality rates. However, the specific pathogenesis of osteoporosis induced by chronic hyperglycemia has not yet been fully elucidated. But it is currently known that the disruption of Wnt signaling triggered by chronic hyperglycemia is involved in the pathogenesis of diabetic osteoporosis. There are two main types of Wnt signaling pathways, the canonical Wnt signaling pathway (β-catenin-dependent) and the non-canonical Wnt signaling pathway (non-β-catenin-dependent), both of which play an important role in regulating the balance between bone formation and bone resorption. Therefore, this review systematically describes the effects of abnormal Wnt pathway signaling on bone homeostasis under hyperglycemia, hoping to reveal the relationship between Wnt signaling and diabetic osteoporosis to further improve understanding of this disease.

摘要

骨质疏松症是糖尿病的一种慢性并发症,其特征为骨量减少、骨微结构破坏、骨强度降低以及骨脆性增加。由于其起病隐匿,骨质疏松症使患者极易发生病理性骨折,导致残疾率和死亡率上升。然而,慢性高血糖所致骨质疏松症的具体发病机制尚未完全阐明。但目前已知,慢性高血糖引发的Wnt信号通路紊乱参与了糖尿病性骨质疏松症的发病机制。Wnt信号通路主要有两种类型,即经典Wnt信号通路(β-连环蛋白依赖性)和非经典Wnt信号通路(非β-连环蛋白依赖性),二者在调节骨形成与骨吸收之间的平衡中均发挥重要作用。因此,本综述系统地描述了高血糖状态下Wnt通路信号异常对骨稳态的影响,希望揭示Wnt信号与糖尿病性骨质疏松症之间的关系,以进一步加深对该疾病的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/14dec7b6c733/13098_2023_1067_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/f33e76421de0/13098_2023_1067_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/694e712c8fd2/13098_2023_1067_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/2ad31a763155/13098_2023_1067_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/f27671ce82d8/13098_2023_1067_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/14dec7b6c733/13098_2023_1067_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/f33e76421de0/13098_2023_1067_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/694e712c8fd2/13098_2023_1067_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/2ad31a763155/13098_2023_1067_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/f27671ce82d8/13098_2023_1067_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/672e/10141960/14dec7b6c733/13098_2023_1067_Fig5_HTML.jpg

相似文献

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The role of wnt signaling in diabetes-induced osteoporosis.

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[7]
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[10]
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引用本文的文献

[1]
Ipriflavone ameliorates intervertebral disc degeneration by inhibiting osteoporosis of vertebral body and pyroptosis of the nucleus pulposus in instability of lumbar spine and diabetic mice.

Front Bioeng Biotechnol. 2025-8-5

[2]
Enhanced diagnostic accuracy of type 1 diabetes mellitus through the combined use of serum β-catenin and HbA1c.

Ir J Med Sci. 2025-6-24

[3]
Impact of monotherapy and combination therapy with glucagon-like peptide-1 receptor agonists on exosomal and non-exosomal MicroRNA signatures in type 2 diabetes mellitus: a systematic review.

J Transl Med. 2025-4-25

[4]
Gestational diabetes mellitus and linear growth in early childhood.

Front Endocrinol (Lausanne). 2024-11-27

[5]
Regulation of bone homeostasis: signaling pathways and therapeutic targets.

MedComm (2020). 2024-7-24

[6]
Trabecular Bone Score (TBS) in Individuals with Type 2 Diabetes Mellitus: An Updated Review.

J Clin Med. 2023-11-29

本文引用的文献

[1]
Exosomes Derived from Adipose Stem Cells Enhance Bone Fracture Healing via the Activation of the Wnt3a/β-Catenin Signaling Pathway in Rats with Type 2 Diabetes Mellitus.

Int J Mol Sci. 2023-3-2

[2]
Laponite intercalated biomimetic multilayer coating prevents glucocorticoids induced orthopedic implant failure.

Bioact Mater. 2022-9-26

[3]
Therapeutic approaches to activate the canonical Wnt pathway for bone regeneration.

J Tissue Eng Regen Med. 2022-11

[4]
An Insight Into the Association of Sclerostin With Insulin Sensitivity and Glycemic Parameters in Male Indian Prediabetic and Diabetic Population.

Cureus. 2022-7-21

[5]
Metformin activates Wnt/β-catenin for the treatment of diabetic osteoporosis.

BMC Endocr Disord. 2022-7-22

[6]
Dysregulation of Wnt signaling in bone of type 2 diabetes mellitus and diabetic Charcot arthropathy.

BMC Musculoskelet Disord. 2022-4-18

[7]
Investigation of the relationship between serum sclerostin and dickkopf-1 protein levels with bone turnover in children and adolescents with type-1 diabetes mellitus.

J Pediatr Endocrinol Metab. 2022-5-25

[8]
P2X7 receptor knockdown suppresses osteoclast differentiation by inhibiting autophagy and Ca/calcineurin signaling.

Mol Med Rep. 2022-5

[9]
Role of Wnt-signaling inhibitors DKK-1 and sclerostin in bone fragility associated with Turner syndrome.

J Endocrinol Invest. 2022-6

[10]
Decreased Serum Wnt Antagonist Levels in Patients With Active Acromegaly.

Endocr Pract. 2022-5

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