Bao Kairan, Jiao Yinghua, Xing Lei, Zhang Fang, Tian Faming
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.
Diabetol Metab Syndr. 2023 Apr 28;15(1):84. doi: 10.1186/s13098-023-01067-0.
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.
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。
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