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骨质疏松症的理解:人类骨密度、遗传机制、肠道微生物群和未来展望。

Understanding Osteoporosis: Human Bone Density, Genetic Mechanisms, Gut Microbiota, and Future Prospects.

机构信息

Dr. Reddy's Laboratories Limited, Hyderabad, 500016, India.

Department of Basic and Applied Sciences, National Institute of Food Technology Entrepreneurship and Management, Sonipat, 131028, India.

出版信息

Probiotics Antimicrob Proteins. 2024 Jun;16(3):875-883. doi: 10.1007/s12602-023-10185-0. Epub 2023 Oct 24.

Abstract

Osteoporosis is a systemic condition of the skeleton that leads to diminished bone mass, a breakdown in the bone tissue's microscopic architecture, and an elevated risk of breaking a bone. The elderly and women particularly after menopause are disproportionately affected, and the condition generally stays undiagnosed until a broken bone causes severe pain and immobility. Causes of osteoporosis include low bone mass, more than normal bone loss, changes in hormone levels (decreased estrogen or testosterone), certain diseases and therapies, and lifestyle factors like smoking and inactivity. The spine, hip, and forearm are particularly vulnerable to osteoporosis-related fractures. The purpose of this article is to present a thorough understanding of osteoporosis, including the disease's connection to bone density in humans, and the major part played by genetic pathways and gut flora. The causes of osteoporosis, the effects of aging on bone density, and why some groups experience a higher incidence of the disease than others are investigated. The paper also includes animal and human experiments investigating the link between gut flora and osteoporosis. Finally, it looks to the future and speculates on possible developments in osteoporosis prevention and therapy.

摘要

骨质疏松症是一种骨骼系统疾病,导致骨量减少、骨组织微观结构破坏以及骨折风险增加。老年人和女性,尤其是绝经后女性,受影响的比例更高,这种情况通常在骨折引起严重疼痛和活动受限之前无法诊断。骨质疏松症的原因包括骨量低、骨丢失超过正常水平、激素水平变化(雌激素或睾酮减少)、某些疾病和治疗方法以及生活方式因素,如吸烟和不活动。脊柱、臀部和前臂特别容易发生与骨质疏松症相关的骨折。本文旨在全面了解骨质疏松症,包括该疾病与人类骨密度的关系,以及遗传途径和肠道菌群所起的主要作用。本文探讨了骨质疏松症的病因、衰老对骨密度的影响,以及为什么某些群体比其他群体更容易患骨质疏松症。本文还包括动物和人体实验,研究肠道菌群与骨质疏松症之间的联系。最后,本文展望未来,推测骨质疏松症预防和治疗的可能发展方向。

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