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硬化蛋白作为糖尿病性骨质疏松症的新靶点。

Sclerostin as a new target of diabetes-induced osteoporosis.

作者信息

Li Yanhua, Luo Yaheng, Huang Debin, Peng Lele

机构信息

Department of Endocrinology and Metabolism, The Third Hospital of Changsha, Changsha, Hunan, China.

Department of Endocrinology and Metabolism, Want Want Hospital, Changsha, Hunan, China.

出版信息

Front Endocrinol (Lausanne). 2024 Dec 10;15:1491066. doi: 10.3389/fendo.2024.1491066. eCollection 2024.

Abstract

Sclerostin, a protein synthesized by bone cells, is a product of the gene. Sclerostin is a potent soluble inhibitor of the WNT signaling pathway, and is known to inhibit bone formation by inhibiting osteocyte differentiation and function. Currently, sclerostin has been the subject of numerous animal experiments and clinical investigations. By conducting a literature review, we have gained insights into the most recent advancements in research. Patients with both type 1 diabetes and type 2 diabetes have high levels of serum sclerostin. Patients with type 1 diabetes and type 2 diabetes are both more likely to suffer from osteoporosis, and serum sclerostin levels are elevated in osteoporosis. Many studies have confirmed that sclerostin has been implicated in the pathogenesis of osteoporosis, so we speculate that sclerostin plays an important role in osteoporosis through the glucose metabolism pathway, which may promote the osteoporosis of morbidity in type 1 diabetes and type 2 diabetes. Based on this, we propose whether serum sclerostin can predict type 1 diabetes and type 2 diabetes-induced osteoporosis, and whether it can be a new target for the prevention and treatment of type 1 diabetes and type 2 diabetes-induced osteoporosis, providing new ideas for clinicians and researchers.

摘要

硬化素是一种由骨细胞合成的蛋白质,是该基因的产物。硬化素是WNT信号通路的一种强效可溶性抑制剂,已知它通过抑制骨细胞分化和功能来抑制骨形成。目前,硬化素已成为众多动物实验和临床研究的对象。通过进行文献综述,我们了解了该研究的最新进展。1型糖尿病和2型糖尿病患者的血清硬化素水平都很高。1型糖尿病和2型糖尿病患者都更易患骨质疏松症,且骨质疏松症患者的血清硬化素水平会升高。许多研究证实硬化素与骨质疏松症的发病机制有关,因此我们推测硬化素通过糖代谢途径在骨质疏松症中起重要作用,这可能会促进1型糖尿病和2型糖尿病患者发生骨质疏松症。基于此,我们提出血清硬化素是否能预测1型糖尿病和2型糖尿病所致骨质疏松症,以及它是否可成为预防和治疗1型糖尿病和2型糖尿病所致骨质疏松症的新靶点,为临床医生和研究人员提供新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e21/11666367/2b0fae30cc09/fendo-15-1491066-g001.jpg

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