MicroRNA Based Therapy and Osteoporosis: A Review of a Novel Therapeutic Agent from Diagnosis to Treatment

F. Niknam, Nahid Davoodian, Dhuha Ali, Reza Vazifehmand, Tina Saber
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Abstract

Disequilibrium between bone resorption and bone formation may cause osteoporosis that reduces bone integrity and physiological function of skeletal system. Osteoblast and osteoclast genesis are two major of biological events that act in bone turnover and dynamic rate of bone remodeling. Ample evidences have been revealed that RANK-L/ OPG, Wnt and BMP Pathways are crucial pathways involved in osteoporosis. Treatment of osteoporosis is becoming important task in post menopause women and old people. Current treatment strategies with osteoporosis drugs are mainly by inhibiting the bone-resorbtion. However, these synthetic medicines have limitless side effects. Several studies have established the important of a group of small non-coding RNAs (MiRNAs) which involve in pathogenesis osteoporosis, bone remodeling, osteoblast differentiation and osteoclast formation and has consider as a gold biomarker for osteoporosis treatment. The pathogenicity factors of osteoporosis, pathways involved in the disease and potential replacement treatment have been emphasized in this paper.
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基于MicroRNA的治疗与骨质疏松症:一种新型治疗剂从诊断到治疗的综述
骨吸收与骨形成之间的不平衡可能导致骨质疏松症,从而降低骨的完整性和骨骼系统的生理功能。成骨细胞和破骨细胞的发生是影响骨更新和骨重塑动态速率的两大生物事件。大量证据表明RANK-L/ OPG、Wnt和BMP通路是参与骨质疏松的重要通路。骨质疏松症的治疗已成为绝经后妇女和老年人的重要课题。目前骨质疏松药物的治疗策略主要是通过抑制骨吸收。然而,这些合成药物有无限的副作用。一些研究已经确定了一组小的非编码rna (MiRNAs)的重要性,它们参与骨质疏松症的发病、骨重塑、成骨细胞分化和破骨细胞的形成,并被认为是骨质疏松症治疗的黄金生物标志物。本文就骨质疏松症的致病因素、发病途径及可能的替代治疗作一综述。
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