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Osteoporosis-preventive behaviors and their promotion for young men. 预防骨质疏松症的行为及其对年轻男性的推广。
Pub Date : 2015-08-05 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.98
Vu H Nguyen

Osteoporosis in men is a major and neglected public health issue. An experimental study with a sample of 37 young men tested an osteoporosis prevention education intervention to alter osteoporosis health beliefs and to increase osteoporosis-preventive behaviors, in order to determine effectiveness and make public health recommendations. After pretest, control and treatment interventions were administered, with the administration of a posttest 2 weeks later. For all osteoporosis health beliefs and osteoporosis-preventive behaviors measured, no group and time interaction was found to be statistically significant. Both groups had low perceived susceptibility to osteoporosis, low to moderate perceived severity of osteoporosis, high perceived benefits of exercise and calcium to prevent osteoporosis, low perceived barriers to exercise and calcium, and moderate to high levels of confidence in self-efficacy for exercise and calcium. Bouts of exercise per week were adequate; however, consumption of good sources of calcium per day appeared to be low. More research is needed for the promotion of osteoporosis prevention in men. Recommendations promoting preventive behaviors for men have been provided.

男性骨质疏松症是一个被忽视的重大公共卫生问题。一项以 37 名年轻男性为样本的实验研究测试了一种骨质疏松症预防教育干预措施,以改变骨质疏松症的健康观念并增加骨质疏松症预防行为,从而确定其有效性并提出公共卫生建议。在前测之后,进行对照和治疗干预,2 周后进行后测。在测量的所有骨质疏松症健康信念和骨质疏松症预防行为中,没有发现组与时间的交互作用具有统计学意义。两组受试者对骨质疏松症的易感性均较低,对骨质疏松症的严重程度均为中低水平,对运动和钙对预防骨质疏松症的益处均有较高的认知,对运动和钙的障碍认知较低,对运动和钙的自我效能信心均为中高水平。每周的运动量足够;但是,每天钙的良好来源的消耗量似乎较低。在促进男性预防骨质疏松症方面还需要更多的研究。我们还提供了促进男性预防行为的建议。
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引用次数: 0
Missense mutation in the PTEN promoter of a patient with hemifacial hyperplasia. 半面部增生患者PTEN启动子的错义突变。
Pub Date : 2015-07-29 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.21
Kiyomi Yamazaki, Charis Eng, Sergei A Kuznetsov, John Reinisch, Dennis-Duke Yamashita, John Walker, Craig Cheung, Pamela G Robey, Stephen L-K Yen

The cellular mechanisms involved in the asymmetric facial overgrowth syndrome, hemifacial hyperplasia (HFH), are not well understood. This study was conducted to compare primary cell cultures from hyperplastic and normal HFH bone for cellular and molecular differences. Primary cultures developed from biopsies of a patient with isolated HFH showed a twofold difference in cell size and cell number between hyperplastic and normal bone. Microarray data suggested a 40% suppression of PTEN (phosphatase-tensin homolog) transcripts. Sequencing of the PTEN gene and promoter identified novel C/G missense mutation (position -1053) in the regulatory region of the PTEN promoter. Western blots of downstream pathway components showed an increase in PKBa/Akt1 phosphorylation and TOR (target of rapamcyin) signal. Sirolimus, an inhibitor of TOR, when added to overgrowth cells reversed the cell size, cell number and total protein differences between hyperplastic and normal cells. In cases of facial overgrowth, which involve PTEN/Akt/TOR dysregulation, sirolimus could be used for limiting cell overgrowth.

不对称面部过度生长综合征,即半面部增生(HFH)的细胞机制尚不清楚。本研究比较了增生和正常HFH骨的原代培养细胞的细胞和分子差异。从分离的HFH患者的活检中获得的原代培养显示增生骨和正常骨在细胞大小和细胞数量上有两倍的差异。微阵列数据显示PTEN(磷酸酶-紧张素同源物)转录物抑制40%。通过对PTEN基因和启动子的测序,在PTEN启动子的调控区域发现了新的C/G错义突变(位置-1053)。下游通路组分的Western blots显示PKBa/Akt1磷酸化和TOR (rapamcyin靶蛋白)信号增加。西罗莫司是一种TOR抑制剂,当添加到过度生长的细胞中时,可以逆转增生细胞和正常细胞之间的细胞大小、细胞数量和总蛋白差异。在涉及PTEN/Akt/TOR失调的面部过度生长的情况下,西罗莫司可用于限制细胞过度生长。
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引用次数: 4
Adult Tph2 knockout mice without brain serotonin have moderately elevated spine trabecular bone but moderately low cortical bone thickness. 没有脑5 -羟色胺的成年Tph2基因敲除小鼠脊柱小梁骨中度升高,但皮质骨厚度中度降低。
Pub Date : 2015-07-15 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.87
Robert Brommage, Jeff Liu, Deon Doree, Wangsheng Yu, David R Powell, Qi Melissa Yang

Disruption of serotonin synthesis in neurons and the periphery by knockout (KO) of mouse genes for tryptophan hydroxylases (peripheral Tph1 and neuronal Tph2) has been claimed to decrease (Tph2 KO) and increase (Tph1 KO) bone mass. In this report, adult male and female Tph2 KO mice were observed to have elevated spine trabecular bone. Female Tph2 KO mice have reduced midshaft femur cortical bone thickness. Bone mass was normal in male and female Tph1 KO mice examined as part of a Tph1/Tph2 double knockout (DKO) mouse cohort.

通过敲除小鼠色氨酸羟化酶(外周Tph1和神经元Tph2)基因来破坏神经元和外周血清素合成,据称可以降低(Tph2 KO)和增加(Tph1 KO)骨量。在本报告中,观察到成年雄性和雌性Tph2 KO小鼠脊柱小梁骨升高。雌性Tph2 KO小鼠股骨中轴皮质骨厚度减少。作为Tph1/Tph2双敲除(DKO)小鼠队列的一部分,雄性和雌性Tph1 KO小鼠骨量正常。
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引用次数: 17
Genetic regulation of bone strength: a review of animal model studies. 骨强度的遗传调控:动物模型研究综述。
Pub Date : 2015-07-08 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.83
Douglas J Adams, Cheryl L Ackert-Bicknell

Population- and family-based studies have established that fragility fracture risk is heritable; yet, the genome-wide association studies published to date have only accounted for a small fraction of the known variation for fracture risk of either the femur or the lumbar spine. Much work has been carried out using animal models toward finding genetic loci that are associated with bone strength. Studies using animal models overcome some of the issues associated with using patient data, but caution is needed when interpreting the results. In this review, we examine the types of tests that have been used for forward genetics mapping in animal models to identify loci and/or genes that regulate bone strength and discuss the limitations of these test methods. In addition, we present a summary of the quantitative trait loci that have been mapped for bone strength in mice, rats and chickens. The majority of these loci co-map with loci for bone size and/or geometry and thus likely dictate strength via modulating bone size. Differences in bone matrix composition have been demonstrated when comparing inbred strains of mice, and these matrix differences may be associated with differences in bone strength. However, additional work is needed to identify loci that act on bone strength at the materials level.

基于人口和家庭的研究已经确定,脆性骨折风险是遗传的;然而,迄今为止发表的全基因组关联研究仅占股骨或腰椎骨折风险已知变异的一小部分。为了寻找与骨骼强度相关的基因位点,人们在动物模型上做了很多工作。使用动物模型的研究克服了与使用患者数据相关的一些问题,但在解释结果时需要谨慎。在这篇综述中,我们研究了在动物模型中用于鉴定调节骨强度的位点和/或基因的正向遗传作图的测试类型,并讨论了这些测试方法的局限性。此外,我们还对小鼠、大鼠和鸡骨强度的数量性状位点进行了综述。这些基因座中的大多数与骨大小和/或几何形状的基因座共图,因此可能通过调节骨大小来决定强度。在比较近交系小鼠时,已经证明了骨基质组成的差异,这些基质差异可能与骨强度的差异有关。然而,需要进一步的工作来确定在材料水平上对骨强度起作用的位点。
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引用次数: 14
TGFβ-Mediated induction of SphK1 as a potential determinant in human MDA-MB-231 breast cancer cell bone metastasis. tgf β介导的SphK1在人MDA-MB-231乳腺癌细胞骨转移中的潜在决定因素
Pub Date : 2015-07-08 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.88
Keith R Stayrook, Justin K Mack, Donna Cerabona, Daniel F Edwards, Hai H Bui, Maria Niewolna, Pierrick Gj Fournier, Khalid S Mohammad, David L Waning, Theresa A Guise

Mechanistic understanding of the preferential homing of circulating tumor cells to bone and their perturbation on bone metabolism within the tumor-bone microenvironment remains poorly understood. Alteration in both transforming growth factor β (TGFβ) signaling and sphingolipid metabolism results in the promotion of tumor growth and metastasis. Previous studies using MDA-MB-231 human breast cancer-derived cell lines of variable metastatic potential were queried for changes in sphingolipid metabolism genes to explore correlations between TGFβ dependence and bone metastatic behavior. Of these genes, only sphingosine kinase-1 (SPHK1) was identified to be significantly increased following TGFβ treatment. Induction of SPHK1 expression correlated to the degree of metastatic capacity in these MDA-MB-231-derived cell lines. We demonstrate that TGFβ mediates the regulation of SPHK1 gene expression, protein kinase activity and is critical to MDA-MB-231 cell viability. Furthermore, a bioinformatic analysis of human breast cancer gene expression supports SPHK1 as a hallmark TGFβ target gene that also bears the genetic fingerprint of the basal-like/triple-negative breast cancer molecular subtype. These data suggest a potential new signaling axis between TGFβ/SphK1 that may have a role in the development, prognosis or the clinical phenotype associated with tumor-bone metastasis.

循环肿瘤细胞优先归巢到骨的机制及其对肿瘤-骨微环境中骨代谢的扰动仍然知之甚少。转化生长因子β (TGFβ)信号和鞘脂代谢的改变可促进肿瘤的生长和转移。先前的研究使用可变转移潜能的MDA-MB-231人乳腺癌来源细胞系,查询鞘脂代谢基因的变化,以探索TGFβ依赖与骨转移行为之间的相关性。在这些基因中,只有鞘氨醇激酶-1 (SPHK1)在tgf - β治疗后显著升高。诱导SPHK1表达与这些mda - mb -231衍生细胞系的转移能力程度相关。我们证明了TGFβ介导SPHK1基因表达和蛋白激酶活性的调节,并且对MDA-MB-231细胞活力至关重要。此外,人类乳腺癌基因表达的生物信息学分析支持SPHK1作为TGFβ的标志性靶基因,也具有基底样/三阴性乳腺癌分子亚型的遗传指纹。这些数据表明,TGFβ/SphK1之间可能存在一个新的信号轴,可能在肿瘤骨转移相关的发展、预后或临床表型中发挥作用。
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引用次数: 15
The regulation of osteoclast differentiation by Wnt signals. Wnt信号对破骨细胞分化的调控。
Pub Date : 2015-07-01 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.82
Yasuhiro Kobayashi, Shunsuke Uehara, Masanori Koide, Naoyuki Takahashi

Wnt ligands activate β-catenin-dependent canonical and -independent noncanonical signaling pathways. Wnt regulates many physiological events such as the development of organs and bone metabolism. In contrast, failed signaling leads to pathological conditions including cancer and osteoporosis. Analyses of loss-of-function mutations in the low-density lipoprotein receptor-related protein (Lrp) 5 gene revealed that Lrp5 acted as a co-receptor of Wnt/β-catenin signals and positively regulated bone mass in humans and mice. Many players in Wnt signals including sclerostin, an osteocyte-derived Wnt antagonist, also have since been found to influence bone mass. Bone mass is regulated by the activities of bone-forming osteoblasts, -resorbing osteoclasts and matrix-embedded osteocytes. The roles of Wnt/β-catenin signals in osteoblastogenesis and osteoclastogenesis have been established by the findings of a large number of in vitro and in vivo studies. In contrast, the roles of noncanonical Wnt signals in bone metabolism are only now being examined. In this review, we introduced and discussed recent information on the roles of Wnt signals in bone resorption.

Wnt配体激活β-连环蛋白依赖的典型和独立的非典型信号通路。Wnt调节许多生理事件,如器官发育和骨代谢。相反,信号传导失败导致包括癌症和骨质疏松症在内的病理状况。低密度脂蛋白受体相关蛋白(Lrp) 5基因的功能缺失突变分析显示,Lrp5作为Wnt/β-catenin信号的共受体,在人和小鼠中积极调节骨量。Wnt信号中的许多参与者,包括硬化蛋白(一种骨细胞来源的Wnt拮抗剂),也被发现影响骨量。骨量是由成骨细胞、再吸收破骨细胞和基质嵌入骨细胞的活动调节的。Wnt/β-catenin信号在成骨细胞和破骨细胞发生中的作用已经被大量体外和体内研究所证实。相比之下,非规范Wnt信号在骨代谢中的作用现在才被研究。在这篇综述中,我们介绍并讨论了Wnt信号在骨吸收中的作用的最新信息。
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引用次数: 3
Point mutations in an epigenetic factor lead to multiple types of bone tumors: role of H3.3 histone variant in bone development and disease. 一个表观遗传因子的点突变导致多种类型的骨肿瘤:H3.3组蛋白变异在骨发育和疾病中的作用
Pub Date : 2015-07-01 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.84
Shigeaki Kato, Takeaki Ishii, Alexander Kouzmenko

Coordinated post-translational modifications (PTMs) of nucleosomal histones emerge as a key mechanism of gene regulation by defining chromatin configuration. Patterns of histone modifications vary in different cells and constitute core elements of cell-specific epigenomes. Recently, in addition to canonical histone proteins produced during the S phase of cell cycle, several non-canonical histone variants have been identified and shown to express in a DNA replication-independent manner. These histone variants generate diversity in nucleosomal structures and add further complexity to mechanisms of epigenetic regulation. Cell-specific functions of histone variants remain to be determined. Several recent studies reported an association between some point mutations in the non-canonical histone H3.3 and particular types of brain and bone tumors. This suggests a possibility of differential physiological effects of histone variants in different cells and tissues, including bone. In this review, we outline the roles of histone variants and their PTMs in the epigenetic regulation of chromatin structure and discuss possible mechanisms of biological effects of the non-canonical histone mutations found in bone tumors on tumorigenesis in differentiating bone stem cells.

核小体组蛋白的协调翻译后修饰(PTMs)通过定义染色质结构而成为基因调控的关键机制。组蛋白修饰的模式在不同的细胞中有所不同,并构成细胞特异性表观基因组的核心要素。最近,除了在细胞周期S期产生的规范组蛋白外,还发现了几种非规范组蛋白变体,并显示它们以DNA复制无关的方式表达。这些组蛋白变异产生核小体结构的多样性,并进一步增加表观遗传调控机制的复杂性。组蛋白变体的细胞特异性功能仍有待确定。最近的几项研究报道了非规范组蛋白H3.3的一些点突变与特定类型的脑和骨肿瘤之间的关联。这表明组蛋白变异在不同细胞和组织(包括骨)中可能有不同的生理作用。在这篇综述中,我们概述了组蛋白变异及其PTMs在染色质结构表观遗传调控中的作用,并讨论了骨肿瘤中发现的非规范组蛋白突变对分化骨干细胞发生的生物学作用的可能机制。
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引用次数: 7
Androgen-deprivation therapy and bone loss in prostate cancer patients: a clinical review. 雄激素剥夺治疗和前列腺癌患者骨质流失:一项临床综述。
Pub Date : 2015-06-24 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.85
Marc Bienz, Fred Saad

Androgen-deprivation therapy (ADT) has become a standard of care in the management of advanced prostate cancer or as an adjunct therapy. However, ADT is associated with a well-known deleterious effect on bone health, resulting in a decrease in bone-mass density (BMD) and increased risk for fracture. With the longer life expectancy of prostate cancer patients, improvement of the quality of life has become increasingly important. Therefore, adequate screening, prevention and treatment of BMD loss is paramount. Zoledronic acid and denosumab have shown promising results in recent studies, which has led to the Food and Drug Administration approval of these treatment options in various settings throughout the course of the disease, including the prevention of ADT-associated bone loss. This review focuses on the various parameters that impact BMD loss in men initiating ADT, on the specific effect of ADT on bone health and on various lifestyle modifications and treatment options such as bisphosphonates, osteoclast-targeted therapy and selective estrogen-receptor modulators that have shown promising results in recent studies.

雄激素剥夺疗法(ADT)已成为治疗晚期前列腺癌的一种标准疗法或作为一种辅助疗法。然而,ADT对骨骼健康有众所周知的有害影响,导致骨量密度(BMD)下降和骨折风险增加。随着前列腺癌患者预期寿命的延长,提高生活质量变得越来越重要。因此,充分筛查、预防和治疗骨密度损失是至关重要的。唑来膦酸和地诺单抗在最近的研究中显示出有希望的结果,这使得食品和药物管理局批准了这些治疗方案在整个疾病过程中的各种情况下,包括预防adt相关的骨质流失。本文综述了影响ADT患者骨密度损失的各种参数,ADT对骨骼健康的具体影响,以及各种生活方式的改变和治疗选择,如双膦酸盐、破骨细胞靶向治疗和选择性雌激素受体调节剂,这些在最近的研究中显示出有希望的结果。
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引用次数: 43
In vivo reference point indentation measurement variability in skeletally mature inbred mice. 骨骼成熟近交系小鼠体内参考点压痕测量变异性。
Pub Date : 2015-06-17 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.81
Andrew Srisuwananukorn, Matthew R Allen, Drew M Brown, Joseph M Wallace, Jason M Organ

Reference point indentation (RPI) was developed to measure material-level mechanical properties of bone in vivo. Studies using RPI in vivo have discriminated between human subjects with previous skeletal fractures and those without and among dogs given different anti-remodeling drugs. Recently, this technology was extended to rats, providing the first in vivo data for rodents. The goal of the present study was to perform in vivo RPI measurements in mice, the most common animal model used to study bone. Twelve 16-week-old female C57BL/6 mice were subjected to RPI (three tests) on the anterior tibia, followed by a repeat test session on the contralateral limb 28 days later. A custom MATLAB program was used to derive several outcome parameters from RPI force-displacement curves: first cycle indentation distance (ID-1st), ID increase (IDI), total ID (TID), first cycle unloading slope (US-1st) and first cycle energy dissipation (ED-1st). Data within an individual were averaged across the three tests for each time point. Within-animal variation of all RPI parameters on day 1 ranged from 12.8 to 33.4% and from 14.1 to 22.4% on day 28. Between-animal variation on day 1 ranged from 11.4% to 22.8% and from 7.5% to 24.7% on day 28. At both time points, within- and between-animals, US-1st was the least variable parameter and IDI was most variable. All parameters were nonsignificantly lower at day 28 compared with day 1. These data are important to demonstrate the feasibility of collecting bone material property data longitudinally in mice and will inform the design of future studies in terms of statistical power and appropriate sample size considerations.

参考点压痕(RPI)是一种用于测量体内骨材料力学性能的方法。在体内使用RPI进行的研究区分了先前有骨骨折的人和没有骨骨折的人,以及给予不同抗重塑药物的狗。最近,这项技术被扩展到大鼠,首次提供了啮齿动物的体内数据。本研究的目的是在小鼠体内进行RPI测量,这是研究骨骼最常用的动物模型。选取12只16周龄雌性C57BL/6小鼠,在胫骨前侧进行RPI(3次试验),28天后在对侧肢体进行重复试验。利用定制的MATLAB程序从RPI力-位移曲线中推导出几个结果参数:第一周期压痕距离(ID-1)、ID增量(IDI)、总ID (TID)、第一周期卸荷斜率(us -1)和第一周期能量耗散(ed -1)。在每个时间点的三个测试中,对个体内的数据取平均值。第1天所有RPI参数的动物内变化范围为12.8 ~ 33.4%,第28天为14.1 ~ 22.4%。第1天动物间变异为11.4% ~ 22.8%,第28天为7.5% ~ 24.7%。在两个时间点,动物内和动物间,us -1是变化最小的参数,IDI是变化最大的参数。与第1天相比,第28天所有参数均无显著降低。这些数据对于证明在小鼠中纵向收集骨材料特性数据的可行性非常重要,并将在统计能力和适当的样本量考虑方面为未来研究的设计提供信息。
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引用次数: 9
Focus on the p38 MAPK signaling pathway in bone development and maintenance. 关注p38 MAPK信号通路在骨发育和维持中的作用。
Pub Date : 2015-06-10 eCollection Date: 2015-01-01 DOI: 10.1038/bonekey.2015.80
Cyril Thouverey, Joseph Caverzasio

The p38 mitogen-activated protein kinase (MAPK) signaling pathway can be activated in response to a wide range of extracellular signals. As a consequence, it can generate many different biological effects that depend on the stimulus and on the activated cell type. Therefore, this pathway has been found to regulate many aspects of tissue development and homeostasis. Recent work with the aid of genetically modified mice has highlighted the physiological functions of this pathway in skeletogenesis and postnatal bone maintenance. In this review, emphasis is given to the roles of the p38 MAPK pathway in chondrocyte, osteoblast and osteoclast biology. In particular, we describe the molecular mechanisms of p38 MAPK activation and downstream targets. The requirement of this pathway in physiological bone development and homeostasis is demonstrated by the ability of p38 MAPK to regulate master transcription factors controlling geneses and functions of chondrocytes, osteoblasts and osteoclasts.

p38丝裂原活化蛋白激酶(MAPK)信号通路可被广泛的细胞外信号激活。因此,它可以产生许多不同的生物效应,这取决于刺激和被激活的细胞类型。因此,这一途径被发现调节组织发育和体内平衡的许多方面。最近在转基因小鼠的帮助下,研究人员强调了这一途径在骨骼形成和出生后骨骼维持中的生理功能。在这篇综述中,重点介绍了p38 MAPK通路在软骨细胞、成骨细胞和破骨细胞生物学中的作用。特别是,我们描述了p38 MAPK活化的分子机制和下游靶点。p38 MAPK调节控制软骨细胞、成骨细胞和破骨细胞的基因和功能的主转录因子的能力证明了这一途径在骨生理发育和稳态中的必要性。
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引用次数: 114
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