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Urinary phthalate metabolites associated with bone mineral density in adults: Data from the NHANES 2011–2018 与成人骨矿物质密度相关的尿液邻苯二甲酸酯代谢物:2011-2018年国家健康调查(NHANES)数据
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-14 DOI: 10.1016/j.bone.2024.117287
Jian Yang , Yanan Feng
Phthalates (PAEs) are common environmental endocrine disruptors and environmental bone poisons that can reduce bone mineral density (BMD). The purpose of this study is to investigate whether the concentration of PAE metabolites in urine is related to BMD in many parts of adult bones. We examined a series of cross-sectional data of male (n = 1835) and female (n = 1756) participants aged 18 to 59 years old in the National Health and Nutrition Examination Survey from 2011 to 2018 and measured urine PAE metabolites and dual-energy X-ray absorption to determine BMD (total body, lumbar spine, and pelvis). We used linear regression to test the correlation between a single phthalate biomarker and BMD. After adjusting all confounding variables, MEHP was positively correlated with BMD of total body, lumbar spine and pelvis, and BMD levels of the total body, lumbar spine and pelvis decreased with the increase of MECPP concentration. We used the restricted cubic spline function to test the nonlinear correlation between PAE biomarkers and BMD. The results show that urinary PAE metabolites have a nonlinear relationship with total body BMD, lumbar spine BMD, and pelvic BMD. With the increase in the PAE concentration, the BMD level first increased and then decreased, showing an inverted U-shaped trend (P < 0.05). Gender stratification also shows the same related trend. PAEs may be related to the BMD of adults. When the concentration of PAEs increases to a certain threshold, it will lead to a significant decrease in BMD.
邻苯二甲酸盐(PAEs)是常见的环境内分泌干扰物和环境骨毒,可降低骨矿物质密度(BMD)。本研究的目的是探讨尿液中 PAE 代谢物的浓度是否与成人骨骼许多部位的 BMD 有关。我们研究了2011年至2018年全国健康与营养调查中18至59岁男性(n = 1835)和女性(n = 1756)参与者的一系列横断面数据,并测量了尿液中的PAE代谢物和双能X射线吸收测定BMD(全身、腰椎和骨盆)。我们使用线性回归来检验单一邻苯二甲酸酯生物标志物与 BMD 之间的相关性。在调整所有混杂变量后,MEHP 与全身、腰椎和骨盆的 BMD 呈正相关,而全身、腰椎和骨盆的 BMD 水平随着 MECPP 浓度的增加而降低。我们使用受限三次样条函数检验了 PAE 生物标志物与 BMD 之间的非线性相关性。结果表明,尿液中的 PAE 代谢物与全身 BMD、腰椎 BMD 和骨盆 BMD 呈非线性关系。随着 PAE 浓度的增加,BMD 水平先升高后降低,呈倒 U 型趋势(P < 0.05)。性别分层也显示出同样的相关趋势。PAEs 可能与成人的 BMD 有关。当 PAEs 浓度增加到一定临界值时,会导致 BMD 显著下降。
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引用次数: 0
Is decreased psoas volume a risk factor for hip fracture? A comparative study of patients with and without hip fractures using the exact matching technique 腰肌收缩量减少是髋部骨折的风险因素吗?使用精确匹配技术对髋部骨折患者和非髋部骨折患者进行的比较研究。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-13 DOI: 10.1016/j.bone.2024.117278
Hee Chung Chung , Woorim Choi , Chul-Ho Kim , Ji Wan Kim

Introduction

Sarcopenia is linked to increased fall and hip fracture risk. However, studies often overlook comprehensively controlling for age, sex, bone mineral density (BMD), and body mass index (BMI). Our study aimed to determine if sarcopenia, determined by evaluating the psoas muscle volume, is an independent risk factor for hip fractures. We employed a methodological approach that includes the exact matching technique.

Methods

In this cross-sectional comparative study, we compared the data of patients who sustained hip fractures between 2015 and 2021 with those of a control group from a health screening center in a single center. The study included 545 patients with hip fractures and 1292 without fractures. We collected data on demographics, BMD determined using dual-energy X-ray absorptiometry, and abdominal and pelvic computed tomography (APCT) scans for psoas muscle volume analysis.

Results

The analysis after exact matching of 266 pairs revealed that psoas volume/height2 was the most significant and dominant risk factor among the evaluated indices. Multivariate logistic regression analysis, adjusting for age, sex, BMI, and BMD, identified height or height2-adjusted psoas muscle volume as an independent risk factor for hip fractures (p = 0.042 and p = 0.002, respectively). Age, female sex, lower BMI, and lower BMD were associated with an increased risk of hip fractures.

Conclusion

Decreased psoas muscle volume adjusted for patient height independently predicts hip fracture risk. Psoas volume assessment via APCT is a practical tool for identifying at-risk individuals, emphasizing the necessity of including sarcopenia in hip fracture risk assessments.
简介肌肉疏松症与跌倒和髋部骨折风险增加有关。然而,研究往往忽略了对年龄、性别、骨质密度(BMD)和体重指数(BMI)的全面控制。我们的研究旨在确定通过评估腰肌体积确定的肌肉疏松症是否是髋部骨折的独立风险因素。我们采用的方法包括精确匹配技术:在这项横断面比较研究中,我们将 2015 年至 2021 年期间发生髋部骨折的患者数据与来自单一中心健康检查中心的对照组数据进行了比较。研究包括 545 名髋部骨折患者和 1292 名无骨折患者。我们收集了人口统计学数据、使用双能 X 射线吸收测量法测定的 BMD,以及用于腰肌体积分析的腹部和骨盆计算机断层扫描(APCT)数据:结果:对 266 对数据进行精确配对分析后发现,腰肌体积/身高2 是所评估指标中最重要和最主要的风险因素。在对年龄、性别、体重指数和 BMD 进行调整后,多变量逻辑回归分析发现身高或经身高调整的腰肌体积是髋部骨折的独立风险因素(分别为 p = 0.042 和 p = 0.002)。年龄、女性性别、较低体重指数和较低骨密度与髋部骨折风险增加有关:结论:根据患者身高调整腰肌体积后,腰肌体积减少可独立预测髋部骨折风险。通过 APCT 评估腰肌体积是识别高危人群的实用工具,强调了将肌肉疏松症纳入髋部骨折风险评估的必要性。
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引用次数: 0
A novel genetic mouse model of osteoporosis with double heterozygosity of Irx3 and Irx5 characterizes sex-dependent phenotypes in bone homeostasis Irx3和Irx5双杂合子骨质疏松症新型遗传小鼠模型揭示了骨稳态中性别依赖表型的特征
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-12 DOI: 10.1016/j.bone.2024.117282
Xinyu Chen , Zhengchao Dou , Joe Eun Son , Meng Duan , Fei Yang , Shankuan Zhu , Chi-Chung Hui
Iroquois homeobox gene 3 (Irx3) and Irx5 encode transcription factors that play crucial roles in limb development and bone formation. Previous studies using knockout mice have revealed a role of Irx3 and Irx5 in osteogenesis in young adult mice. However, whether these genes are also essential for bone homeostasis in adulthood and contribute to bone diseases remain poorly understood. Osteoporosis is a disease characterized by lower bone mineral density and disrupted bone microarchitecture, typically occurs in postmenopausal women. Here, we demonstrate that Irx3/5dHet mice with a half-reduction of Irx3 and Irx5 dosage serve as a novel model of osteoporosis. By micro-computed tomography, we found that Irx3/5dHet mice exhibited sex-dependent bone loss patterns. While male Irx3/5dHet mice progressively lost trabecular microstructures with aging, female mutants exhibited lower bone mineral density (BMD) and bone volume fraction (BV/TV) at early adulthood (9–15 weeks old) but without further loss later at 1 year of age. Bone marrow adipocytes are known to be elevated at the expenses of lower osteogenesis in osteoporotic bone marrow. Surprisingly, we found sex-dependent changes in adipogenesis at the age of skeletal maturity that bone marrow adipocytes were reduced in female Irx3/5dHet mice along with deteriorated osteogenesis, while male mice exhibited elevated adipogenesis. In summary, we reported a novel genetic model for osteoporosis-like phenotypes, highlighting sex-dependent bone mineral density and bone marrow adipocyte characteristics.
易洛魁同源染色体基因3(Irx3)和Irx5编码的转录因子在肢体发育和骨形成中起着至关重要的作用。此前利用基因敲除小鼠进行的研究发现,Irx3 和 Irx5 在幼年成年小鼠的骨形成过程中发挥作用。然而,这些基因是否对成年期的骨平衡也至关重要,是否会导致骨病,目前仍不甚了解。骨质疏松症是一种以骨矿物质密度降低和骨微结构破坏为特征的疾病,通常发生在绝经后妇女身上。在这里,我们证明了Irx3和Irx5剂量减半的Irx3/5dHet小鼠可作为骨质疏松症的新型模型。通过微型计算机断层扫描,我们发现Irx3/5dHet小鼠表现出与性别相关的骨质流失模式。雄性Irx3/5dHet小鼠的骨小梁微结构随着年龄的增长而逐渐丧失,而雌性突变体在成年早期(9-15周龄)表现出较低的骨矿物质密度(BMD)和骨体积分数(BV/TV),但在1岁以后没有进一步丧失。众所周知,在骨质疏松的骨髓中,骨髓脂肪细胞会以较低的成骨率为代价而升高。令人惊讶的是,我们发现在骨骼成熟期脂肪生成的变化与性别有关,雌性Irx3/5dHet小鼠的骨髓脂肪细胞减少,同时骨生成恶化,而雄性小鼠则表现出脂肪生成增加。总之,我们报告了一种新的骨质疏松症样表型遗传模型,突出显示了性别依赖性骨矿物质密度和骨髓脂肪细胞特征。
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引用次数: 0
The role of AKR1B10 in osteogenic differentiation of mesenchymal stem cells and atrophic nonunion AKR1B10在间充质干细胞成骨分化和萎缩性骨不连中的作用。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-12 DOI: 10.1016/j.bone.2024.117284
Jie Wu , Runze Li , Chen Liu , Weiming Li
Atrophic nonunion is a chronic disease without effective medications. Here, high-throughput mRNA sequencing was used to explore the novel targets in atrophic nonunion. AKR1B10, a member of aldo-keto reductase family 1, is upregulated in atrophic nonunion tissues. There are currently no studies to reveal the role of AKR1B10 in atrophic nonunion. We used rat bone marrow-derived mesenchymal stem cells (BMSCs) to explore the effect of AKR1B10 on the osteogenic differentiation and autophagy. In vivo, we implanted collagen sponges loaded with LV-shAKR1B10-transduced BMSCs into rat fractured femurs to explore the role of AKR1B10 in fracture healing. The results showed that AKR1B10 reduced the activity of ALP, suppressed the expression of COL1A1, RUNX2 and OCN, and inhibited calcification deposition in osteogenically differentiated BMSCs. AKR1B10 reduced the expression of LC3II, decreased the number of autophagosomes, and promoted the expression of p62. In addition, the promoting effect of AKR1B10 knockdown on osteogenic differentiation of BMSCs was attenuated by 3-MA treatment. Implantation of collagen sponges found that knockdown of AKR1B10 promoted bone fracture healing. In conclusion, AKR1B10 inhibited the osteogenic differentiation and autophagy, and delayed the bone fracture healing. These results provide a new perspective on revealing the role of AKR1B10 in nonunion and may also provide a new therapeutic target for the treatment of nonunion.
萎缩性骨不连是一种没有有效药物治疗的慢性疾病。本文采用高通量 mRNA 测序技术探索萎缩性骨不连的新靶点。AKR1B10是醛酮还原酶家族1的成员,在萎缩性骨不连组织中上调。目前还没有研究揭示 AKR1B10 在萎缩性骨不连中的作用。我们利用大鼠骨髓间充质干细胞(BMSCs)探讨了AKR1B10对成骨分化和自噬的影响。在体内,我们将负载有 LV-shAKR1B10 转导的 BMSCs 的胶原海绵植入大鼠骨折的股骨中,以探索 AKR1B10 在骨折愈合中的作用。结果表明,AKR1B10能降低ALP的活性,抑制COL1A1、RUNX2和OCN的表达,抑制骨分化BMSCs的钙化沉积。AKR1B10 可降低 LC3II 的表达,减少自噬体的数量,促进 p62 的表达。此外,AKR1B10 基因敲除对 BMSCs 成骨分化的促进作用会因 3-MA 处理而减弱。植入胶原海绵后发现,敲除 AKR1B10 能促进骨折愈合。总之,AKR1B10 可抑制成骨分化和自噬,延缓骨折愈合。这些结果为揭示 AKR1B10 在骨不连中的作用提供了一个新的视角,也为治疗骨不连提供了一个新的治疗靶点。
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引用次数: 0
What personal factors are associated with osteoporosis, fragility fracture, and osteopenia? A population-level analysis using the United Kingdom Biobank 哪些个人因素与骨质疏松症、脆性骨折和骨质疏松有关?利用英国生物数据库进行的人群分析。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-11 DOI: 10.1016/j.bone.2024.117277
Elizabeth Duckworth , Romil Shah , Colin O'Neill , Eeric Truumees , Vagheesh Narasimhan , Prakash Jayakumar

Purpose

Osteopenia, osteoporosis, and fragility fractures pose a major public health concern. Population-level clinical and biopsychosocial data may uncover modifiable risk factors to target when developing whole person approaches to managing these conditions. The purpose of this study was to identify personal risk factors associated with osteoporosis, fragility fractures, and osteopenia from the United Kingdom Biobank (UKB) – a large population-level database.

Methods

We performed a cross-sectional study using the UKB to evaluate the association between 39 systematically selected explanatory variables with a diagnosis of osteopenia, osteoporosis, or fragility fracture. Bivariate analysis was performed followed by multivariable logistic regression adjusting for multicollinearity using covariance testing.

Results

Of 502,507 patients in the UKB, 40,657 had complete bone mineral density information from DEXA scans, and 32,193 had sustained a fragility fracture in the previous five years. In multivariable regression, increased time spent watching television (OR 1.15), living in an area with a high index of deprivation (OR 1.14), infrequent visits from friends and family (OR 1.09), experiencing symptoms of anxiety (OR 1.09), experiencing symptoms of depression (OR 1.08), and decreased exercise frequency (OR 1.03), were associated with increased risk of osteoporosis. Decreased exercise frequency (OR 1.27), increased BMI (OR 1.2), living in an area with a high index of deprivation (OR 1.11), and decreased salary (OR 1.10) were associated with increased risk of fragility fracture. Symptoms of anxiety (OR 1.15), living in an area with a high index of deprivation (OR 1.13), and increased time spent watching television (OR 1.11), living alone (OR 1.08), and symptoms of depression (OR 1.06), were associated with increased risk of osteopenia (p < 0.05 for all variables).

Conclusion

Analysis of population-level datasets reveal a range of modifiable mental, social, and lifestyle/behavioral health factors that can inform multidisciplinary team-based care, including strategies that respond to psychosocial concerns and sustaining healthy lifestyles and behaviors in patients experiencing osteoporosis, fragility fracture, and osteopenia. Future work should assess the impact of integrated, whole person management programs for these conditions on longitudinal outcomes.
目的:骨质疏松、骨质疏松症和脆性骨折是一个重大的公共卫生问题。人群层面的临床和生物心理社会数据可能会发现可改变的风险因素,从而在制定全人管理这些疾病的方法时将其作为目标。本研究旨在从英国生物库(UKB)--一个大型人口级数据库--中找出与骨质疏松症、脆性骨折和骨质疏松症相关的个人风险因素:我们利用英国生物库进行了一项横断面研究,评估了 39 个系统选择的解释变量与骨质疏松症、骨质疏松症或脆性骨折诊断之间的关联。在进行双变量分析后,我们又进行了多变量逻辑回归,并通过协方差检验对多重共线性进行了调整:在英国骨质疏松症研究所的 502,507 名患者中,40,657 人通过 DEXA 扫描获得了完整的骨密度信息,32,193 人在过去五年中发生过脆性骨折。在多变量回归中,看电视时间增加(OR 1.15)、居住在贫困指数较高的地区(OR 1.14)、不经常拜访亲友(OR 1.09)、出现焦虑症状(OR 1.09)、出现抑郁症状(OR 1.08)和运动频率减少(OR 1.03)与骨质疏松症风险增加有关。运动频率减少(OR 1.27)、体重指数增加(OR 1.2)、居住在贫困指数较高的地区(OR 1.11)和工资减少(OR 1.10)与脆性骨折风险增加有关。焦虑症状(OR 1.15)、生活在贫困指数高的地区(OR 1.13)、看电视时间增加(OR 1.11)、独居(OR 1.08)和抑郁症状(OR 1.06)与骨质疏松风险增加有关(P 结论:对人口层面的数据集进行分析后发现,骨质疏松风险增加与生活在贫困指数高的地区(OR 1.13)、看电视时间增加(OR 1.11)、独居(OR 1.08)和抑郁症状(OR 1.06)有关:对人群数据集的分析表明,一系列可改变的精神、社会和生活方式/行为健康因素可为多学科团队护理提供信息,包括应对社会心理问题的策略以及维持骨质疏松症、脆性骨折和骨质疏松症患者的健康生活方式和行为。未来的工作应评估针对这些病症的综合全人管理计划对纵向结果的影响。
{"title":"What personal factors are associated with osteoporosis, fragility fracture, and osteopenia? A population-level analysis using the United Kingdom Biobank","authors":"Elizabeth Duckworth ,&nbsp;Romil Shah ,&nbsp;Colin O'Neill ,&nbsp;Eeric Truumees ,&nbsp;Vagheesh Narasimhan ,&nbsp;Prakash Jayakumar","doi":"10.1016/j.bone.2024.117277","DOIUrl":"10.1016/j.bone.2024.117277","url":null,"abstract":"<div><h3>Purpose</h3><div>Osteopenia, osteoporosis, and fragility fractures pose a major public health concern. Population-level clinical and biopsychosocial data may uncover modifiable risk factors to target when developing whole person approaches to managing these conditions. The purpose of this study was to identify personal risk factors associated with osteoporosis, fragility fractures, and osteopenia from the United Kingdom Biobank (UKB) – a large population-level database.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study using the UKB to evaluate the association between 39 systematically selected explanatory variables with a diagnosis of osteopenia, osteoporosis, or fragility fracture. Bivariate analysis was performed followed by multivariable logistic regression adjusting for multicollinearity using covariance testing.</div></div><div><h3>Results</h3><div>Of 502,507 patients in the UKB, 40,657 had complete bone mineral density information from DEXA scans, and 32,193 had sustained a fragility fracture in the previous five years. In multivariable regression, increased time spent watching television (OR 1.15), living in an area with a high index of deprivation (OR 1.14), infrequent visits from friends and family (OR 1.09), experiencing symptoms of anxiety (OR 1.09), experiencing symptoms of depression (OR 1.08), and decreased exercise frequency (OR 1.03), were associated with increased risk of osteoporosis. Decreased exercise frequency (OR 1.27), increased BMI (OR 1.2), living in an area with a high index of deprivation (OR 1.11), and decreased salary (OR 1.10) were associated with increased risk of fragility fracture. Symptoms of anxiety (OR 1.15), living in an area with a high index of deprivation (OR 1.13), and increased time spent watching television (OR 1.11), living alone (OR 1.08), and symptoms of depression (OR 1.06), were associated with increased risk of osteopenia (<em>p</em> &lt; 0.05 for all variables).</div></div><div><h3>Conclusion</h3><div>Analysis of population-level datasets reveal a range of modifiable mental, social, and lifestyle/behavioral health factors that can inform multidisciplinary team-based care, including strategies that respond to psychosocial concerns and sustaining healthy lifestyles and behaviors in patients experiencing osteoporosis, fragility fracture, and osteopenia. Future work should assess the impact of integrated, whole person management programs for these conditions on longitudinal outcomes.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117277"},"PeriodicalIF":3.5,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic effect of bloodletting on bone deterioration induced by hypobaric hypoxia in young rats 放血对低压缺氧引起的幼鼠骨骼退化的治疗作用
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117281
Doudou Hao , Suyuan Wang , Lin Feng , Suying Zhu , Yang Zhong , Fengying Zhang , Yanli Chen , Yongxing Fu , Zhiyou Shi , Feng Tang , Yunhong Wu

Objectives

High-altitude regions, comprising hypoxic condition, are associated with different altitude-induced pathologies, including a reduction in bone density. Elucidating the mechanisms underlying bone degradation in such environments and developing targeted interventions and therapeutics is important. Bloodletting therapy has promising clinical applications, but its effects on the skeletal system and bone homeostasis are not well understood. The aim of this study was to investigate the effects of a hypobaric hypoxia environment on specific femoral morphological and structural properties, including the bone volume, cortical thickness, and trabecular microarchitecture, in juvenile Sprague–Dawley (SD) rats, and to explore the potential modulating effects of a bloodletting intervention on these parameters.

Methods

Male SD rats, 6 weeks of age, were subjected to a simulated hypobaric hypoxia environment, replicating a 5000-m altitude, for 12 weeks. For the bloodletting intervention group, rats were subjected to a weekly 500 μL tail vein blood withdrawal. Micro-CT technology, hematoxylin and eosin staining, and tartrate-resistant acid phosphatase staining were employed to comprehensively assess the femoral microstructure, tissue architecture, and cellular morphology. Additionally, immunofluorescence analysis was conducted to quantify the expression of key proteins, and transcriptome analysis was performed to identify differentially expressed genes.

Results

Exposing rats to hypobaric hypoxia led to a significant reduction in the bone mineral content, trabecular bone number, and cortical bone thickness, suggesting a deterioration of bone microstructure. Additionally, the hypoxic environment upregulated the expression of RANKL and HIF-1α, while downregulating RUNX2 expression. Notably, although bloodletting intervention did not significantly reverse these bone structural changes, transcriptome analysis revealed its regulatory influence on the expression of key genes, particularly Mmp2, Fosl2, and URS0000B2A65A, which are implicated in pathways governing the hypoxic response, osteoclast differentiation, and PI3K–Akt signaling.

Conclusion

This study highlights the detrimental effect of hypobaric hypoxia on the bone microstructure of juvenile rats and underscores the therapeutic potential of bloodletting to ameliorate this condition. Additionally, our study on the regulatory mechanisms mediating the effects of bloodletting on gene expression offers new perspectives on bone alterations. It suggests promising avenues for the development of novel preventative measures and targeted therapies to address the challenges posed by related bone disorders.
目的:高海拔地区包括缺氧条件,与不同海拔引起的病症有关,包括骨密度降低。阐明这种环境下骨质退化的内在机制并开发有针对性的干预措施和疗法非常重要。放血疗法具有良好的临床应用前景,但其对骨骼系统和骨平衡的影响尚未得到充分了解。本研究旨在探讨低压缺氧环境对幼年Sprague-Dawley(SD)大鼠特定股骨形态和结构特性(包括骨量、皮质厚度和骨小梁微结构)的影响,并探索放血干预对这些参数的潜在调节作用:方法:将6周大的雄性SD大鼠置于模拟的低压缺氧环境中,模拟海拔5000米的环境,为期12周。放血干预组大鼠每周接受一次 500 μL 尾静脉抽血。采用显微 CT 技术、苏木精和伊红染色法以及耐酒石酸磷酸酶染色法来全面评估股骨的微观结构、组织结构和细胞形态。此外,还进行了免疫荧光分析以量化关键蛋白的表达,并进行了转录组分析以确定不同表达的基因:结果:大鼠暴露于低压缺氧环境中会导致骨矿物质含量、骨小梁数量和皮质骨厚度显著减少,这表明骨的微观结构发生了退化。此外,低氧环境会上调 RANKL 和 HIF-1α 的表达,同时下调 RUNX2。值得注意的是,虽然放血干预并没有明显逆转这些骨结构变化,但转录组分析显示,放血干预对关键基因的表达具有调控作用,尤其是Mmp2、Fosl2和URS0000B2A65A,这些基因与缺氧反应、破骨细胞分化和PI3K-Akt信号通路有关:本研究强调了低压缺氧对幼年大鼠骨微结构的有害影响,并强调了放血对改善这种状况的治疗潜力。此外,我们关于放血对基因表达影响的调控机制的研究为骨骼改变提供了新的视角。它为开发新型预防措施和靶向疗法以应对相关骨骼疾病带来的挑战提供了很好的途径。
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引用次数: 0
Comparison of PET/CT versus CT only in the assessment of new heterotopic ossification bone lesions in patients with fibrodysplasia ossificans progressiva 正电子发射计算机断层显像(PET)/计算机断层扫描(CT)与单纯计算机断层扫描(CT)在评估渐进性纤维性骨化症患者新的异位骨化骨病变方面的比较。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117280
Dinko González Trotter, Jennifer McGinniss, Kusha Mohammadi, Bret J. Musser, Gary A. Herman, Scott Mellis, Aris N. Economides
Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare disorder characterized by the deposition of bone in soft tissues, known as heterotopic ossification (HO). This post hoc analysis compared the performance of two imaging modalities for the detection and volumetric measurement of new HO lesions. LUMINA-1, a phase 2, randomized, double-blind study (NCT03188666), evaluated the safety and efficacy of garetosmab, an anti-activin A antibody, versus placebo in adult patients with FOP. From baseline through to week 28, 18F-labeled sodium fluoride positron emission tomography (PET)/X-ray computed tomography (CT) and CT-only scans prospectively acquired during the initial placebo-controlled period of the study were independently reviewed by two sets of fixed blinded readers plus an adjudicator for the presence and volume of new HO lesions. The number of patients with new lesions was 14/44 (31.8 %) and 12/44 (27.3 %) as detected by PET/CT and CT only, respectively. The aggregate number/volume of new lesions were very similar both for the placebo and the garetosmab group between PET/CT (27/245.0 cm3 and 3/21.3 cm3, respectively) and CT only (37/261.8 cm3 and 1/0.1 cm3, respectively). The mean (standard deviation) number of new lesions per patient by PET/CT through week 28 was 0.68 (1.57) versus 0.86 (1.95) as detected by CT only. Through week 28, the mean (standard deviation) volume of new lesions per patient detected by PET/CT was 6.05 (14.88) cm3 versus 5.94 (21.13) cm3 by CT only. Moderate agreement between PET/CT and CT-only detection was observed when identifying patients with new lesions, with a kappa coefficient of 0.46 (standard error, 0.146; 95 % confidence interval, 0.17–0.74). CT-only imaging showed similar performance to PET/CT in the detection and characterization of new HO lesions. CT-only imaging therefore is a viable option for the assessment of therapies on new HO in patients with FOP.
纤维增生性骨化症(FOP)是一种超罕见的疾病,其特征是软组织中的骨沉积,即异位骨化(HO)。这项事后分析比较了两种成像模式在检测和测量异位骨化新病灶体积方面的性能。LUMINA-1是一项2期随机双盲研究(NCT03188666),评估了抗活化素A抗体加瑞妥单抗与安慰剂在FOP成年患者中的安全性和有效性。从基线到第28周,在研究的最初安慰剂对照期间前瞻性获得的18F标记的氟化钠正电子发射断层扫描(PET)/X射线计算机断层扫描(CT)和纯CT扫描由两组固定的盲人阅读者和一名评审员独立审查是否存在新的HO病变及其体积。仅 PET/CT 和 CT 检测出新病灶的患者人数分别为 14/44(31.8%)和 12/44(27.3%)。安慰剂组和加瑞妥斯单抗组新病灶的总数/体积在 PET/CT (分别为 27/245.0 立方厘米和 3/21.3 立方厘米)和仅 CT (分别为 37/261.8 立方厘米和 1/0.1 立方厘米)之间非常相似。到第28周时,PET/CT检测到的每位患者新病灶的平均数量(标准偏差)为0.68(1.57)个,而仅通过CT检测到的新病灶数量为0.86(1.95)个。到第 28 周时,PET/CT 检测到的每位患者新病灶的平均体积(标准差)为 6.05 (14.88) cm3,而 CT 仅检测到的为 5.94 (21.13) cm3。在识别新病灶患者时,PET/CT 和纯 CT 检测结果的一致性适中,卡帕系数为 0.46(标准误差为 0.146;95 % 置信区间为 0.17-0.74)。在检测和鉴定新的 HO 病灶方面,纯 CT 成像显示出与 PET/CT 相似的性能。因此,纯 CT 成像是评估 FOP 患者新 HO 治疗方法的可行选择。
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引用次数: 0
Stress fracture of bone under physiological multiaxial cyclic loading: Activity-based predictive models 生理多轴循环负荷下的骨应力性骨折:基于活动的预测模型
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117279
Winson T. George , Shayom Debopadhaya , Samuel J. Stephen , Bryan A. Botti , David B. Burr , Deepak Vashishth
While it is known that excessive accumulation of fatigue damage from daily activities contributes to fracture, a model of bone failure under physiologically relevant multiaxial cyclic loading needs to be developed in order to develop effective management strategies for stress or fatigue fractures. The role of strain-induced damage from repetitive loading is a strong candidate for such a model, as cycles of mechanical loading leading to failure can be measured directly. However, this approach has been limited by the restrictions of uniaxial loading models, which often overestimates the fatigue life of bone and suggests that bone will only break well beyond the realistic limits of exercise. To address this gap and develop a physiologically relevant model, our study leverages the power of four commonly used engineering failure criteria as a model for multiaxial loading using a cohort of human tibiae from cadaveric donors (age range 21–85 years old). Four failure criteria (Von Mises, Tsai-Wu, Findley critical plane, and maximum shear strain) were found to be effective in vitro models of tibial fracture when age groups of donors were combined (r2 > 0.84) and stratified (younger: 21–52-years-old versus older: 57–85-years-old) (r2 > 0.83) (p < 0.001). Each failure criterion displayed distinctly lower fatigue curves for the older age group. The maximum shear strain model was used to determine the efficacy of this approach to predict fatigue fractures in humans using published in vivo data from human volunteers. Consistent with in vivo observations in general population, the model demonstrated failure at 5000 to 200,000 loading cycles depending on activities such as jumping, sprinting, and walking, with a 3-fold reduction of fatigue life in older donors. These findings dramatically improve estimates of fatigue life under repetitive loading and demonstrate how age-related changes in bone significantly increase its propensity for fatigue-induced fractures.
众所周知,日常活动造成的疲劳损伤过度累积会导致骨折,但为了制定有效的应力性或疲劳性骨折管理策略,还需要建立一个与生理相关的多轴循环负荷下的骨破坏模型。重复加载造成的应变诱导损伤是此类模型的有力候选者,因为导致破坏的机械加载周期可以直接测量。然而,这种方法一直受到单轴加载模型的限制,因为单轴加载模型通常会高估骨骼的疲劳寿命,并认为骨骼只有在远远超出实际运动极限的情况下才会断裂。为了弥补这一不足并建立一个与生理相关的模型,我们的研究利用了四种常用的工程失效标准作为多轴加载模型,并使用了一批来自尸体捐献者(年龄范围为 21-85 岁)的人类胫骨。研究发现,当供体年龄组合并(r2 > 0.84)和分层(年轻:21-52 岁与年长:57-85 岁)(r2 > 0.83)时,四种失效标准(Von Mises、Tsai-Wu、Findley 临界平面和最大剪切应变)是有效的胫骨骨折体外模型(p
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引用次数: 0
Piezo1 expression in mature osteocytes is dispensable for the skeletal response to mechanical loading 成熟骨细胞中 Piezo1 的表达对于骨骼对机械负荷的反应是不可或缺的。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-09 DOI: 10.1016/j.bone.2024.117276
Xuehua Li , Connie Zhang , Cameron E. Vail , John T. Sherrill , Jinhu Xiong
Mechanical loading is essential for bone growth and homeostasis, with osteocytes considered the primary mechanosensors. Deleting the mechanosensitive ion channel Piezo1 from Dmp1-Cre-targeted cells, which include both osteoblasts and osteocytes, resulted in reduced bone mass and impaired skeletal responses to mechanical stimuli. To specifically isolate Piezo1's role in osteocytes, we used Sost-Cre mice to generate mice with Piezo1 deletion exclusively in mature osteocytes. These mice exhibited lower bone mineral density, decreased cancellous bone mass, and reduced cortical thickness with decrease periosteal expansion. However, unlike mice lacking Piezo1 in both osteoblasts and osteocytes, those with Piezo1 deletion in mature osteocytes responded normally to mechanical loading. These findings suggest that Piezo1 expression in mature osteocytes contributes to bone maintenance under normal physiological condition, but is dispensable for the skeletal response to mechanical loading.
机械负荷对骨骼生长和平衡至关重要,而骨细胞被认为是主要的机械传感器。从包括成骨细胞和骨细胞在内的 Dmp1-Cre 靶向细胞中删除机械敏感性离子通道 Piezo1 会导致骨量减少和骨骼对机械刺激的反应减弱。为了特别分离 Piezo1 在成骨细胞中的作用,我们利用 Sost-Cre 小鼠产生了只在成熟成骨细胞中缺失 Piezo1 的小鼠。这些小鼠表现出较低的骨矿物质密度、松质骨量减少、皮质厚度降低以及骨膜扩张减少。然而,与成骨细胞和骨细胞中均缺乏 Piezo1 的小鼠不同,那些在成熟骨细胞中缺失 Piezo1 的小鼠对机械负荷的反应正常。这些研究结果表明,在正常生理条件下,成熟骨细胞中 Piezo1 的表达有助于骨骼的维持,但对于骨骼对机械负荷的反应则是不可或缺的。
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引用次数: 0
Macrophage-derived amphiregulin promoted the osteogenic differentiation of chondrocytes through EGFR/Yap axis and TGF-β activation 巨噬细胞衍生的两性胰岛素通过表皮生长因子受体/Yap轴和TGF-ehβ激活促进软骨细胞的成骨分化。
IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-09 DOI: 10.1016/j.bone.2024.117275
Xinyi Wang, Shuo Wang, Hailin Mu, Chang Yang, Wei Dong, Xinru Wang, Jiawei Wang
Endochondral ossification represents a crucial biological process in skeletal development and bone defect repair. Macrophages, recognized as key players in the immune system, are now acknowledged for their substantial role in promoting endochondral ossification within cartilage. Concurrently, the epidermal growth factor receptor (EGFR) ligand amphiregulin (Areg) has been documented for its contributory role in restoring bone tissue homeostasis post-injury. However, the mechanism by which macrophage-secreted Areg facilitates bone repair remains elusive. In this study, the induction of macrophage depletion through in vivo administration of clodronate liposomes was employed in a standard open tibial fracture mouse model to assess bone healing using micro-computed tomography (micro-CT) analysis, histomorphology, and ELISA serum evaluations. The investigation revealed sustained expression of Areg during the fracture healing period in wild-type mice. Macrophage depletion significantly reduced the number of macrophages on the local bone surface and vital organs. This reduction led to diminished Areg secretion, decreased collagen production, and delayed fracture healing. However, histological and micro-CT assessments at 7 and 21 days post-local Areg treatment exhibited a marked improvement of bone healing compared to the vehicle control. In vitro studies demonstrated an increase of Areg secretion by the Raw264.7 cells upon ATP stimulation. Indirect co-culture of Raw264.7 and ATDC5 cells indicated that Areg overexpression enhanced the osteogenic potential of chondrocytes, and vice versa. This osteogenic promotion was attributed to Areg's activation of the membrane receptor EGFR in the ATDC5 cell line, the enhanced phosphorylation of transcription factor Yap, and the facilitation of the expression of bioactive TGF-β by chondrocytes. Collectively, this research elucidates the direct mechanistic effects of macrophage-secreted Areg in promoting bone homeostasis following bone injury.
软骨内骨化是骨骼发育和骨缺损修复过程中的一个关键生物过程。巨噬细胞被认为是免疫系统中的关键角色,它们在促进软骨内骨化方面的重要作用现已得到认可。同时,表皮生长因子受体(EGFR)配体两性胰岛素(Areg)在损伤后恢复骨组织平衡方面的作用也已得到证实。然而,巨噬细胞分泌的Areg促进骨修复的机制仍未确定。本研究在标准开放性胫骨骨折小鼠模型中,通过体内施用氯膦酸脂质体诱导巨噬细胞耗竭,利用微型计算机断层扫描(micro-CT)分析、组织形态学和酶联免疫吸附试验血清评估骨愈合情况。调查显示,野生型小鼠在骨折愈合期间持续表达 Areg。巨噬细胞消耗显著减少了局部骨表面和重要器官的巨噬细胞数量。这种减少导致 Areg 分泌减少、胶原蛋白生成减少以及骨折愈合延迟。不过,与药物对照组相比,在局部 Areg 治疗后 7 天和 21 天进行的组织学和显微 CT 评估显示,骨愈合情况有了明显改善。体外研究表明,在 ATP 刺激下,Raw264.7 细胞分泌的 Areg 会增加。Raw264.7 和 ATDC5 细胞的间接共培养表明,Areg 的过表达增强了软骨细胞的成骨潜能,反之亦然。这种成骨促进作用归因于Areg激活了ATDC5细胞系的膜受体表皮生长因子受体,增强了转录因子Yap的磷酸化,并促进了软骨细胞表达生物活性TGF-β。总之,这项研究阐明了巨噬细胞分泌的 Areg 在骨损伤后促进骨稳态的直接机制作用。
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引用次数: 0
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