酸对骨骼健康影响的临床前和临床证据

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY Advances in chronic kidney disease Pub Date : 2022-07-01 DOI:10.1053/j.ackd.2022.07.007
Orson W. Moe , Naim M. Maalouf , Khashayar Sakhaee , Eleanor Lederer
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引用次数: 1

摘要

酸可以在没有明显临床酸中毒的情况下对骨健康产生不良影响,但可以通过复杂的途径影响骨基质和骨细胞,包括急性和慢性途径。虽然骨骼对酸负荷的反应在进化中是保守的,并且是适应性的,但这种能力可能会被淹没,导致可怕的后果。酸对骨骼的影响的临床前和临床证据是非常令人信服的,关联和干预研究的临床证据也相当可信。酸对骨骼的不良影响未被充分认识和研究,碱治疗的潜在益处也不为人所知。
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Preclinical and Clinical Evidence of Effect of Acid on Bone Health

Acid can have ill effect on bone health in the absence of frank clinical acidosis but affecting the bone mioneral matrix and bone cells via complex pathways botyh ascute;y and chronically. While the reaction of bone to an acid load is conserved in evolution and is adaptive, the capacity can be overwhelmed resulting in dire consequences. The preclinical an clincl evidence of the acdi effect on bone is very convincing and the clinical evidence in both association and interventiopn studies are also quite credible, The adverse effects of acid on bone is underappreoicated, under-investigated, and the potential benefits of alkali therapy is not generrally known.

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来源期刊
Advances in chronic kidney disease
Advances in chronic kidney disease 医学-泌尿学与肾脏学
自引率
3.40%
发文量
69
审稿时长
11.1 weeks
期刊介绍: The purpose of Advances Chronic Kidney Disease is to provide in-depth, scholarly review articles about the care and management of persons with early kidney disease and kidney failure, as well as those at risk for kidney disease. Emphasis is on articles related to the early identification of kidney disease; prevention or delay in progression of kidney disease
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