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哈蟆油蛋白对骨质疏松预防及ALP,Osteocalcin,Runx-2基因表达的调节作用 被引量:8
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作者 李晓华 陈锡俊 +4 位作者 李娜 石晓征 韩冬 黄晓巍 曲晓波 《中国实验方剂学杂志》 CAS CSCD 北大核心 2017年第20期138-143,共6页
目的:观察哈蟆油蛋白(ROP)的抗骨质疏松作用,并探讨其对骨生长相关基因的调节作用。方法:采用去势法建立大鼠骨质疏松模型,随机分为空白组,模型组,戊酸雌二醇组,ROP高、中、低剂量组(0.15,0.075,0.037 5 g·kg^(-1));利用X射线技术... 目的:观察哈蟆油蛋白(ROP)的抗骨质疏松作用,并探讨其对骨生长相关基因的调节作用。方法:采用去势法建立大鼠骨质疏松模型,随机分为空白组,模型组,戊酸雌二醇组,ROP高、中、低剂量组(0.15,0.075,0.037 5 g·kg^(-1));利用X射线技术测量股骨和腰椎骨密度(BMD);利用骨骼强度仪检测股骨的最大载荷量;应用实时荧光定量PCR(Real-time PCR)技术检测骨生长相关基因的表达。结果:与空白组比较,模型组股骨、腰椎骨密度明显降低(P<0.05,P<0.01),碱性磷酸酶(alkaline phosphatase,ALP),Osteocalcin,Runx-2基因表达均显著下调(P<0.01);与模型组比较,ROP高、中剂量组腰椎BMD均有显著增加(P<0.01),ROP高剂量组ALP,Osteocalcin,Runx-2基因表达显著上调(P<0.01)。结论:ROP能显著提高大鼠BMD和最大载荷量;ROP可能通过上调ALP,Osteocalcin,Runx-2基因的mRNA表达,促进成骨分化,调节骨代谢平衡,从而发挥防治骨质疏松的作用。 展开更多
关键词 哈蟆油蛋白 骨质疏松 碱性磷酸酶 osteocalcin Runx-2
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Overexpression of Dlx2 enhances osteogenic differentiation of BMSCs and MC3T3-E1 cells via direct upregulation of Osteocalcin and Alp 被引量:22
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作者 Jianfei Zhang Wenbin Zhang +2 位作者 Jiewen Dai Xudong Wang Steve Guofang Shen 《International Journal of Oral Science》 SCIE CAS CSCD 2019年第2期119-130,共12页
Genetic studies have revealed a critical role of Distal-homeobox (Dlx) genes in bone formation,and our previous study showed that Dlx2 overexpressing in neural crest cells leads to profound abnormalities of the cranio... Genetic studies have revealed a critical role of Distal-homeobox (Dlx) genes in bone formation,and our previous study showed that Dlx2 overexpressing in neural crest cells leads to profound abnormalities of the craniofacial tissues.The aim of this study was to investigate the role and the underlying molecular mechanisms of Dlx2 in osteogenic differentiation of mouse bone marrow stromal cells (BMSCs) and pre-osteoblast MC3T3-E1 cells.Initially,we observed upregulation of Dlx2 during the early osteogenesis in BMSCs and MC3T3-E1 cells.Moreover,Dlx2 overexpression enhanced alkaline phosphatase (ALP) activity and extracellular matrix mineralization in BMSCs and MC3T3-E1 cell line.In addition,micro-CT of implanted tissues in nude mice confirmed that Dlx2 overexpression in BMSCs promoted bone formation in vivo.Unexpectedly,Dlx2 overexpression had little impact on the expression level of the pivotal osteogenic transcription factors Runx2,Dlx5,Msx2,and Osterix,but led to upregulation of Alp and Osteocalcin (OCN),both of which play critical roles in promoting osteoblast maturation.Importantly,luciferase analysis showed that Dlx2 overexpression stimulated both OCN and Alp promoter activity.Through chromatin-immunoprecipitation assay and site-directed mutagenesis analysis,we provide molecular evidence that Dlx2 transactivates OCN and Alp expression by directly binding to the Dlx2-response cis-acting elements in the promoter of the two genes.Based on these findings,we demonstrate that Dlx2 overexpression enhances osteogenic differentiation in vitro and accelerates bone formation in vivo via direct upregulation of the OCN and Alp gene,suggesting that Dlx2 plays a crucial role in osteogenic differentiation and bone formation. 展开更多
关键词 BMSCS MC3T3-E1 osteocalcin
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Osteocalcin as a hormone regulating glucose metabolism 被引量:5
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作者 Ippei Kanazawa 《World Journal of Diabetes》 SCIE CAS 2015年第18期1345-1354,共10页
The number of patients with osteoporosis and diabetes is rapidly increasing all over the world. Bone is recently recognized as an endocrine organ. Accumulating evidence has shown that osteocalcin, which is specificall... The number of patients with osteoporosis and diabetes is rapidly increasing all over the world. Bone is recently recognized as an endocrine organ. Accumulating evidence has shown that osteocalcin, which is specifically expressed in osteoblasts and secreted into the circulation, regulates glucose homeostasis by stimulating insulin expression in pancreas and adiponectin expression in adipocytes, resulting in improving glucose intolerance. On the other hand, insulin and adiponectin stimulate osteocalcin expression in osteoblasts, suggesting that positive feedforward loops exist among bone, pancreas, and adipose tissue. In addition, recent studies have shown that osteocalcin enhances insulin sensitivity and the differentiation in muscle, while secreted factors from muscle, myokines, regulate bone metabolism. These findings suggest that bone metabolism and glucose metabolism are associated with each other through the action of osteocalcin. In this review, I describe the role of osteocalcin in the interaction among bone, pancreas, brain, adipose tissue, and muscle. 展开更多
关键词 osteocalcin Undercarboxylated osteocalcin Glucose INSULIN ADIPONECTIN Glucagon-like peptide-1 Diabetes MELLITUS
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Serum levels of undercarboxylated osteocalcin are related to cardiovascular risk factors in patients with type 2 diabetes mellitus and healthy subjects 被引量:6
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作者 Sergio Sanchez-Enriquez Isabel Thalia Ballesteros-Gonzalez +8 位作者 JoséRafael Villafán-Bernal Sara Pascoe-Gonzalez Edgar Alfonso Rivera-Leon Blanca Estela Bastidas-Ramirez Jorge David Rivas-Carrillo Juan Luis Alcala-Zermeno Juan Armendariz-Borunda Iris Monserrat Llamas-Covarrubias Abraham Zepeda-Moreno 《World Journal of Diabetes》 SCIE CAS 2017年第1期11-17,共7页
AIM To determine a potential relationship between serum undercarboxylated(uc OC) concentration and cardiovascular risk factors in type 2 diabetes(T2D) patients and healthy subjects(HS).METHODS A cross-sectional study ... AIM To determine a potential relationship between serum undercarboxylated(uc OC) concentration and cardiovascular risk factors in type 2 diabetes(T2D) patients and healthy subjects(HS).METHODS A cross-sectional study was conducted on 140 subjects classified into two groups, 70 with T2D and 70 HS. Medical history and physical examination with anthropometric measurements were obtained from all subjects. Body fat percentage was determined by bioelectrical impendency analysis. Serum uc OC concentration was determined by enzyme immunoassay,while serum levels of insulin and hsC RP were obtained using high sensitivity enzyme-linked immunosorbent assay. Insulin resistance was determined using the homeostasis model assessment-IR. Lipid profile [triglycerides,total cholesterol(TC), high-density lipoproteins(HDL-c),low density lipoproteins(LDL-c), very low-density lipoproteins] was determined by spectrophotometry and standard formulas when applicable. RESULTS The T2D patient group showed significantly higher values of waist circumference, waist-to-hip ratio, systolic blood pressure(SBP), diastolic blood pressure(DBP),current smoking, and alcohol use when compared to the HS group(P < 0.05). We observed a significantly lower serum ucO C concentration in T2D than in HS(1.5 ± 1.4vs 2.3 ± 1.8, P < 0.05). In the whole study population,ucO C concentration was inversely correlated with body mass index(BMI)(r =-0.236, P < 0.05), fasting plasma glucose(r =-0.283, P < 0.01) and HDL-c(r =-0.255,P < 0.05); and positively correlated with LDL-c/HDL-c ratio(r = 0.306, P < 0.05) and TC/HDL-c ratio(r =0.284, P < 0.05). In the T2D group, serum uc OC concentration was inversely correlated with BMI(r =-0.310, P < 0.05) and body-fat percentage(r =-0.311,P < 0.05), and positively correlated with DBP(r = 0.450,P < 0.01). In HS group a positive correlation between serum levels of uc OC and SBP(r = 0.277, P < 0.05)was observed. CONCLUSION Serum uc OC is a potential marker for cardiovascular risk in Mexicans because it is related to adiposity parameters, blood pressure and lipid profile. 展开更多
关键词 BONE osteocalcin Glucose metabolism DIABETES Cardiovascular risk
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Decarboxylated osteocalcin,a possible drug for type 2 diabetes,triggers glucose uptake in MG63 cells 被引量:3
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作者 Shi Jin Xiao-Cen Chang +5 位作者 Jing Wen Jing Yang Na Ao Ke-Ying Zhang Lin-Na Suo Jian Du 《World Journal of Diabetes》 SCIE 2021年第7期1102-1115,共14页
BACKGROUND Uncarboxylated osteocalcin(GluOC)has been reported to improve glucose metabolism,prevent type 2 diabetes,and decrease the severity of obesity in mice with type 2 diabetes.GluOC can increase glucose uptake i... BACKGROUND Uncarboxylated osteocalcin(GluOC)has been reported to improve glucose metabolism,prevent type 2 diabetes,and decrease the severity of obesity in mice with type 2 diabetes.GluOC can increase glucose uptake in a variety of cells.Glucose metabolism is the main source of energy for osteoblast proliferation and differentiation.We hypothesized that decarboxylated osteocalcin(dcOC),a kind of GluOC,can increase glucose uptake in MG63 cells(osteoblast-like osteosarcoma cells)and influence their proliferation and differentiation.AIM To investigate the effects of dcOC on glucose uptake in human osteoblast-like osteosarcoma cells and the possible signaling pathways involved.METHODS MG63 cells(human osteoblast-like osteosarcoma cells)were treated with dcOC(0,0.3,3,10,or 30 ng/mL)for 1 and 72 h,and glucose uptake was measured by flow cytometry.The effect of dcOC on cell proliferation was measured with a CCK-8 assay,and alkaline phosphatase(ALP)enzyme activity was measured.PI3K was inhibited with LY294002,and hypoxia-inducible factor 1 alpha(HIF-1α)was silenced with siRNA.Then,GPRC6A(G protein-coupled receptor family C group 6 subtype A),total Akt,phosphorylated Akt,HIF-1α,and glucose transporter 1(GLUT1)levels were measured by Western blot to elucidate the possible pathways by which dcOC modulates glucose uptake.RESULTS The glucose uptake of MG63 cells was significantly increased compared with that of the paired control cells after short-term(1 h)treatment with dcOC at different concentrations(0.3,3,and 10 ng/mL groups,P<0.01;30 ng/mL group,P<0.05).Glucose uptake of MG63 cells was significantly increased compared with that of the paired control cells after long-term(72 h)treatment with dcOC at different concentrations(0.3,3,and 10 ng/mL groups,P<0.01;30 ng/mL group,P<0.05).DcOC triggered Akt phosphorylation in a dose-dependent manner,and the most effective stimulatory concentration of dcOC for short-term(1 h)was 3 ng/mL(P<0.01).LY294002 abolished the dcOC-mediated(1 h)promotion of Akt phosphorylation and glucose uptake without affecting GLUT1 protein expression.Long-term dcOC stimulation triggered Akt phosphorylation and increased the protein levels of HIF-1α,GLUT1,and Runx2 in a dose-dependent manner.Inhibition of HIF-1αwith siRNA abolished the dcOC-mediated glucose uptake and substantially decreased GLUT1 protein expression.DcOC interven-tion promoted cell proliferation in a time-and dose-dependent manner as determined by the CCK-8 assay.Treatment with both 3 ng/mL and 10 ng/mL dcOC affected the ALP activity in MG63 cells after 72 h(P<0.01).CONCLUSION Short-and long-term dcOC treatment can increase glucose uptake and affect proliferation and ALP activity in MG63 cells.This effect may occur through the PI3K/Akt,HIF-1α,and GLUT1 signaling factors. 展开更多
关键词 Decarboxylated osteocalcin OSTEOBLAST Glucose uptake Glucose transporter 1 Type 2 diabetes
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Effects of β-TCP Ceramics on Osteoblast Cellular Proliferating,Mineralization and Osteocalcin Expression
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作者 QI Zhitao ZHANG Qihuan +4 位作者 ZHENG Qiang DAI Honglian WANG Zisheng QIU Ming LI Shipu 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2012年第1期107-109,共3页
After co-cultrured osteoblast with fl-TCP ceramics, the cellular proliferating, mineralization and osteocalcin expression were studied. MTT assay showed that fl-TCP ceramics had no affect on cellular proliferating. La... After co-cultrured osteoblast with fl-TCP ceramics, the cellular proliferating, mineralization and osteocalcin expression were studied. MTT assay showed that fl-TCP ceramics had no affect on cellular proliferating. Laser scanning confocal detection showed that fl-TCP ceramics could increase the mineralization level of osteoblast. Furthermore, RT-PCR showed that fl-TCP could increase the expression level of osteocalcin. Those results indicate β-TCP ceramics had perfect biocompatibility and increased the mineralization of osteoblast to accelerate osteogenesis by means of affecting the expression of genes involving in osteogeneticprocess. 展开更多
关键词 β-TCP ceramics OSTEOBLAST cellular proliferating MINERALIZATION osteocalcin
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RU486 Reversal of Cortisol Repression of 1,25-Dihydroxyvitamin D<sub>3</sub>Induction of the Human Osteocalcin Promoter
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作者 Nigel A. Morrison 《Open Journal of Endocrine and Metabolic Diseases》 2013年第1期55-62,共8页
In conditions of corticosteroid excess, such as Cushing’s syndrome, a reduction in serum osteocalcin is observed and bone loss occurs. The human osteocalcin gene is induced by 1,25-dihydroxyvitamin D3 derivatives and... In conditions of corticosteroid excess, such as Cushing’s syndrome, a reduction in serum osteocalcin is observed and bone loss occurs. The human osteocalcin gene is induced by 1,25-dihydroxyvitamin D3 derivatives and repressed by glucocorticoids. In this paper we show that cortisol, a natural glucocorticoid, represses both basal and vitamin D induced activity of the human osteocalcin promoter. Furthermore, we address the specific question as to whether the anti-progestin anti-glucocorticoid RU486 is able to antagonize the inhibitory effect of cortisol on osteocalcin gene expression. We show that RU486 has agonist activity alone, in that it is able to repress the basal promoter activity of the osteocalcin gene and antagonist activity, reversing incompletely the cortisol mediated repression of 1,25-dihydroxyvitamin D3 induction. 展开更多
关键词 RU486 osteocalcin Vitamin D Glucocorticoid
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Skeletal events of Anastrozole versus Tamoxifen on bone mineral density and bone biomarker osteocalcin in postmenopausal women with early breast cancer
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作者 Lobna R Ezz Elarab Menha Swellam +1 位作者 Manal M Abdel Wahab Karima M Maher 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第10期574-578,共5页
Objective: Postmenopausal women with breast cancer are at increased risk of bone loss because of age related estrogen deficiency face which accelerated with the use of aromatase inhibitors (AIs). We aimed to study ... Objective: Postmenopausal women with breast cancer are at increased risk of bone loss because of age related estrogen deficiency face which accelerated with the use of aromatase inhibitors (AIs). We aimed to study the effect on bone mineral density (BMD) and bone formation biomarker osteocalcin level in postmenopausal breast cancer patients, for the first three years of adjuvant hormonal treatment of both groups Tamoxifen versus Anastrozol. Methods: One-hundered postmenopausal breast cancers were prospectively randomized to receive either Tamoxifen 20 rag/day (n = 50) or Anastrozole 10 mg (n = 50). Both BMD and osteocalcin were assessed initially before treatment and then at regular intervals for both groups. Results: Use of Tamoxifen was associated with significant annual decrease in osteocalcin (P = 0.001), whereas Anastrozole group had gradual increase of the annual levels (P 〈 0.01). BMD decreased significantly in Anastrozole versus Tamoxifen groups (2.6% vs. 0.4%, P 〈 0.001). Osteoporosis T 〈 -2.5 was reported significantly higher in Anastrozole group (P 〈 0.01). Women with initial osteopenia in Anastrozole group showed significant decrease in BMD (P 〈 0.05). The addition of bisphosphonate for patients with early osteoporosis markedly improved both osteocalcin level and BMD. Conclusion: Tamoxifen preserves BMD in postmenopausal breast cancer patients, whereas Anastrozole accelerates age associated fall in BMD especially in the first year of therapy, moreover, the addition of bisphosphonate can help to decrease the skeletal related events associated with treatment to ensure better quality of life with treatment. 展开更多
关键词 ANASTROZOLE Tamoxifen bone mineral density (BMD) breast cancer osteocalcin
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Relationship between serum osteocalcin level and glucose and lipid metabolism in patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease
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作者 Ying Shen Lei-Qun Lu Ping Gao 《Journal of Hainan Medical University》 2019年第9期20-23,共4页
Objective: To study the relationship between serum osteocalcin level and glucose and lipid metabolism in patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease. Methods: The clinical ... Objective: To study the relationship between serum osteocalcin level and glucose and lipid metabolism in patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease. Methods: The clinical data of 180 type 2 diabetes mellitus patients in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, China from February 2017 to January 2018 were retrospectively analyzed, including 90 cases of nonalcoholic fatty liver disease patients (group A) and 90 cases of nonalcoholic fatty liver disease-free patients (group B), meanwhile another 100 healthy subjects were selected as the control group. Then various indexes were compared between groups, including serum osteocalcin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), prothrombin activity (PTA), fasting blood glucose (FBG), glycated hemoglobin (HbA1c), triglyceride (TG), total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), fasting insulin (FINS), fasting C peptide (FCP), HOMA insulin resistance index (HOMA-IR), HOMA β-cell function (HOMA-β). Results: The serum osteocalcin and PTA in group A were significantly lower than those in group B and the control group (P<0.05). ALT, AST, and ALP were significantly higher than those in group B and the control group (P<0.05). The FBG and HbA1c in group A were significantly higher than those in group B and the control group (P<0.05). The TG, TC, LDL, and HDL of group A and group B were significantly higher than those of the control group (P<0.05). The FINS, FCP, and HOMA-IR in group A were significantly higher than those in group B and the control group (P<0.05). HOMA-βwas significantly lower than group B and the control group (P<0.05). Pearson correlation analysis showed that the serum osteocalcin was not correlated with ALT, AST, ALP, PTA, HbA1c, TG, TC, LDL, HDL and FINS (P>0.05), but negatively correlated with FBG and HOMA-IR (P<0.05), and positively correlated with FCP and HOMA-β (P<0.05). With serum osteocalcin as the dependent variable, and ALT, AST, ALP, PTA, FBG, HbA1c, TG, TC, LDL, HDL, FINS, FCP, HOMA-IR and HOMA-β as independent variables, multiple stepwise regression analysis showed that the FBG, HOMA-IR and HOMA-β were independent risk factors for osteocalcin. Conclusions: Patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease have lower serum osteocalcin level, which is susceptible to FBG, HOMA-IR, HOMA-β, and other factors. 展开更多
关键词 Type 2 diabetes MELLITUS NONALCOHOLIC FATTY liver disease Serum osteocalcin GLYCOLIPID metabolism
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Clinical potential of undercarboxylated osteocalcin in metabolic and neurodegenerative diseases:From biomarker to therapeutic target
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作者 Ying-ying Ding Yu-ying Yang +2 位作者 Li-hao Sun Jian-min Liu Bei Tao 《LabMed Discovery》 2025年第2期57-66,共10页
Osteocalcin(OCN),a non-collagenous protein synthesized by osteoblasts,is integral to bone mineralization and demonstrates significant effects on metabolic and neurological functions.Its undercarboxylated form,Glu-OCN,... Osteocalcin(OCN),a non-collagenous protein synthesized by osteoblasts,is integral to bone mineralization and demonstrates significant effects on metabolic and neurological functions.Its undercarboxylated form,Glu-OCN,has emerged as a key regulator of glucose metabolism in diabetes,bone density in osteoporosis(OP),and lipid metabolism in conditions such as nonalcoholic fatty liver disease(NAFLD).Additionally,Glu-OCN is implicated in neurodegenerative and cardiovascular diseases through its roles in neurotransmitter synthesis and vascular calcification,respectively.This review examines the essential functions of Glu-OCN in the management of metabolic and neurodegenerative disorders,emphasizing its significance as both a diagnostic biomarker and therapeutic target.While findings to date are promising,most studies remain observational.Advanced detection methodologies and extensive longitudinal studies are urgently needed to elucidate the mechanisms and clinical applications of Glu-OCN.Advancements in this area could facilitate the integration of Glu-OCN into personalized medicine approaches,improving early diagnosis,risk assessment,and treatment monitoring. 展开更多
关键词 osteocalcin(OCN) Nonalcoholic fatty liver disease(NAFLD) Diabetes mellitus(DM) Osteoporosis(OP) ATHEROSCLEROSIS Neurodegenerative diseases(NDs)
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老年心房颤动患者冠状动脉钙化与骨代谢指标的相关性分析
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作者 林蓉香 刘银屏 +2 位作者 张嘉璇 张家豪 孙维志 《中华老年心脑血管病杂志》 北大核心 2026年第1期48-52,共5页
目的探讨老年心房颤动(atrial fibrillation,AF)患者冠状动脉钙化(coronary arterial calcification,CAC)与骨代谢指标的相关性。方法回顾性选取2022年1月至2025年1月青海省人民医院心血管内科就诊的老年AF患者300例,根据CT冠状动脉总... 目的探讨老年心房颤动(atrial fibrillation,AF)患者冠状动脉钙化(coronary arterial calcification,CAC)与骨代谢指标的相关性。方法回顾性选取2022年1月至2025年1月青海省人民医院心血管内科就诊的老年AF患者300例,根据CT冠状动脉总钙化积分(total coronary artery calcification score,TCS)分为CAC组98例(TCS>0分)和非CAC组202例(TCS=0分),其中CAC组又分为微量钙化组30例(TCS 1~10分)、轻度钙化组40例(TCS 11~100分)、中度钙化组21例(TCS 101~400分)、广泛钙化组7例(TCS>400分)。对比分析各组骨代谢指标差异,包括骨钙素、骨桥蛋白(osteopontin,OPN)、碱性磷酸酶(alkaline phosphatase,ALP)和25-羟维生素D[25-hydroxy vitamin D,25-(OH)D]。评估骨代谢指标对老年AF患者合并CAC的预测效能。结果CAC组各亚组血清骨钙素、25-(OH)D水平明显低于非CAC组,且随钙化严重程度升高而降低,血清OPN、ALP水平明显高于非CAC组,且随钙化严重程度升高而升高,差异有统计学意义(P<0.05)。Pearson相关性分析显示,老年AF患者血清骨钙素、25-(OH)D水平与TCS呈负相关(r=-0.560,r=-0.640,P<0.01),血清OPN、ALP水平与TCS呈正相关(r=0.560,r=0.700,P<0.01)。多因素logistic回归分析显示,年龄、高血压、糖尿病、冠心病、OPN、ALP、骨钙素、25-(OH)D水平是老年AF患者合并CAC的危险因素(P<0.05,P<0.01)。ROC曲线分析显示,血清骨钙素、OPN、ALP、25-(OH)D四项联合预测老年AF患者合并CAC的曲线下面积明显高于各指标单独检测(0.891 vs 0.754、0.768、0.758、0.743;Z=2.224,Z=2.215,Z=2.220,Z=2.232,P<0.05)。结论老年AF患者CAC与骨代谢指标密切相关,血清骨钙素、OPN、ALP、25-(OH)D四项联合检测具有良好预测效能。 展开更多
关键词 心房颤动 冠状动脉疾病 骨钙素 骨桥蛋白质
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Adenotonsillectomy outcomes regarding bone age and osteocalcin in treatment of obstructive sleep apnea syndrome in children 被引量:2
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作者 Qing-Biao Zhang Yin-Feng Li +4 位作者 Ming-Xiu Li Ling-Yu Kong Liang-Fu Jiang Hui-Wei Feng Xian-Liang Fan 《World Journal of Pediatrics》 SCIE CAS CSCD 2017年第2期158-164,共7页
Background:To investigate the effect of adenotonsillec tomy (AT) on bone development,quality of life and polysomnography evaluation in children with obstructive sleep apnea syndrome (OSA).Methods:Preoperative and post... Background:To investigate the effect of adenotonsillec tomy (AT) on bone development,quality of life and polysomnography evaluation in children with obstructive sleep apnea syndrome (OSA).Methods:Preoperative and postoperative (6 months) physical examination,PSG,bone age (BA) and osteocalcin (OC) evaluation were performed on the selected OSA children (n=92) and the healthy children (n=87).The OSA children were also scored based on the OSA 18-item questionnaire.A two-year follow-up was conducted to evaluate BA and OC changes.Results:After AT,81 (88.04%) OSA children recovered completely,eight (8.70%) achieved remarkable improvements,and three (3.26%) achieved moderate improvements.In the OSA children,postoperative OSA 18-item score and the scores of the five domains were significantly higher than preoperative ones.Compared with the preoperative,body mass index (BMI),weight for age Z-sores,height for age Z-sores,weight for height Z-sores and BMI Z-score in the OSA group 6 months after the operation were significantly increased,but no significant difference was detected between the OSA and the control group.The changes of BA and chronological age in the OSA group were significantly different from those in the control group.Two years after AT,BA between the two groups was no longer significantly different.Preoperative serum OC in the OSA group was lower than that in the control group,but increased to normal levels 6 months after AT.Correlation analysis showed serum OC levels were negatively correlated with apnea hyponea index,obstructive apnea index,arousal index,and lowest oxygen saturation.Conclusions:After AT,bone growth and development in children with OSA recovered gradually,and the serum OC levels decreased to the normal level.Therefore,preventive measures and positive treatments should be applied to minimize the negative effects of OSA in children. 展开更多
关键词 OBSTRUCTIVE SLEEP APNEA syndrome OSA-18 score osteocalcin POLYSOMNOGRAPHY
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根尖周炎模型小鼠DKK1、SFRP1及骨形成相关分子Runx2、Osteocalcin的表达变化 被引量:4
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作者 周维君 车英林 +1 位作者 杨瑞琨 邓秋艳 《临床口腔医学杂志》 2017年第12期715-719,共5页
目的:检测DKK1和SFRP1在小鼠实验性根尖周炎中不同时期的表达,并初步观察根尖周炎症状态下骨形成相关分子Runx2和Osteocalcin改变。方法:将50只8~10周C57 BL/6雄性小鼠随机分成0 d,7 d,14 d,21 d组和28 d组,每组10只。分离下颌骨,Micro... 目的:检测DKK1和SFRP1在小鼠实验性根尖周炎中不同时期的表达,并初步观察根尖周炎症状态下骨形成相关分子Runx2和Osteocalcin改变。方法:将50只8~10周C57 BL/6雄性小鼠随机分成0 d,7 d,14 d,21 d组和28 d组,每组10只。分离下颌骨,Micro-CT扫描观察根尖周炎症骨缺损体积,同时制备磨牙近远中向矢状切片行HE组织学观察,采用免疫组化检测DKK1和SFRP1及骨形成相关分子(Runx2和Osteocalcin)表达水平。另每组取3只小鼠,处死前14 d和4 d分别注射钙黄绿素(30 mg/kg)和茜素红(50 mg/kg)后行硬组织磨片,初步观察根尖周骨改建状态。结果:Micro-CT扫描显示随根尖周炎的发生发展,术后7 d开始至14 d,根尖缺损体积逐渐增大,术后21 d达到最高值。破骨细胞数量在21 d最多,28 d趋于稳定。DKK1和SFRP1阳性细胞在术后7~14 d表达逐渐增多,在术后28 d表达有所下降。Runx2和Osteocalcin阳性细胞术后7~28 d表达数目持续增多。结论:DKK1和SFRP1参与了根尖周病病理过程,根尖周骨破坏进程可能伴随代偿性骨形成。 展开更多
关键词 DKK1 SFRP1 RUNX2 osteocalcin 根尖周炎
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基于骨钙素调控探讨中医药防治骨质疏松症研究进展与分子机制
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作者 杨昱 姚啸生 +3 位作者 戚晓楠 崔海舰 吕奕伯 蒋逸凡 《实用中医内科杂志》 2026年第1期1-9,共9页
骨钙素(Osteocalcin,OCN)作为成骨细胞特异性分泌蛋白,不仅是骨质疏松症(osteoporosis,OP)诊断的生物标志物,其羧化修饰介导的“骨内分泌”效应更为代谢性骨病治疗提供了新靶点。文章检索PubMed、中国知网(CNKI)等数据库2000年1月—2025... 骨钙素(Osteocalcin,OCN)作为成骨细胞特异性分泌蛋白,不仅是骨质疏松症(osteoporosis,OP)诊断的生物标志物,其羧化修饰介导的“骨内分泌”效应更为代谢性骨病治疗提供了新靶点。文章检索PubMed、中国知网(CNKI)等数据库2000年1月—2025年4月的相关文献,针对“通路激活-OCN表达-骨量提升”表型,聚焦中医药调控OCN表达改善OP的分子机制。中医药多靶点调控OCN信号网络的特征与OP病理复杂性高度契合,但目前对OCN的实验大多聚焦表达量的改变,对其信号通路的精准调控机制仍需结合代谢组学、类器官模型等技术深入解析。文章通过综述相关文献,为中医药精准干预OP的研究提供思路和理论支撑。 展开更多
关键词 骨钙素 骨质疏松症 中医药 研究进展 分子机制
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骨密度联合血清25-(OH)D_(3)和ucOC检测辅助诊断T2DN并发肌少症
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作者 阮峥 戈欣 +1 位作者 廖妍媛 张舒雅 《基础医学与临床》 2026年第1期97-102,共6页
目的探究2型糖尿病肾病(T2DN)患者骨密度(BMD)值以及血清25-羟基维生素D_(3)[25-(OH)D_(3)]、羧化不全骨钙素(ucOC)水平与其并发肌少症的临床意义。方法选取2023年8月至2024年8月武汉大学人民医院内分泌科收治的T2DN患者197例为研究对象... 目的探究2型糖尿病肾病(T2DN)患者骨密度(BMD)值以及血清25-羟基维生素D_(3)[25-(OH)D_(3)]、羧化不全骨钙素(ucOC)水平与其并发肌少症的临床意义。方法选取2023年8月至2024年8月武汉大学人民医院内分泌科收治的T2DN患者197例为研究对象,根据肌少症发生情况分为肌少症组(80例)和非肌少症组(117例)。使用双能X线骨密度仪(DXA)检测BMD值;采用ELISA检测血清25-(OH)D_(3)、ucOC水平;BMD值、25-(OH)D_(3)、ucOC与肌少症指标、改进的主观整体评估量表(MQSGA)评分的相关性通过Pearson与Spearman法分析;影响T2DN患者并发肌少症的因素经Logistic回归方程分析;BMD值、25-(OH)D_(3)、ucOC对T2DN患者并发肌少症的辅助诊断价值由受试者工作特征(ROC)曲线分析。结果肌少症组BMD值、血清25-(OH)D_(3)水平低于非肌少症组,血清ucOC水平高于非肌少症组(t/P=9.963/<0.001,8.948/<0.001,9.913/<0.001);肌少症组握力、步速、四肢骨骼肌质量指数(ASMI)低于非肌少症组,坐起时间、MQSGA评分大于非肌少症组(t/P=8.330/<0.001,15.198/<0.001,8.230/<0.001,6.934/<0.001,3.528/0.001);T2DN合并肌少症患者BMD值、血清25-(OH)D_(3)水平与握力、步速、ASMI呈正相关,与坐起时间、MQSGA评分呈负相关[BMD值:r_(s)/P=0.492/<0.001,0.469/<0.001,0.492/<0.001,-0.513/<0.001,-0.523/<0.001;25-(OH)D_(3):r_(s)/P=0.537/<0.001,0.472/<0.001,0.496/<0.001,-0.562/<0.001,-0.523/<0.001]。血清ucOC水平与握力、步速、ASMI呈负相关,与坐起时间、MQSGA评分呈正相关(r_(s)/P=-0.546/<0.001,-0.493/<0.001,-0.487/<0.001,0.541/<0.001,0.544/<0.001);血清ucOC水平升高是T2DN患者并发肌少症的独立危险因素[OR(95%CI)=1.953(1.279~2.982)],BMD值、血清25-(OH)D_(3)水平升高是独立保护因素[OR(95%CI)=0.316(0.135~0.741)0.287(0.133~0.621)];BMD值、血清25-(OH)D_(3)、ucOC水平单独与三者3种生物标志物单独、联合检测的曲线下面积(AUC)参数分别为0.838、0.817、0.863、0.956,三者联合的AUC大于单独辅助诊断(Z/P=4.549/<0.001,5.109/<0.001,4.010/0.001)。结论除BMD值之外血清25-(OH)D_(3)、ucOC水平也是T2DN患者体内的重要生物标志物,三者均可辅助诊断T2DN患者并发肌少症的情况,且联合辅助诊断价值较高。 展开更多
关键词 2型糖尿病肾病 肌少症 骨密度 25-羟基维生素D_(3) 羧化不全骨钙素
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Changes of osteocalcin and IGF-I during bone lengthening
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作者 王兵 刘贻运 +2 位作者 郑介柏 袁士翔 陈国勋 《Chinese Journal of Traumatology》 CAS 2005年第3期151-155,共5页
Objective: To examine the changes of osteocalcin and insulin-like growth factor I (IGF-I) during bone lengthening, and to clarify the mechanism of bone healing. Methods: Thirty-two shepherd dogs were divided into five... Objective: To examine the changes of osteocalcin and insulin-like growth factor I (IGF-I) during bone lengthening, and to clarify the mechanism of bone healing. Methods: Thirty-two shepherd dogs were divided into five groups randomly. Their tibiae were lengthened by Ilvzarov’s external fixator at the rate of 1 mm/day. The lengthening area was the experimental side and the opposite side was the control. Samples were obtained on the 2nd, 4th, 6th, 8th, 12th weekend respectively. The samples were defatted, dried, powdered, centrifuged and measured by radioimmunoassay. Results: The osteocalcin concentration increased at the subsequent periods, but it was significantly lower in the experimental side than that of the control side, P<(0.05) and the IGF-I concentration was not significantly lowered. Conclusions: Different noncollagenous bone growth factors may be different at different stage. 展开更多
关键词 Bone lengthening osteocalcin Insulin-like growth factor I
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骨代谢标志物对小细胞肺癌骨转移的诊断价值
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作者 邢瑞青 刘家云 《国际检验医学杂志》 2026年第1期30-35,共6页
目的探讨血清骨代谢标志物甲状旁腺激素(PTH)、骨钙素N端中分子片段(N-MID)、总Ⅰ型前胶原氨基端前肽(TP1NP)、Ⅰ型胶原羧基末端肽β-特殊序列(β-CTX)水平对小细胞肺癌骨转移的临床诊断价值。方法收集2024年2月至2025年2月该院收治的... 目的探讨血清骨代谢标志物甲状旁腺激素(PTH)、骨钙素N端中分子片段(N-MID)、总Ⅰ型前胶原氨基端前肽(TP1NP)、Ⅰ型胶原羧基末端肽β-特殊序列(β-CTX)水平对小细胞肺癌骨转移的临床诊断价值。方法收集2024年2月至2025年2月该院收治的小细胞肺癌患者194例,其中骨转移患者108例(骨转移组)、未发生骨转移患者86例(未发生骨转移组)。检测并分析各组患者中骨代谢标志物PTH、N-MID、TP1NP、β-CTX水平。采用受试者工作特征(ROC)曲线分析各指标单项及联合检测对小细胞肺癌骨转移的诊断效能。结果骨转移组广泛期与Ⅳ期患者比例均显著高于未发生骨转移组(χ^(2)=7.007、8.184,P<0.05)。骨转移组PTH、N-MID、TP1NP、β-CTX水平均显著高于未发生骨转移组(t=3.322、-3.163、3.079、-3.843,P<0.05)。多因素Logistic回归分析显示,Ⅳ期、广泛期、PTH、N-MID、TP1NP、β-CTX是小细胞肺癌骨转移发生的影响因素(OR=7.843、4.239、2.557、1.345、1.232、1.487,均P<0.05)。PTH、N-MID、TP1NP、β-CTX联合诊断小细胞肺癌骨转移的曲线下面积(AUC)为0.906(95%CI:0.870~1.010),灵敏度为87.56%,特异度为74.85%。结论Ⅳ期、广泛期、PTH、N-MID、TP1NP、β-CTX是小细胞肺癌骨转移的影响因素。PTH、NMID、TP1NP、β-CTX 4项联合检测能显著提高小细胞肺癌骨转移的诊断效能。 展开更多
关键词 小细胞肺癌骨转移 甲状旁腺激素 骨钙素N端中分子片段 总Ⅰ型前胶原氨基端前肽 Ⅰ型胶原羧基末端肽β-特殊序列
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Relationship between serum osteocalcin levels and glucolipid metabolism in elderly type 2 diabetic patients with non-alcoholic fatty liver disease
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作者 母金娣 《China Medical Abstracts(Internal Medicine)》 2016年第3期151-,共1页
Objective To explore the relationship between serum osteocalcin levels and glucolipid metabolism in elderly type 2 diabetic patients with non-alcoholic fatty liver disease(NAFLD).Methods Data collected from 97 pa-tien... Objective To explore the relationship between serum osteocalcin levels and glucolipid metabolism in elderly type 2 diabetic patients with non-alcoholic fatty liver disease(NAFLD).Methods Data collected from 97 pa-tients with type 2 diabetes mellitus(T2DM)admitted to the Department of Geriatric Endocrinology of the First Affiliated hospital of Zhengzhou University from June 展开更多
关键词 NAFLD Relationship between serum osteocalcin levels and glucolipid metabolism in elderly type 2 diabetic patients with non-alcoholic fatty liver disease TYPE
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人脐带间充质干细胞来源外泌体治疗SD大鼠骨质疏松性股骨骨折 被引量:1
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作者 卜宪敏 梁迪 +4 位作者 张斌 徐英杰 丁豪 吴彬 田荣华 《中国组织工程研究》 CAS 北大核心 2025年第31期6634-6641,共8页
背景:人脐带间充质干细胞来源外泌体已广泛用于骨修复和重建研究,能显著促进成骨和血管生成。目的:探究人脐带间充质干细胞来源外泌体治疗骨质疏松性骨折的机制。方法:采用组织块培养法提取人脐带间充质干细胞及超速离心法提取人脐带间... 背景:人脐带间充质干细胞来源外泌体已广泛用于骨修复和重建研究,能显著促进成骨和血管生成。目的:探究人脐带间充质干细胞来源外泌体治疗骨质疏松性骨折的机制。方法:采用组织块培养法提取人脐带间充质干细胞及超速离心法提取人脐带间充质干细胞来源外泌体并进行鉴定。30只12周龄雌性SD大鼠随机分为假手术组(6只)和去势组(24只)。去势组采用经典的去势法构建骨质疏松模型,术后12周随机选取去势组6只大鼠与假手术组6只大鼠行Micro-CT及苏木精-伊红染色进行模型验证。验证骨质疏松模型构建成功后,将去势组剩余18只大鼠随机分为3组,均构建骨质疏松性股骨骨折模型,骨折端分别注射PBS(PBS组)、1.5×10^(11)particles/mL(低浓度外泌体组)、3×10^(11)particles/mL(高浓度外泌体组)外泌体。骨折术后4周行影像学及组织学观察评估骨折愈合和骨组织血管生成情况。结果与结论:①大体标本观察:与PBS组相比,外泌体组骨折愈合速度明显增快,骨折端骨痂生成量显著增加;②X射线片评分:外泌体组显著高于PBS组,差异有显著性意义(P<0.05);③Micro-CT三维成像:与PBS组相比,外泌体组骨折愈合加快,骨痂生成量显著增加;外泌体组骨体积分数显著高于PBS组,差异有显著性意义(P<0.01);④苏木精-伊红染色和Masson染色:与PBS组相比,外泌体组有更多的骨小梁生成,有更多的新生骨组织生长;⑤免疫组织化学染色:与PBS组相比,外泌体组骨钙素与CD31的表达更加显著;高浓度外泌体组较低浓度外泌体组新生血管密度更大,骨痂生成量更多,骨折愈合增快,呈现浓度依赖性。结果表明,人脐带间充质干细胞来源外泌体可通过促进血管生成和成骨,最终促进骨质疏松性骨折修复,其机制可能与CD31和骨钙素表达增加有关。 展开更多
关键词 骨质疏松性骨折 人脐带间充质干细胞 外泌体 骨折愈合 骨钙素 CD31
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中老年健康体检男性血清骨钙素水平的临床关联因素 被引量:2
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作者 吕俊刚 翟莉 +3 位作者 王娜 张琳 曹甜甜 梁宏伟 《武警医学》 2025年第4期295-300,共6页
目的 探讨中老年健康体检男性血清骨钙素(OC)水平与骨转换生化标志物、性激素及血液检验指标等的关系,分析血清OC的临床关联因素。方法 回顾性分析2023-01至2023-12武警北京总队医院中老年健康体检男性793例的临床资料,根据血清OC测定... 目的 探讨中老年健康体检男性血清骨钙素(OC)水平与骨转换生化标志物、性激素及血液检验指标等的关系,分析血清OC的临床关联因素。方法 回顾性分析2023-01至2023-12武警北京总队医院中老年健康体检男性793例的临床资料,根据血清OC测定值分为OC降低组(OC<14 ng/ml)和OC正常组(14 ng/ml≤OC≤46 ng/ml),收集一般临床资料、血液检验指标、性激素、骨转换生化标志物,分析血清OC水平与各项指标间关系。结果 OC降低组539例(67.97%),OC正常组254例(32.03%)。OC降低组平均年龄、白细胞计数、空腹血糖、糖化血红蛋白(HbA1c)、雌二醇均高于OC正常组,平均总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、血清骨碱性磷酸酶(BALP)、血磷、血钠、血氯、甲状旁腺素(PTH)、Ⅰ型前胶原氨基端前肽(PINP)、β-胶原特殊序列(β-CTX)均低于OC正常组,差异均有统计学意义(P<0.05)。血清OC与PTH(r=0.315,P<0.001)、PINP(r=0.755,P<0.001)、β-CTX(r=0.761,P<0.001)、BALP(r=0.340,P<0.001)、血磷(r=0.118,P=0.001)显著正相关。多元线性回归分析结果显示,年龄(β=-0.16,P=0.001)、白细胞计数(β=-0.151,P<0.001)、HbA1c(β=-0.148,P=0.001)、同型半胱氨酸(β=0.083,P=0.007)、血磷(β=0.215,P<0.001)、血清睾酮(β=-0.110,P=0.006)、PTH(β=0.265,P<0.001)、BALP(β=0.319,P<0.001)能预测血清OC变化。结论 年龄、炎症、性激素及部分骨转换生化标志物与中老年男性血清OC有关,控制炎症、维持良好血糖水平、雌雄激素平衡和内分泌稳态对维持中老年男性健康骨代谢状态有益。 展开更多
关键词 骨钙素 睾酮 甲状旁腺激素 碱性磷酸酶 中老年 男性
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