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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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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:1
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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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龟鹿二仙胶对糖皮质激素性骨质疏松症患者骨密度及骨代谢的影响
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作者 郑江霞 闻秀珍 +2 位作者 张细凤 刘泽阳 刘圣徽 《中国当代医药》 2025年第26期74-78,共5页
目的探讨龟鹿二仙胶联合阿仑膦酸钠对糖皮质激素性骨质疏松症患者骨密度及骨代谢的影响。方法选取九江市第一人民医院2023年6月至2024年2月收治的80例糖皮质激素性骨质疏松症患者为研究对象,按随机数字表法分为对照组和观察组,每组40例... 目的探讨龟鹿二仙胶联合阿仑膦酸钠对糖皮质激素性骨质疏松症患者骨密度及骨代谢的影响。方法选取九江市第一人民医院2023年6月至2024年2月收治的80例糖皮质激素性骨质疏松症患者为研究对象,按随机数字表法分为对照组和观察组,每组40例。两组均接受常规治疗和护理,对照组给予阿仑膦酸钠片治疗,观察组在对照组基础上给予龟鹿二仙胶治疗。比较两组患者治疗前后骨密度(第1~4腰椎、左侧股骨颈、大转子)、骨代谢标志物[骨钙素、降钙素、前胶原Ⅰ型N端前肽(PINP)、血清钙、碱性磷酸酶(ALP)、25-羟维生素D]、不良反应和中医症状积分。结果观察组治疗后的第1~4腰椎、左侧股骨颈、大转子骨密度均高于对照组,差异有统计学意义(P<0.05)。观察组治疗后骨钙素、降钙素低于对照组,PINP、血清钙、ALP、25-羟维生素D高于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。观察组治疗后腰膝酸软、腰背疼痛、下肢疼痛、下肢痿弱、步履艰难评分低于对照组,差异有统计学意义(P<0.05)。结论龟鹿二仙胶能显著改善糖皮质激素性骨质疏松症患者的骨密度和骨代谢标志物,且不良反应发生率低,具有良好的临床应用前景。 展开更多
关键词 龟鹿二仙胶 糖皮质激素性骨质疏松症 骨密度 骨钙素
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桃红四物汤对股骨头坏死保髋术后关节肌力、骨密度恢复的疗效机制
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作者 张鑫 张猛 +1 位作者 刘健 何海军 《广州中医药大学学报》 2025年第8期1890-1897,共8页
【目的】探究桃红四物汤对股骨头坏死患者保髋术后关节肌力、骨密度恢复的疗效机制。【方法】选取2022年4月~2024年4月中国中医科学院广安门医院保定医院收治的110例股骨头坏死患者,采用随机数字表法将患者随机分为对照组和研究组,每组... 【目的】探究桃红四物汤对股骨头坏死患者保髋术后关节肌力、骨密度恢复的疗效机制。【方法】选取2022年4月~2024年4月中国中医科学院广安门医院保定医院收治的110例股骨头坏死患者,采用随机数字表法将患者随机分为对照组和研究组,每组各55例。所有入组患者均行股骨头钻孔减压术治疗,对照组术后给予西医常规治疗,研究组在对照组的基础上给予桃红四物汤加减治疗,疗程均为8周。观察2组患者治疗前后中医证候积分、疼痛程度视觉模拟量表(VAS)评分、关节功能Harris评分、关节肌力、骨密度、血液流变学指标(包括血浆黏度、全血高切黏度、全血低切黏度)、骨代谢指标[包括碱性磷酸酶(ALP)、骨钙素(BGP)、骨形态发生蛋白2(BMP-2)]的变化情况,并评估2组患者的临床疗效。【结果】(1)疗效方面,治疗8周后,研究组的总有效率为92.73%(51/55),显著高于对照组的72.73%(40/55),组间比较,差异有统计学意义(χ^(2)=7.698,P<0.01)。(2)中医证候方面,治疗后,2组患者的髋关节疼痛、腰膝酸软、神疲乏力、脉沉细涩积分均较治疗前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(3)疼痛程度和关节功能方面,治疗后,2组患者的疼痛程度VAS评分均较治疗前降低(P<0.05),关节功能Harris评分均较治疗前升高(P<0.05),且研究组对疼痛程度VAS评分的降低幅度和对关节功能Harris评分的升高幅度均明显优于对照组(P<0.01)。(4)血液流变学方面,治疗后,2组患者的血浆黏度、全血高切黏度、全血低切黏度均较治疗前降低(P<0.05),且研究组的降低幅度均明显优于对照组(P<0.01)。(5)骨代谢指标方面,治疗后,2组患者的血清ALP水平均较治疗前降低(P<0.05),血清BGP、BMP-2水平均较治疗前升高(P<0.05),且研究组对血清ALP水平的降低幅度和对血清BGP、BMP-2水平的升高幅度均明显优于对照组(P<0.01)。(6)关节肌力方面,治疗后,研究组患者的关节肌力3级人数均较治疗前明显减少,4级人数均较治疗前明显增多,差异均有统计学意义(P<0.05);而对照组的关节肌力虽有一定程度改善,但差异均无统计学意义(P>0.05);治疗后组间比较,研究组的关节肌力3级人数较对照组明显减少,4级人数较对照组明显增多,差异均有统计学意义(P<0.01)。(7)骨密度方面,治疗后,2组患者的股骨头局部骨密度和平均骨密度均较治疗前升高(P<0.05),且研究组的升高幅度均明显优于对照组(P<0.01)。【结论】桃红四物汤应用于股骨头坏死保髋术后的治疗中,能有效降低中医证候积分,减轻疼痛程度,改善关节功能和血液流变学状态,恢复骨密度和骨代谢情况,提高临床整体治疗效果。 展开更多
关键词 桃红四物汤 股骨头坏死 保髋术后 关节肌力 骨密度 碱性磷酸酶 骨钙素 骨形态发生蛋白2
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Threshold-Effect Associations of Serum 25- hydroxyvitamin D on Bone Turnover Markers and GC rs2282679 Variants in Chinese Women of Childbearing Age
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作者 Xiaoyun Shan Yuting Li +6 位作者 Xiayu Zhao Yichun Hu Siran Li Huidi Zhang Yang Cao Rui Wang Lichen Yang 《Biomedical and Environmental Sciences》 2025年第4期433-446,共14页
Objective This study aimed to investigate possible serum 25-hydroxyvitamin D[25(OH)D]cutoffs for the associations between 25(OH)D and Bone turnover markers(BTMs),and how GC gene variation influences such cutoffs in Ch... Objective This study aimed to investigate possible serum 25-hydroxyvitamin D[25(OH)D]cutoffs for the associations between 25(OH)D and Bone turnover markers(BTMs),and how GC gene variation influences such cutoffs in Chinese women of childbearing age.Methods In total,1,505 non-pregnant or non-lactating women(18–45 years)were recruited from the 2015 Chinese Adult Chronic Disease and Nutrition Surveillance.Serum 25(OH)D,osteocalcin(OC),procollagen type 1 N-terminal propeptide(P1NP),β-CrossLaps of type 1 collagen containing cross-linked C-telopeptide(β-CTX),and single nucleotide polymorphisms were determined.Locally weighted regression and smoothing scatterplot and segmented regression were performed to estimate the 25(OH)D thresholds.Results The median serum 25(OH)D was 16.63(11.96–22.55)ng/mL and the prevalence of low serum 25(OH)D(<12 ng/mL)was 25.2%.Women with the lowest 25(OH)D had the highestβ-CTX.After adjustment for the confounders,25(OH)D cutoffs for OC[14.04(12.84–15.23)ng/mL],β-CTX[13.94(12.49–15.39)ng/mL],and P1NP[13.87(12.37–15.37)ng/mL]in the whole population,cutoffs for OC[12.30(10.68–13.91)ng/mL],β-CTX[12.23(10.22–14.23)ng/mL],and P1NP[11.85(10.40–13.31)ng/mL]in women with the GC rs2282679 G allele,and cutoffs for OC[12.75(11.81–13.68)ng/mL],β-CTX[13.05(11.78–14.32)ng/mL],and P1NP[12.81(11.57–14.06)ng/mL]in women with the GC rs2282679 T allele,were observed.Below these cutoffs,BTMs were negatively associated with 25(OH)D,while above these cutoffs,BTMs plateaued.Conclusion In Chinese women of childbearing age,there were thresholds effect of serum 25(OH)D concentrations on BTMs.The results indicated that serum 25(OH)D concentrations<13.87 ng/mL in this population had adverse influences on maintaining bone remodeling.BTMs were suppressed at a relatively lower serum 25(OH)D in women with the GC rs2282679 G allele compared with those with the T allele. 展开更多
关键词 25-hydroxyvitamin D osteocalcin Procollagen type 1 N-terminal propeptide β-CrossLaps of type 1 collagen containing cross-linked C-telopeptide Gene polymorphism
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骨钙素在考古学研究中的应用 被引量:1
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作者 袁梦 凌雪 赵丛苍 《基因组学与应用生物学》 北大核心 2025年第4期334-344,共11页
骨钙素(osteocalcin,OC)是一种由成熟成骨细胞分泌的维生素K依赖性钙结合蛋白,作为骨骼中含量最多的非胶原蛋白,它被认为是骨形成和骨转换的重要标志。由于骨钙素在骨骼中的高稳定性和低污染风险,其在考古学研究中显示出极大的应用前景... 骨钙素(osteocalcin,OC)是一种由成熟成骨细胞分泌的维生素K依赖性钙结合蛋白,作为骨骼中含量最多的非胶原蛋白,它被认为是骨形成和骨转换的重要标志。由于骨钙素在骨骼中的高稳定性和低污染风险,其在考古学研究中显示出极大的应用前景。然而,国内对于骨钙素的考古学研究尚显不足。本文系统梳理了骨钙素的生物学特性,揭示了其在考古学领域中判断个体年龄段和性别、获取准确的碳氮同位素数据、分析先民的生存压力和疾病状况、建立系统发育关系等方面的巨大潜力。在此基础上,深入分析了骨钙素未来研究趋势,以期为骨钙素在中国考古学领域的进一步应用提供新视角和方法。 展开更多
关键词 考古 骨钙素 生物学特性 古病理学 系统发育分析
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全身骨显像联合血清N-Osrteoc和VEGFR2检测对老年肺癌患者骨转移的临床诊断价值 被引量:1
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作者 冯思源 龙雷 +3 位作者 邢拓 于立普 宋其韬 张瑞国 《中国医科大学学报》 北大核心 2025年第3期214-218,共5页
目的探讨全身骨显像联合血清N端骨钙素(N-Osrteoc)和血管内皮生长因子受体2(VEGFR2)检测对老年肺癌患者骨转移的临床诊断价值。方法回顾性分析2021年12月至2023年12月天津医院首次确诊的100例老年肺癌患者的临床资料,根据病理结果分为... 目的探讨全身骨显像联合血清N端骨钙素(N-Osrteoc)和血管内皮生长因子受体2(VEGFR2)检测对老年肺癌患者骨转移的临床诊断价值。方法回顾性分析2021年12月至2023年12月天津医院首次确诊的100例老年肺癌患者的临床资料,根据病理结果分为肺癌骨转移组(42例)和肺癌无骨转移组(58例)。采用酶联免疫吸附试验(ELISA)检测血清N-Osrteoc和VEGFR2水平,采用SPECT诊断仪对患者进行全身骨显像检查;血清N-Osrteoc、VEGFR2、全身骨显像对肺癌骨转移的诊断价值采用受试者操作特征(ROC)曲线分析;不同检查方法诊断肺癌骨转移与病理诊断结果的一致性采用Kappa检验分析。结果肺癌骨转移组患者血清N-Osrteoc、VEGFR2水平显著高于肺癌无骨转移组(P<0.05)。血清N-Osrteoc、VEGFR2水平、全身骨显像单独及联合诊断肺癌骨转移的曲线下面积(AUC)分别为0.847、0.846、0.907、0.956;与病理结果比较,诊断肺癌骨转移结果假阳性例数分别为14例、19例、8例、1例,假阴性例数分别为7例、7例、2例、3例,一致性Kappa值分别为0.579、0.487、0.799、0.917(P<0.05)。全身骨显像联合血清N-Osrteoc、VEGFR2诊断肺癌骨转移的特异度显著高于单独诊断(P<0.05)。结论全身骨显像联合血清N-Osrteoc、VEGFR2检测对老年肺癌患者骨转移的早期诊断具有重要意义,其联合诊断具有较高的灵敏度和特异度,可在临床中推广使用。 展开更多
关键词 老年肺癌 骨转移 全身骨显像 N端骨钙素 血管内皮生长因子受体2 诊断
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2型糖尿病患者连续血糖监测目标范围内时间与血清骨钙素N端中分子片段、Ⅰ型前胶原氨基端前肽相关性研究 被引量:1
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作者 陈京京 陈盈玲 +2 位作者 单浩杰 蒋伏松 于晓巍 《陕西医学杂志》 2025年第3期319-322,327,共5页
目的:探讨2型糖尿病(T2DM)患者连续血糖监测(CGM)目标范围内时间(TIR)与骨形成标志物血清骨钙素N端中分子片段(N-MID OC)和Ⅰ型前胶原氨基端前肽(PINP)之间的关系。方法:选取住院T2DM患者336例为研究对象,均接受72 h连续血糖监测,并计算... 目的:探讨2型糖尿病(T2DM)患者连续血糖监测(CGM)目标范围内时间(TIR)与骨形成标志物血清骨钙素N端中分子片段(N-MID OC)和Ⅰ型前胶原氨基端前肽(PINP)之间的关系。方法:选取住院T2DM患者336例为研究对象,均接受72 h连续血糖监测,并计算TIR。根据TIR水平将患者分为TIR<70%组(154例)和TIR≥70%组(182例)。检测所有患者血清N-MID OC、PINP和其他生化指标水平。TIR与N-MID OC、PINP的相关性采用Pearson相关性分析和多元线性回归分析进行。结果:TIR<70%组N-MID OC、PINP水平低于TIR≥70%组(均P<0.05)。Pearson相关性分析结果显示,TIR与N-MID OC、PINP呈正相关(均P<0.05)。调整与骨质疏松和糖尿病发生密切相关因素后,多元线性回归分析结果显示,TIR仍与N-MID OC、PINP存在正相关关系(均P<0.05)。结论:T2DM患者TIR与骨形成指标物N-MID OC和PINP水平呈正相关。 展开更多
关键词 2型糖尿病 骨形成标志物 骨钙素N端中分子片段 Ⅰ型前胶原氨基端前肽 连续血糖监测
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骨钙素在阿尔茨海默病细胞模型中的神经保护作用与机制研究
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作者 方俪霖 朱其凤 +3 位作者 张明达 崔曼 鲁世金 闫雨 《陆军军医大学学报》 北大核心 2025年第16期1883-1893,共11页
目的探讨骨钙素(Osteocalcin,OCN)对阿尔茨海默病(Alzheimer’s Disease,AD)细胞模型的神经保护作用和潜在机制,为寻找治疗AD新靶点提供科学依据。方法利用40 nmol/L冈田酸(Okada acid,OA)对人神经母细胞瘤细胞(SH-SY5Y)处理24 h以构建A... 目的探讨骨钙素(Osteocalcin,OCN)对阿尔茨海默病(Alzheimer’s Disease,AD)细胞模型的神经保护作用和潜在机制,为寻找治疗AD新靶点提供科学依据。方法利用40 nmol/L冈田酸(Okada acid,OA)对人神经母细胞瘤细胞(SH-SY5Y)处理24 h以构建AD细胞模型,把细胞分成正常组(未干预SH-SY5Y细胞)、模型组(40 nmol/L OA干预)和OCN干预组(不同浓度OCN干预,AD细胞模型),在AD模型细胞敲除/过表达AKT分为AKT-KO(3μg/μL)组、AKT-OE(3μg/μL)组和OCN干预后的AKT-KO+OCN组、AKT-OE+OCN组。采用CCK-8法检测AD模型细胞存活率变化;瑞氏染色观察AD模型细胞形态变化;Western blot法检测Tau、p-Tau、Bax、Bcl-2、Caspase-3及其裂解型,以及AD模型细胞敲除/过表达后各组Tau、p-Tau、mTOR、AKT、p-AKT的蛋白表达量变化;利用TUNEL染色法及流式细胞仪检测OCN干预AD细胞模型的早晚期凋亡细胞和凋亡率的变化。结果①与正常组相比,模型组的细胞存活率显著降低,形态和结构明显受损,p-Tau及Caspase-3蛋白表达量上调,早晚期凋亡增加,细胞凋亡率明显提高(P<0.05)。②与AD模型细胞组相比,不同浓度的OCN处理24 h后,细胞存活率均有不同程度的提高,其中100 pg/mL OCN组的存活率明显提高(P<0.01),细胞数量、形态明显改善(P<0.01)。③与AD细胞模型组相比,不同浓度OCN组p-Tau/Tau比值减少,尤其在100 pg/mL OCN干预组中,p-Tau/Tau的比值显著低于模型组(P<0.01)。④与模型组相比,在OCN浓度处于1~100 pg/mL时,Cleaved Caspase-3/Caspase-3的比值出现浓度依赖性的显著降低的情况,100 pg/mL Bax/Bcl-2的比值显著降低(P<0.0001)。⑤TUNEL染色及流式细胞仪结果显示,与模型组相比,各浓度OCN均能有效抑制AD模型细胞的凋亡程度,100 pg/mLOCN组的早晚期凋亡细胞和凋亡率明显减少。⑥与对照组和模型组相比,AKT过表达后,AKT-OE组的P-AKT显著上升(P<0.05);而使用AKT通路敲除后AKT-KO组的AKT蛋白表达水平下降(P<0.05);细胞内的p-Tau表达随着AKT/mTOR通路的改变而变化,当AKT通路受抑制时,AKT-KO组细胞内p-Tau表达水平与对照组相比高于模型组(P<0.05),当AKT过表达后,细胞内p-Tau表达水平明显被抑制(P<0.05)。结论OCN可能通过调节Caspase-3/Caspase-3、Bax/Bcl-2的比值来抑制细胞凋亡、减少p-Tau蛋白表达从而改善AD模型细胞形态,有效保护神经细胞,其机制可能与调节AKT/mTOR通路相关。 展开更多
关键词 骨钙素 阿尔茨海默病 Tau过度磷酸化 细胞凋亡 AKT/MTOR
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成都地区健康成年人tP1NP、β-CTX和OC分析及参考区间建立
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作者 彭馨仪 李翼彬 +13 位作者 梁桐尔 李妮 谢丽娜 李霖 练敏芳 刘慧 陈芋利 梅丽军 唐逸娇 杨雨婷 王颖 侯姝 成柠 赵勇 《中国骨质疏松杂志》 北大核心 2025年第11期1616-1622,共7页
目的检测成都地区健康成年人血清总Ⅰ型前胶原N端前肽(tP1NP)、Ⅰ型胶原羧基端肽交联(β-CTX)和骨钙素(OC)水平,并建立其参考区间。方法获取受检者空腹血清,使用电化学发光免疫检测技术测定tP1NP、β-CTX和OC。纳入男、女性年龄从20~77... 目的检测成都地区健康成年人血清总Ⅰ型前胶原N端前肽(tP1NP)、Ⅰ型胶原羧基端肽交联(β-CTX)和骨钙素(OC)水平,并建立其参考区间。方法获取受检者空腹血清,使用电化学发光免疫检测技术测定tP1NP、β-CTX和OC。纳入男、女性年龄从20~77岁,各自每5岁一段分组;运用局部加权回归散点平滑法绘制男、女性各指标随年龄变化的散点图,确定参考人群特异年龄段,建立参考区间及其上、下限90%置信区间。结果入组1325名,男女各10组;男、女平均年龄分别是(43.0±10.6)岁、(37.7±10.1)岁;各指标总体及各组水平均不服从正态分布(P<0.001)。30岁以前各指标水平随年龄增长而下降,30~59岁有一段相对稳定的平台期,60岁以上男性各指标水平随年龄增长仍呈下降趋势,而女性相反。男、女性上述指标分布相对平稳且组间差异无统计学意义的年龄段分别是35~59岁、35~49岁(P>0.05),以此分别作为健康男性、绝经前女性的参考人群,建立各自的tP1NP、β-CTX和OC的参考区间(P 2.5~P 97.5)分别是男性:24.20~89.01 ng/mL、0.168~0.791 ng/mL和8.68~27.58 ng/mL;女性:21.38~76.03 ng/mL、0.098~0.646 ng/mL和6.60~25.13 ng/mL。结论成都地区健康男性35~59岁、绝经前女性35~49岁的血清tP1NP、β-CTX和OC水平随年龄变化分布相对平稳,以此建立参考区间,结果与厂家提供的参考范围有异,建议各地区建立符合当地人群特点的骨转换标志物参考区间。 展开更多
关键词 骨转换标志物 总Ⅰ型前胶原N端前肽 Ⅰ型胶原羧基端肽交联 骨钙素 参考区间 健康成年男性 健康成年绝经前女性
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