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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:19
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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 骨头 osteocalcin 葡萄糖新陈代谢 糖尿病 心血管的风险
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Decarboxylated osteocalcin,a possible drug for type 2 diabetes,triggers glucose uptake in MG63 cells 被引量:1
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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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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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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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Effects of β-TCP Ceramics on Osteoblast Cellular Proliferating,Mineralization and Osteocalcin Expression
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作者 齐志涛 张启焕 +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 β-TCP ceramics, the cellular proliferating, mineralization and osteocalcin expression were studied. MTT assay showed that β-TCP ceramics had no affect on cellular proliferating. La... After co-cultrured osteoblast with β-TCP ceramics, the cellular proliferating, mineralization and osteocalcin expression were studied. MTT assay showed that β-TCP ceramics had no affect on cellular proliferating. Laser scanning confocal detection showed that β-TCP ceramics could increase the mineralization level of osteoblast. Furthermore, RT-PCR showed that β-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 成骨细胞 细胞增殖 矿化水 TCP 陶瓷 RT-PCR检测 生物相容性 检测结果
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绝经后妇女患早期乳腺癌后阿那曲唑及他莫昔芬治疗所致的有关骨矿物质密度和骨生物标记物Osteocalcin的骨骼事件比较(英文)
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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 the ef... 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 mg/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 他莫昔芬 生物标志物 骨密度 乳腺癌 绝经后 骨钙素 那曲 妇女
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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:6
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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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特发性矮小症儿童血清IGFBP-3、25(OH)D、Nesfatin-1和骨钙素水平及其临床意义
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作者 叶丽 陈彬 王玲 《中南医学科学杂志》 CAS 2024年第1期106-109,共4页
目的探讨特发性矮小症(ISS)儿童血清胰岛素生长因子结合蛋白-3(IGFBP-3)、25羟维生素D[25(OH)D]、摄食抑制因子-1(Nesfatin-1)、骨钙素水平及其临床意义。方法选取矮小症儿童286例为观察组,其中ISS组152例,生长激素缺乏(GHD)组134例;同... 目的探讨特发性矮小症(ISS)儿童血清胰岛素生长因子结合蛋白-3(IGFBP-3)、25羟维生素D[25(OH)D]、摄食抑制因子-1(Nesfatin-1)、骨钙素水平及其临床意义。方法选取矮小症儿童286例为观察组,其中ISS组152例,生长激素缺乏(GHD)组134例;同时选取健康儿童100例为对照组。比较各组血清IGFBP-3、25(OH)D、Nesfatin-1、骨钙素水平差异,及其与体格发育等临床特征的关系。结果观察组儿童身高、骨龄指数、血清IGFBP-3、25(OH)D、骨钙素水平低于对照组,而Nesfatin-1高于对照组(P<0.05)。ISS组儿童身高、骨龄指数、血清IGFBP-3、25(OH)D、骨钙素水平高于GHD组,而Nesfatin-1低于GHD组(P<0.05)。血清IGFBP-3、25(OH)D和骨钙素水平身高≥125 cm儿童高于<125 cm儿童、骨龄指数≥0.90儿童高于<0.90儿童;而Nesfatin-1趋势相反(P<0.05)。ISS儿童血清IGFBP-3、25(OH)D、骨钙素与儿童身高、骨龄指数呈正相关(P<0.05),Nesfatin-1与儿童身高、骨龄指数呈负相关(P<0.05)。结论与健康儿童相比,ISS儿童血清IGFBP-3、25(OH)D、骨钙素水平较低,Nesfatin-1水平较高,可能与儿童体格发育存在相关性。 展开更多
关键词 特发性矮小症 IGFBP-3 25(OH)D NESFATIN-1 骨钙素
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成人血清骨钙素水平与非酒精性脂肪性肝病发生风险的Meta分析
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作者 张娜文 黄少敏 田利民 《中国全科医学》 2024年第12期1519-1524,1532,共7页
背景非酒精性脂肪性肝病(NAFLD)的发病率逐年上升,已成为重大公共卫生问题之一。血清骨钙素(OCN)是骨形成的标志,可能增加NAFLD的风险。目的本研究进行Meta分析,以定量评估影像学或活检证实的NAFLD与OCN水平之间的关系。方法计算机检索M... 背景非酒精性脂肪性肝病(NAFLD)的发病率逐年上升,已成为重大公共卫生问题之一。血清骨钙素(OCN)是骨形成的标志,可能增加NAFLD的风险。目的本研究进行Meta分析,以定量评估影像学或活检证实的NAFLD与OCN水平之间的关系。方法计算机检索Medline、Embase、Web of Science、Cochrane Library、PROSPERO以及中国知网(CNKI)、万方数据知识服务平台和中维普网(VIP)中有关血清OCN与NAFLD的病例对照研究、横断面研究和队列研究。由2名研究人员筛选文献、提取数据并进行质量评价。采用Stata 16.0软件进行Meta分析。结果共纳入13篇文献,包含11772例参与者。Meta分析结果显示,NAFLD患者血清OCN水平低于非NAFLD者(SMD=-0.73,95%CI=-1.20~-0.27,P<0.05);血清OCN最低四分位数NFALD发生率高于OCN最高四分位数(OR=2.19,95%CI=1.15~4.17,P<0.05)。亚组分析结果显示,是否合并基础疾病、研究质量、研究设计不是异质性的来源。敏感性分析结果表明,删除1项研究后Meta荟萃分析的结果没有显著变化,表明结果稳定可靠。Egger's检验未发现统计学发表偏倚(P=0.519)。结论研究结果表明,血清OCN水平与NAFLD发生风险增加呈负相关。 展开更多
关键词 非酒精性脂肪性肝病 骨钙素 观察性研究 META分析
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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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血清骨钙素、骨硬化蛋白及骨膜蛋白水平与精神分裂症合并骨质疏松的关系研究
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作者 刘堂龙 许咸加 +4 位作者 蒲犇 鲍明利 汪林兵 吴赫南 付可登 《浙江医学》 CAS 2024年第1期45-48,共4页
目的探讨血清骨钙素、骨硬化蛋白及骨膜蛋白水平与精神分裂症患者合并骨质疏松的关系。方法选取2022年1月至2023年1月在宁波市精神病院接受诊疗的98例精神分裂症患者为研究对象,根据骨密度测定结果分为骨质疏松组41例、骨量减少组23例... 目的探讨血清骨钙素、骨硬化蛋白及骨膜蛋白水平与精神分裂症患者合并骨质疏松的关系。方法选取2022年1月至2023年1月在宁波市精神病院接受诊疗的98例精神分裂症患者为研究对象,根据骨密度测定结果分为骨质疏松组41例、骨量减少组23例、骨量正常组34例,比较3组患者血清骨钙素、骨硬化蛋白及骨膜蛋白水平,采用Pearson相关分析各项血清指标与精神分裂症患者骨密度的相关性,采用多因素logistic回归分析各项血清指标与精神分裂症合并骨质疏松的关系。结果不同骨密度患者血清骨钙素、骨硬化蛋白及骨膜蛋白水平比较,差异均有统计学意义(均P<0.05);其中骨质疏松组、骨量减少组血清骨钙素、骨硬化蛋白、骨膜蛋白水平均明显高于骨量正常组(均P<0.05),而骨质疏松组又均高于骨量减少组(均P<0.05)。血清骨钙素、骨硬化蛋白、骨膜蛋白水平与精神分裂症患者骨密度均呈正相关(r=0.498、0.387、0.265,均P<0.05)。血清骨钙素、骨硬化蛋白、骨膜蛋白水平均为精神分裂症患者合并骨质疏松的独立危险因素(OR=2.563、1.003、2.198,均P<0.05)。结论血清骨钙素、骨硬化蛋白、骨膜蛋白水平与精神分裂症患者骨密度均呈正相关,且是精神分裂症患者合并骨质疏松的独立危险因素。 展开更多
关键词 骨钙素 骨硬化蛋白 骨膜蛋白 精神分裂症 骨质疏松
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羧化不全骨钙素与雄性动物生殖关系研究进展
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作者 张新科 朱雪丹 +4 位作者 陈云 刘松柏 王明明 李思琪 张守全 《畜牧与兽医》 CAS 2024年第2期136-141,共6页
骨钙素(OCN)是一种由成骨细胞分泌的多肽类激素,有羧化和未完全羧化两种结构。现已证明OCN是通过其体内代谢活性形式羧化不全骨钙素(uOCN)在体内多个系统发挥内分泌功能,例如它对葡萄糖和能量代谢、雄性动物生殖能力和大脑生长发育等均... 骨钙素(OCN)是一种由成骨细胞分泌的多肽类激素,有羧化和未完全羧化两种结构。现已证明OCN是通过其体内代谢活性形式羧化不全骨钙素(uOCN)在体内多个系统发挥内分泌功能,例如它对葡萄糖和能量代谢、雄性动物生殖能力和大脑生长发育等均具有调控作用。研究表明uOCN可以通过胰岛素、维生素D介导途径和下丘脑-垂体-性腺轴促进动物睾丸间质细胞生成并分泌睾酮,从而提升雄性动物的生殖能力。因此,对uOCN与雄性动物生殖关系进行综述可为更进一步研究提供参考,不仅有助于研究如何提升雄性动物生殖能力,还可以避免滥用药物对动物自身造成的伤害。本文主要围绕OCN的产生、OCN的结构和OCN有利于睾丸间质细胞产生睾酮的功能及其相关机制进行综述,旨在为人类与动物的生殖健康提供参考。 展开更多
关键词 骨钙素 成骨细胞 生殖 睾酮
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柚皮苷在促大鼠骨髓间充质干细胞骨向分化过程中对丝裂原活化蛋白激酶信号通路的影响
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作者 白耘豪 钟镇阳 宋超 《中国药物与临床》 CAS 2024年第2期107-110,共4页
目的分析补肾活血治则指导下柚皮苷促进骨髓间充质干细胞(MSCs)成骨分化及骨段迁移修复能力。方法对60只6月龄双侧卵巢摘除术后12周的大鼠,行单侧胫骨水平切开术,处死后,在无菌条件下取其双侧股骨和胫骨,进行传代培养。培养的第1、2、3... 目的分析补肾活血治则指导下柚皮苷促进骨髓间充质干细胞(MSCs)成骨分化及骨段迁移修复能力。方法对60只6月龄双侧卵巢摘除术后12周的大鼠,行单侧胫骨水平切开术,处死后,在无菌条件下取其双侧股骨和胫骨,进行传代培养。培养的第1、2、3、5、7、9、11 d,采用四甲基偶氮唑盐(MTT)比色法测定并绘制生长曲线,探讨大鼠MSCs增殖能力。采用MTT法检测第三代MSCs(生长状态良好)被柚皮苷(浓度:10^(-8)mol/L、10^(-7)mol/L、10^(-6)mol/L、10^(-5)mol/L、10^(-4)mol/L)干预后的吸光度(A)值,筛选最优促增值浓度,确认柚皮苷诱导MSCs向成骨细胞分化的能力。结果MTT法测定生长曲线成S形,培养第3天后呈对数生长,第9天后进入平台期。不同浓度柚皮苷对MSCs增殖影响及磷性磷酶酶(ALP)染色阳性细胞表达率两两比较,差异均有统计学意义(P<0.05)。结论柚皮苷可促进实验大鼠骨髓基质细胞的分化与增殖,增加骨钙素的表达,改善卵巢切除大鼠的骨质疏松症状。 展开更多
关键词 柚皮苷 干细胞 丝裂原活化蛋白激酶 骨钙素 细胞分化
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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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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 胰岛素样生长因子I 骨延长 康复治疗 病理机制
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振动疗法对骨质疏松骨折患者骨矿含量、骨钙素及骨折愈合的影响 被引量:1
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作者 刘凯 郭美玲 朱婷 《中国现代医学杂志》 CAS 北大核心 2023年第15期8-14,共7页
目的研究振动疗法对骨质疏松骨折患者骨矿含量、骨钙素及骨折愈合的影响。方法选取2018年1月—2021年5月苏州大学附属第一医院和苏州明基医院康复医学科收治的60例骨质疏松性椎体压缩性骨折(OVCF)患者为研究对象,按照随机数字表法分为... 目的研究振动疗法对骨质疏松骨折患者骨矿含量、骨钙素及骨折愈合的影响。方法选取2018年1月—2021年5月苏州大学附属第一医院和苏州明基医院康复医学科收治的60例骨质疏松性椎体压缩性骨折(OVCF)患者为研究对象,按照随机数字表法分为观察组和对照组,每组30例。患者入院后均行经皮椎体成形术治疗。对照组术后口服碳酸钙(600 mg/d)与强骨胶囊(2粒/次,3次/d);观察组在对照组基础上给予振动疗法。两组均治疗6个月。比较两组患者临床疗效,比较两组患者治疗前后骨密度、甲状旁腺素(PTH)、25-羟维生素D_(3)[25(OH)D_(3)]、骨钙素(BGP)、骨碱性磷酸酶(BALP)、Ⅰ型前胶原羧基端肽(PICP)、抗酒石酸酸性磷酸酶(TRAP)、视觉模拟评分法(VAS)、Fugel-Meyer运动功能评估量表(FMAS)、Barthel指数、骨痂生长评分的差值。两组均随访6个月,记录随访期间两组患者跌倒、再次骨折及并发症发生率。结果观察组临床疗效优良率高于对照组(P<0.05)。观察组治疗前后腰椎、股骨颈、大转子、全髋的骨密度差值高于对照组(P<0.05)。观察组治疗前后PTH、25(OH)D_(3)、BGP差值高于对照组(P<0.05)。观察组治疗前后BALP、PICP差值高于对照组,TRAP差值低于对照组(P<0.05)。观察组治疗前后VAS评分差值低于对照组(P<0.05),FMA评分、Barthel指数差值高于对照组(P<0.05)。观察组治疗前后骨痂量、骨痂密度、骨痂边缘、断端边缘评分差值高于对照组(P<0.05)。两组跌倒、再次骨折及并发症发生率比较,差异无统计学意义(P>0.05)。结论振动疗法治疗OVCF可促进患者骨折愈合,提高骨密度,改善骨代谢,促进骨形成,提高肢体运动功能及日常生活能力,促进骨痂生长,值得临床推广应用。 展开更多
关键词 骨质疏松骨折 振动疗法 骨矿含量 骨钙素 骨折愈合
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T2DM伴骨质疏松Cys-C、25(OH)D_(3)、BGP变化及临床意义
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作者 吴聪 陈素芳 +1 位作者 董捷 韦晓雯 《中国骨质疏松杂志》 CAS CSCD 北大核心 2023年第9期1326-1332,共7页
目的探究老年2型糖尿病(T2DM)伴骨质疏松患者血清胱抑素C(Cys-C)、25羟维生素D_(3)[25(OH)D_(3)]、骨钙素(BGP)水平变化,并分析其对骨质疏松性骨折的预测价值。方法选取2020年2月至2022年5月本院88例老年T2DM伴骨质疏松患者作为研究组,... 目的探究老年2型糖尿病(T2DM)伴骨质疏松患者血清胱抑素C(Cys-C)、25羟维生素D_(3)[25(OH)D_(3)]、骨钙素(BGP)水平变化,并分析其对骨质疏松性骨折的预测价值。方法选取2020年2月至2022年5月本院88例老年T2DM伴骨质疏松患者作为研究组,另选同期88例老年T2DM骨量减少患者作为对照A组,88例老年T2DM骨量正常患者作为对照B组。比较各组血清Cys-C、25(OH)D_(3)、BGP水平、血糖指标、血脂指标、骨矿物质密度(BMD),分析研究组血清各指标水平与血糖指标、血脂指标、BMD的相关性。研究组均行常规对症治疗6个月,依据是否发生骨质疏松性骨折分为发生者、未发生者,比较治疗前后血清各指标水平及变化值,分析其对骨折的预测价值。结果研究组血清Cys-C水平高于对照A组、对照B组,25(OH)D_(3)、BGP水平低于对照A组、对照B组(P<0.05);Cys-C水平与BMD呈负相关,25(OH)D_(3)、BGP水平与BMD呈正相关(P<0.05);发生者治疗前后血清Cys-C水平高于未发生者,25(OH)D_(3)、BGP水平低于未发生者,各指标变化值低于未发生者(P<0.05);血清各指标变化值降低可增加骨质疏松性骨折发生风险(P<0.05);治疗3个月后血清各指标变化值联合预测骨质疏松性骨折的AUC大于治疗1个月后(P<0.05)。结论老年T2DM伴骨质疏松患者血清Cys-C水平升高,25(OH)D_(3)、BGP水平降低,联合检测其水平变化对骨质疏松性骨折具有一定预测价值。 展开更多
关键词 2型糖尿病 骨质疏松 胱抑素C 25羟维生素D_(3) 骨钙素
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