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Updated: Jun 16, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Role of osteokines in atherosclerosis
Yi-Fan Liu1, Yuan Tian2, Xiao-Fang Chen1
1Institute of Translational Medicine, School of Basic Medical, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Insights
Bone-derived factors called osteokines play a role in atherosclerosis. This review examines osteokines like osteocalcin and their link to cardiovascular disease, exploring exercise effects.
Area of Science:
- Bone Biology and Cardiovascular Disease
- Endocrinology and Metabolism
Background:
- Heart, skeletal, and smooth muscles share embryonic origins with bone.
- Bone health is regulated by osteocytes, osteoblasts, and osteoclasts secreting osteokines.
- Osteokines are increasingly implicated in the development of atherosclerotic vascular disease.
Purpose of the Study:
- To comprehensively review the evidence for osteokines' role in atherosclerosis.
- To discuss specific osteokines like osteocalcin, osteopontin, osteoprotegerin, and FGF23 in atherosclerosis.
- To explore the impact of exercise on bone-derived regulators in cardiovascular disease.
Main Methods:
- Literature review of studies on osteokines and atherosclerosis.
- Analysis of conserved signaling pathways between bone and cardiovascular tissues.
- Examination of the metabolic effects of exercise on bone-derived factors.
Main Results:
- Osteokines are involved in the regulation of atherosclerotic vascular disease.
- Key osteokines such as osteocalcin and osteopontin have demonstrated roles in atherosclerosis.
- Exercise can modulate key bone-derived regulators involved in cardiovascular health.
Conclusions:
- Understanding osteokine involvement in atherosclerosis is crucial for therapeutic development.
- Targeted strategies against atherosclerosis can be developed by elucidating osteokine functions.
- Further research into osteocalcin's contribution to atherosclerosis may yield novel treatment approaches.
Abstract:
Despite their diverse physiologies and roles, the heart, skeletal muscles, and smooth muscles all derive from a common embryonic source as bones. Moreover, bone tissue, skeletal and smooth muscles, and the heart share conserved signaling pathways. The maintenance of skeletal health is precisely regulated by osteocytes, osteoblasts, and osteoclasts through coordinated secretion of bone-derived factors known as osteokines. Increasing evidence suggests the involvement of osteokines in regulating atherosclerotic vascular disease. Therefore, this review aims to examine the evidence for the role of osteokines in atherosclerosis development and progression comprehensively. Specifically discussed are extensively studied osteokines in atherosclerosis such as osteocalcin, osteopontin, osteoprotegerin, and fibroblast growth factor 23. Additionally, we highlighted the effects of exercise on modulating these key regulators derived from bone tissue metabolism. We believe that gaining an enhanced understanding of how osteocalcin contributes to the process of atherosclerosis will enable us to develop targeted and comprehensive therapeutic strategies against diseases associated with its progression.
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