长期患有1型糖尿病的绝经后妇女的骨结构和营业额
Viral N Shah1, Shijing Qui2, Jason Stoneback3
1Barbara Davis Center for Diabetes University of Colorado Anschutz Medical Campus Aurora CO USA.
JBMR plus
|November 29, 2023
概括
1型糖尿病 (T1D) 可能会影响绝经后妇女的骨循环,特别是骨形成. 虽然骨结构保持相似,但T1D显示了减少骨形成的趋势,这需要进一步调查糖尿病和骨健康.
科学领域:
- 内分泌学和骨代谢 骨质代谢
- 糖尿病研究研究 糖尿病研究
- 骨生物学 骨生物学
背景情况:
- 1型糖尿病 (T1D) 与骨折风险增加有关.
- 在T1D患者中,骨的结构和机械特性受到损害.
- 了解T1D中的骨循环对于管理骨折风险至关重要.
研究的目的:
- 与对照人群相比,研究患有T1D的绝经后妇女的骨结构和骨周转率.
- 为了评估骨健康,在过渡性骨活检上利用组织形态测量.
- 为了比较T1D和对照组之间的静态和动态骨组织结构测量参数.
主要方法:
- 招募了患有T1D的绝经后妇女 (持续时间≥10年) 和年龄匹配的对照.
- 在过渡性骨活检前进行双重标记的体内四环环素.
- 进行静态和动态骨参数的盲目组织形态测量分析.
主要成果:
- 没有观察到骨结构 (骨体积,椎间板厚度/数量,皮层厚度) 的显著差异.
- 骨形成指数 (骨体积,表面,速率) 在T1D组较低,但在统计学上并不显著.
- 与对照人群相比,T1D患者的血清25-基维生素D水平显著更高.
结论:
- 长期存在的T1D可能会影响骨循环,主要影响骨形成,而不会显著改变骨结构.
- 需要进一步的研究,以阐明T1D骨周转和相关因素的机制.
- 这些发现突出了T1D骨代谢的潜在变化,这可能导致骨脆弱.
相关概念视频
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Bone Remodeling
38.3K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.3K
Osteoclasts in Bone Remodeling
3.0K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.0K
What is the Skeletal System?
52.8K
Overview
52.8K
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Role of Vitamins in Maintaining Bone Health
3.3K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.3K


