部和膝盖软骨的组成和退化是否存在性别特异性差异? 一个系统的文献审查
Alberto Di Martino1,2, Francesca Barile3, Claudio D'Agostino3,4
1Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy. alberto.dimartino2@unibo.it.
概括
妇女经历更大的关节骨关节炎和膝盖骨关节炎的风险,由于显著的性别差异在软骨的组成和退化,特别是绝经后.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 生物医学工程 生物医学工程
背景情况:
- 骨关节炎 (OA) 影响的女性比男性更频繁和严重.
- 了解软骨中的性别特异性差异对于OA病因学至关重要.
研究的目的:
- 系统地审查和分析有关部和膝盖软骨组成和退化的性别差异的当前文献.
- 阐明女性中OA患病率和严重程度较高背后的机制.
主要方法:
- 对英语语言研究的系统文献综述.
- 包括11项涉及1962名患者的研究 (905名女性,787名男性).
- 使用磁共振成像 (MRI) 和组织学分析软骨特征 (体积,宽度,组成).
主要成果:
- 从婴儿期到更年期观察到的软骨体积和形态的显著性别差异.
- 女性在绝经后表现出较低的软骨体积和较高的软骨损失.
- 男性的膝盖和部软骨体积较大;女性面临着更大的OA风险,受到身体大小和软骨退行率的影响.
结论:
- 软骨结构和退化中的性别差异,特别是绝经后的性差异,有助于OA的发展.
- 与年龄相关的结构性软骨变化在性别之间存在差异,影响OA易受影响.
- 这些发现强调了在OA研究和治疗中考虑性别的重要性.
相关概念视频
Growth of Cartilage and Bone Tissue
3.3K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.3K
Changes in the Appendicular Skeleton with Age
2.0K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.0K
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
Bones of the Lower Limb: Femur and Patella
2.5K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.5K
Knee Joint
1.8K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.8K
Introduction to the Skeletal System
5.6K
The skeletal system is the central framework of the body, consisting of different connective tissues: bones, cartilage, tendons, and ligaments.
Components of the Skeletal System
Bone, or osseous tissue, is a hard connective tissue that forms an internal support structure for the human body. Bones shield vulnerable organs and soft tissue from external forces. For example, the vertebral bones protect and support the spinal cord.
Cartilage, a semi-rigid connective tissue found in regions such as...
Components of the Skeletal System
Bone, or osseous tissue, is a hard connective tissue that forms an internal support structure for the human body. Bones shield vulnerable organs and soft tissue from external forces. For example, the vertebral bones protect and support the spinal cord.
Cartilage, a semi-rigid connective tissue found in regions such as...
5.6K


