乳酸向:骨疾病中的监管网络和治疗潜力
Xiyue Zhang1, Xiaoyuan Yan1, Wenqing Gao1
1Department of Endodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, PR China.
International immunopharmacology
|February 15, 2026
概括
乳酸盐是一种代谢物,通过表观遗传变化和能量供应来调节炎症和细胞功能,显著影响骨健康. 向乳酸代谢为骨疾病提供了新的治疗途径.
科学领域:
- 生物化学 生物化学
- 免疫学 免疫学 免疫学
- 骨生物学 骨生物学
背景情况:
- 从历史上看,乳酸盐被视为代谢的废物.
- 新出现的证据强调了乳酸作为骨病理生理学中的多功能调节剂的关键作用.
研究的目的:
- 系统地审查乳酸在骨病理中的机制.
- 探索乳酸在炎症性关节炎,关节炎,骨质疏松症,非结合性骨折和骨瘤中的作用.
主要方法:
- 科学文献的系统审查.
- 对乳酸的五种综合机制的分析:能量基质,免疫调节,微环境酸化,GPCR信号传递和表观遗传乳化.
- 对细胞特异性对巨细胞,树突细胞,T细胞,同胞细胞,骨质细胞,骨质母细胞和肌体细胞的影响的评估.
主要成果:
- 乳酸盐会影响巨细胞的两极分化,T细胞的功能,以及纤维细胞类同胞细胞的活性.
- 它通过酸化增强骨质细胞生成和骨再吸收.
- 乳酸盐通过乳糖化 (Kla) 在表观遗传上起作用,重编程骨质细胞和巨细胞的转录.
- 乳酸对骨质母细胞和软骨细胞的作用是剂量依赖的.
结论:
- 乳酸是骨免疫代谢网络中的关键调节剂.
- 向乳酸代谢 (例如LDHA,PKM2,MCT抑制剂,乳化修饰剂) 为骨疾病提供了有前途的治疗策略.
- 需要进一步的研究,以充分阐明乳酸的作用,并优化治疗干预骨平衡和炎症的治疗措施.
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