白藜芦醇对去卵巢骨质疏松大鼠Wnt/β-Catenin通路的影响

目的: 研究白藜芦醇（RES）对卵巢摘除骨质疏松大鼠Wnt/β-Catenin信号通路的影响,探索RES对卵巢摘除的骨质疏松大鼠的保护作用及机制。方法: 选用60只健康雌性SPF级大鼠,随机分为假手术组（Sham组）12只、模型组（OVX组）48只,通过摘除大鼠双侧卵巢的方法,建立骨质疏松模型。12周后,测量骨密度（BMD）,将造模成功的大鼠随机分为OVX组、白藜芦醇低（RES-L,5 mg·kg-1·d-1）、中（RES-M,15 mg·kg-1·d-1）、高（RES-H,45 mg·kg-1·d-1）剂量组,每组12只,灌胃给药,假手术组和模型组给予灌服等量的生理盐水,每天一次,连续12周。ELISA法检测血清雌激素（E2）、孕激素（P）和抗酒石酸酸性磷酸酶（TRAP）水平的变化;测量各组BMD;采用RT-PCR法检测β-Catenin、糖原合成酶激酶3β（GSK-3β）、低密度脂蛋白受体相关蛋白5（LRP5）及Runx2 mRNA的表达。结果: OVX组BMD较Sham组显著降低（P<0.01）,表明造模成功。药物干预12周后,与Sham组相比,OVX组的BMD显著降低（P<0.01）;而RES各组的BMD显著升高;同OVX组相比,经RES干预后,BMD、β-Catenin mRNA、LRP5 mRNA及Runx2 mRNA等在RES诱导后的OVX组中表达显著增高（P<0.01）;GSK-3β mRNA表达显著减少（P<0.05）。结论: 白藜芦醇可显著提高去卵巢骨质疏松大鼠的BMD值,其机制与上调Wnt/β-Catenin信号通路相关。     

Cosupplementation of dietary calcium and conjugated linoleic acid (CLA) improves bone mass in mice

Conjugated linoleic acid (CLA) has shown a variety of biologically beneficial effects, such as anticancer, antiatherosclerosis, antidiabetic, immunomodulating, and antiobesity effects. Its effects on reduction of body fat occur with enhancement of lean body mass and body ash; the effects of CLA on bone mass are inconsistent in mice and human studies. We hypothesized that the inconsistency of CLA's effect on ash may be linked to interaction between CLA and dietary calcium levels. We reanalyzed our previous studies, which used mice fed 0.5% CLA-containing diet with regular calcium content (0.5%) or enhanced calcium level (0.66%). Extra calcium in the diet improved CLA's effects on bone mass, particularly in male mice (P= 0.0194); without extra dietary calcium there was no effect of CLA on bone mass. This finding may help improve the efficacy of CLA to be used as a dietary supplement to be used as part of an osteoporosis prevention strategy. Further studies are needed to confirm this observation.     

A Polymorphism at the Translation Start Site of the Vitamin D Receptor Gene Is Associated with the Response to Anti-Osteoporotic Therapy in Postmenopausal Women from Southern Italy

The present study investigated the effect of two single nucleotide polymorphisms (SNPs) of the vitamin D receptor (VDR) gene, rs1544410 A/G and rs2228570 C/T, in modulating bone mineral density (BMD) and the response to treatment with bisphosphonates or strontium ranelate in postmenopausal osteoporosis (PMO). Four hundred eighteen postmenopausal women from Southern Italy treated with bisphosphonates or strontium ranelate for three years were enrolled and stratified according to their genotype. Changes in BMD were expressed as the delta t-score (Δt-score). Allelic frequencies for rs1544410 A/GSNP were 11.2% AA, 50.0% GA and 38.8% GG; for rs2228570 C/TSNP were 54.8% CC, 39.5% TC and 5.7% TT. TT carriers showed a lower t-score than TC and CC (both p < 0.02) genotypes and were more responsive to the therapy when compared to both TC (p < 0.02) and CC (p < 0.05) carriers. Specifically, TT carriers receiving alendronate demonstrated a significant improvement of the Δt-score compared to TC and CC (both p < 0.0001) carriers. After adjustment for confounders, the Δt-score showed evidence of a statistically significant positive association with TT in all treatments considered. Therapy response was independent of rs1544410 A/G SNP; instead, rs2228570 C/TSNP was associated with a better response to antiresorptive treatment, thus suggesting that the therapy for PMO should be personalized.     

Using a Novel MicroRNA Delivery System to Inhibit Osteoclastogenesis

Previously, we developed a novel microRNA (miRNA) delivery system based on bacteriophage MS2 virus-like particles (MS2 VLPs). In this current study, we used this system to transport miR-146a into human peripheral blood mononuclear cells (PBMCs), and demonstrated the inhibition of osteoclastogenesis in precursors. Two cytokines, receptor activator of NF-κB ligand (RANKL), and macrophage-colony stimulating factor (M-CSF) were used to induce osteoclastogenesis. MS2 VLPs were transfected into PBMCs. qRT-PCR was applied to measure expression levels of miR-146a and osteoclast (OC)-specific genes. Western blot (WB) was conducted to evaluate miR-146a downstream target proteins: epidermal growth factor receptor (EGFR) and tumor necrosis factor (TNF) receptor-associated factor 6 (TRAF6). The formation and activity of OCs were assessed by cytochemical staining and bone resorption assay, respectively. In PBMCs treated with MS2-miR146a VLPs, qRT-PCR assays showed increased expression of miR-146a (p < 0.01) and decreased expression of all four OC-specific genes (p < 0.05). WB results indicated decreased expression of EGFR (p < 0.01) and TRAF6 (p < 0.05). The number of OCs decreased markedly and bone resorption assay demonstrated inhibited activity. This miR-146a delivery system could be applied to induce overexpression of miR-146a and to inhibit the differentiation and function of OCs.     

Osteoprotective Effects of Loganic Acid on Osteoblastic and Osteoclastic Cells and Osteoporosis-Induced Mice

Osteoporosis is a common disease caused by an imbalance of processes between bone resorption by osteoclasts and bone formation by osteoblasts in postmenopausal women. The roots of Gentiana lutea L. (GL) are reported to have beneficial effects on various human diseases related to liver functions and gastrointestinal motility, as well as on arthritis. Here, we fractionated and isolated bioactive constituent(s) responsible for anti-osteoporotic effects of GL root extract. A single phytochemical compound, loganic acid, was identified as a candidate osteoprotective agent. Its anti-osteoporotic effects were examined in vitro and in vivo. Treatment with loganic acid significantly increased osteoblastic differentiation in preosteoblast MC3T3-E1 cells by promoting alkaline phosphatase activity and increasing mRNA expression levels of bone metabolic markers such as Alpl, Bglap, and Sp7. However, loganic acid inhibited osteoclast differentiation of primary-cultured monocytes derived from mouse bone marrow. For in vivo experiments, the effect of loganic acid on ovariectomized (OVX) mice was examined for 12 weeks. Loganic acid prevented OVX-induced bone mineral density loss and improved bone structural properties in osteoporotic model mice. These results suggest that loganic acid may be a potential therapeutic candidate for treatment of osteoporosis.     

The Impact of the “Osteo” Component of Osteosarcopenia on Fragility Fractures in Post-Menopausal Women

Osteosarcopenia, the coexistence of bone and muscle loss, is common in older adults, but its definition lacks international consensus. This cross-sectional study (n = 1199 post-menopausal women) aimed to determine the association between osteosarcopenia and fragility fractures and to investigate the impact of the definition of the “osteo” component. Bone mineral density and bone microarchitecture were measured by dual-energy X-ray absorptiometry and the trabecular bone score (TBS), respectively. The “osteo” component of osteosarcopenia was classified as osteoporosis (T-score ≤ −2.5 SD), osteopenia/osteoporosis (T-score < −1 SD), and high-fracture-risk osteopenia (−2.5 SD < T-score < −1 SD)/osteoporosis (T-score ≤ −2.5 SD). The Fracture Risk Assessment Tool was used to identify high-fracture-risk osteopenia. Altogether, 30.3%, 32.2%, 14.4%, and 23.1% of participants had osteosarcopenia, osteoporosis alone, sarcopenia alone, and neither condition, respectively. The odds ratios between osteosarcopenia and fragility fractures were 3.70 (95% CI: 1.94–7.04) for osteosarcopenia, 2.48 (95% CI: 1.30–4.71) for osteoporosis alone, and 1.87 (95% CI: 0.84–4.14) for sarcopenia alone. Women with osteosarcopenia also had lower TBS, indicating worse bone microarchitecture. In conclusion, women with osteosarcopenia were more likely to have previously sustained a fracture compared to those without osteosarcopenia, with sarcopenia alone, and with osteoporosis alone. The relationship between osteosarcopenia and fracture risk may be best identified when considering high-fracture-risk osteopenia and osteoporosis.     

Deep Learning in DXA Image Segmentation

Many existing techniques to acquire dual-energy X-ray absorptiometry (DXA) images are unable to accurately distinguish between bone and soft tissue. For the most part, this failure stems from bone shape variability, noise and low contrast in DXA images, inconsistent X-ray beam penetration producing shadowing effects, and person-to-person variations. This work explores the feasibility of using state-of-the-art deep learning semantic segmentation models, fully convolutional networks (FCNs), SegNet, and U-Net to distinguish femur bone from soft tissue. We investigated the performance of deep learning algorithms with reference to some of our previously applied conventional image segmentation techniques (i.e., a decision-tree-based method using a pixel label decision tree [PLDT] and another method using Otsu’s thresholding) for femur DXA images, and we measured accuracy based on the average Jaccard index, sensitivity, and specificity. Deep learning models using SegNet, U-Net, and an FCN achieved average segmentation accuracies of 95.8%, 95.1%, and 97.6%, respectively, compared to PLDT (91.4%) and Otsu’s thresholding (72.6%). Thus we conclude that an FCN outperforms other deep learning and conventional techniques when segmenting femur bone from soft tissue in DXA images. Accurate femur segmentation improves bone mineral density computation, which in turn enhances the diagnosing of osteoporosis.     

Obesity and Bone: A Complex Relationship

There is a large literature on the relationship between obesity and bone. What we can conclude from this review is that the increase in body weight causes an increase in BMD, both for a mechanical effect and for the greater amount of estrogens present in the adipose tissue. Nevertheless, despite an apparent strengthening of the bone witnessed by the increased BMD, the risk of fracture is higher. The greater risk of fracture in the obese subject is due to various factors, which are carefully analyzed by the Authors. These factors can be divided into metabolic factors and increased risk of falls. Fractures have an atypical distribution in the obese, with a lower incidence of typical osteoporotic fractures, such as those of hip, spine and wrist, and an increase in fractures of the ankle, upper leg, and humerus. In children, the distribution is different, but it is not the same in obese and normal-weight children. Specifically, the fractures of the lower limb are much more frequent in obese children. Sarcopenic obesity plays an important role. The authors also review the available literature regarding the effects of high-fat diet, weight loss and bariatric surgery.     

基于网络药理学和分子对接研究鸡血藤抗骨质疏松的药效物质及作用机制

目的:探讨中草药鸡血藤抗骨质疏松的药效物质及作用机制.方法:通过TCMSP数据库筛选化合物,应用PharmMapper数据库获得靶标,通过Cytoscape 3.7.2软件对化合物-靶点网络进行ClueGo注释和KEGG富集分析,确定鸡血藤抗骨质疏松作用的关键通路,并通过CytoNCA插件计算节点的介数、接近中心性和子...