中国组织工程研究 ›› 2017, Vol. 21 ›› Issue (36): 5847-5854.doi: 10.3969/j.issn.2095-4344.2017.36.019

• 组织构建综述 tissue construction review • 上一篇    下一篇

骨硬化蛋白与骨质疏松:治疗的新方向

张树东1,祝孟海1,李世飞1,姚  琦1,2   

  1. 1Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China; 2Chinese PLA General Hospital, Beijing 100853, China
  • 收稿日期:2017-08-07 出版日期:2017-12-28 发布日期:2018-01-04
  • 通讯作者: 姚琦,博士,主任医师,硕士生导师,首都医科大学附属北京世纪坛医院,北京市 100038;解放军总医院,北京市 100853
  • 作者简介:张树东,男,1991年生,河南省民权县人,首都医科大学在读硕士,主要从事骨硬化蛋白与骨质疏松的研究。
  • 基金资助:

    北京市科学技术委员会(Z151100003915094)

Sclerostin: a new hope for the treatment of osteoporosis

Zhang Shu-dong1, Zhu Meng-hai1, Li Shi-fei1, Yao Qi1, 2   

  1. 1首都医科大学附属北京世纪坛医院,北京市  100038;2解放军总医院,北京市  100853
  • Received:2017-08-07 Online:2017-12-28 Published:2018-01-04
  • Contact: Yao Qi, M.D., Chief physician, Master’s supervisor, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China; Chinese PLA General Hospital, Beijing 100853, China
  • About author:Zhang Shu-dong, Studying for master’s degree, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Supported by:

    the Beijing Municipal Science & Technology Commission, No. Z151100003915094

摘要:

文章快速阅读:


文题释义:
骨硬化蛋白(Sclerostin):是SOST基因表达的一种分泌蛋白,在骨细胞产生后转运到骨表面参与骨代谢的调节,sclerostin与共受体LRP5/6结合抑制Wnt/β-catenin通路,降低成骨细胞的骨生成作用,导致骨密度降低、骨脆性增加。
AMG785(Romosozumab):人类来源的sclerostin单克隆抗体,用于骨质疏松治疗的第Ⅲ期临床试验已经结束,结果显示其能显著增加腰椎和髋部的骨密度,促进骨生成,抑制骨吸收,且有很好的耐受性。
摘要
背景:
骨硬化蛋白的研究为骨质疏松的治疗提供了一个新的方向,通过促进骨生成,抑制骨吸收改善骨质疏松。
目的:系统梳理骨硬化蛋白与骨质疏松相关文献,为进一步研究和促进骨硬化蛋白应用于骨质疏松的临床治疗和预防提供理论支持,提高骨质疏松的诊断和治疗效果。
方法:以“Osteoporosis,Sclerostin,Sclerosteosis,Wnt/β-catenin,LRP5/6,Sclerostin antibody,Sclerostin and life style,Romosozumab、Blosozumab”为英文检索词,检索PubMed数据库相关文献,经过筛选对其中的58篇文献进行分析探讨。
结果与结论:①骨硬化蛋白的缺失或合成减少能促进骨的生成,骨硬化蛋白抗体在动物实验和临床试验中表现良好,能很好的促进骨生成,抑制骨吸收;②临床Ⅲ期试验结果支持前期试验所表现出的骨硬化蛋白单克隆抗体在骨代谢中的双重作用,表现出较好的治疗骨质疏松的应用前景;③研究发现血清骨硬化蛋白水平与生活方式关系密切,具体的对应关系还需进一步的验证;④大量的实验结果支持骨硬化蛋白应用于临床,骨硬化蛋白的研究为骨质疏松的预防和治疗提供一个新的方向。

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程
ORCID: 0000-0002-2103-1274(张树东)

关键词: 组织构建, 骨组织工程, 骨硬化蛋白, 骨质疏松, 骨硬化病, 骨硬化蛋白抗体, 生活方式, Wnt/β-catenin, LRP5/6, Romosozumab, Blosozumab

Abstract:

BACKGROUND: Sclerostin has been shown to promote bone formation and decrease bone resorption, which provides a new idea for the treatment of osteoporosis.
OBJECTIVE: To review the literatures related to sclerostin and osteoporosis, thereby providing theoretical basis for sclerostin applied in the treatment and prevention of osteoporosis, so as to improve the diagnosis and curative efficacy of osteoporosis. 
METHODS: PubMed database was searched using the keywords of “osteoporosis, sclerostin, sclerosteosis, Wnt/β-catenin, LRP5/6, sclerostin antibody, sclerostin and expertise, romosozumab, blosozumab”. Finally, 58 pertinent articles were enrolled for analysis.
RESULTS AND CONCLUSION: Sclerostin inhibits bone formation, so anti-sclerostin antibody is utilized, and animal experiments and clinical trials have shown that it can promote bone formation and inhibit bone reaorption. Phase III trial results potentially signify a significant step in achieving market approval, which support the preclinical and clinical emergence of sclerostin antibody therapies for both osteoporosis and alternative applications. The serum level of sclerostin is found to be closely related to lifestyle, but still need to be studied in depth. Increasing trial results show that sclerostin is the promising therapeutic candidate, which provides a new direction in the prevention and treatment of osteoporosis.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words: Osteoporosis, Antibodies, Monoclonal, Tissue Engineering

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