摘要
目的:探讨骨骼和免疫系统之间的相互作用。在本领域最新的研究发现中,骨质疏松症实际上是新兴的概念,其中骨和免疫细胞有严格的相互关联作用。因此,骨质疏松症被认为是一种慢性的免疫介导的疾病,具有相同炎症背景,且与各年龄相关的一种失调性疾病。本篇文章中,我们给出了其最新的发现和慢慢浮现的新的景象。 方法:在医学中心进行广泛的调研。 结果:虽然骨质疏松症的炎症反应机制已经被人们所清楚地意识到,但骨免疫学的其他有趣的方面却是新兴的知识。越来越多的证据表明,免疫骨学不仅能够调节骨头的重塑,也参与调节了许多其他身体的重要机能。骨细胞参与到各种免疫系统细胞的免疫作用中,实际上扩充了免疫系统,因此在多种病理状态尤其是免疫系统中,它不仅作为一个靶标同样也是一个主要的因素,比如说免疫抵抗作用以及免疫缺陷作用,还包括老化,绝经以及其他一些有炎症背景的疾病。 结论:本篇综述阐述了内源通路的复杂性并揭示了免疫和骨头之间的交叉机制。更有趣的是,跨领域的骨免疫正在骨头和免疫细胞之间不断扩增,形成了组织和系统功能互相间的新的平衡的网络系统。因此,最合适的骨系统维护应该与除了自身骨头内平衡作用,造血以及免疫等其他作用有关。
关键词: 骨免疫学; 骨质疏松; 炎症;淋巴细胞; 骨头;免疫系统。
Current Medicinal Chemistry
Title:Osteoimmunology and Beyond
Volume: 23 Issue: 33
Author(s): Lia Ginaldi, Massimo De Martinis
Affiliation:
关键词: 骨免疫学; 骨质疏松; 炎症;淋巴细胞; 骨头;免疫系统。
摘要: Objective: Osteoimmunology investigates interactions between skeleton and immune system. In the light of recent discoveries in this field, a new reading register of osteoporosis is actually emerging, in which bone and immune cells are strictly interconnected. Osteoporosis could therefore be considered a chronic immune mediated disease which shares with other age related disorders a common inflammatory background. Here, we highlight these recent discoveries and the new landscape that is emerging.
Method: Extensive literature search in PubMed central.
Results: While the inflammatory nature of osteoporosis has been clearly recognized, other interesting aspects of osteoimmunology are currently emerging. In addition, mounting evidence indicates that the immunoskeletal interface is involved in the regulation of important body functions beyond bone remodeling. Bone cells take part with cells of the immune system in various immunological functions, configuring a real expanded immune system, and are therefore variously involved not only as target but also as main actors in various pathological conditions affecting primarily the immune system, such as autoimmunity and immune deficiencies, as well as in aging, menopause and other diseases sharing an inflammatory background.
Conclusion: The review highlights the complexity of interwoven pathways and shared mechanisms of the crosstalk between the immune and bone systems. More interestingly, the interdisciplinary field of osteoimmunology is now expanding beyond bone and immune cells, defining new homeostatic networks in which other organs and systems are functionally interconnected. Therefore, the correct skeletal integrity maintenance may be also relevant to other functions outside its involvement in bone mineral homeostasis, hemopoiesis and immunity.
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Cite this article as:
Lia Ginaldi, Massimo De Martinis , Osteoimmunology and Beyond, Current Medicinal Chemistry 2016; 23 (33) . https://dx.doi.org/10.2174/0929867323666160907162546
DOI https://dx.doi.org/10.2174/0929867323666160907162546 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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