摘要
自噬是一个过程,其主要作用是清除受损的细胞成分,如长寿蛋白和细胞器,从而参与不同细胞的保护。与衰老相关的骨质疏松症的特征是骨代谢的持续变化,抑制骨形成,增加骨吸收。在老年人中,不仅骨骼质量下降,而且男性和女性的骨骼强度都下降,导致骨折发生率增加。临床和动物实验表明,与年龄相关的骨丢失与许多因素有关,如自噬的积累、活性氧物质水平的增加、性激素缺乏和内源性糖皮质激素的高水平。现有的基础和临床研究表明,年龄相关因素可以调节自噬。这些因素在骨重塑中起着重要作用,并随着年龄的增长而导致骨质量和骨强度的降低。本文综述了老年人骨代谢与衰老和自噬相关的机制,为老年人骨质量和骨强度的治疗提供理论依据。
关键词: 与年龄相关的骨质疏松症,自噬,骨髓间充质干细胞,成骨细胞,破骨细胞,骨细胞。
图形摘要
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