Regulation of bone mass in inflammatory diseases

被引:24
作者
Adami, Giovanni [1 ]
机构
[1] Univ Verona, Rheumatol Unit, Pz Scuro 10, I-37134 Verona, Italy
关键词
inflammation; wnt system; osteoporosis; bone metabolism; disease modifying drugs; glucocorticoids; TNF-ALPHA THERAPY; MINERAL DENSITY; RHEUMATOID-ARTHRITIS; VERTEBRAL FRACTURES; LUMBAR SPINE; METABOLISM; INFLIXIMAB; RISK; OSTEOPOROSIS; BISPHOSPHONATES;
D O I
10.1016/j.beem.2021.101611
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inflammation is among the major determinants of bone loss in chronic disease and aging. Bone metabolism is radically affected by inflammation with consequent bone loss and increased fracture risk. Various cytokines and mediators are involved in the pathogenesis of bone loss in inflammatory conditions. The present review has the aim of discussing the main pathways involved in the pathogenesis of bone loss in inflammatory diseases, focusing in particular on the Wnt system and its regulators. Literature review of studies published between inception to 2021 on osteoporosis and inflammation was conducted. I will discuss the epidemiology of osteoporosis and fractures in common inflammatory diseases. The molecular basis of bone loss related to inflammation will be discussed as well. Finally, the effects of various anti-inflammatory medications on bone metabolism will be reviewed.(c) 2021 Elsevier Ltd. All rights reserved.
引用
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页数:9
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