期刊文献+

糖皮质激素对ITP患者骨代谢的影响及机制 被引量:4

下载PDF
导出
摘要 目的进一步探讨激素性骨质疏松的发生机制。方法检测30例特发性血小板减少性紫癜(ITP)患者(观察组)激素治疗前及治疗3个月血清骨保护素(OPG)、可溶性核因子κB受体活化因子配体(sRANKL)表达量及骨矿物质密度(BMD)等骨代谢指标水平,并与20例健康体检者(对照组)比较。结果观察组治疗前OPG、sRANKL表达量及BMD与对照组比较无显著差异;治疗3个月OPG及BMD明显低于治疗前及对照组;sRANKL明显高于治疗前及对照组,P均<0.01。BMD与OPG呈正相关(r=0.75)、与sRANKL呈负相关(r=-0.59),P均<0.05。结论 OPG降低、sRANKL升高可导致骨质吸收增加,成骨减少;促进激素性骨质疏松的发生。
出处 《山东医药》 CAS 北大核心 2010年第39期89-90,共2页 Shandong Medical Journal
  • 相关文献

参考文献10

  • 1张之南,沈悌主编..血液病诊断及疗效标准 第3版[M].北京:科学出版社,2007:271.
  • 2Asano T,Takahashi KA,Fujioka M,et al.ABCB1.C3435T and G2677T/A polymorphism decreased the risk for steroid-induced osteonecrosis of the femoral head after kidney transp lantation[J].Pharmacogenetics,2003,13(11):675-682. 被引量:1
  • 3Inoue S,Horii M,Asano T,et al.Risk factors for nontraumatic osteonecrosis of the femoral head after renal transp lantation[J].J Orthop Sci,2003,8(6):751-756. 被引量:1
  • 4Hofbauer LC,Heuffelder AE.The role of recep tor activator of nuclear factor-kapperB ligand and osteop rotegerin in the pathogenesis and treatment of metabolic bone diseases[J].J Clan Endocr Metal,2000,85(7):2355-2363. 被引量:1
  • 5Hofbaue LC,Khosla S,Dunstan C,et al.The roles of osteop rotegerin and osteoprotegerin ligand in the paracrine regulation of bone resorption[J].J Bone Miner Res,2000,15(1):2-12. 被引量:1
  • 6Suzuki J,Ikeda T,Kuroyama H,et al.Regulation of osteoclastogenesis by three human RANKL isoforms expressed in N IH3T3 cells[J].Biochem Biophys Res Commun,2004,314(4):1021-1027. 被引量:1
  • 7Padagas J,Colloton M,Shalhoub V,et al.The receptor activator of nuclear factor-kappaB ligand inhibitor osteoprotegerin is a bone protective agent in a rat model of chronic renal insufficiency and hyperparathyroidism[J].Calcif Tissue Int,2006,78(1):35-44. 被引量:1
  • 8Vidal NO,Brandstrom H,Jonsson KB,et al.Osteoprotegerin mRNA is esp ressed in primary human osteoblast-like cells,Down regulation by gluccorticolds[J].J Endocrinol,1998,159(1):191-195. 被引量:1
  • 9Sasaki N,Kusano E,Ando Y,et al.Glucocorticoid decreases osteoprotegerin(OPG):possiblemechanism for glucocorticoid induced osteoporosis[J].Nephrol Dial Transplant,2001,16(3):479-482. 被引量:1
  • 10Sasaki N,Kusano E,Ando Y,et al.Changes in osteoprotegerin and markers of bone metabolism during glucocorticoid treatment in patients with chronic glomerulonephritis[J].Bone,2002,30(6):853-858. 被引量:1

同被引文献49

  • 1杨海英,董俊华,孔春研,王进.糖皮质激素对肾病综合征患儿成骨细胞功能的影响[J].中国当代儿科杂志,2005,7(2):141-142. 被引量:6
  • 2慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17. 被引量:8240
  • 3胡亚美,江载芳,等,主编.诸福棠实用儿科学[M].第7版.北京:人民卫生出版社,2002.1 199. 被引量:478
  • 4Simonet WS,Lacey DL,Cunstan CR,Kelley M,Chang MS,LüthyR,et al.Osteoprotege:a novel secreted protein involved in the reg-ulation of bone density[J].Cell,1997,89(2):309-319. 被引量:1
  • 5Yasuda H.Bone and bone related biochemical examinations.Boneand collagen related metabolites.Receptor activator of NF-kappaBligand(RANKL)[J].Clin Calcium,2006 16(6):964-970. 被引量:1
  • 6Sasaki N,Kusano E,Ando Y,Nemoto J,Iimura O,Ito C,et al.Changes in osteoprotegerin and markers of bone metabolism duringglucocorticoid treatment in patients with chronic glomerulonephritis[J].Bone,2002,30(6):853-858. 被引量:1
  • 7Delmas PD,Christiansen C,Mann KG,Price PA,Bone gla pro-tein(osteocalcin)assay standradization report[J].J Bone MinerRes,1990,5(1):5-11. 被引量:1
  • 8Sierra RI,Specker BL,Jiménez F,Cruz C,Pedraza-ChaverríJ.Biochemical bone markers,bone mineral content,and bone miner-al density in rats with experimental nephrotic syndrome[J].RenFail,1997,19(3):409-424. 被引量:1
  • 9Hofbauer LC,Gori F,Riggs BL,Lacey DL,Dunstan CR,Spels-berg TC,et al.Stimulation of osteoprotegerin ligand and inhibitionof osteoprotegerin production by glucocorticoids in human osteo-blastic lineage cells:potential paracrine mechanisms of glucocorti-coid-induced osteoporosis[J].Endocrinology,1999,140(10):4382-4389. 被引量:1
  • 10Vidal NO,Brndstrom H,Jonsson KB,Ohlsson C.Osteoprote-gerin mRNA is expressed in primary human osteoblast-like cells:down-regulation by glucocorticoids[J].J Endocrinol,1998,159(1):191-195. 被引量:1

引证文献4

二级引证文献24

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部