Insights and implications of sexual dimorphism in osteoporosis.

IF 14.3 1区 医学 Q1 CELL & TISSUE ENGINEERING
Yuan-Yuan Zhang, Na Xie, Xiao-Dong Sun, Edouard C Nice, Yih-Cherng Liou, Canhua Huang, Huili Zhu, Zhisen Shen
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Abstract

Osteoporosis, a metabolic bone disease characterized by low bone mineral density and deterioration of bone microarchitecture, has led to a high risk of fatal osteoporotic fractures worldwide. Accumulating evidence has revealed that sexual dimorphism is a notable feature of osteoporosis, with sex-specific differences in epidemiology and pathogenesis. Specifically, females are more susceptible than males to osteoporosis, while males are more prone to disability or death from the disease. To date, sex chromosome abnormalities and steroid hormones have been proven to contribute greatly to sexual dimorphism in osteoporosis by regulating the functions of bone cells. Understanding the sex-specific differences in osteoporosis and its related complications is essential for improving treatment strategies tailored to women and men. This literature review focuses on the mechanisms underlying sexual dimorphism in osteoporosis, mainly in a population of aging patients, chronic glucocorticoid administration, and diabetes. Moreover, we highlight the implications of sexual dimorphism for developing therapeutics and preventive strategies and screening approaches tailored to women and men. Additionally, the challenges in translating bench research to bedside treatments and future directions to overcome these obstacles will be discussed.

Abstract Image

骨质疏松症中性畸形的见解和影响。
骨质疏松症是一种以骨矿物质密度低和骨微结构退化为特征的代谢性骨病,在全球范围内导致致命性骨质疏松性骨折的风险很高。越来越多的证据表明,性别二形性是骨质疏松症的一个显著特征,在流行病学和发病机制方面存在性别差异。具体来说,女性比男性更容易患上骨质疏松症,而男性则更容易因该病致残或死亡。迄今为止,性染色体异常和类固醇激素通过调节骨细胞的功能,已被证实在很大程度上导致了骨质疏松症的性别双态性。了解骨质疏松症及其相关并发症的性别差异对于改进针对女性和男性的治疗策略至关重要。这篇文献综述主要探讨了骨质疏松症中性二态性的机制,主要是在老龄化患者、长期服用糖皮质激素和糖尿病人群中。此外,我们还强调了性双态性对开发适合女性和男性的治疗和预防策略及筛查方法的影响。此外,我们还将讨论将临床研究转化为床边治疗所面临的挑战,以及克服这些障碍的未来方向。
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来源期刊
Bone Research
Bone Research CELL & TISSUE ENGINEERING-
CiteScore
20.00
自引率
4.70%
发文量
289
审稿时长
20 weeks
期刊介绍: Established in 2013, Bone Research is a newly-founded English-language periodical that centers on the basic and clinical facets of bone biology, pathophysiology, and regeneration. It is dedicated to championing key findings emerging from both basic investigations and clinical research concerning bone-related topics. The journal's objective is to globally disseminate research in bone-related physiology, pathology, diseases, and treatment, contributing to the advancement of knowledge in this field.
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