性激素缺乏与骨关节炎的关系

A. Macedo, G. Santos, J. F. Lana, Renato Luiz Bevilacqua de Castro, Icaro Lanzoni Gallo Ingrao, S. Huber, Saulo Cardoso Filho, Inácio Facó Ventura Vieira, W. Murrell
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摘要

本文献综述探讨了研究人员在骨科医学领域的不同背景下进行的近期和过去的调查,试图表明性激素水平不足与其对骨科健康(即骨关节炎)带来的潜在后果之间可能存在的联系。文献中有一些证据表明,类固醇激素浓度低于理想水平会对骨骼健康产生负面影响,使骨骼更容易受到身体损伤,尤其是当这种激素是雌激素时。几项研究表明,这种生物分子对人类健康至关重要,因为它不仅影响男性和女性的性发育和性功能,还影响骨骼代谢。围绕雌激素化合物的研究揭示了它们在成人身体能化中的重要性,因为已经发现雌激素通过直接与骨细胞、成骨细胞、破骨细胞甚至t细胞相互作用,在骨维持中起着关键作用,仅举几个例子。大规模的研究也通过评估测量的性类固醇浓度与成人骨关节炎关节置换术发生率之间的联系,提出了可信的证据。考虑到这一点,有充分的理由研究成年人的激素波动,呼吁采取适当的医疗干预措施,以控制病人的健康,避免甚至治疗由于缺乏某些类固醇激素而造成的有害影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between Sex Hormone Deficiency and Osteoarthritis
This literature review explores recent and past investigations carried out by researchers in various settings pertaining to the orthopaedic field of medicine, in attempts to show a possible connection between the deficit in sex hormone levels and the potential consequences it brings about on orthopaedic health, namely, osteoarthritis. There is some evidence in the literature suggesting that suboptimal concentrations of steroid hormones can negatively impact bone health, making it more susceptible to physical injury, especially when the hormone in question is estrogen. Several studies have shown that this biomolecule is quite essential to human health due to its effects on not only sexual development and function but also on bone metabolism, in both men and women. Investigations revolving around estrogenic compounds reveal their significance in physical capacitation of adult individuals, since it has already been found that estrogens play a pivotal role on bone maintenance by directly interacting with osteocytes, osteoblasts, osteoclasts and even T-cells, to name a few examples. Large scale studies also bring up plausible evidence by evaluating the links between measured sex steroid concentrations and incidence of osteoarthritic joint replacement in adults. Taking that into consideration, there is sufficient motivation to look into hormonal fluctuation in adult individuals, calling for suitable medical intervention in order to keep a patient’s health under control, avoiding and even treating the detrimental effects caused by the deficiency of certain steroid hormones.
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