雌激素受体α基因甲基化与骨质疏松关系的研究进展

妇女绝经后体内雌激素水平显著下降,发生骨质疏松和骨折的风险显著增加。DNA甲基化作为表观遗传作用机制之一,与骨质疏松的发生有着重要关系。雌激素受体α基因甲基化水平升高会抑制雌激素受体α基因的表达,进而影响骨的新陈代谢,但具体作用机制有待于进一步研究。这种甲基化的状态是可以逆转的,通过干预基因甲基化,可以影响骨形成和骨重吸收的过程,进而为诊断和治疗骨质疏松提供新的思路。研究显示血清同型半胱氨酸(Hcy)会影响雌激素受体α基因甲基化水平,绝经后妇女平均血清Hcy浓度显著高于绝经前妇女,提示血清Hcy浓度可以作为早期筛查骨质疏松的指标之一;葛根素达到合适浓度后可抑制成骨细胞雌激素受体α基因甲基化,增...

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Published in中国骨质疏松杂志 Vol. 23; no. 3; pp. 388 - 391
Main Author 徐绍俊 黄建烽 邵敏 王大天 孙友强 姜涛 汪钦生 何挺 曾振明
Format Journal Article
LanguageChinese
Published 广州中医药大学第三临床医学院,广东广州,510405%广州中医药大学第三附属医院,广东广州,510240%海南省中医院,海南海口,570000%广州中医药大学第一临床医学院,广东广州,510405%广州市荔湾区骨伤科医院,广东广州,510140%深圳市宝安区中医院,广东深圳,518100 2017
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ISSN1006-7108
DOI10.3969/j.issn.1006-7108.2017.03.022

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Abstract 妇女绝经后体内雌激素水平显著下降,发生骨质疏松和骨折的风险显著增加。DNA甲基化作为表观遗传作用机制之一,与骨质疏松的发生有着重要关系。雌激素受体α基因甲基化水平升高会抑制雌激素受体α基因的表达,进而影响骨的新陈代谢,但具体作用机制有待于进一步研究。这种甲基化的状态是可以逆转的,通过干预基因甲基化,可以影响骨形成和骨重吸收的过程,进而为诊断和治疗骨质疏松提供新的思路。研究显示血清同型半胱氨酸(Hcy)会影响雌激素受体α基因甲基化水平,绝经后妇女平均血清Hcy浓度显著高于绝经前妇女,提示血清Hcy浓度可以作为早期筛查骨质疏松的指标之一;葛根素达到合适浓度后可抑制成骨细胞雌激素受体α基因甲基化,增强细胞ERαmRNA表达,进而促使成骨细胞增殖分化,从而用于骨质疏松的治疗。通过分析阐明雌激素受体α基因甲基化与骨质疏松的关系,可以早期筛选骨质疏松的高危人群,更简便快捷地诊断骨质疏松,为临床进行基因诊断提供理论依据;可以选择性地开发调节雌激素受体α基因甲基化药物,从而使治疗骨质疏松的靶向性更强,为骨质疏松的基因治疗提供理论依据。
AbstractList R681; 妇女绝经后体内雌激素水平显著下降,发生骨质疏松和骨折的风险显著增加.DNA甲基化作为表观遗传作用机制之一,与骨质疏松的发生有着重要关系.雌激素受体α基因甲基化水平升高会抑制雌激素受体α基因的表达,进而影响骨的新陈代谢,但具体作用机制有待于进一步研究.这种甲基化的状态是可以逆转的,通过干预基因甲基化,可以影响骨形成和骨重吸收的过程,进而为诊断和治疗骨质疏松提供新的思路.研究显示血清同型半胱氨酸(Hcy)会影响雌激素受体α基因甲基化水平,绝经后妇女平均血清Hcy浓度显著高于绝经前妇女,提示血清Hcy浓度可以作为早期筛查骨质疏松的指标之一;葛根素达到合适浓度后可抑制成骨细胞雌激素受体α基因甲基化,增强细胞ERαmRNA表达,进而促使成骨细胞增殖分化,从而用于骨质疏松的治疗.通过分析阐明雌激素受体α基因甲基化与骨质疏松的关系,可以早期筛选骨质疏松的高危人群,更简便快捷地诊断骨质疏松,为临床进行基因诊断提供理论依据;可以选择性地开发调节雌激素受体α基因甲基化药物,从而使治疗骨质疏松的靶向性更强,为骨质疏松的基因治疗提供理论依据.
妇女绝经后体内雌激素水平显著下降,发生骨质疏松和骨折的风险显著增加。DNA甲基化作为表观遗传作用机制之一,与骨质疏松的发生有着重要关系。雌激素受体α基因甲基化水平升高会抑制雌激素受体α基因的表达,进而影响骨的新陈代谢,但具体作用机制有待于进一步研究。这种甲基化的状态是可以逆转的,通过干预基因甲基化,可以影响骨形成和骨重吸收的过程,进而为诊断和治疗骨质疏松提供新的思路。研究显示血清同型半胱氨酸(Hcy)会影响雌激素受体α基因甲基化水平,绝经后妇女平均血清Hcy浓度显著高于绝经前妇女,提示血清Hcy浓度可以作为早期筛查骨质疏松的指标之一;葛根素达到合适浓度后可抑制成骨细胞雌激素受体α基因甲基化,增强细胞ERαmRNA表达,进而促使成骨细胞增殖分化,从而用于骨质疏松的治疗。通过分析阐明雌激素受体α基因甲基化与骨质疏松的关系,可以早期筛选骨质疏松的高危人群,更简便快捷地诊断骨质疏松,为临床进行基因诊断提供理论依据;可以选择性地开发调节雌激素受体α基因甲基化药物,从而使治疗骨质疏松的靶向性更强,为骨质疏松的基因治疗提供理论依据。
Abstract_FL Reduced bioavailability of estrogen increases osteoporosis and fracture risk significantly in postmenopausal women.As one of the mechanism of epigenetie mechanism,DNA methylation has an important relationship with the occurrence of osteoporosis.The increase of estrogen receptor alpha gene methylation inhibits the expression of estrogen receptor alpha gene,and then affects bone metabolism,but the specific mechanism needs further study.This methylation status can be reversed,and the process of bone formation and bone resorption can be influenced by the intervention of gene methylation,which provides a new way for the diagnosis and treatment of osteoporosis.Studies have shown that the level of serum homocysteine (Hcy) affects the status of estrogen receptor alpha gene methylation.On average,the serum Hcy concentration in postmenopausal women is significantly higher than that in premenopausal women,indicating that serum Hcy concentration can be used as one of the indicators of early osteoporosis screening.Puerarin inhibits the estrogen receptor alpha gene methylation,and enhances the expression of ER alpha mRNA,and then promotes the proliferation and differentiation of osteoblasts,which can be used for the treatment of osteoporosis.Through the analysis of the relationship between estrogen receptor alpha gene methylation and osteoporosis,we can screen osteoporosis high-risk groups early,and provide theoretical basis for more simple and rapid diagnosis of osteoporosis.We can also selectively develop drugs regulating estrogen receptor alpha gene methylation,making the treatment of osteoporosis more targeted,and provide a theoretical basis for the gene therapy of osteoporosis.
Author 徐绍俊 黄建烽 邵敏 王大天 孙友强 姜涛 汪钦生 何挺 曾振明
AuthorAffiliation 广州中医药大学第三临床医学院,广东广州510405 广州中医药大学第三附属医院,广东广州510240 海南省中医院,海南海口570000 广州中医药大学第一临床医学院,广东广州510405 广州市荔湾区骨伤科医院,广东广州510140 深圳市宝安区中医院,广东深圳518100
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SHAO Min
SUN Youqiang
WANG Qinsheng
WANG Datian
HUANG Jianfeng
XU Shaojun
JIANG Tao
HE Ting
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Keywords 骨质疏松
Estrogen receptor α
Osteoporosis
DNA甲基化
骨质疏松,绝经后
雌激素受体α
DNA methylation
Osteoporosis,Postmenopausal
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Notes Reduced bioavailability of estrogen increases osteoporosis and fracture risk significantly in postmenopausal women.As one of the mechanism of epigenetic mechanism,DNA methylation has an important relationship with the occurrence of osteoporosis.The increase of estrogen receptor alpha gene methylation inhibits the expression of estrogen receptor alpha gene,and then affects bone metabolism,but the specific mechanism needs further study.This methylation status can be reversed,and the process of bone formation and bone resorption can be influenced by the intervention of gene methylation,which provides a newway for the diagnosis and treatment of osteoporosis.Studies have shown that the level of serum homocysteine( Hcy) affects the status of estrogen receptor alpha gene methylation.On average,the serum Hcy concentration in postmenopausal women is significantly higher than that in premenopausal women,indicating that serum Hcy concentration can be used as one of the indicators of early osteoporosis screening.Puerarin
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PublicationTitleAlternate Chinese Journal of Osteoporosis
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PublicationYear 2017
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SubjectTerms DNA甲基化
绝经后
雌激素受体α
骨质疏松
Title 雌激素受体α基因甲基化与骨质疏松关系的研究进展
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