• 제목/요약/키워드: Bone markers

검색결과 301건 처리시간 0.029초

고셔병 환자에서 효소대체치료의 장기적 효과와 한계 (Longterm Benefit and Unmet Needs in Enzyme Replacement Therapy of Gaucher)

  • 김유미
    • 대한유전성대사질환학회지
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    • 제14권1호
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    • pp.42-47
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    • 2014
  • Gaucher disease is a multisystemic disorder arising from a deficient activity of the lysosomal enzyme glucocerebrosidase, which leads to accumulation of glycosylceraide and other glycolipids in the regiculoendothelial system. The characteristics of Gaucher disease are anemia, thrombocytopenia, hepatosplenomegaly, and skeletal disease. Enzyme replacement therapy (ERT) has been proven to prevent progressive manifestations of Gaucher disease and effective in improving anemia, thrombocytopenia, bone markers and biomarkers. However, some patient needs still remain unmet because of the inaccessibility of certain sites including brain, bone and various organs. ERT could not Improve the irreversible lesion such as liver fibrosis, hepatopulmonary syndrome, and necrosis or infarction of bone and other organs. Adult patients with Gaucher disease should be screened for longterm complication such as bone disease, pulmonary hypertension, gallstone, and cancer, especially in patients with splenectomy. Parkinsonism and polyneuropathy was also reported among patients with type 1 Gaucher disease, but ERT does not improve neurological function. We need to review the benefits and unmet needs of ERT in Gaucher disease.

성견골수줄기세포의 신경세포로의 분화 (DIFFERENTIATION OF ADULT CANINE BONE MARROW STEM CELLS INTO NEURONS)

  • 최병호;허진영;박동균;김병용;이승호;박선영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권1호
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    • pp.1-4
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    • 2003
  • In this study, we showed that neurons could be generated from adult canine bone marrow stem cells by culturing with $DMSO/BHA/FeCl_2$. These neurons differentiated from the bone marrow stem cells formed neurites, expressed neuron-specific markers. This differentiation was enhanced by $FeCl_2$. These results suggest that iron can effectively initiate differentiation of adult bone marrow stem cells into neurons.

1,3-Dibenzyl-5-Fluorouracil Prevents Ovariectomy-Induced Bone Loss by Suppressing Osteoclast Differentiation

  • Hyoeun Jeon;Jungeun Yu;Jung Me Hwang;Hye-Won Park;Jiyeon Yu;Zee-Won Lee;Taesoo Kim;Jaerang Rho
    • IMMUNE NETWORK
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    • 제22권5호
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    • pp.43.1-43.12
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    • 2022
  • Osteoclasts (OCs) are clinically important cells that resorb bone matrix. Accelerated bone destruction by OCs is closely linked to the development of metabolic bone diseases. In this study, we screened novel chemical inhibitors targeting OC differentiation to identify drug candidates for metabolic bone diseases. We identified that 1,3-dibenzyl-5-fluorouracil, also named OCI-101, is a novel inhibitor of osteoclastogenesis. The formation of multinucleated OCs is reduced by treatment with OCI-101 in a dose-dependent manner. OCI-101 inhibited the expression of OC markers via downregulation of receptor activator of NF-κB ligand and M-CSF signaling pathways. Finally, we showed that OCI-101 prevents ovariectomy-induced bone loss by suppressing OC differentiation in mice. Hence, these results demonstrated that OCI-101 is a good drug candidate for treating metabolic bone diseases.

모녀간의 골밀도 : 신체 측정치 및 체조성, 골지표, 영양소 섭취량 및 에너지 소비량과의 관계 (Bone Mineral Density of Korean Mother-daughter Pairs : Relations to Anthropometric Measurement, Body Composition, Bone Markers, Nutrient Intakes and Energy Expenditure)

  • 이희자
    • Journal of Nutrition and Health
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    • 제29권9호
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    • pp.991-1002
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    • 1996
  • The objectives of this study were to obtain normative data for 45 mother-daughter pairs on spine, femur(neck, ward's triangle, trochanter) and total body BMD (bone mineral density) measured by dual energy X-ray absorptiometry, anthropometric measurement, body composition, biochemical markers, nutrient intakes and energy expenditure, to determin the interrelations of these factors within each group, to measure familial resemblance for each variable. We observed significantly positive correlations between height, weight, head, hip and calf circumferences, tricep, femur and calf skinfold thickness, total lean body mass(=weight-total fat body mass-bone mineral content), protein and fat intakes, Ca index, serum total protein and albumin of monter-daughter pairs(p<.05-p<.001). Among mothers, age, osteocalcin, higher, weight, Ca and energy intakes were predictors of BMDs. Among daughters, weight and energy intake were predictors of BMDs. The BMD in lumbar spine(r=.48, p<.01), femoral neck(r=.38, p<.05), ward's triangle(r=.36, p<.05) of the mothers were significantly correlated with those of the daughters, after adjustment for mother's age, hight, weight, osteocalcin, Ca and energy intakes and daughter's weight, energy intake. In regression analyses, mother's BMD also were positively associated with daughter's BMD in lumbar spine, femoral neck, ward's triangle. Our findings support that mothers with low BMD tended to have daughters with low BMD. In the age groups studied, as well genetic factors as environmental factors may have an important role in determining BMD. This study suggests that women may successfully enhance their genetically determined BMD through adequate nutrient intakes and weight bearing exercise.

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경골 파혈산동탕(破血散疼湯)이 골절 생쥐의 골 유합에 미치는 영향 (Effect of Pahyeolsandong-tang (Poxiesanteng-tang) in Tibia Fracture-induced Mice)

  • 신우석;;차윤엽
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.1-16
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    • 2020
  • Objectives The main purpose of this study was to evaluate the bone healing effect of Pahyeolsandong-tang (PHT)(Poxiesanteng-tang) extract in tibia fracture-induced mice. Methods PHT was extracted using a solution of 35% ethanol in 60℃ for 8 hours. Mice were randomly divided into 4 groups (normal, control, PHT 50 and PHT 100). Mice of experimental groups were medicated with PHT 50 or 100 mg/kg for 7 to 21 days. To clarify the effect of bone fracture healing, relative messenger RNA (mRNA) expressions of osteocalcin (OCN), runt-related transcription factor 2 (Runx2), osterix (OSX), Sox9, collagen type II alpha 1 chain (Col2a1), receptor activator of nuclear factor kappa-B ligand (RANKL), osteoprotegerin (OPG) were examined. Results In in vitro experiment, relative mRNA expression of OCN, Runx2, Col2a1 was significantly increased in PHT treated group to compare with control differentiation group. In in vivo experiment, relative mRNA expression of OCN, Runx2, OSX, Sox9, Col2a1, RANKL, OPG was significantly increased in PHT treated group. Conclusions This study showed that PHT accelerates bone fracture healing through the activation of osteoclasts and osteoblasts. It was showed that PHT significantly promotes osteoblasts differentiation by osteoblast differentiation markers such as OCN, Runx2, Col1a2. Also it was investigated that PHT had stimulatory effect on osteoblasts function through enhancing OCN, Runx2, OSX, Sox9, Col2a1 and, osteoclasts function through enhancing RANKL and OPG markers. PHT effectively promotes bone fracture healing process through activation of osteoblasts and osteoclasts.

Romosozumab의 효과 및 심혈관계 안전성: 체계적 문헌고찰 및 메타분석 (Efficacy and Cardiovascular Safety of Romosozumab: A Meta-analysis and Systematic Review)

  • 최서용;김정민;오상현;천승현;정지은
    • 한국임상약학회지
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    • 제33권2호
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    • pp.128-134
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    • 2023
  • Background: This systematic review and meta-analysis aimed to evaluate the efficacy and cardiovascular safety of romosozumab compared with placebo. Methods: Randomized controlled trials (RCTs) were searched from Medline, EMBASE, Cochrane Central, and Web of Science until July 2022. Primary outcomes included the change in bone mineral density (BMD) from baseline at month 6. The secondary outcomes were the change of bone turnover markers (N-terminal propeptide of type 1 procollagen (P1NP); C-terminal telopeptide of type 1 collagen (CTX)) from baseline at month 3, and the incidence of cardiovascular adverse events for the total follow-up period. Results: A total of 7 RCTs on 8,370patients were included. Romosozumab showed better effects in improving BMD in both lumbar spine and femoral neck at month 6 (standardized mean difference, SMD 2.20 [95% CI: 1.89-2.52], SMD 0.63 [95% CI: 0.41-0.86]). In contrast to placebo, romosozumab significantly increased PINP levels and reduced CTX levels at month 3 (SMD 0.93 [95% CI: 0.65-1.22], SMD -1.03 [95% CI: -1.23~ -0.82]. However, there was no significant difference in the composite incidence of cardiovascular adverse events and major adverse cardiovascular events (OR 1.16 [95% CI: 0.82-1.65], OR 1.08 [95% CI: 0.75-1.56]). Conclusion: This analysis showed that romosozumab significantly improved BMD compared to placebo and was beneficial for change in bone turnover markers. There is no significant difference in the incidence of cardiovascular adverse events compared to placebo.

우유단백질 유래 펩타이드가 골 대사에 미치는 영향 (Effect of Milk Peptide on Bone Metabolism)

  • 임지영
    • 한국유가공학회:학술대회논문집
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    • 한국유가공기술과힉회 2007년도 추계학술발표대회
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    • pp.39-47
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    • 2007
  • 골은 지속적으로 재형성이 일어나며, 오래된 골을 흡수하는 파골세포와 새로운 골을 생성하는 조골세포의 균형에 의하여 항상성이 유지된다. 골대사의 건전성을 측정하기 위한 골흡수 표시자에는 tartrate resistant acid phosphatase, pyridinium 연결부위, 콜라겐 telopeptide 등이 있으며, 골 형성 표시자로는 골 유래 alkaline phosphatase, osteocalcin, procollagen I extension peptide를 사용할 수 있다. 골밀도를 증진하기 위한 기능성 소재로는 milk basic protein, lactoferrin 등이 있으며, 우유의 유산균 발효과정에 의하여 생산되는 생리활성 펩타이드도 골밀도의 증진에 기여할 수 있다. Lactobacillus casei ATCC 393을 이용하여 생산한 발효분해물은 다양한 조골세포의 생화학적 지표 평가와 동물실험 결과를 근거로 할 때 조골세포의 증식과 분화를 촉진하고 파골세포의 활성을 억제시킴으로써 골대사를 개선할 수 있는 것으로 나타났다.

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X-ray radiation at low doses stimulates differentiation and mineralization of mouse calvarial osteoblasts

  • Park, Soon-Sun;Kim, Kyoung-A;Lee, Seung-Youp;Lim, Shin-Saeng;Jeon, Young-Mi;Lee, Jeong-Chae
    • BMB Reports
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    • 제45권10호
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    • pp.571-576
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    • 2012
  • Radiotherapy is considered to cause detrimental effects on bone tissue eventually increasing bone loss and fracture risk. However, there is a great controversy on the real effects of irradiation itself on osteoblasts, and the mechanisms by which irradiation affects osteoblast differentiation and mineralization are not completely understood. We explored how X-ray radiation influences differentiation and bone-specific gene expression in mouse calvarial osteoblasts. Irradiation at 2 Gy not only increased differentiation and mineralization of the cells, but also upregulated the expression of alkaline phosphatase, type I collagen, osteopontin, and osteocalcin at early stages of differentiation. However, irradiation at higher doses (>2 Gy) did not stimulate osteoblast differentiation, rather it suppressed DNA synthesis by the cells without a toxic effect. Additional experiments suggested that transforming growth factor-beta 1 and runt-transcription factor 2 play important roles in irradiation- stimulated bone differentiation by acting as upstream regulators of bone-specific markers.

Tilapia Mossambica 비늘 (어린) 유래 칼슘소재가 흰쥐의 골격대사지표와 골밀도에 미치는 영향 (Effect of Calcium Source using Tilapia Mossambica Scales on the Bone Metabolic Biomarkers and Bone Mineral Density in Rats)

  • 윤군애;김광현
    • Journal of Nutrition and Health
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    • 제43권4호
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    • pp.351-356
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    • 2010
  • 본 연구는 칼슘고갈식이와 칼슘회복식이를 급여한 SD 종 흰쥐에서 골격대사 지표와 골밀도를 측정함으로써 어린소재 Ca (Tilapia mossambica 비늘을 이용한 칼슘소재)의 유용성을 $CaCO_3$와 비교 평가하였다. 1) 칼슘고갈식이인 LoCa군에 비해 칼슘회복식이를 먹인 AdCa군과 AdFa군에서 체중증가, 사료섭취량이 유의하게 높았고, 이는 어린소재 Ca의 식이효율이 적정수준에 있다고 할 수 있다. 2) 혈청 PTH와 칼시토닌은 실험군 사이에 차이가 없었다. 3) 혈청 ALP와 오스테오칼신은 LoCa군에서 유의하게 증가하였고, AdCa와 AdFa군에서 저하되었다. 뇨의 DPD는 LoCa군에서 현저히 높은 수치를 보인 반면, AdCa와 Ad-Fa군에서 낮은 수치를 보임으로써 뼈의 형성지표와 흡수지표는 칼슘회복식이에 의해 개선되었다. 4) 대퇴골의 습윤무게, 건조무게, 체중 100g 단위당 중량이 모두 AdFa > AdCa > LoCa 순으로 높았고, 대퇴골의 회분함량과 칼슘함량도 모두 같은 순서를 보임으로써 뼈의 형성과 칼슘 축적에 AdCa군과 마찬가지로 AdFa군에서도 효과적이었음을 시사한다. 5) 대퇴골의 골밀도는 AdCa군과 AdFa군에서 LoCa군에 비해 25~26%의 유의하게 높은 수치를 보였다. 이상에서와 같이 칼슘회복식이 (AdCA와 AdFa)는 ALP, 오스테오칼신, DPD의 지표를 개선하였고, 대퇴골의 중량과 회분함량의 증가와 함께 골밀도를 향상시키는 것으로 나타났다. 따라서 어린소재 칼슘은 대조 칼슘급원으로 많이 사용되는 $CaCO_3$에 비교하여 뼈 건강에 대등한 효과를 보이므로, 칼슘 소재로서 개발될 가치가 있을 것으로 평가된다.

성인초기 여성의 골건강 증진을 위한 스마트폰 앱 개발 및 적용: 예비연구 (Development of a Smartphone Application for Promoting Bone Health in Korean Young Adult Women: A Pilot Study)

  • 박영주;이숙자;신나미;신현정;윤성진;전송이;조인해
    • 성인간호학회지
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    • 제27권4호
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    • pp.459-471
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    • 2015
  • Purpose: The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women. Methods: A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing. Results: The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bone-health knowledge was significantly increased but no change in health belief and self-efficacy. Conclusion: The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.