腎と骨代謝 Vol.17 No.2(2)


特集名 閉経と骨代謝
題名 閉経における骨吸収のメカニズム
発刊年月 2004年 04月
著者 宮浦 千里 東京農工大学工学部生命工学科
【 要旨 】 閉経によってエストロゲン分泌が低下すると骨吸収が亢進して骨量が減少する.エストロゲンの骨代謝作用は卵巣摘出動物を用いて調べられてきた.卵巣摘出動物では骨局所でIL-1やTNFなどの骨吸収因子の産生が高まっていることが報告されている.また,筆者らは骨髄のBリンパ球造血が亢進しており,Bリンパ球が骨芽細胞に接着すると破骨細胞分化誘導因子の発現を亢進させることを見出している.これらの知見は,閉経後骨粗鬆症の病態を理解し,治療薬の選定における判断基準に寄与すると考えられる.
Theme Menopausal derangement in bone metabolism
Title Increased bone resorption in menopause
Author Chisato Miyaura Department of Biotechnology and Life Sciences, Tokyo University of Agriculture and Technology
[ Summary ] Osteoporosis is the most common bone disease. It is recognized that postmenopausal women lose bone due to a decrease in ovarian estrogen. Ovariectomized (OVX) animals have been used to understand the mechanism of bone loss due to estrogen deficiency. We have reported that loss of estrogen stimulates B-lymphopoiesis in OVX mice, resulting in an accumulation of B cells in mouse bone marrow. It was assumed that the increased B-lymphopoiesis caused by estrogen deficiency was involved in stimulated bone resorption. In OVX mice, the expression of receptor activator of nuclear factor KB ligand (RANKL) mRNA was elevated in trabecular bone and bone marrow compared with sham mice. When B cells were co-cultured with mouse osteoblasts, most of the B cells adhered to cell surface of osteoblasts, and the expression of RANKL in osteoblasts was markedly elevated by the contact with the B cells. On the other hand, previous studies suggested that bone-resorbing cytokines such as IL-1 and tumor necrosis factor alpha may be involved in bone loss in OVX mice. These studies are useful to consider the mechanism of action of estrogen in bone.
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