回顾性分析血尿酸和骨质疏松症的相关性及其调控机制研究
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Correlation between blood uric acid and osteoporosis and its regulation mechanism
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    目的:分析人体氧化还原状态与尿酸代谢和腰椎骨密度的相关性,并初步探讨血尿酸影响骨密度的机制。方法:选择在陆军军医大学第一附属医院体检的无基础疾病的健康人群,询问患者病史,测量身高、体质量,计算体质指数。空腹采集肘静脉血,采用全自动生化分析仪检测血尿酸等生化指标,以SPSS 23.0软件进行分析,确定血尿酸代谢和骨密度的相关性;再利用血尿酸和过氧化氢处理类成骨瘤细胞MG-63,分析细胞活性,初步探讨血尿酸在骨密度中的作用。结果:与骨量正常组相比,骨质疏松组血尿酸明显偏低,而胆固醇则与骨密度呈负相关;且在细胞试验中过氧化氢能显著促进成骨细胞凋亡,而作为内源性抗氧化剂的血尿酸能逆转过氧化氢的凋亡诱导作用。结论:血尿酸代谢和骨密度密切相关,且可能与机体氧化还原状态相关。

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    Objective:To investigate the correlation among redox state,uric acid metabolism and bone density of lumbar spine,and to preliminarily discuss the mechanism of uric acid on bone density. Methods:Healthy people without basic disease receiving physical examination in our hospital were selected,their medical history was recorded,and the BMI was calculated by measuring the height and weight. Elbow venous blood was collected on an empty stomach and biochemical indexes such as blood uric acid were detected by automatic biochemical analyzer. The correlation between uric acid metabolism and bone density was determined by SPSS 23.0 software. The osteoblastoma cell line MG-63 was treated with uric acid and hydrogen peroxide to analyze the cell activity,preliminarily discussing the role of uric acid in influencing bone density. Results:Compared with the normal bone mass group,the blood uric acid was significantly lower than that in the osteoporosis group,while the cholesterol was negatively correlated with bone density. Hydrogen peroxide significantly promoted osteoblast apoptosis in the cell experiment;uric acid,as an endogenous antioxidant,was able to re-verse the apoptosis-inducing effect of hydrogen peroxide. Conclusion:Uric acid metabolism is closely related to bone density,and may be related to the body’s redox status.

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杜鹤峣,陈宗涛.回顾性分析血尿酸和骨质疏松症的相关性及其调控机制研究[J].重庆医科大学学报,2020,45(8):

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  • 在线发布日期: 2020-09-22
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