PI3K/Akt信号通路与糖尿病性骨质疏松相关性研究进展
Research Progress on the Relationship between PI3K/Akt Signaling Pathway and Diabetic Osteoporosis
DOI: 10.12677/ACM.2023.132343, PDF,    科研立项经费支持
作者: 朱 玲:大理大学临床医学院,云南 大理;朱恩江:弥勒市中医医院骨伤二科,云南 弥勒;孙曙光*:大理大学第一附属医院内分泌科,云南 大理
关键词: PI3K/Akt信号通路糖尿病性骨质疏松相关性PI3K/Akt Signaling Pathway Diabetic Osteoporosis Pertinence
摘要: 糖尿病(diabetes mellitus, DM)是一种高发的代谢性疾病,可引发骨骼、血管、神经等多系统并发症,其中骨质疏松症(osteoporosis, OP)是其常见并发症之一。糖尿病性骨质疏松(diabetic osteoporosis, DOP)主要表现为糖尿病患者出现骨代谢异常、骨脆性增加,易发生骨折,其骨代谢紊乱的机制十分复杂。最新的研究表明,磷脂酰肌醇三激酶/蛋白激酶B (PI3K/Akt)通路可参与骨代谢的调节,对调控骨髓间质干细胞、成骨细胞和破骨细胞等细胞的生长、增殖、分化、凋亡和衰老具有重要意义,成为当前的研究热点。结合目前国内外学者对PI3K/Akt通路与糖尿病性骨质疏松的相关机制进行的研究,本文将对PI3K/Akt信号通路与糖尿病性骨质疏松的相关性进行综述,为进一步研究抗糖尿病性骨质疏松药物提供更多思路及重要靶点。
Abstract: Diabetes mellitus (DM) is a metabolic disease with high incidence, which can cause multi-system complications such as bone, vascular, nerve and so on. Osteoporosis (OP) is one of its common com-plications. Diabetic osteoporosis (DOP) is mainly characterized by abnormal bone metabolism, in-creased bone fragility and fracture in diabetic patients. The mechanism of bone metabolism disor-der is very complex. Recent studies have shown that the phosphatidylinositol trikinase/protein ki-nase B (PI3K/Akt) pathway can participate in the regulation of bone metabolism, which is of great significance in regulating the growth, proliferation, differentiation, apoptosis and aging of bone marrow mesenchymal stem cells, osteoblasts and osteoclasts, and has become a current research hotspot. Combined with the current domestic and foreign scholars’ research on the mechanism of PI3K/Akt signaling pathway and diabetic osteoporosis, this article will review the correlation be-tween PI3K/Akt signaling pathway and diabetic osteoporosis, and provide more ideas and im-portant targets for further research on anti-diabetic osteoporosis drugs.
文章引用:朱玲, 朱恩江, 孙曙光. PI3K/Akt信号通路与糖尿病性骨质疏松相关性研究进展[J]. 临床医学进展, 2023, 13(2): 2437-2443. https://doi.org/10.12677/ACM.2023.132343

参考文献

[1] 李兴艳, 杜勇军. PPARα与2型糖尿病性骨质疏松的相关性研究进展[J]. 中国骨质疏松杂志, 2018, 24(8): 1093-1096.
[2] 廖二元, 孟迅吾, 徐苓, 等. 原发性骨质疏松症诊疗指南[J]. 中华骨质疏松和骨矿盐疾病杂志, 2017, 10(5): 413-444.
[3] 赵心, 张晓梅, 纪立农. 2型糖尿病患者骨代谢改变的研究进展[J]. 中同糖尿病杂志, 2018, 26(7): 613-616.
[4] 林德民, 谢兴文, 李宁, 等. PI3K/AkT通路与骨质疏松症的关系及中医药干预的研究进展[J]. 中国骨质疏松杂志, 2021, 27(6): 922-926.
[5] Zhang, Y., Yang, S.N., Zhang, M., et al. (2019) Glycyr-rhetinic Acid Improves Insulin-Response Pathway by Regulating the Balance between the Ras/MAPK and PI3K/Akt Pathways. Nutrients, 11, 604-613. [Google Scholar] [CrossRef] [PubMed]
[6] Jiang, H.T., Ran, C.C., Liao, Y.P., et al. (2019) IGF-1 Reverses the Os-teogenic Inhibitory Effect of Dexamethasone on BMP9-Induced Osteogenic Differentiation in Mouse Embryonic Fibro-blasts via PI3K/AKT/COX-2 Pathway. The Journal of Steroid Biochemistry and Molecular Biology, 191, 105363-105371. [Google Scholar] [CrossRef] [PubMed]
[7] Harada, S. and Rodan, G.A. (2003) Control of Osteoblast Func-tion and Regulation of Bone Mass. Nature, 423, 349-355. [Google Scholar] [CrossRef] [PubMed]
[8] Breitbart, H., Rotman, T., Rubinstein, S., et al. (2010) Role and Regulation of PI3K in Sperm Capacitation and the Acrosome Reaction. Molecular and Cellular Endocrinology, 314, 234-238. [Google Scholar] [CrossRef] [PubMed]
[9] Lupia, E., Pigozzi, L., Goffi, A., et al. (2014) Role of Phosphoinositide 3-Kinase in the Pathogenesis of Acute Pancreatitis. World Journal of Gastroenterology, 20, 15190-15199. [Google Scholar] [CrossRef] [PubMed]
[10] Xiao, W., Wang, Y., Pacios, S., Li, S. and Graves, D.T. (2016) Cellular and Molecular Aspects of Bone Remodeling. Frontiers of Oral Biology, 18, 9-16. [Google Scholar] [CrossRef] [PubMed]
[11] Jabbour, E., Ottmann, O.G., Deininger, M., et al. (2014) Targeting the Phosphoinositide 3-Kinase Pathway in Hematologic Malignancies. Haematologica, 99, 7-18. [Google Scholar] [CrossRef] [PubMed]
[12] Hers, I., Vincent, E.E. and Tavaré, J.M. (2011) Akt Signalling in Health and Disease. Cell Signaling, 23, 1515-1527. [Google Scholar] [CrossRef] [PubMed]
[13] Manning, B.D. and Cantley, L.C. (2007) AKT/PKB Signaling: Navigating Downstream. Cell, 129, 1261-1274. [Google Scholar] [CrossRef] [PubMed]
[14] McNamara, C.R. and Degterev, A. (2011) Small Molecule Inhibi-tors of the P13K Signaling Network. Future Medicinal Chemistry, 3, 549-565. [Google Scholar] [CrossRef] [PubMed]
[15] Cantley, L.C. (2002) The Phosphoinositide 3-Kinase Pathway. Science, 296, 1655-1657. [Google Scholar] [CrossRef] [PubMed]
[16] 余跃伟, 夏春. 软骨细胞凋亡与PI3K/Akt途径及相关信号分子的研究进展[J]. 临床骨科杂志, 2009, 12(4): 457-460.
[17] Zhang, Y.C., Cheng, T. and Yuan, W.P. (2013) Re-cent Studies on PI3K/AKT/mTOR Signaling Pathway in Hematopoietic Stem Cells. Journal of Experimental Hematology, 21, 245-249.
[18] 孙正平, 梁灿德, 吴少鹏, 等. 补肾活血方对人成骨细胞的增殖和分化中p38MAPK及P13K/Akt信号转导通路的影响[J]. 世界中西医结合杂志, 2015, 10(11): 1589-1592.
[19] 陈小香, 邓伟民, 魏秋实, 等. 从GH/IGF-1轴与P13K/Akt通路探讨老年骨质疏松症的发病机制[J]. 中国骨质疏松杂志, 2015, 21(11): 1412-1415.
[20] 江春燕, 宋成文. P13K/AKT信号通路对骨髓间充质干细胞行为学调节的研究进展[J]. 湖南中医杂志, 2017, 33(12): 176-178.
[21] Ulici, V., Hoenselaar, K.D., Agoston, H., et al. (2009) The Role of Akt 1 in Teminal Stages of Endochondral Bone Fonnation: Angiogenesis and Ossification. Bone, 45, 1133-1145. [Google Scholar] [CrossRef] [PubMed]
[22] Gu, Y.X., Du, J., Si, M.S., et al. (2013) The Roles of PI3K/Akt Signaling Pathway in Regulating MC3T3-E1 Preosteoblast Proliferation and Differentiation on SLA and SLActive Tita-nium Surfaces. Journal of Biomedical Materials Research, 101, 748-754. [Google Scholar] [CrossRef] [PubMed]
[23] Lee, S.U., Shin, H.K. and Min, Y.K. (2008) Emodin Accelerates Osteo-blast Differentiation through Phosphatidylinositol 3-Kinase Activation and Bone Morphogenetic Protein-2 Gene Expres-sion. International Immunopharmacology, 8, 741-747. [Google Scholar] [CrossRef] [PubMed]
[24] Chen, L.L., Huang, M., Tan, J.Y., et al. (2013) PI3K/AKT Pathway Involvement in the Osteogenic Effects of Osteoclast Cul-ture Supernatants on Preosteoblast Cells. Tissue Engineering Part A, 19, 2226-2232. [Google Scholar] [CrossRef] [PubMed]
[25] Adapala, N.S., Barbe, M.F., Tsygankov, A.Y., et al. (2014) Loss of Cbl-PI3K Interaction Enhances Osteoclast Survival Due to p21-Ras Mediated PI3K Activation Independent of Cbl-b. Journal of Cellular Biochemistry, 115, 1277-1289. [Google Scholar] [CrossRef] [PubMed]
[26] Park, S.J., Kim, S.H., Choi, H.S., et al. (2009) Fibroblast Growth Factor 2-Induced Cytoplasmic Asparaginyl-tRNA Synthetase Promotes Survival of Osteoblasts by Regulating Anti-Apoptotic P13K/Akt Signaling. Bone, 45, 994-1003. [Google Scholar] [CrossRef] [PubMed]
[27] Dufour, C., Holy, X. and Marie, P.J. (2008) Transforming Growth Factor Beta Prevents Osteoblast Apoptosis Induced by Skeletal Unloading via P13K/Akt, Bcl.2, and Phosphor Bad Sig-naling. American Journal of Physiology-Endocrinology and Metabolism, 294, 794-801. [Google Scholar] [CrossRef] [PubMed]
[28] Wu, J.B., Fong, Y.C., Tsai, H.Y., et al. (2008) Naringin Induced Bone Morphogenetic Protein-2 Expression via P13K, Akt, c-Fos/c-Jun and AP.1 Pathway in Osteoblasts. European Journal of Pharmacology, 588, 333-341. [Google Scholar] [CrossRef] [PubMed]
[29] Fukuda, A., Hikita, A., Wakeyama, H., et al. (2005) Regulation of Osteoclast Apoptosis and Motility by Small GTPase Binding Protein Rac1. Journal of Bone and Mineral Research, 20, 2245-2253. [Google Scholar] [CrossRef
[30] Moon, J.B., Kim, J.H., Kim, K., et al. (2012) Akt Induces Osteoclast Differentiation through Regulating the GSK313/NFATc1 Signaling Cascade. The Journal of Immunology, 188, 163-169. [Google Scholar] [CrossRef] [PubMed]
[31] Huang, L., Wang, Y., Jiang, Y., et al. (2018) High Levels of GSK-3β Signalling Reduce Osteogenic Differentiation of Stem Cells in Osteonecrosis of Femoral Head. The Journal of Biochemistry, 163, 243-251. [Google Scholar] [CrossRef] [PubMed]
[32] 王雪鹏, 李茂强, 边振宇, 等. PI3K/Akt信号通路在骨髓间充质干细胞增殖及成骨分化调控中的作用[J]. 中华骨质疏松和骨矿盐疾病杂志, 2014(3): 250-257.
[33] Lee, J.H., Kim, B.G., Ahn, J.M., et al. (2010) Role of PI3K on the Regulation of BMP2-Induced beta-Catenin Activation in Human Bone Marrow Stem Cells. Bone, 46, 1522-1532. [Google Scholar] [CrossRef] [PubMed]
[34] Ford-Hutchinson, A.F., Ali, Z., Lines, S.E., et al. (2007) Inactivation of Pten in Osteochondroprogenitor Cells Leads to Epiphyseal Growth Plate Abnormalities and Skeletal Overgrowth. Journal of Bone and Mineral Research, 22, 1245-1259. [Google Scholar] [CrossRef] [PubMed]
[35] Liu, X., Bruxvoort, K.J., Zylstra, C.R., et al. (2007) Lifelong Accumula-tion of Bone in Mice Lacking Pten in Osteoblasts. Proceedings of the National Academy of Sciences of the United States of America, 104, 2259-2264. [Google Scholar] [CrossRef] [PubMed]
[36] 于世凤. 破骨细胞及其骨吸收调控研究进展[J]. 中国骨质疏松杂志, 2000, 6(1): 78-83.
[37] Miron, R.J. and Bosshardt, D.D. (2016) OsteoMacs: Keyplayers around Bone Bio-materials. Biomaterials, 82, 1-19. [Google Scholar] [CrossRef] [PubMed]
[38] Fujii, T., et al. (2012) IL-4 Inhibits TNF-α-Mediatedosteoclast Formation by Inhibition of RANKL Expression in TNF-α-Activated Stromal Cells and Direct Inhibition of TNF-α-Activated Osteoclast Precursors via a T-Cell-Independent Mechanism in Vivo. Bone, 51, 771-780. [Google Scholar] [CrossRef] [PubMed]
[39] Neale, S.D., Smith, R., Wass, J.A., et al. (2000) Osteoclast Dif-ferentiation from Circulating Mononuclear Precursors in Paget’s Disease Is Hypersensitive to 1,25-Dihydroxyvitamin D 3 and RANKL. Bone, 27, 409-416. [Google Scholar] [CrossRef
[40] Hwang, Y.S., Ma, G.T., Park, K.K., et al. (2014) Lyso-phosphatidic Acid Stimulates Osteoclast Fusion through OC-STAMP and P2X7 Receptor Signaling. Journal of Bone and Mineral Metabolism, 32, 110-122. [Google Scholar] [CrossRef] [PubMed]
[41] Tsubaki, M., Komai, M., Itoh, T., et al. (2014) Nitro-gen-Containing Bisphosphonates Inhibit RANKL- and M-CSF-Induced Osteoclast Formation through the Inhibition of ERK1/2 and Akt Activation. Journal of Biomedical Science, 21, 10. [Google Scholar] [CrossRef] [PubMed]
[42] Muruganandan, S. and Sinal, C.J. (2014) The Impact of Bone Mar-row Adipocytes on Osteoblast and Osteoclast Differentiation. IUBMB Life, 66, 147-155. [Google Scholar] [CrossRef] [PubMed]
[43] 杨一秋, 李兰, 赵娜, 等. PI3K/AKT信号通路与骨质疏松关系的研究进展[J]. 中国老年学杂志, 2022, 42(24): 6144-6148.
[44] Liu, K., Yang, Y., Zhou, F., et al. (2020) Inhibition of PI3K/AKT/mTOR Signaling Pathway Promotes Autophagy and Relieves Hyperalgesia in Diabetic Rats. NeuroReport, 31, 644-649. [Google Scholar] [CrossRef
[45] Pala, E. and Denkçeken, T. (2019) Differen-tially Expressed Circulating miRNAs in Postmenopausal Osteoporosis: A Meta-Analysis. Bioscience Reports, 39, 667-675. [Google Scholar] [CrossRef
[46] 张莹, 周艳红, 李江雁, 等. 基于PI3K/Akt通路研究利拉鲁肽对2型糖尿病骨质疏松大鼠的作用[J]. 中国骨质疏松杂志, 2021(7): 985-989.
[47] Chanda, D., Kumar, S. and Ponnazhagan, S. (2010) Therapeutic Potential of Adult Bone Marrow-Derived Mesenchymal Stem Cells in Diseases of the Skeleton. Journal of Cellular Biochemistry, 111, 249-257. [Google Scholar] [CrossRef] [PubMed]
[48] 史东梅, 董明, 陆颖, 等. PI3K/Akt信号通路与骨破坏: 问题与机制[J]. 中国组织过程研究, 2020, 24(23): 3716-3722.