中国口腔颌面外科杂志 ›› 2016, Vol. 14 ›› Issue (1): 83-88.

• 综述 • 上一篇    下一篇

COX-2与骨代谢关系的研究进展

马吴迪, 夏伦果, 周宇宁, 徐袁瑾   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院 口腔外科,上海市口腔医学重点实验室,上海 20011
  • 收稿日期:2015-04-01 出版日期:2016-01-20 发布日期:2016-02-01
  • 通讯作者: 徐袁瑾, E-mail:xuyuanjin@hotmail.com
  • 作者简介:马吴迪(1991-),男,在读硕士研究生,E-mail:564512122@qq.com

Research progress of the relationship between COX-2 and bone formation

MA Wu-di, XIA Lun-guo, ZHOU Yu-ning, XU Yuan-jin   

  1. Department of Oral Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2015-04-01 Online:2016-01-20 Published:2016-02-01

摘要: 环氧化酶2 (cyclooxygenase-2, COX-2)是花生四烯酸(arachidonic acid, AA)合成前列腺素E2(prostaglandin E2, PGE2)的限速酶,通过对PGE2的调控,COX-2能够对骨代谢中骨形成和骨吸收产生多种不同的作用。同时,COX-2也能通过参与多条信号转导途径,影响骨的形成,包括G蛋白α亚基(guanine nucleotide-binding proteins alpha s, Gαs)信号通路、促丝裂原激活蛋白激酶(mitogen-activated protein kinases,MAPKs)通路以及核因子受体激活物配基(receptor activator of nuclear factor κB ligand,RANKL)信号通路。COX-2的产生由多种因素诱导,并可被其抑制剂如非甾体类抗炎药(non-steroidal anti-inflammatory drugs,NSAID)抑制。这些因素能调控COX-2的产量并最终作用于骨组织。本文就COX-2与骨形成的关系及其在相关临床应用上的展望进行介绍。

关键词: 环氧化酶2, 前列腺素, 骨形成, 成骨细胞, 破骨细胞

Abstract: Cyclooxygenase-2 (COX-2) is the rate-limiting enzyme of arachidonic acid (AA) synthesizing prostaglandin E2 (PGE2). It has various effects on bone metabolism that stimulate both bone resorption and formation through regulation of PGE2. Meanwhile, COX-2 can work by the participation of multiple signal transduction pathways in bone formation, including Gαs signaling pathway, mitogen-activated protein kinases (MAPKs) pathway and receptor activator of nuclear factor κB ligand (RANKL) signaling pathway. COX-2 was induced by many factors, and can be inhibited by the inhibitors such as non-steroidal anti-inflammatory drugs (NSAIDs). These factors can regulate the production of COX-2 and consequently have impact on bone tissue. The main PURPOSE of the article was to introduce the relationship between COX-2 and bone formation and its potential clinical applications.

Key words: Cyclooxygenase-2, Prostaglandin, Bone formation, Osteoblast, Osteoclast

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