CaMKⅡ参与调控成骨细胞分化和凋亡的研究进展  

The advance in the study of CaMKⅡ regulation of osteoblast differentiation and apoptosis

作　　者：梁晓远 向德剑 陈长顺 牛永康 耿彬[2] 夏亚一[2] LIANG Xiaoyuan;XIANG Dejian;CHEN Changshun;NIU Yongkang;GENG Bin;XIA Yayi(The Second School of Clinical Medicine of Lanzhou University,Lanzhou 730030;Department of Orthopedics,the Second Hospital of Lanzhou University,Gansu Orthopedic Clinical Medical Research Center,Gansu Intelligent Orthopedic Industry Technology Center,Lanzhou 730030,China)

机构地区：[1]兰州大学第二临床医学院,甘肃兰州730030 [2]兰州大学第二医院骨科,甘肃省骨科临床医学研究中心,甘肃省智能骨科行业技术中心,甘肃兰州730030

出　　处：《中国骨质疏松杂志》2024年第7期1033-1037,共5页Chinese Journal of Osteoporosis

基　　金：国家自然科学基金(81960403,82060405,82360436);兰州市科技计划项目(2021-RC-102);甘肃省自然科学基金(22JR5RA943,22JR5RA956,23JRRA1500);兰州大学第二医院“萃英科技创新”计划(CY2021-MS-A07,CY2022-MS-A19)。

摘　　要：成骨细胞分化和凋亡在维持骨稳态中起着至关重要的作用,异常的成骨细胞分化或凋亡会导致多种骨代谢疾病。钙离子/钙调蛋白依赖性蛋白激酶Ⅱ(CaMKⅡ)是一类广泛存在于体内的多功能蛋白激酶家族,它通过将细胞内的Ca^(2+)信号转化为多种生理或病理的细胞反应,在成骨细胞的分化和凋亡调控中发挥着重要作用。CaMKⅡ对成骨细胞分化的影响主要通过3个信号通路实现:(1)通过1α-25(OH)_(2)D_(3)膜介导信号通路调节成骨细胞的分化;(2)参与WNT/Ca^(2+)信号通路;(3)通过RUNX2-OSX信号通路影响成骨细胞分化。这些信号通路共同作用于成骨细胞,促进其成熟和功能发挥。CaMKⅡ在成骨细胞凋亡中的作用则涉及调节内质网应激反应和调控Bax/Bcl-2表达比例。这些机制对于成骨细胞的存活和凋亡至关重要,影响骨组织的稳定性和重建。总体而言,CaMKⅡ作为一个多功能信号分子,在成骨细胞分化和凋亡的调控中扮演重要角色。对CaMKⅡ的进一步研究,特别是在骨代谢疾病治疗中的应用,是未来研究的一个重要方向。Osteoblast differentiation and apoptosis are crucial in sustaining bone homeostasis,with deviations in these processes being implicated in a wide array of metabolic bone disorders.The calcium/calmodulin-dependent protein kinase Ⅱ(CaMKⅡ)family,a diverse and multifunctional group of protein kinases ubiquitous within the human body,plays a key role in the transducing intracellular Ca^(2+)signals into a broad range of cellular responses,both physiologically and pathologically.This transduction is pivotal in orchestrating the regulation of osteoblast differentiation and apoptosis.The influence of CaMKII in osteoblast differentiation is mediated predominantly via three signal transduction pathways:1)modulation of osteoblast differentiation through the 1α-25(OH)_(2)D_(3) membrane-mediated signaling pathway;2)participation in the WNT/Ca^(2+)signaling cascade;and 3)exerting control over osteoblast differentiation via the RUNX2-OSX signaling axis.These intertwined pathways collaboratively contribute to the progression and functional efficacy of osteoblasts.Regarding osteoblast apoptosis,the role of CaMKII extends to adjusting the endoplasmic reticulum stress response and to managing the Bax/Bcl-2 expression ratio.Such regulatory mechanisms are essential for both the survival and programmed cell death of osteoblasts,thereby influencing the integrity and rejuvenation of bone tissue.In summary,CaMKII,as a versatile signaling entity,occupies a central position in the modulation of osteoblast differentiation and apoptosis.Advancing our understanding of CaMKII,especially its potential therapeutic applications in the realm of metabolic bone diseases,emerges as a paramount avenue for forthcoming research endeavors.

关 键 词：CaMKⅡ 成骨细胞 细胞分化 细胞凋亡 

分 类 号：R336[医药卫生—人体生理学]