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Increased levels of sodium chloride directly increase osteoclastic differentiation and resorption in mice and men

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单位: [1]Helmholtz Zentrum Geesthacht, Inst Mat Res, Dept Biol Characterisat, Geesthacht, Germany [2]Tech Univ Munich, Dept Plast Surg & Hand Surg, Klinikum Rechts Isar, Munich, Germany [3]Huazhong Univ Sci & Technol,Tongji Hosp,Hand Surg Div,Tongji Med Coll,Dept Orthoped,Wuhan,Hubei,Peoples R China [4]Univ Med Ctr Hamburg Eppendorf, Heisenberg Grp Mol Skeletal Biol, Dept Trauma Hand & Reconstruct Surg, Hamburg, Germany [5]Univ Med Ctr Gottingen, Clin Trauma Surg Orthoped Surg & Plast Surg, Gottingen, Germany
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关键词: Hypernatremia NaCl Osteoclasts Osteoporosis Resorption

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To better understand the association between high salt intake and osteoporosis, we investigated the effect of sodium chloride (NaCl) on mice and human osteoclastogenesis. The results suggest a direct, activating role of NaCl supplementation on bone resorption. Introdution High NaCl intake is associated with increased urinary calcium elimination and parathyroid hormone (PTH) secretion which in turn stimulates the release of calcium from the bone, resulting in increased bone resorption. However, while calciuria after NaCl loading could be shown repeatedly, several studies failed to reveal a significant increase in PTH in response to a high-sodium diet. Another possible explanation that we investigated here could be a direct effect of high-sodium concentration on bone resorption. Methods Mouse bone marrow macrophage and human peripheral blood mononuclear cells (PBMC) driven towards an osteoclastogenesis pathway were cultivated under culture conditions mimicking hypernatremia environments. Results In this study, a direct effect of increased NaCl concentrations on mouse osteoclast differentiation and function was observed. Surprisingly, in a human osteoclast culture system, significant increases in the number of tartrate-resistant acid phosphatase (TRAP)-positive osteoclasts, calcitonin receptor (CTR)-positive osteoclasts, nuclear factor-activated T cells c1 (NFATc1) gene expression, and areal and volumetric resorptions were observed for increasing concentrations of NaCl. This suggests a direct, activating, cell-mediated effect of increased concentrations of NaCl on osteoclasts. Conclusion The reported that enhanced bone resorption after high-sodium diets may not only be secondary to the urinary calcium loss but may also be a direct, cell-mediated effect on osteoclastic resorption. These findings allow us to suggest an explanation for the clinical findings independent of a PTH-mediated regulation.

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 3 区 内分泌学与代谢
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢
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出版当年[2015]版:
Q2 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q1 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Helmholtz Zentrum Geesthacht, Inst Mat Res, Dept Biol Characterisat, Geesthacht, Germany [2]Tech Univ Munich, Dept Plast Surg & Hand Surg, Klinikum Rechts Isar, Munich, Germany
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通讯机构: [2]Tech Univ Munich, Dept Plast Surg & Hand Surg, Klinikum Rechts Isar, Munich, Germany [5]Univ Med Ctr Gottingen, Clin Trauma Surg Orthoped Surg & Plast Surg, Gottingen, Germany
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