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中国临床药理学与治疗学 ›› 2014, Vol. 19 ›› Issue (1): 105-111.

• 综述与讲座 • 上一篇    下一篇

染料木黄酮植物性雌性激素治疗骨质疏松研究进展

林忠, 孙渊, 杜有功, 杨建苗, 林建群   

  1. 浙江省台州医院临床药学实验中心,台州 317000,浙江
  • 收稿日期:2013-04-29 修回日期:2014-01-10 出版日期:2014-01-27 发布日期:2014-02-12
  • 作者简介:林忠,男,硕士,助理研究员,主要从事临床血药浓度检测开发以及相关药物药理学、药代动力学研究。E-mail: lz6323@163.com
  • 基金资助:
    恩泽科研基金

The research progress of plant estrogen genistein in osteoporosis treatment

LIN Zhong, SUN Yuan, DU You-gong, YANG Jian-miao, LIN Jian-qun   

  1. Clinical Pharmacy Experimental Center of Taizhou Hospital in Zhejiang Province, Taizhou 317000,Zhejiang,China
  • Received:2013-04-29 Revised:2014-01-10 Online:2014-01-27 Published:2014-02-12

摘要: 本综述通过检索Google Scholar以及Science Direct查阅大量近10年的相关文献,对染料木黄酮抗骨质疏松机制、抗骨质疏松药效、药代动力学以及安全性多角度综述分析。结果表明染料木黄酮具有类似雌性激素作用,与雌性激素受体α的结合力大于雌性激素受体β的结合力,且发挥抗骨质疏松作用的主要作用受体是雌性激素受体α,在抗骨质疏松研究中无论是体内还是体外都具有较强的药理作用;其药理活性作用机制包括抑制骨髓巨噬细胞向破骨细胞转化的能力,抑制破骨细胞的增殖生长能力,诱导破骨细胞的凋亡,同时促进成骨细胞的增殖生长能力。骨质疏松的治疗效果确切,而毒副作用则明显的低于双磷酸盐和特立帕肽。植物雌性激素染料木黄酮可能在未来骨质疏松治疗过程中具有成为一线治疗药物的潜质。

关键词: 染料木黄酮, 植物性雌性激素, 抗骨质疏松

Abstract: Based on the correlative materials of recent 10 year searched from the data base of Google Scholar and Science Direct,the mechanism of anti-osteoporosis, the pharmacological activity of anti-osteoporosis, the pharmacokinetics, drug safety of genistein had been briefly summarized overlaying multiple perspectives. The binding force of genistein to the estrogen receptor α is greater than that to the estrogen receptor β and the primary receptor of its pharmacological activity of anti-osteoporosis is estrogen receptor α.Whatever in vitro or in vivo, all the reports below indicate the anti-osteoporosis ability of genistein is surprising. The pharmacology activity of genistein includes inhibited the ability of bone marrow macrophage translated into to osteoclast , inhibited the proliferation ability of osteoclast , induced the apoptosis of osteoclasts, and promoted the proliferation ability of osteoblast.Therapeutic efficacy of anti-osteoporosis is definite, but the toxic and side effect is less than diphosphonate and teriparatide. Geniste has the potential of becoming the clinical first-line drug in treatment of osteoporosis in the future.

Key words: Genistein, Plant estrogen, Anti-osteoporosis

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