Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells

Abstract Hepatic osteodystrophy (HOD) is a metabolically associated bone disease mainly manifested as osteoporosis with the characteristic of bone loss induced by chronic liver disease (CLD). Due to its high incidence in CLD patients and increased risk of fracture, the research on HOD has received c...

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Main Authors: Senzhe Xia, Xueqian Qin, Jinglin Wang, Haozhen Ren
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-023-03605-z
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author Senzhe Xia
Xueqian Qin
Jinglin Wang
Haozhen Ren
author_facet Senzhe Xia
Xueqian Qin
Jinglin Wang
Haozhen Ren
author_sort Senzhe Xia
collection DOAJ
description Abstract Hepatic osteodystrophy (HOD) is a metabolically associated bone disease mainly manifested as osteoporosis with the characteristic of bone loss induced by chronic liver disease (CLD). Due to its high incidence in CLD patients and increased risk of fracture, the research on HOD has received considerable interest. The specific pathogenesis of HOD has not been fully revealed. While it is widely believed that disturbance of hormone level, abnormal secretion of cytokines and damage of intestinal barrier caused by CLD might jointly affect the bone metabolic balance of bone formation and bone absorption. At present, the treatment of HOD is mainly to alleviate the bone loss by drug treatment, but the efficacy and safety are not satisfactory. Mesenchymal stromal cells (MSCs) are cells with multidirectional differentiation potential, cell transplantation therapy based on MSCs is an emerging therapeutic approach. This review mainly summarized the pathogenesis and treatment of HOD, reviewed the research progress of MSCs therapy and the combination of MSCs and scaffolds in the application of osteoporotic bone defects, and discussed the potential and limitations of MSCs therapy, providing theoretical basis for subsequent studies.
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spelling doaj.art-9999214eb2d04ff1b40ada20282d624f2023-12-17T12:08:45ZengBMCStem Cell Research & Therapy1757-65122023-12-0114111210.1186/s13287-023-03605-zAdvancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cellsSenzhe Xia0Xueqian Qin1Jinglin Wang2Haozhen Ren3Department of Oncological Surgery, Wenzhou Central HospitalDivision of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Medical School, Nanjing UniversityDivision of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing UniversityDivision of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing UniversityAbstract Hepatic osteodystrophy (HOD) is a metabolically associated bone disease mainly manifested as osteoporosis with the characteristic of bone loss induced by chronic liver disease (CLD). Due to its high incidence in CLD patients and increased risk of fracture, the research on HOD has received considerable interest. The specific pathogenesis of HOD has not been fully revealed. While it is widely believed that disturbance of hormone level, abnormal secretion of cytokines and damage of intestinal barrier caused by CLD might jointly affect the bone metabolic balance of bone formation and bone absorption. At present, the treatment of HOD is mainly to alleviate the bone loss by drug treatment, but the efficacy and safety are not satisfactory. Mesenchymal stromal cells (MSCs) are cells with multidirectional differentiation potential, cell transplantation therapy based on MSCs is an emerging therapeutic approach. This review mainly summarized the pathogenesis and treatment of HOD, reviewed the research progress of MSCs therapy and the combination of MSCs and scaffolds in the application of osteoporotic bone defects, and discussed the potential and limitations of MSCs therapy, providing theoretical basis for subsequent studies.https://doi.org/10.1186/s13287-023-03605-zHepatic osteodystrophyChronic liver diseaseMesenchymal stromal cellScaffold material
spellingShingle Senzhe Xia
Xueqian Qin
Jinglin Wang
Haozhen Ren
Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
Stem Cell Research & Therapy
Hepatic osteodystrophy
Chronic liver disease
Mesenchymal stromal cell
Scaffold material
title Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
title_full Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
title_fullStr Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
title_full_unstemmed Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
title_short Advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
title_sort advancements in the pathogenesis of hepatic osteodystrophy and the potential therapeutic of mesenchymal stromal cells
topic Hepatic osteodystrophy
Chronic liver disease
Mesenchymal stromal cell
Scaffold material
url https://doi.org/10.1186/s13287-023-03605-z
work_keys_str_mv AT senzhexia advancementsinthepathogenesisofhepaticosteodystrophyandthepotentialtherapeuticofmesenchymalstromalcells
AT xueqianqin advancementsinthepathogenesisofhepaticosteodystrophyandthepotentialtherapeuticofmesenchymalstromalcells
AT jinglinwang advancementsinthepathogenesisofhepaticosteodystrophyandthepotentialtherapeuticofmesenchymalstromalcells
AT haozhenren advancementsinthepathogenesisofhepaticosteodystrophyandthepotentialtherapeuticofmesenchymalstromalcells