Type 2 diabetic mellitus related osteoporosis: focusing on ferroptosis

Author:

Chen Yili,Zhao Wen,Hu An,Lin Shi,Chen Ping,Yang Bing,Fan Zhirong,Qi Ji,Zhang Wenhui,Gao Huanhuan,Yu Xiubing,Chen Haiyun,Chen Luyuan,Wang Haizhou

Abstract

AbstractWith the aging global population, type 2 diabetes mellitus (T2DM) and osteoporosis(OP) are becoming increasingly prevalent. Diabetic osteoporosis (DOP) is a metabolic bone disorder characterized by abnormal bone tissue structure and reduced bone strength in patients with diabetes. Studies have revealed a close association among diabetes, increased fracture risk, and disturbances in iron metabolism. This review explores the concept of ferroptosis, a non-apoptotic cell death process dependent on intracellular iron, focusing on its role in DOP. Iron-dependent lipid peroxidation, particularly impacting pancreatic β-cells, osteoblasts (OBs) and osteoclasts (OCs), contributes to DOP. The intricate interplay between iron dysregulation, which comprises deficiency and overload, and DOP has been discussed, emphasizing how excessive iron accumulation triggers ferroptosis in DOP. This concise overview highlights the need to understand the complex relationship between T2DM and OP, particularly ferroptosis. This review aimed to elucidate the pathogenesis of ferroptosis in DOP and provide a prospective for future research targeting interventions in the field of ferroptosis.

Funder

Shenzhen Science and Technology Programme

Publisher

Springer Science and Business Media LLC

Reference213 articles.

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