Focusing on OB-OC-MΦ Axis and miR-23a to Explore the Pathogenesis and Treatment Strategy of Osteoporosis
Open accessAbstract
Osteoporosis is a bone metabolic disorder characterized by decreased bone density and deteriorated microstructure, which increases the risk of fractures. The imbalance between bone formation and bone resorption results in the occurrence and progression of osteoporosis. Osteoblast-mediated bone formation, osteoclast-mediated bone resorption and macrophage-regulated inflammatory response play a central role in the process of bone remodeling, which together maintain the balance of the osteoblast-osteoclast-macrophage (OB-OC-MΦ) axis under physiological conditions. Bone formation and bone resorption disorders caused by the imbalance of OB-OC-MΦ axis contribute to osteoporosis. Many microRNAs are involved in the regulation of OB-OC-MΦ axis homeostasis, with microRNA-23a (miR-23a) being particularly crucial. MiR-23a is highly expressed in the pathological process of osteoporosis, which eventually leads to the occurrence and further progression of osteoporosis by inhibiting osteogenesis, promoting bone resorption and inflammatory polarization of macrophages. This review focuses on the role and mechanism of miR-23a in regulating the OB-OC-MΦ axis to provide new clinical strategies for the prevention and treatment of osteoporosis.
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Clinical analysis between osteoporosis patients and healthy controls revealed that overexpression of miR-23 can significantly reduce expression levels of markers related to osteoblasts.
“clinical analysis between osteoporosis patients and healthy controls revealed that overexpression of miR-23 can significantly reduce the expression levels of markers related to osteoblasts.”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [116]
Section 3.1 (page unavailable) reports that miR-23a inhibits osteogenic differentiation by targeting factors including Runx2, supporting the general inhibitory effect on osteoblast-related factors. The paper does not report the claimed clinical comparison between osteoporosis patients and healthy controls or a statistically significant reduction in osteoblast-marker expression from that analysis. (LLM, conf=0.86)
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- Authors
- Ma, T.-L., Zhu, P., Ke, Z.-R., Chen, J.-X., Hu, Y.-H., & Xie, J.
- Affiliations
- Central South University (CN)
- Corresponding author
- Xie, Jie
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2022-07-14
- Volume
- 13
- Pages
- 891313-891313
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC9329542
- OpenAlex
- W4285389107
- Cited by
- 9
- References
- 141
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 1
- FWCI
- 0.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Natural Science Foundation of China (Grant No. 81974339)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
- Keywords
- osteoporosis, miR-23a, microRNA, bone remodeling, bone formation, bone resorption, macrophage polarization, bone inflammation, osteoporosis treatment
- MeSH terms
- Bone Resorption, Humans, Macrophages, Osteoblasts, Osteoclasts, Osteoporosis, MicroRNAs
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