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Published in: Current Osteoporosis Reports 5/2015

01-10-2015 | Bone and Diabetes (AV Schwartz and P Vestergaard, Section Editors)

Diabetes and Its Effect on Bone and Fracture Healing

Authors: Hongli Jiao, E. Xiao, Dana T. Graves

Published in: Current Osteoporosis Reports | Issue 5/2015

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Abstract

Diabetes mellitus is a metabolic disorder that increases fracture risk, interferes with bone formation, and impairs fracture healing. Type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) both increase fracture risk and have several common features that affect the bone including hyperglycemia and increased advanced glycation end product (AGE) formation, reactive oxygen species (ROS) generation, and inflammation. These factors affect both osteoblasts and osteoclasts leading to increased osteoclasts and reduced numbers of osteoblasts and bone formation. In addition to fracture healing, T1DM and T2DM impair bone formation under conditions of perturbation such as bacteria-induced periodontal bone loss by increasing osteoblast apoptosis and reducing expression of factors that stimulate osteoblasts such as BMPs and growth factors.
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Metadata
Title
Diabetes and Its Effect on Bone and Fracture Healing
Authors
Hongli Jiao
E. Xiao
Dana T. Graves
Publication date
01-10-2015
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 5/2015
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-015-0286-8

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