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The Molecular Mechanism of Vitamin E as a Bone-Protecting Agent: A Review on Current Evidence.

Abstract
Bone remodelling is a tightly-coordinated and lifelong process of replacing old damaged bone with newly-synthesized healthy bone. In the bone remodelling cycle, bone resorption is coupled with bone formation to maintain the bone volume and microarchitecture. This process is a result of communication between bone cells (osteoclasts, osteoblasts, and osteocytes) with paracrine and endocrine regulators, such as cytokines, reactive oxygen species, growth factors, and hormones. The essential signalling pathways responsible for osteoclastic bone resorption and osteoblastic bone formation include the receptor activator of nuclear factor kappa-B (RANK)/receptor activator of nuclear factor kappa-B ligand (RANKL)/osteoprotegerin (OPG), Wnt/β-catenin, and oxidative stress signalling. The imbalance between bone formation and degradation, in favour of resorption, leads to the occurrence of osteoporosis. Intriguingly, vitamin E has been extensively reported for its anti-osteoporotic properties using various male and female animal models. Thus, understanding the underlying cellular and molecular mechanisms contributing to the skeletal action of vitamin E is vital to promote its use as a potential bone-protecting agent. This review aims to summarize the current evidence elucidating the molecular actions of vitamin E in regulating the bone remodelling cycle.
AuthorsSok Kuan Wong, Nur-Vaizura Mohamad, Nurul 'Izzah Ibrahim, Kok-Yong Chin, Ahmad Nazrun Shuid, Soelaiman Ima-Nirwana
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 20 Issue 6 (Mar 22 2019) ISSN: 1422-0067 [Electronic] Switzerland
PMID30909398 (Publication Type: Journal Article, Review)
Chemical References
  • Biomarkers
  • Protective Agents
  • Reactive Oxygen Species
  • Vitamin E
Topics
  • Animals
  • Biomarkers
  • Bone and Bones (drug effects, metabolism)
  • Humans
  • Osteoblasts (drug effects, metabolism)
  • Osteoclasts (drug effects, metabolism)
  • Oxidative Stress (drug effects)
  • Protective Agents (chemistry, pharmacology)
  • Reactive Oxygen Species (metabolism)
  • Signal Transduction
  • Vitamin E (chemistry, pharmacology)

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