PMID- 32354674 OWN - NLM STAT- MEDLINE DCOM- 20210922 LR - 20210922 IS - 1879-0305 (Electronic) IS - 1359-6101 (Linking) VI - 55 DP - 2020 Oct TI - Multifactorial effects of hyperglycaemia, hyperinsulinemia and inflammation on bone remodelling in type 2 diabetes mellitus. PG - 109-118 LID - S1359-6101(20)30050-2 [pii] LID - 10.1016/j.cytogfr.2020.04.001 [doi] AB - Bones undergo continuous cycles of bone remodelling that rely on the balance between bone formation and resorption. This balance allows the bone to adapt to changes in mechanical loads and repair microdamages. However, this balance is susceptible to upset in various conditions, leading to impaired bone remodelling and abnormal bones. This is usually indicated by abnormal bone mineral density (BMD), an indicator of bone strength. Despite this, patients with type 2 diabetes mellitus (T2DM) exhibit normal to high BMD, yet still suffer from an increased risk of fractures. The activity of the bone cells is also altered as indicated by the reduced levels of bone turnover markers in T2DM observed in the circulation. The underlying mechanisms behind these skeletal outcomes in patients with T2DM remain unclear. This review summarises recent findings regarding inflammatory cytokine factors associated with T2DM to understand the mechanisms involved and considers potential therapeutic interventions. CI - Copyright (c) 2020 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Shahen, V A AU - Shahen VA AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Gerbaix, M AU - Gerbaix M AD - Division of Bone Diseases, Department of Internal Medicine Specialties, Geneva University Hospital & Faculty of Medicine, Geneva, Switzerland. FAU - Koeppenkastrop, S AU - Koeppenkastrop S AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Lim, S F AU - Lim SF AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - McFarlane, K E AU - McFarlane KE AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Nguyen, Amanda N L AU - Nguyen ANL AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Peng, X Y AU - Peng XY AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Weiss, N B AU - Weiss NB AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia. FAU - Brennan-Speranza, T C AU - Brennan-Speranza TC AD - Department of Physiology, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Australia; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Australia. Electronic address: tara.speranza@sydney.edu.au. LA - eng PT - Journal Article PT - Review DEP - 20200417 PL - England TA - Cytokine Growth Factor Rev JT - Cytokine & growth factor reviews JID - 9612306 SB - IM MH - Bone Remodeling MH - *Diabetes Mellitus, Type 2/blood MH - Humans MH - *Hyperglycemia MH - *Hyperinsulinism/blood MH - *Inflammation/blood OTO - NOTNLM OT - Bone remodelling OT - Bones OT - Diabetes OT - Hyperglycaemia OT - Hyperinsulinemia OT - Inflammation EDAT- 2020/05/02 06:00 MHDA- 2021/09/23 06:00 CRDT- 2020/05/02 06:00 PHST- 2020/03/17 00:00 [received] PHST- 2020/04/08 00:00 [accepted] PHST- 2020/05/02 06:00 [pubmed] PHST- 2021/09/23 06:00 [medline] PHST- 2020/05/02 06:00 [entrez] AID - S1359-6101(20)30050-2 [pii] AID - 10.1016/j.cytogfr.2020.04.001 [doi] PST - ppublish SO - Cytokine Growth Factor Rev. 2020 Oct;55:109-118. doi: 10.1016/j.cytogfr.2020.04.001. Epub 2020 Apr 17.