骨折リスクや歩行低下を捉える代謝産物―大腿骨頸部骨粗鬆症のマーカー代謝物を発見―

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2026-03-10 京都大学

京都大学医学部附属病院の近藤祥司准教授らは、大腿骨頸部骨粗鬆症と関連する新たな血中代謝物を特定した。高齢女性を対象に骨密度、筋量、歩行機能などの臨床指標と血液中代謝物を全血メタボロミクス解析で統合的に評価した結果、筋エネルギー代謝に関与するホスホクレアチンの低下と、骨吸収に関連するメチル化代謝物の増加が骨粗鬆症と関連することを確認した。ホスホクレアチンは歩行機能低下群でも減少しており、転倒リスクとの関連も示唆された。これらの代謝物の組み合わせにより骨粗鬆症群を識別できる可能性が示され、将来的に血液検査による骨折リスク評価や予防医療への応用が期待される。

骨折リスクや歩行低下を捉える代謝産物―大腿骨頸部骨粗鬆症のマーカー代謝物を発見―

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筋肉と破骨細胞の代謝物は大腿骨頸部骨粗鬆症の指標となる The metabolites for muscle and osteoclast activity are indicators of femoral neck osteoporosis

Masahiro Kameda,Mitsuhiro Yanagida & Hiroshi Kondoh
Scientific Reports  Published:12 February 2026
DOI:https://doi.org/10.1038/s41598-026-36570-7

Abstract

Femoral neck osteoporosis is a critical risk factor for a bedbound state, which significantly decreases overall life expectancy, if a patient falls and suffers a fracture. We performed a comprehensive blood metabolomic analysis of elderly individuals with and without femoral neck osteoporosis. Among the 129 metabolites that were identified, the abundance of six metabolites was significantly affected by femoral neck osteoporosis; decreases in phosphocreatine, malate, succinate, and histidine levels and increases in N1-methyladenosine and S-adenosylmethionine levels. The decline in muscle metabolite levels suggests that leg muscle activity is connected to the maintenance of bone mass; consistent with this, we also observed that TCA metabolite levels and leg muscle mass were decreased in patients with femoral neck osteoporosis. Interestingly, as creatine kinase is also activated in osteoclasts, the observed change in blood phosphocreatine levels reflects a change in bone homeostasis. On the other hand, as S-adenosyl-methionine serves as a donor in methylation reactions important for several biological processes, including osteoclast differentiation, increases in the levels of two methylation-related compounds (N1-methyladenosine and S-adenosyl-methionine) might indicate a link to osteoclast activity. These indicators have revealed novel aspects of the metabolic link between bone and muscle metabolism and methylation in femoral neck osteoporosis.

医療・健康
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