Impact of Alcohol on Bone Health, Homeostasis and Fracture repair
- PMID: 33767923
- PMCID: PMC7987106
- DOI: 10.1007/s40139-020-00209-7
Impact of Alcohol on Bone Health, Homeostasis and Fracture repair
Abstract
Purpose of review: Alcohol use continues to rise globally. We review the current literature on the effect of alcohol on bone health, homeostasis and fracture repair to highlight what has been learned in people and animal models of alcohol consumption.
Recent findings: Recently, forkhead box O (FoxO) has been found to be upregulated and activated in mesenchymal stem cells (MSC) exposed to alcohol. FoxO has also been found to modulate Wnt/β-catenin signaling, which is necessary for MSC differentiation. Recent evidence suggests alcohol activates FoxO signaling, which may be dysregulating Wnt/β-catenin signaling in MSCs cultured in alcohol.
Summary: This review highlights the negative health effects learned from people and chronic and episodic binge alcohol consumption animal models. Studies using chronic alcohol exposure or alcohol exposure then bone fracture repair model have explored several different cellular and molecular signaling pathways important for bone homeostasis and fracture repair, and offer potential for future experiments to explore additional signaling pathways that may be dysregulated by alcohol exposure.
Keywords: FoxO; Wnt/β-catenin signaling; alcohol; fracture; mesenchymal stem cells; oxidative stress.
Conflict of interest statement
Conflict of Interest: Jonathan M. Eby, Farah Sharieh, and John J. Callaci declare that they have no conflict of interest.
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References
-
- Manthey J, Shield KD, Rylett M, Hasan OSM, Probst C, Rehm J. Global alcohol exposure between 1990 and 2017 and forecasts until 2030: a modelling study. Lancet (London, England). 2019;393(10190):2493–502. - PubMed
- This study forecasts that the amount of alcohol consumed per adult per year will continue to rise globally.
-
- Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2006;17(12):1726–33. - PubMed
-
- Turner RT, Aloia RC, Segel LD, Hannon KS, Bell NH. Chronic alcohol treatment results in disturbed vitamin D metabolism and skeletal abnormalities in rats. Alcoholism, clinical and experimental research. 1988;12(1):159–62. - PubMed
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