The Emerging Role of Bone-Derived Hormones in Diabetes Mellitus and Diabetic Kidney Disease

Front Endocrinol (Lausanne). 2022 Jul 11:13:938830. doi: 10.3389/fendo.2022.938830. eCollection 2022.

Abstract

Diabetic kidney disease (DKD) causes the greatest proportion of end-stage renal disease (ESRD)-related mortality and has become a high concern in patients with diabetes mellitus (DM). Bone is considered an endocrine organ, playing an emerging role in regulating glucose and energy metabolism. Accumulating research has proven that bone-derived hormones are involved in glucose metabolism and the pathogenesis of DM complications, especially DKD. Furthermore, these hormones are considered to be promising predictors and prospective treatment targets for DM and DKD. In this review, we focused on bone-derived hormones, including fibroblast growth factor 23, osteocalcin, sclerostin, and lipocalin 2, and summarized their role in regulating glucose metabolism and DKD.

Keywords: bone-derived hormone; diabetes kidney disease (DKD); diabetes mellitus (DM); fibroblast growth factor 23 (FGF23); osteocalcin (OCN); sclerostin.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone and Bones / metabolism
  • Diabetes Mellitus*
  • Diabetic Nephropathies* / etiology
  • Diabetic Nephropathies* / pathology
  • Glucose / metabolism
  • Hormones
  • Humans
  • Kidney Failure, Chronic*

Substances

  • Hormones
  • Glucose