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BACKGROUND: Bone marrow adipocytes are derived from mesenchymal stem cells. It has been found that mesenchymal stem cells can also differentiate into osteoblasts, chondrocytes and myocytes. Current results show that marrow adipose tissue could negatively regulate the osteogenesis process because mesenchymal stem cells can differentiate into adipocytes in priority. Exercise promotes bone formation and plays an important role in preventing fractures. Exercise, diet, and rosiglitazone are shown to affect the generation of marrow adipose tissue, but the relationship between them is not clear. OBJECTIVE: To summarize the effects of exercise, diet and rosiglitazone on marrow adipose tissue and their relationship with bone mineral density. METHODS: Studies related to exercise regulating marrow adipose tissue published from January 1999 to June 2019 in CNKI, WanFang and PubMed databases were retrieved. The search terms were “marrow adipose tissue, exercise, rosiglitazone, high fat-diet, mesenchymal stem cell” in English and Chinese, respectively. Finally 66 eligible articles were enrolled for analysis. RESULTS AND CONCLUSION: Based on the current research results, exercise can affect the regulation of high-fat diet and rosiglitazone on the formation of bone marrow adipose tissue. Exercise intervention can inhibit the differentiation of mesenchymal stem cells into marrow adipose tissue. In the process of exercise intervention on marrow adipose tissue, there are many other ways participating in the regulation of fat synthesis, lipid absorption, bone metabolism, bone marrow hematopoietic function. Therefore, exercise intervention has an important part in regulating the above metabolic processes. In the future, the specific mechanism of exercise intervention in bone marrow adipose tissue should be further explored to make exercises become an important measure for regulating the above metabolic processes.
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Bone marrow adipose tissue (MAT) is formed by the accumulation of adipocytes in the bone marrow cavity. Previously, the function of MAT is mainly considered to be filled with bone marrow cavity for the mechanical support. However,with the in-depth study of MAT,it has been gradually understood that MAT is not only a part of the bone marrow microenvironment,may also be a new endocrine "organ". The main component of bone marrow adipocytes(BMA) plays a regulatory role in bone marrow and systemic metabolism through the autocrine and paracrine secretion of adiponectin, leptin, interleukin-6, and a series of cytokines. Though its biological characteristics are somewhat similar with white fat adipose tissue(WAT) and brown adipose tissue(BAT),there are some significant differences,so MAT is thought to be a special adipose tissue. MAT is also involved in the development of hematological diseases,metabolic diseases,degenerative diseases,and may affect their outcomes. MAT may be the auxiliary diagnostic criteria and treatment targets of such diseases. This article will review the MAT's own biological characteristics,the differences and associations among three types of adipose tissue and the link between MAT and the diseases,which aims to explore the new research direction through the profound understanding of MAT.
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OBJECTIVES: Bone marrow adipose tissue has been associated with low bone mineral density. However, no data exist regarding marrow adipose tissue in primary hyperparathyroidism, a disorder associated with bone loss in conditions of high bone turnover. The objective of the present study was to investigate the relationship between marrow adipose tissue, bone mass and parathyroid hormone. The influence of osteocalcin on the homeostasis model assessment of insulin resistance was also evaluated. METHODS: This was a cross-sectional study conducted at a university hospital, involving 18 patients with primary hyperparathyroidism (PHPT) and 21 controls (CG). Bone mass was assessed by dual-energy x-ray absorptiometry and marrow adipose tissue was assessed by 1H magnetic resonance spectroscopy. The biochemical evaluation included the determination of parathyroid hormone, osteocalcin, glucose and insulin levels. RESULTS: A negative association was found between the bone mass at the 1/3 radius and parathyroid hormone levels (r = -0.69; p<0.01). Marrow adipose tissue was not significantly increased in patients (CG = 32.8±11.2% vs PHPT = 38.6±12%). The serum levels of osteocalcin were higher in patients (CG = 8.6±3.6 ng/mL vs PHPT = 36.5±38.4 ng/mL; p<0.005), but no associations were observed between osteocalcin and insulin or between insulin and both marrow adipose tissue and bone mass. CONCLUSION: These results suggest that the increment of adipogenesis in the bone marrow microenvironment under conditions of high bone turnover due to primary hyperparathyroidism is limited. Despite the increased serum levels of osteocalcin due to primary hyperparathyroidism, these patients tend to have impaired insulin sensitivity.