Table 1.
Skeletal or systemic disease | The effects of a disease on bone vasculature and bone functioning in humans or laboratory animals |
---|---|
Avascular necrosis of the femoral head (ANFH) | Decreased neovascularization caused by low number of endothelial progenitor cells (EPCs), their diminished capacity to migrate and increased senescence in humans [56] Blood flow interruption caused by damage of the endothelial cell membrane, in some circumstances combined with an increased susceptibility of an individual to blood clot formation [55] Ischemic injury, necrotic death of the osteocytes, the collapse of articular surface and the eventual onset of osteoarthritis [55, 56] |
Postmenopausal osteoporosis | Decrease in blood vessel volume and expression of angiogenesis-related HIF-1α, HIF-2α, and VEGF proteins in ovariectomized mice, suggesting that estrogen deficiency-induced bone loss is accompanied by a decrease in number of bone marrow-localized blood vessels [60] |
Diabetes mellitus | Microangiopathy accompanying DM causes vasoconstriction and impairs blood flow within the long bones of ZDF rats [63] Decreased blood vessel supply, especially within bone marrow, may further lead to osteopenia, usually observed in chronic T2DM-affected long bones [63] Advanced glycation end products (AGEs), produced in diabetes mellitus, may also disrupt bone vasculature [68] |
Atherosclerosis | Oxidized lipids produced during atherosclerotic plaque formation within bone blood vessels negatively affect bone mass by increasing anti-osteoblastogenic inflammatory cytokines and decreasing pro-osteoblastogenic Wnt ligands in ApoE-knockout, high-fat-diet-fed mice [70] |