World J Diabetes. 2015 Dec 25;6(18):1345-54. doi: 10.4239/wjd.v6.i18.1345.
Osteocalcin as a hormone regulating glucose metabolism.
World journal of diabetes
Ippei Kanazawa
Affiliations
Affiliations
- Ippei Kanazawa, Department of Internal Medicine 1, Shimane University Faculty of Medicine, Shimane 693-8501, Japan.
PMID: 26722618
PMCID: PMC4689779 DOI: 10.4239/wjd.v6.i18.1345
Abstract
The number of patients with osteoporosis and diabetes is rapidly increasing all over the world. Bone is recently recognized as an endocrine organ. Accumulating evidence has shown that osteocalcin, which is specifically expressed in osteoblasts and secreted into the circulation, regulates glucose homeostasis by stimulating insulin expression in pancreas and adiponectin expression in adipocytes, resulting in improving glucose intolerance. On the other hand, insulin and adiponectin stimulate osteocalcin expression in osteoblasts, suggesting that positive feedforward loops exist among bone, pancreas, and adipose tissue. In addition, recent studies have shown that osteocalcin enhances insulin sensitivity and the differentiation in muscle, while secreted factors from muscle, myokines, regulate bone metabolism. These findings suggest that bone metabolism and glucose metabolism are associated with each other through the action of osteocalcin. In this review, I describe the role of osteocalcin in the interaction among bone, pancreas, brain, adipose tissue, and muscle.
Keywords: Adiponectin; Diabetes mellitus; Glucagon-like peptide-1; Glucose; Insulin; Osteocalcin; Undercarboxylated osteocalcin
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