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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (04): 464-471. doi: 10.3877/cma.j.issn.1674-134X.2025.04.008

• Review • Previous Articles    

Progress of bone marrow mesenchymal stem cells in pathogenesis of hormonal femoral head necrosis

Zhiqiang Lin1,2, Jiahuan Li1, Kai Zhang1, Wenshuai Li1, Jian Liu1, Zequn Deng3, Yongjie Qiao2, Shenghu Zhou2,()   

  1. 1Gansu University of Chinese Medicine, Lanzhou 730030, China
    2The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730050, China
    3Ningxia Medical University, Yinchuan 750004, China
  • Received:2024-06-05 Online:2025-08-01 Published:2025-09-25
  • Contact: Shenghu Zhou

Abstract:

Steroids induced avascular necrosis of femoral head (SANFH) is a metabolic disease in which ischaemia and necrosis of the femoral head occur as a result of obstruction of local blood circulation due to continuous administration of high doses of glucocorticoids (GCs). SANFH has a high disability rate, which seriously affects the quality of patients’ survival, but its specific pathogenesis has not been fully elucidated, among which the imbalance of osteogenic and lipogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) is considered to be one of the main mechanisms for the development of SANFH. The research progresses of BMSCs in the pathogenesis of SANFH were reviewed to provide a reference basis for further prevention and treatment of SANFH.

Key words: Mesenchymal stem cells, Glucocorticoids, Femoral head necrosis, Osteoblasts

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