A dynamic balance exists between osteogenesis and osteoclastogenesis in bone tissue, which can lead to several bone diseases, such as osteoporosis, osteoarthritis, bone necrosis and bone defects, in cases of insufficient osteogenesis or excessive osteoclastogenesis. NEL-like molecule-1 (NELL-1) was first discovered in 1999 as an osteogenic factor that can prevent or treat bone diseases by increasing osteogenic levels. To date, research has identified multiple signaling pathways involved in improving osteogenic levels. Furthermore, to apply NELL-1 in clinical practice, researchers have optimized its osteogenic effect by combining it with other molecules, changing its molecular structure and performing bone tissue engineering. currently, research on NELL-1 is gaining increasing attention. In the near future, it will definitely be applied in clinical practice to eliminate diseases. Thus, the present study provides a comprehensive review of NELL-1 in enhancing osteogenic levels from the perspectives of the molecular mechanism, interactions with other molecules/cells, molecular-level changes, applications in bone tissue engineering and its expression in tumors, providing a solid theoretical basis for its clinical application.
Contents
Background 2. Molecular mechanisms of NELL-1 in osteogenesis:Theoretical study 3. Treatment optimization plan: clinical application 4. Tumor expression 5. conclusion 1. Background disruption in the normal formation of bone and/or cartilage may cause a series of bone diseases, including but not limited to osteoporosis (1,2), osteoarthritis (3,4), osteonecrosis (5,6) and bone defects (7,8). Osteoporosis is the most common bone disease, with estimates indicating that >200 million individuals worldwide suffer from it (9). Osteoarthritis is a common musculoskeletal disease that affects >10% of the elderly population (10). Osteonecrosis of the jaw has an incidence of 1.3-10%, with mandibular osteonecrosis being more prominent than maxillary osteonecrosis (11). Approximately 5-10% of fractures eventually have delayed union or nonunion, leading to bone defect (12). Therefore, there is still a need to discover bone-specific osteogenic anabolic agents for the treatment of these conditions.NEL-like molecule-1 (NELL-1), a neuroepidermal growth factor-like protein, was first discovered by Ting et al (13) in 1999 and found to be able treat osteoporotic bone loss (14). Of note, the protein was found in the cranial tissues of patients with unilateral coronal sclerosis and was isolated (13). The protein consists of the following domains: A thrombospondin protein (TSP)-1-like N-terminal domain, a coiled-coil domain,