Miscellaneous and Experimental Agents

作者: Jean-Yves Reginster

DOI: 10.1016/S0002-9629(15)40039-4

关键词:

摘要: Current therapeutic approaches to postmenopausal bone loss or established osteoporosis vary widely among the different regions of world. Because no treatment has unequivocally demonstrated full prevention appearance recurrence axial peripheral fractures so far, many investigational compounds are being developed. Anabolic steroids act mainly as inhibitors resorption with very few, if any, effects on formation. high occurrence signs virilization and weak structure, risk/benefit ratio in should be considered at least problematic. If ongoing large-scale trials confirm expected benefits estrogen antagonist/agonists skeleton cardiovascular risk women optimal uterine safety, these substances likely become most prominent alternative hormonal replacement therapy after menopause. Additional studies requested evaluate potential benefit growth hormone insulin-like factors osteoporosis. Ipriflavone acts predominantly an inhibitor resorption. To efficacy ipriflavone vertebral its mineral density osteoporosis, a large multicentric European study is conducted. Treatment parathyroid peptides induces significant gain mass, skeleton. Long-term that compare peptides, doses, regimes needed better understand exact position Prolonged administration strontium osteoporotic resulted decoupling between formation yielded increase lumbar spine treated subjects. In view promising results excellent tolerance during preliminary trials, additional investigations this compound promptly initiated. Several other have been punctually suggested for early stages development. Finally, besides pharmacologic hip may also reduced by use protectors.

参考文章(104)
Garba Mt, Hott M, Miravet L, Marie Pj, Effect of low doses of stable strontium on bone metabolism in rats. Mineral and Electrolyte Metabolism. ,vol. 11, pp. 5- 13 ,(1985)
F E Cohen, G J Strewler, M S Bradley, M Carlquist, M Nilsson, M Ericsson, T L Ciardelli, R A Nissenson, Analogues of parathyroid hormone modified at positions 3 and 6. Effects on receptor binding and activation of adenylyl cyclase in kidney and bone Journal of Biological Chemistry. ,vol. 266, pp. 1997- 2004 ,(1991) , 10.1016/S0021-9258(18)52390-5
B Kristensen, B Ejlertsen, P Dalgaard, L Larsen, S N Holmegaard, I Transbøl, H T Mouridsen, Tamoxifen and bone metabolism in postmenopausal low-risk breast cancer patients: a randomized study. Journal of Clinical Oncology. ,vol. 12, pp. 992- 997 ,(1994) , 10.1200/JCO.1994.12.5.992
Philip E. Keeting, Merry Jo Oursler, Karl E. Wiegand, Susan K. Bonde, Thomas C. Spelsberg, B. Lawrence Riggs, Zeolite a increases proliferation, differentiation, and transforming growth factor β production in normal adult human osteoblast-like cells in vitro Journal of Bone and Mineral Research. ,vol. 7, pp. 1281- 1289 ,(2009) , 10.1002/JBMR.5650071107
Stuart H. Ralston, Ling-Pei Ho, Miep H. Helfrich, Peter S. Grabowski, Peter W. Johnston, Nigel Benjamin, Nitric oxide: A cytokine‐induced regulator of bone resorption Journal of Bone and Mineral Research. ,vol. 10, pp. 1040- 1049 ,(2009) , 10.1002/JBMR.5650100708
J E Fisher, M P Caulfield, M Sato, H A Quartuccio, R J Gould, V M Garsky, G A Rodan, M Rosenblatt, Inhibition of osteoclastic bone resorption in vivo by echistatin, an "arginyl-glycyl-aspartyl" (RGD)-containing protein. Endocrinology. ,vol. 132, pp. 1411- 1413 ,(1993) , 10.1210/ENDO.132.3.8440195
M. Gambacciani, B. Cappagli, L. Piaggesi, A. R. Genazzani, Ipriflavone prevents the loss of bone mass in pharmacological menopause induced by GnRH-Agonist Osteoporosis International. ,vol. 6, pp. 317- 317 ,(1996) , 10.1007/BF02500769
WayneA. Ray, Winanne Downey, MarieR. Griffin, L. Joseph Melton, LONG-TERM USE OF THIAZIDE DIURETICS AND RISK OF HIP FRACTURE The Lancet. ,vol. 333, pp. 687- 690 ,(1989) , 10.1016/S0140-6736(89)92205-8
Jonathan Reeve, PTH: a future role in the management of osteoporosis? Journal of Bone and Mineral Research. ,vol. 11, pp. 440- 445 ,(2009) , 10.1002/JBMR.5650110404
Hong Ka Chen, Hua Zhu Ke, Webster S. S. Jee, Yan Fei Ma, Christine M. Pirie, Hollis A. Simmons, David D. Thompson, Droloxifene prevents ovariectomy‐induced bone loss in tibiae and femora of aged female rats: A dual‐energy X‐ray absorptiometric and histomorphometric study Journal of Bone and Mineral Research. ,vol. 10, pp. 1256- 1262 ,(2009) , 10.1002/JBMR.5650100816