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Targeting fundamental aging mechanisms to treat osteoporosis

机译:针对基本老化机制来治疗骨质疏松症

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ABSTRACT Introduction: Osteoporotic fractures represent a growing burden of mortality, morbidity and socioeco-nomic cost to health-care systems worldwide. Osteoporosis is a disease uniquely associated with aging, therefore, an understanding of the physiological mechanisms underpinning its development as we age may open new avenues for therapeutic exploitation. Novel treatments, as well as refinement of the current approaches, are vital in the effort to sustain healthy, independent patients across the lifespan. Areas covered: This review covers the anabolic and catabolic pathways seen in bone maintenance, highlighting how they are changed with age, leading to osteoporosis. It will also discuss how these changes may be targeted therapeutically, in the development of new therapies, and the refinement of those already in use. Expert opinion: New effective and safe treatments for osteoporosis are still needed. Bone anabolics seem to be the most appropriate therapeutic approach to osteoporosis in older persons. Considering that bone and muscle mass synchronically decline with aging thus predisposing older persons to falls and fractures, combined therapeutic approaches to osteosarcopenia with a dual anabolic effect on muscle and bone will be a major advance in the treatment of these devastating conditions in the future.
机译:摘要介绍:骨质疏松骨折代表全球卫生保健系统的死亡率,发病率和社会遗传成本不断增长。骨质疏松症是一种与老龄化有关的疾病,因此,了解由于我们年龄的年龄可能开辟其发展的生理机制可能开辟了用于治疗剥削的新途径。新的治疗方法以及当前方法的细化,对维持在寿命的健康,独立患者的努力至关重要。所涵盖的地区:本综述涵盖了骨骼维护中看到的合成代谢和分解代谢途径,突出了它们如何随着年龄的增长而改变,导致骨质疏松症。它还将讨论这些变化如何治疗,在开发新疗法中,以及已经使用的人的改进。专家意见:仍然需要新的有效和安全的骨质疏松症治疗方法。骨骼合成代谢似乎是老年人骨质疏松症最适当的治疗方法。考虑到骨骼和肌肉质量随着衰老同步下降,因此易于衰老和骨折,对骨骼和骨骼的双代原效果的骨性效应的组合治疗方法将是未来这些破坏性条件的主要进步。

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