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Emerging therapeutic targets for osteoporosis treatment

机译:骨质疏松症治疗的新兴治疗目标

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Introduction: To date, osteoporosis still remains a major public health burden especially for the aging populations. Over the last few decades treatments for osteoporosis have largely focused on anti-resorptive agents represented by bisphosphonates and estrogen therapy that dominated the market. Unsatisfactory efficacy, non-specificity and long-term safety of current therapies necessitate the need for new targets effectively preventing and treating of osteoporosis.Areas covered: This review expatiates on the mechanism of osteoporosis occurrence and bone remodeling cycle in detail. New targets of antiresorptive and anabolic agents based on the functions of osteoblasts and osteoclasts as well as associated signaling pathways are outlined.Expert opinion: Advanced understanding in the fields of bone remodeling, functions of osteoblasts, osteoclasts and osteocytes associated with osteoporosis occurrence offers the emerging bone-resorptive or bone-formative targets. Currently, molecules involving RANK-RANKL-OPG system and Wnt/β-catenin signaling pathway act as the most promising targets.
机译:简介:迄今为止,骨质疏松症仍然是主要的公共卫生负担,尤其是对于老龄化人群。在过去的几十年中,骨质疏松症的治疗主要集中在以双膦酸盐和雌激素疗法为代表的抗再吸收剂,这些药物主导了市场。当前疗法的疗效,非特异性和长期安全性不佳,因此需要有效预防和治疗骨质疏松症的新靶标。涵盖的领域:这篇综述详细阐述了骨质疏松症的发生机理和骨重塑周期。概述了基于成骨细胞和破骨细胞功能以及相关信号传导途径的抗吸收和合成代谢药物的新目标。骨吸收或骨形成目标。目前,涉及RANK-RANKL-OPG系统和Wnt /β-catenin信号传导途径的分子是最有希望的靶标。

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