2012
DOI: 10.1159/000339934
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Changes in Serum Levels of Cartilage Oligomeric Matrix Protein after Estrogen and Alendronate Therapy in Postmenopausal Women

Abstract: Background: Cartilage oligomeric matrix protein (COMP) is a biomarker for joint destruction and its serum levels are used for assessing therapeutic efficacy. This study aims to compare changes in serum COMP levels in postmenopausal women with osteopenia/osteoporosis receiving estrogen and alendronate. Methods: A total of 62 postmenopausal women diagnosed with osteopenia or osteoporosis were treated with either estrogen (17β-estradiol 1 mg, n = 30) or bisphosphonate (alendronate 5 mg, n = 32) for 6 months. The … Show more

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Cited by 14 publications
(10 citation statements)
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References 85 publications
(59 reference statements)
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“…Sclerostin is expressed by osteocytes [1]. Estrogens are potent survival factors for osteocytes, as estrogen deprivation significantly increases osteocyte death [20,21]. Estrogen also prevents sclerostin upregulation in osteocytic cells [11].…”
Section: Discussionmentioning
confidence: 99%
“…Sclerostin is expressed by osteocytes [1]. Estrogens are potent survival factors for osteocytes, as estrogen deprivation significantly increases osteocyte death [20,21]. Estrogen also prevents sclerostin upregulation in osteocytic cells [11].…”
Section: Discussionmentioning
confidence: 99%
“…Hormone replacement therapy (HRT) has been one of the most broadly prescribed medications in recent centuries to relieve menopause symptoms [5], and has demonstrated long-term joint protection as well as slowing of cardiovascular and neurological deterioration [6,7,8,9]. However, the upward trend regarding HRT prescription changed course after the results of the Heart and Estrogen/Progression Replacement Study (HERS) [10] and the Women's Health Initiative (WHI) randomized controlled trial [11] were published in 1998 and 2002, respectively.…”
Section: Introductionmentioning
confidence: 99%
“…It is also one of the reasons that OA prevalence is higher in women than in men [Spector et al, 1997;Wluka et al, 2000;Claasen et al, 2008]. Many studies report that phytoestrogen by oral administration exerts a positive effect through upregulation of COL2A1, proteoglycan, and the cartilage oligomeric matrix in menopausal and nonmenopausal OA patients [Seo et al, 2012;Maneix et al, 2014]. In addition to the direct or indirect protective effect of these estrogen-related drugs and modulators (including phytoestrogen) on articular cartilage, subchondral bone, and the surrounding joint tissues including the synovium and muscle, the joint tissues themselves interact with each other, thereby maintaining the organ homeostasis of the joint as a whole, and finally delay joint degeneration [Karsdal et al, 2012;Xiao et al, 2016].…”
Section: Discussionmentioning
confidence: 99%