2018
DOI: 10.17219/acem/75675
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Interleukin 6, osteoprotegerin, sRANKL and bone metabolism in inflammatory bowel diseases

Abstract: The incidence of osteopenia and osteoporosis in patients with IBD is high and increases with the duration of the disease and the number of hospitalizations. Patients with CD are at a higher risk of skeletal pathology than patients with UC. IL-6 can modulate bone mineral density in the femoral neck especially in the course of CD.

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Cited by 15 publications
(16 citation statements)
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“…Interleukin 6 can modulate BMD via the OPG/sRANKL system in the femoral neck, which can cause a loss of bone, particularly in the course of CD. Therefore, these studies may contribute to the development and implementation of new secondary osteoporosis therapy in the course of IBD [ 22 ]. It is worth emphasizing the effects of biological therapy employed in IBD on bones.…”
Section: Introductionmentioning
confidence: 99%
“…Interleukin 6 can modulate BMD via the OPG/sRANKL system in the femoral neck, which can cause a loss of bone, particularly in the course of CD. Therefore, these studies may contribute to the development and implementation of new secondary osteoporosis therapy in the course of IBD [ 22 ]. It is worth emphasizing the effects of biological therapy employed in IBD on bones.…”
Section: Introductionmentioning
confidence: 99%
“…IL-6 can affect the early stage of osteoclasts, stimulate the proliferation and division of osteoclast precursors, increase the number of osteoclasts, and promote the formation of osteoclast pits. It can also increase the release of collagenase to promote matrix degradation and affect osteoblast activity [16].…”
Section: Discussionmentioning
confidence: 99%
“…Several cytokines are known to be chronically elevated in the serum of individuals with IBD, such as TNF-α, IL-1β, and IL-6 inhibit osteoblast function (responsible for bone formation) and promote osteoclastogenesis (responsible for bone resorption) [ 16 , 17 , 18 ]. TNF-α appears to be the master regulator of bone loss in IBD as it promotes expression of receptor activator of nuclear factor κB ligand (RANKL) from osteogenic cells and independently interacts with RANKL as a potent stimulator of osteoclastogenesis, via the nuclear factor kappa B (NF-κB) signaling pathway [ 19 , 20 ].…”
Section: Pathogenesis Of Musculoskeletal Deficits In Ibdmentioning
confidence: 99%
“…However, this mechanism appears insufficient to reverse RANKL and TNF-α mediated bone resorption, as OPG levels were inversely associated with bone density [ 21 ]. During a disease flare, elevated serum RANKL was observed in CD compared to healthy controls, highlighting the influence of inflammation on the RANKL/OPG pathway in perpetuating bone resorption [ 17 ]. Inflammatory cytokines also adversely affect bone formation in IBD.…”
Section: Pathogenesis Of Musculoskeletal Deficits In Ibdmentioning
confidence: 99%