2017
DOI: 10.33549/physiolres.933720
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New Molecules Modulating Bone Metabolism – New Perspectives in the Treatment of Osteoporosis

Abstract: In this review the authors outline traditional antiresorptive pharmaceuticals, such as bisphosphonates, monoclonal antibodies against RANKL, SERMs, as well as a drug with an anabolic effect on the skeleton, parathormone. However, there is also a focus on non-traditional strategies used in therapy for osteolytic diseases. The newest antiosteoporotic pharmaceuticals increase osteoblast differentiation via BMP signaling (harmine), or stimulate osteogenic differentiation of mesenchymal stem cells through Wnt/β-cat… Show more

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Cited by 12 publications
(8 citation statements)
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References 47 publications
(17 reference statements)
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“…Liu et al 39 showed that icariin could stimulate osteoblastic differentiation via the Wnt/β-catenin pathway. In addition, Zofkova et al 40 conducted a review and suggested that icariin could stimulate Wnt/β-catenin signaling and regulate the osteoblast activity.…”
Section: Discussionmentioning
confidence: 99%
“…Liu et al 39 showed that icariin could stimulate osteoblastic differentiation via the Wnt/β-catenin pathway. In addition, Zofkova et al 40 conducted a review and suggested that icariin could stimulate Wnt/β-catenin signaling and regulate the osteoblast activity.…”
Section: Discussionmentioning
confidence: 99%
“…Because the OPG/RANKL/RANK signaling pathway, Wnt/b-catenin signaling pathway, and BMPs signaling pathway play an important role in regulating osteogenesis and osteoclast lineage function, as well as in regulating bone mass and bone remodeling, some protein molecules in these signaling pathways have become new targets for osteoporosis treatment. Targeted therapeutics for these targets have also entered clinical trials, but they are generally more expensive and have potential adverse effects [49][50][51][52][53][54]. This research shows that the active components of SWD can directly (purple circles in Figure 5) or indirectly (through pink circles to blue circles in Figure 5) regulate osteoporosis-related targets, thereby regulating "(hsa04010) MAPK signaling pathway", "(hsa04668) TNF signaling pathway", and "(hsa04064) NF-kappa B signaling pathway", as well as "(GO: 0071773) cellular response to BMP stimulus", "(GO: 0043410) positive regulation of MAPK cascade", "(GO: 0060070) canonical Wnt signaling pathway", and "(GO: 0046330) positive regulation of JNK cascade".…”
Section: Discussionmentioning
confidence: 99%
“…A large body of evidence has demonstrated increased risk of secondary osteoporosis associated with a chronic GC treatment. The findings from clinical and experimental studies suggest that GC-induced loss of skeletal mass arises from changes in the numbers of bone cells, altering a balance between osteoblast-dependent bone formation and osteoclast-mediated bone resorption ( 23 ). Disturbances in the bone tissue caused by GCs may also be closely related to deleterious changes in the vitamin D endocrine system.…”
Section: Discussionmentioning
confidence: 99%