2012
DOI: 10.1111/j.1365-2362.2012.02717.x
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The osteoclast, bone remodelling and treatment of metabolic bone disease

Abstract: Background Bone remodelling maintains skeletal integrity by osteoclasts removing foci of damaged bone and osteoblasts replacing them with new bone. Diseases associated with increased bone resorption have increased remodelling often with inadequate bone formation and increased risk of fracture. New therapies are needed for these diseases to reduce resorption and increase formation.

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Cited by 157 publications
(158 citation statements)
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References 79 publications
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“…54,58,59 When bone is subjected to loading, SOST expression and sclerostin levels decrease significantly, stimulating osteoblast activity and probably (through an effect on RANKL) inhibiting osteoclasts. 1,60,61 On the other hand, osteocytes have also recently been shown in vivo and in vitro to be the primary expressers of RANKL, a regulator of osteoclast differentiation and activation. 57,58,62,63 RANKL is upregulated (resulting in targeted tissue removal) when osteocytes are damaged, die by apoptosis or experience prolonged loss of mechanical loading, and recent evidence also suggest that osteocyte RANKL may be specifically involved in the remodeling process of cancellous bone.…”
Section: Modeling: Evidence For and Implications In Acellular Bonementioning
confidence: 99%
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“…54,58,59 When bone is subjected to loading, SOST expression and sclerostin levels decrease significantly, stimulating osteoblast activity and probably (through an effect on RANKL) inhibiting osteoclasts. 1,60,61 On the other hand, osteocytes have also recently been shown in vivo and in vitro to be the primary expressers of RANKL, a regulator of osteoclast differentiation and activation. 57,58,62,63 RANKL is upregulated (resulting in targeted tissue removal) when osteocytes are damaged, die by apoptosis or experience prolonged loss of mechanical loading, and recent evidence also suggest that osteocyte RANKL may be specifically involved in the remodeling process of cancellous bone.…”
Section: Modeling: Evidence For and Implications In Acellular Bonementioning
confidence: 99%
“…66 This suggests alternative regulation factors and/or control pathways, perhaps via osteoblast control of RANKL, although parathyroid hormone (known to promote osteoblast expression of RANKL in mammals) is present in quite different form in fishes, and fishes lack parathyroid glands. 60,67 Determination of the precise triggering and activation machineries involved, the sequence of gene expression in regulation and coordination, and the cells that take part in sensing the need for fish bone modeling can be made by a combination of histological, biochemical and molecular genetics methods. Even if the cells in the bones of fishes are shown to possess different functions than those in mammalian bone, comparison of these systems will shed invaluable new light on our understanding of bone cell biology, diversity and function.…”
Section: Modeling: Evidence For and Implications In Acellular Bonementioning
confidence: 99%
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“…Therefore, understanding OC differentiation and function and uncovering potential therapeutic targets are very important and urgent objectives for treatment of these diseases. 5,6 Mature OCs, derived from the monocyte/macrophage hematopoietic lineage, are multinucleated and tartrateresistant acid phosphatase (TRAP) positive. 7 The breakthrough in understanding osteoclastogenesis came from the discovery that receptor activator of NF-κB ligand (RANKL) and macrophage colony-stimulating factor (M-CSF) have essential roles in stimulating monocyte-macrophage lineage cells to differentiate into mature and functional OCs.…”
mentioning
confidence: 99%
“…The human skeleton is constantly renewed and repaired by the bone remodeling process, a well-coordinated sequence of osteoclast-mediated bone resorption and osteoblast-mediated bone formation [1,2]. Anti-catabolic drugs, such as bisphosphonates (BPs), can slow down this process and shift the balance between bone formation and resorption activity by selectively affecting osteoclast function [3].…”
Section: Introductionmentioning
confidence: 99%