Clinical review 123: Anabolic therapy for osteoporosis.
Document Type
Article
Publication Date
2001
Keywords
Female, Human, Insulin-Like-Growth-Factor-I, Osteoporosis, Osteoporosis-Postmenopausal, Parathyroid-Hormones, Sodium-Fluoride, Somatropin
First Page
957
Last Page
964
JAX Source
J Clin Endocrinol Metab 2001 Mar; 86(3):957-64.
Abstract
All currently available, approved therapies for osteoporosis inhibit bone resorption. By acting at this site in the bone remodeling cycle, estrogens, selective estrogen receptor modulators, calcitonin, and the bisphosphonates all have the capacity to increase bone mineral density and to reduce the risk of new fractures. There can be no doubt that these agents have had an enormous impact on our diagnostic and therapeutic approach to osteoporosis. Despite their great value, the antiresorptives are generally not associated with dramatic increases in bone mass, and their action to reduce fracture risk, although highly significant, is rarely more than 50% of the baseline risk. Another approach is anabolic therapy, in which bone formation is directly stimulated. In this review we will summarize the anabolic agents that have been studied and present a current view of their current standing. Fluoride, GH, insulin-like growth factor I, the statins, and PTH will be reviewed. Although still in development, approaches to combination therapy with antiresorptives and anabolic agents are also promising.
Recommended Citation
Rosen CJ,
Bilezikian JP.
Clinical review 123: Anabolic therapy for osteoporosis. J Clin Endocrinol Metab 2001 Mar; 86(3):957-64.