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Related Concept Videos

Hormones and Bone Tissue01:17

Hormones and Bone Tissue

The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...

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Related Experiment Video

Updated: Jul 14, 2026

Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats
08:56

Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats

Published on: April 7, 2023

Tibolone and osteoporosis.

Gordana Lazovic1, Ubavka Radivojevic, Verica Milosevic

  • 1Institute of Gynecology and Obstetrics of the Clinical Centre of Serbia, Koste Todorovica 26, 11000, Belgrade, Serbia and Montenegro. lazovicg@eunet.yu

Archives of Gynecology and Obstetrics
|July 3, 2007
PubMed
Summary

Tibolone effectively increases bone mineral density (BMD) in postmenopausal women with osteopenia or osteoporosis initially. Early treatment initiation is crucial for sustained BMD benefits over time.

Related Experiment Videos

Last Updated: Jul 14, 2026

Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats
08:56

Estrogen-Like Effect of Bazi Bushen Capsule in Ovariectomized Rats

Published on: April 7, 2023

Area of Science:

  • Endocrinology
  • Gerontology
  • Bone Metabolism

Background:

  • Postmenopausal osteoporosis and osteopenia pose significant health risks.
  • Hormone replacement therapy is a common treatment for bone loss.
  • Tibolone is a synthetic steroid used for menopausal symptom relief and bone protection.

Purpose of the Study:

  • To evaluate the 5-year effects of tibolone on bone mineral density (BMD) in postmenopausal women.
  • To compare BMD changes in women taking tibolone versus those on calcium/vitamin D alone.

Main Methods:

  • A 5-year prospective, observational, controlled study.
  • 420 postmenopausal women (average age 66.4) with osteopenia/osteoporosis.
  • Tibolone (1.25 mg/day) vs. calcium/vitamin D supplementation.
  • Bone mineral density (BMD) measured annually at lumbar spine and total hip via DXA.

Main Results:

  • Tibolone significantly increased BMD at the spine and hip in the first two years (P < 0.001).
  • BMD decreased in the control group throughout the study.
  • While BMD tended to decline after year two in the tibolone group, it remained higher than baseline at year five (P < 0.05).

Conclusions:

  • Tibolone demonstrates efficacy in increasing BMD in postmenopausal women with osteopenia/osteoporosis, particularly in the initial two years.
  • BMD decline observed after the second year highlights the importance of early treatment initiation.
  • Starting tibolone therapy as early as possible maximizes sustained bone mineral density levels.