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Related Concept Videos

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...
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.
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...
What is the Skeletal System?01:02

What is the Skeletal System?

Overview
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...
Skeleton and Calcium Homeostasis01:21

Skeleton and Calcium Homeostasis

Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.

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Related Experiment Video

Updated: Jul 8, 2026

Trabecular Bone Microarchitecture Evaluation in an Osteoporosis Mouse Model
06:59

Trabecular Bone Microarchitecture Evaluation in an Osteoporosis Mouse Model

Published on: September 8, 2023

Severe low turnover osteoporosis.

Luca Pietrogrande1

  • 1Orthopedic Clinic, DMCO San Paolo, University of Milano, Milano, Italy. luca.pietrogrande@unimi.it

Aging Clinical and Experimental Research
|January 10, 2008
PubMed
Summary

Teriparatide can reverse severe osteoporosis in patients unresponsive to standard treatments like bisphosphonates. Early detection of non-responders may prevent further fractures.

Area of Science:

  • Endocrinology
  • Bone Metabolism
  • Pharmacology

Background:

  • Severe osteoporosis with fractures poses a significant clinical challenge.
  • Standard therapies (bisphosphonates, calcium, vitamin D) may fail, particularly with suppressed bone turnover.
  • Identifying non-responders is crucial for effective osteoporosis management.

Observation:

  • A case study of a patient with severe osteoporosis who did not respond to conventional therapy is presented.
  • The patient's condition worsened despite adherence to bisphosphonates, calcium, and vitamin D supplementation.
  • Bone turnover markers indicated a suppressed state, correlating with poor treatment outcomes.

Findings:

  • Teriparatide administration was effective in reversing the poor progression of severe osteoporosis in the non-responder.

Related Experiment Videos

Last Updated: Jul 8, 2026

Trabecular Bone Microarchitecture Evaluation in an Osteoporosis Mouse Model
06:59

Trabecular Bone Microarchitecture Evaluation in an Osteoporosis Mouse Model

Published on: September 8, 2023

  • The study highlights Teriparatide as a viable therapeutic option for patients failing first-line treatments.
  • Consideration is given to identifying predictive markers for non-response to standard osteoporosis therapies.
  • Implications:

    • This case suggests Teriparatide can overcome treatment resistance in severe osteoporosis.
    • Developing methods to predict non-response could enable earlier intervention with potent therapies like Teriparatide.
    • Proactive patient stratification may reduce fracture risk and improve long-term bone health outcomes.