Related Experiment Videos
[Pharmacotherapy of osteoporosis accompanied by lifestyle-related diseases]
1Center for Promotion of Clinical Investigation, Tokyo Metropolitan Geriatric Hospital.
Abstract:
Lifestyle-related diseases, such as diabetes mellitus, hypertension and dyslipidemias, are often accompanied by osteoporosis. Treatment of osteoporosis in such cases is essentially the same as that for primary osteoporosis, but it is important to be aware of the interference between osteoporosis treatment and the drugs used for the lifestyle-related diseases. Raloxifene, bisphosphonates and activated vitamin D are commonly used for treatment of osteoporosis, and they are reported to have a positive effect on atherosclerosis. Beta-blocker use, particularly selective beta-blocker, is associated with reduced fracture risk. Statin is also reported to stimulate bone formation via bone morphogenetic protein-2 expression, but their clinical utility has not yet been confirmed. One class of antidiabetic drugs, thiazolidinediones, causes bone loss and further increases fracture risk, placing thiazolidinediones in the category of drugs causing secondary osteoporosis.
Related Concept Videos
Bone Disorders
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...
Atherosclerosis III: Management
Hypertension IV: Drug Therapy and Lifestyle Modifications
Bone Remodeling
Osteoclasts in Bone Remodeling
Role of Vitamins in Maintaining Bone Health
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...