Osteoblasts in osteoporosis: past, emerging, and future anabolic targets
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Updated: Jun 2, 2026

Osteoclast Derivation from Mouse Bone Marrow
Published on: November 6, 2014
Pierre J Marie1, Moustapha Kassem
1Laboratory of Osteoblast Biology and Pathology, INSERM, U606, Hospital Lariboisiere, 2 Rue Ambroise Pare, 75475 Paris Cedex 10, France. pierre.marie@inserm.fr
Objective:
Age-related bone loss is associated with significant changes in bone remodeling characterized by decreased trabecular and periosteal bone formation relative to bone resorption, resulting in bone fragility and increased risk of fractures. Prevention or reversal of age-related decrease in bone mass and increase in bone fragility has been based on inhibition of bone resorption using anticatabolic drugs. The current challenge is to promote osteoblastogenesis and bone formation to prevent age-related bone deterioration.
Methods:
A limited number of approved therapeutic molecules are available to activate bone formation. Therefore, there is a need for anabolic drugs that promote bone matrix apposition at the endosteal, endocortical, and periosteal envelopes by increasing the number of osteoblast precursor cells and/or the function of mature osteoblasts. In this study, we review current therapeutics promoting bone formation and anabolic molecules targeting signaling pathways involved in osteoblastogenesis, based on selected full-text articles searched on Medline search from 1990 to 2010.
Results And Discussion:
We present current therapeutic approaches focused on intermittent parathyroid hormone and Wnt signaling agonists/antagonists. We also discuss novel approaches for prevention and treatment of defective bone formation and bone loss associated with aging and osteoporosis. These strategies targeting osteoblastic cell functions may prove to be useful in promoting bone formation and improving bone strength in the aging population.
Insights
Promoting bone formation is key to combating age-related bone loss and fragility. New anabolic therapies targeting osteoblast function offer promising strategies for improving bone strength in aging populations.
Area of Science:
- Bone biology and aging
- Osteoporosis therapeutics
Background:
- Age-related bone loss involves decreased bone formation and increased resorption, leading to fragility.
- Current treatments focus on inhibiting bone resorption, but promoting bone formation is a critical unmet need.
- Developing anabolic drugs to enhance osteoblastogenesis and bone matrix apposition is essential for preventing age-related bone deterioration.
Purpose of the Study:
- To review current therapeutics that activate bone formation.
- To discuss anabolic molecules targeting signaling pathways crucial for osteoblastogenesis.
- To explore novel strategies for treating age-related bone loss and osteoporosis.
Main Methods:
- Literature review of full-text articles from Medline (1990-2010).
- Focus on therapeutic molecules and signaling pathways involved in osteoblastogenesis.
- Analysis of approaches promoting bone matrix apposition.
Main Results:
- Current therapeutic approaches include intermittent parathyroid hormone and Wnt signaling modulators.
- Novel strategies targeting osteoblastic cell functions are being developed.
- These approaches aim to increase osteoblast precursor cells and/or mature osteoblast function.
Conclusions:
- Therapeutic strategies targeting osteoblastic cell functions show potential for promoting bone formation.
- These strategies may improve bone strength and reduce fracture risk in the aging population.
- Further research into anabolic therapies is crucial for managing age-related bone loss and osteoporosis.
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