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Related Concept Videos

Bone Remodeling and Repair01:31

Bone Remodeling and Repair

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...
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.
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...
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
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Principles of Drug Action01:24

Principles of Drug Action

Drugs are chemical substances that modify biological responses by interacting with macromolecular targets such as receptors, ion channels, transporters, and enzymes. Pharmacodynamics describes the course of action of drugs leading to the physiological effect at a specific site in the body.
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Protocol for Developing a Femur Osteotomy Model in Wistar Albino Rats
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Published on: August 31, 2022

Pharmacological agents and bone healing.

Umberto Tarantino1, Irene Cerocchi, Monica Celi

  • 1University of Rome Tor Vergata, PTV "Policlinico Tor Vergata" Foundation Division of Orthopaedics and Traumatology, Rome, Italy.

Clinical Cases in Mineral and Bone Metabolism : the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
|March 31, 2012
PubMed
Summary

Osteoporosis impairs fracture healing due to decreased bone mass and altered metabolism. Novel pharmacological agents show promise in enhancing bone repair and osseointegration for at-risk patients.

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A Novel in vivo Gene Transfer Technique and in vitro Cell Based Assays for the Study of Bone Loss in Musculoskeletal Disorders
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Published on: June 8, 2014

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Protocol for Developing a Femur Osteotomy Model in Wistar Albino Rats
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A Novel in vivo Gene Transfer Technique and in vitro Cell Based Assays for the Study of Bone Loss in Musculoskeletal Disorders
11:47

A Novel in vivo Gene Transfer Technique and in vitro Cell Based Assays for the Study of Bone Loss in Musculoskeletal Disorders

Published on: June 8, 2014

Area of Science:

  • Orthopedics
  • Metabolic Bone Disease
  • Biomaterials Science

Background:

  • Osteoporosis is a metabolic bone disease characterized by reduced bone mass and microarchitectural deterioration, increasing fracture risk.
  • The coupling of bone resorption and formation is crucial for skeletal integrity and repair.
  • Fracture healing involves complex biological processes that can be compromised by osteoporosis and aging.

Purpose of the Study:

  • To review the impact of osteoporosis on fracture healing and osseointegration.
  • To explore the potential of pharmacological agents in improving fracture repair in osteoporotic patients.
  • To discuss the clinical translation of these agents for enhanced fracture treatment.

Main Methods:

  • Review of preclinical studies and biomechanical testing data.
  • Analysis of the effects of bisphosphonates, strontium ranelate, and teriparatide on bone repair.
  • Evaluation of systemic and local administration of therapeutic agents.

Main Results:

  • Osteoporotic bone exhibits compromised biomechanical properties and slower healing rates.
  • Pharmacological agents demonstrated potential to enhance osseointegration and stimulate reparative processes in animal models.
  • Increased risks of implant failure and re-fractures are observed in osteoporotic patients undergoing fracture treatment.

Conclusions:

  • Osteoporosis significantly complicates fracture healing, posing challenges for surgical treatment and implant fixation.
  • Pharmacological interventions targeting bone metabolism may offer a valuable therapeutic strategy to improve fracture healing outcomes.
  • Further clinical translation of these agents could benefit patients with osteoporosis and other conditions impairing bone repair.