Terpenoid treatment in osteoporosis: this is where we have come in research

Daniele Bellavia1, Fabio Caradonna2, Eufrosina Dimarco2

  • 1IRCCS Istituto Ortopedico Rizzoli, SC Scienze e Tecnologie Chirurgiche - SS Piattaforma Scienze Omiche per Ortopedia Personalizzata, Bologna, Italy.

Insights

Terpenoids show promise in combating osteoporosis by reducing bone resorption. This review highlights their potential for preventing and treating bone loss, offering a safer alternative to traditional therapies.

Area of Science:

  • Pharmacology and Molecular Biology
  • Bone Biology and Osteoporosis Research

Background:

  • Osteoporosis results from an imbalance in bone homeostasis, favoring excessive bone resorption over formation.
  • This imbalance leads to osteopenia, increasing fracture risk, pain, and functional limitations.
  • Current osteoporosis treatments have limitations, necessitating exploration of novel therapeutic agents.

Purpose of the Study:

  • To comprehensively review the anti-osteoporotic effects of terpenoids based on literature from the past 5 years.
  • To highlight the molecular mechanisms, particularly epigenetic factors, underlying terpenoid activity against bone resorption.
  • To assess the potential pharmacological use of terpenoids in osteoporosis prevention and treatment.

Main Methods:

  • Systematic literature review focusing on studies published within the last five years.
  • Analysis of research investigating terpenoids and their impact on bone homeostasis and resorption.
  • Examination of studies detailing the molecular and epigenetic mechanisms of terpenoid action.

Main Results:

  • Terpenoids exhibit significant activity in inhibiting bone resorption, a key factor in osteopenia development.
  • Molecular mechanisms involve epigenetic regulation, suggesting targeted therapeutic approaches.
  • Terpenoids demonstrate potential as a safer, long-term alternative to conventional osteoporosis drugs.

Conclusions:

  • Terpenoids possess promising anti-osteoporotic effects, primarily through the modulation of bone resorption.
  • Epigenetic mechanisms are crucial in mediating the beneficial effects of terpenoids on bone health.
  • Terpenoids represent a viable therapeutic strategy for osteoporosis prevention and management.

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