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Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

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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...
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Bone Remodeling01:40

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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.
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Hormones and Bone Tissue01:17

Hormones and Bone Tissue

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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
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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.
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The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
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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.
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Antisclerostin Effect on Osseointegration and Bone Remodeling.

Bárbara Alexandra do Amaral Couto1, Juliana Campos Hasse Fernandes2, Mariana Saavedra-Silva3

  • 1Faculty of Dental Medicine, Universidade Católica Portuguesa, 3505-606 Viseu, Portugal.

Journal of Clinical Medicine
|February 25, 2023
PubMed
Summary

Antisclerostin administration shows promise in enhancing bone formation and osseointegration for dental implants. Further research is needed to confirm these effects due to study limitations and heterogeneity.

Keywords:
antisclerostinbone formationbone remodelingosseointegrationsclerostin antibody

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Area of Science:

  • Orthopedics and Dental Implantology
  • Bone Biology and Therapeutics

Background:

  • Antisclerostin (Scl-Ab) is a therapeutic target for bone anabolism.
  • Understanding its role in osseointegration and bone remodeling is crucial for implantology.

Purpose of the Study:

  • To review existing literature on local or systemic antisclerostin administration.
  • To evaluate its effects on osseointegration of dental/orthopedic implants and bone remodeling.

Main Methods:

  • Extensive literature search across major databases (MEDLINE/PubMed, Web of Science).
  • Inclusion of case reports, clinical trials, and animal studies.
  • Analysis of 19 selected articles (16 animal, 3 human RCTs).

Main Results:

  • Studies indicated increased bone-implant contact and bone mineral density with antisclerostin treatment.
  • Evidence suggests stimulation of bone formation and remodeling, with identified biomarkers.
  • Limitations include a low number of human studies and heterogeneity in study designs and parameters.

Conclusions:

  • Antisclerostin administration shows potential for accelerating bone remodeling and osseointegration.
  • Further high-quality human studies are necessary to validate these findings and optimize therapeutic use.