CDK 4/6 阻害剤 (Palbociclib) によって誘発された,抗吸収性骨治療に先行した患者における,薬剤による骨縮症:症例報告
Elodie Pallois1, Nathalie Pham Dang2, Eva Chenu3
1Service de Chirurgie Maxillo-Faciale, CHU Clermont-Ferrand, Clermont-Ferrand, France; Service d'Odontologie, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Oral surgery, oral medicine, oral pathology and oral radiology
|September 3, 2025
まとめ
薬剤による骨死 (MRONJ) は,様々な抗がん剤によって引き起こされる. このケースは,パルボシクリブのようなサイクリン依存キナーゼ (CDK) 4/ 6阻害剤もMRONJの危険性を示唆しています.
科学分野:
- 腫瘍学
- 口腔・口腔外科
- 薬理学について
背景:
- 抗吸収剤および他の標的型療法に関連する既知の副作用である.
- MRONJに関連した薬のスペクトルは,ビスホスフォネートを超えて,モノクローナル抗体とキナーゼ阻害剤を含んでいます.
- パルボシクリブのようなサイクリン依存キナーゼ (CDK) 4/ 6阻害剤は,ホルモン受容体陽性,ヒト表皮成長因子受容体2陰性転移性乳がんにますます使用されています.
関連する概念動画
Inhibition of Cdk Activity
4.9K
The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
4.9K
Osteoclasts in Bone Remodeling
3.2K
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...
3.2K
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
253
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
253
Bone Disorders
3.9K
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.
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...
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...
3.9K


