副甲状腺激素受体激活剂在骨质疏松症的管理中
Nicholas Fuggle1, René Rizzoli2, Charlotte Beaudart3
1MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Nature reviews. Rheumatology
|August 11, 2025
概括
副甲状腺激素 (PTH) 激动剂,如特里巴拉提德和阿巴洛巴拉提德,通过增加骨形成来有效治疗骨质疏松症. 临床试验表明,这些PTH1R激动剂可以减少骨折,改善骨密度,具有良好的安全性.
科学领域:
- 内分泌学 在内分泌学.
- 骨生物学 骨生物学 骨生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 副甲状腺激素 (PTH) 对于骨质平衡至关重要.
- 间歇性PTH暴露刺激骨形成而不是再吸收.
- PTH和PTH相关蛋白1型受体 (PTH1R) 激动剂正在开发用于骨质疏松症治疗.
研究的目的:
- 审查治疗骨质疏松症的特里巴拉提德和阿巴洛巴拉提德的临床有效性和安全性.
- 为了比较 teriparatide 和 abaloparatide 在增加骨矿物质密度和减少骨折方面的疗效.
主要方法:
- 随机对照试验和观察性研究的综述.
- 对骨矿物质密度,骨折减少和安全概况的数据进行分析.
- 泰里巴拉提德和阿巴洛巴拉提德的疗效和副作用的比较.
主要成果:
- 特里巴拉提德和阿巴洛巴拉提德都会增加脊椎和部的骨矿物质密度.
- 这些PTH1R激动剂可减少脊椎和非脊椎骨折.
- ACTIVE试验和观察性研究表明,阿巴洛帕拉提德在某些骨折中具有潜在的优势.
结论:
- 特里巴拉提德和阿巴洛巴拉提德是骨质疏松症的有效和安全治疗方法.
- 这两种药物都显示出令人信服的临床有效性和成本效益.
- 需要进一步的研究来验证阿巴洛帕拉提德和特里帕拉提德之间的潜在疗效差异.
更多相关视频
03:56Author Spotlight: Exploring the Impact of Lingnan Fire-Needle Therapy in Osteoporosis Intervention
Published on: April 26, 2024
761
07:20Author Spotlight: Integrating Traditional Chinese Medicine with Modern Pharmacology and Genomics for Assessing Postmenopausal Osteoporosis in Mice
Published on: August 23, 2024
647
相关概念视频
Hormones and Bone Tissue
2.9K
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...
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...
2.9K
Bone Remodeling
38.5K
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.
38.5K
The Parathyroid Glands
2.5K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.5K
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
Transducer Mechanism: Enzyme-Linked Receptors
2.8K
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.
Major types that are helpful drug targets include:
Major types that are helpful drug targets include:
2.8K
Skeleton and Calcium Homeostasis
4.8K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.8K
