Future Directions in Osteoporosis Therapeutics

被引:27
作者
Bone, Henry [1 ]
机构
[1] St John Hosp & Med Ctr, Michigan Bone & Mineral Clin, Sect Endocrinol & Metab, Detroit, MI 48236 USA
关键词
Osteoporosis; Osteocytes; Antiresorptives; Anabolic agents; CATHEPSIN-K INHIBITOR; POSTMENOPAUSAL WOMEN; PARATHYROID-HORMONE; BONE MASS; AMERICAN-SOCIETY; TASK-FORCE; ESTROGEN; ALENDRONATE; PREVENTION; FRACTURES;
D O I
10.1016/j.ecl.2012.05.003
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Future directions in osteoporosis treatment will include development of medications with increasingly precise mechanistic targets, including the RANK-ligand pathway, cathepsin K inhibition, and Wnt signaling manipulation. More gains are likely with anabolics and newer antiresorptives that cause little or no suppression of formation. Optimal treatment of osteoporosis may require coordination of anabolic and antiresorptive treatment, following stimulation of bone formation with consolidation and long-term maintenance. Some well-established drugs may be useful in such regimens. We can also anticipate emphasis on cost containment using currently available drugs, especially as they become generic. Effective implementation and treatment continuity will be important themes.
引用
收藏
页码:655 / +
页数:8
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