Limitations to anabolic stimulation of bone formation

2014 ◽  
Author(s):  
Roland Baron
2021 ◽  
Vol 9 (3) ◽  
pp. 24
Author(s):  
Brian Heubel ◽  
Anja Nohe

The osteogenic effects of Bone Morphogenetic Proteins (BMPs) were delineated in 1965 when Urist et al. showed that BMPs could induce ectopic bone formation. In subsequent decades, the effects of BMPs on bone formation and maintenance were established. BMPs induce proliferation in osteoprogenitor cells and increase mineralization activity in osteoblasts. The role of BMPs in bone homeostasis and repair led to the approval of BMP2 by the Federal Drug Administration (FDA) for anterior lumbar interbody fusion (ALIF) to increase the bone formation in the treated area. However, the use of BMP2 for treatment of degenerative bone diseases such as osteoporosis is still uncertain as patients treated with BMP2 results in the stimulation of not only osteoblast mineralization, but also osteoclast absorption, leading to early bone graft subsidence. The increase in absorption activity is the result of direct stimulation of osteoclasts by BMP2 working synergistically with the RANK signaling pathway. The dual effect of BMPs on bone resorption and mineralization highlights the essential role of BMP-signaling in bone homeostasis, making it a putative therapeutic target for diseases like osteoporosis. Before the BMP pathway can be utilized in the treatment of osteoporosis a better understanding of how BMP-signaling regulates osteoclasts must be established.


2007 ◽  
Vol 22 (7) ◽  
pp. 1020-1030 ◽  
Author(s):  
Hideyuki Hirasawa ◽  
Shinya Tanaka ◽  
Akinori Sakai ◽  
Masato Tsutsui ◽  
Hiroaki Shimokawa ◽  
...  

2002 ◽  
Vol 99 (7) ◽  
pp. 4580-4585 ◽  
Author(s):  
K. Yoshida ◽  
H. Oida ◽  
T. Kobayashi ◽  
T. Maruyama ◽  
M. Tanaka ◽  
...  

2021 ◽  
Vol 3 (3) ◽  
pp. 23-30
Author(s):  
V.P. Kuznetsov ◽  
A.A. Emanov ◽  
E.N. Gorbach ◽  
V.G. Gorgots

2010 ◽  
Vol 40 (2) ◽  
pp. 106 ◽  
Author(s):  
Tancan Uysal ◽  
Mihri Amasyali ◽  
Huseyin Olmez ◽  
Yildirim Karslioglu ◽  
Omer Gunhan

1986 ◽  
Vol 251 (4) ◽  
pp. E400-E406 ◽  
Author(s):  
P. J. Marie ◽  
L. Cancela ◽  
N. Le Boulch ◽  
L. Miravet

The effects of pregnancy and lactation on endosteal bone formation and resorption were evaluated in vitamin D-depleted (-D) and vitamin D-repleted (+D) rats. Pregnancy induced a marked stimulation of osteoclastic bone resorption and of static and dynamic parameters of bone formation and mineralization. Bone resorption increased independently of vitamin D status and did not correlate with plasma 1,25-dihydroxyvitamin D3 [1,25(OH)2D] levels, but it was associated with increased plasma immunoreactive parathyroid hormone (iPTH) concentrations. Stimulation of the endosteal bone formation rate was mainly impaired in D-depleted rats, resulting in trabecular bone loss, which, in -D mother rats, was associated with decreased bone ash and total bone calcium. Lactation further stimulated bone resorption and reduced the trabecular bone volume; ash weight and bone calcium content were also decreased independently of the vitamin D status and changes in plasma iPTH levels. In presence of vitamin D, the bone formation rate increased fourfold during lactation but was unchanged in -D lactating rats. During lactation, vitamin D-depleted rats lost twofold more calcified bone than +D rats because of impaired mineralization. Thus, the present study shows that both the endosteal bone resorption and formation are stimulated by pregnancy and lactation and that vitamin D is required for normal bone mineralization during the reproductive period.


2012 ◽  
Vol 241 (12) ◽  
pp. 1901-1910 ◽  
Author(s):  
M. Douglas Benson ◽  
Lynne A. Opperman ◽  
Jan Westerlund ◽  
Claudia R. Fernandez ◽  
Symone San Miguel ◽  
...  

Biomaterials ◽  
2013 ◽  
Vol 34 (38) ◽  
pp. 9863-9876 ◽  
Author(s):  
Hoi Man Wong ◽  
Ying Zhao ◽  
Vivian Tam ◽  
Shuilin Wu ◽  
Paul K. Chu ◽  
...  

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