全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
科学通报  2014 

骨质疏松治疗药物的研究进展

DOI: 10.1360/972013-718, PP. 1209-1214

Keywords: 骨质疏松,骨吸收抑制剂,骨形成促进剂,靶向治疗,RANKL信号通路,Wnt信号通路BMP信号通路

Full-Text   Cite this paper   Add to My Lib

Abstract:

骨质疏松是一种以骨量减少和骨组织微结构破坏为特征,并能导致骨脆性增加和易于骨折的全身性疾病.目前治疗该病的主要目的是预防骨折的发生,但仍没有特效药.在治疗骨质疏松的3类药物中,骨吸收抑制剂是当前的主要药物,它通过抑制骨的重吸收来提高骨密度;骨形成促进剂可以直接刺激骨形成,并且有重建骨组织的效应;骨矿化物是防治骨质疏松的基础药物,包括钙剂和维生素D.然而,随着科学研究的不断深入,出现了一些新的治疗理念和策略,靶向治疗成为未来药物的发展趋势.当前以RANKL信号通路和Wnt信号通路的研究为依据的各种骨生长因子制剂(如denosumab,sclerostinantibody等)逐渐被开发,疗效也较好.另外,BMP信号通路作为骨生长的重要调节通路,其刺激骨形成的作用十分突出,且在该通路的调节蛋白中存在较多潜在靶点,如Smurf1,CKIP-1等.这在靶向治疗骨质疏松的新药研发领域值得深入探讨.

References

[1]  3 Lippuner K. The future of osteoporosis treatment—A research update. Swiss Med Wkly, 2012, 142: 1-11
[2]  14 Nie J, Liu L, He F C, et al. CKIP-1: A scaffold protein and potential therapeutic target integrating multiple signaling pathways and physiological functions. Ageing Res Rev, 2013, 12: 276-281
[3]  15 Cui Y, He S, Xing C C, et al. SCFFBXL regulates BMP signaling by directing the degradation of HECT-type ubiquitin ligase Smurf1. EMBO J, 2011, 30: 2675-2689
[4]  17 Ng K W. Potential role of odanacatib in the treatment of osteoporosis. Clin Interv Aging, 2012, 7: 235-247
[5]  18 Toulis K A, Anastasilakis A D, Polyzos S A, et al. Targeting the osteoblast: Approved and experimental anabolic agents for the treatment of osteoporosis. Hormones, 2011, 10: 174-195
[6]  19 Baron R, Hesse E. Update on bone anabolics in osteoporosis treatment: Rationale, current status, and perspectives. J Clin Endocrinol Metab, 2012, 97: 311-325
[7]  20 Zhang G, Guo B S, Wu H, et al. A delivery system targeting bone formation surfaces to facilitate RNAi-based anabolic therapy. Nat Med, 2012, 18: 307-314
[8]  1 Ernesto C. New treatment modalities in osteoporosis. Endocr Pract, 2010, 16: 855-863
[9]  2 刘宗英, 李卓荣. 骨质疏松治疗药物的研究进展. 中国药学杂志, 2006, 41: 721-725
[10]  4 Tsourdi E, Rachner T D, Rauner M, et al. Denosumab for bone diseases: Translating bone biology intotargeted therapy. Eur J Endocrinol, 2011, 165: 833-840
[11]  5 Kim J H, Liu X, Wang J H, et al. Wnt signaling in bone formation and its therapeutic potential for bone diseases. Ther Adv Musculoskelet Dis, 2013, 5: 13-31
[12]  6 Rachner T D, Khosla S, Hofbauer L C, et al. New horizons in osteoporosis. Lancet, 2011, 377: 1276-1287
[13]  7 Ke H Z, Richards W G, Li X D, et al. Sclerostin and Dickkopf-1 as therapeutic targets in bone diseases. Endocr Rev, 2012, 33: 747-783
[14]  8 杨柳青, 林正梅. BMP-Smads信号转导通路及其调节. 国际病理科学与临床杂志, 2006, 26: 413-416
[15]  9 Chen G Q, Deng C X, Li Y P. TGF-b and BMP signaling in osteoblast differentiation and bone formation. Int J Biol Sci, 2012, 8: 272-288
[16]  10 侯波, 王毅, 沈宇辉. 骨形态发生蛋白2信号通路与骨发生发育及损伤修复. 中国组织工程研究, 2013, 17: 342-346
[17]  11 Cao Y, Zhang L Q. A Smurf1 tale: Function and regulation of an ubiquitin ligase in multiple cellular networks. Cell Mol Life Sci, 2013, 70: 2305-2317
[18]  12 Cao Y, Zhang L Q. Pharmaceutical perspectives of HECT-TYPE ubiquitin ligase smurf1. Curr Pharm Design, 2013, 19: 3226-3233
[19]  13 Lu K F, Yin X S, Weng T J, et al. Targeting WW domains linker of HECT-type ubiquitin ligase Smurf1 for activation by CKIP-1. Nat Cell Biol, 2008, 10: 994-1002
[20]  16 Das S, Crockett J C. Osteoporosis—A current view of pharmacological prevention and treatment. Drug Des Devel Ther, 2013, 7: 435-448

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133