» Articles » PMID: 21063460

Role of Teriparatide in Treatment of Glucocorticoid-induced Osteoporosis

Overview
Publisher Dove Medical Press
Date 2010 Nov 11
PMID 21063460
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Glucocorticoids are commonly used in various fields within medicine. One of their most common and clinically significant side effects is glucocorticoid-induced osteoporosis (GIOP). GIOP is a disease leading to progressive decreases in bone mineral density, decreased bone strength, and increased risk of skeletal fractures. GIOP has a significant impact on the morbidity and health-related quality of life of the patients it affects. Glucocorticoids have deleterious effects on bone through promoting osteoblast apoptosis and inhibiting osteoblastogenesis. Teriparatide exerts anabolic effects on bone, so it is understandable why teriparatide is thought to be a rational treatment option. Clinical studies have indicated teriparatide is efficacious in the treatment of GIOP to improve bone mineral density values at the lumbar spine and femoral neck. Some evidence also suggests teriparatide may reduce rates of vertebral fractures in GIOP patients. Overall, this review of the current clinical evidence suggests teriparatide may be an efficacious and promising agent in the treatment of GIOP.

Citing Articles

Bisphosphonate-related osteonecrosis of the jaw: specificities.

Paulo S, Abrantes A, Laranjo M, Carvalho L, Serra A, Botelho M Oncol Rev. 2015; 8(2):254.

PMID: 25992241 PMC: 4419650. DOI: 10.4081/oncol.2014.254.


Recognizing and treating secondary osteoporosis.

Walker-Bone K Nat Rev Rheumatol. 2012; 8(8):480-92.

PMID: 22782006 DOI: 10.1038/nrrheum.2012.93.

References
1.
Abadie E, Devogealer J, Ringe J, Ethgen D, Bouvenot G, Kreutz G . Recommendations for the registration of agents to be used in the prevention and treatment of glucocorticoid-induced osteoporosis: updated recommendations from the Group for the Respect of Ethics and Excellence in Science. Semin Arthritis Rheum. 2005; 35(1):1-4. DOI: 10.1016/j.semarthrit.2005.03.006. View

2.
Dempster D, Cosman F, Parisien M, Shen V, Lindsay R . Anabolic actions of parathyroid hormone on bone. Endocr Rev. 1993; 14(6):690-709. DOI: 10.1210/edrv-14-6-690. View

3.
Compston J . US and UK guidelines for glucocorticoid-induced osteoporosis: similarities and differences. Curr Rheumatol Rep. 2004; 6(1):66-9. DOI: 10.1007/s11926-004-0085-1. View

4.
Benhamou C . Effects of osteoporosis medications on bone quality. Joint Bone Spine. 2007; 74(1):39-47. DOI: 10.1016/j.jbspin.2006.06.004. View

5.
Roger L . Serious adverse events with low-dose, long-term corticosteroid therapy in rheumatoid arthritis. Am J Med. 1995; 99(6):692-4. DOI: 10.1016/s0002-9343(99)80264-2. View