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Effect of glucocorticoids on bone density

✍ Scribed by Rehman, Qaiser ;Lane, Nancy E.


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
145 KB
Volume
41
Category
Article
ISSN
0098-1532

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✦ Synopsis


Abstract

Glucocorticoid therapy is the most common cause of secondary iatrogenic osteoporosis. The bone loss occurs predominantly due to a decrease in bone formation, although increased bone resorption also occurs. Glucocorticoids induce osteoblast apoptosis and increase osteoclast survival and activity. Most of these effects are mediated through the RANKL‐OPG system but perturbations in gonadal hormone activity and calcium balance may also contribute significantly to bone loss. Future therapies in the treatment and prevention of glucocorticoid‐induced osteoporosis may be targeted at restoring the hormonal and cytokine balance to nullify the apoptotic effect of glucocorticoids on bone forming cells. Med Pediatr Oncol 2003;41:212–216. © 2003 Wiley‐Liss, Inc.


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