Therapies for musculoskeletal disease: can we treat two birds with one stone?

Therapies for musculoskeletal disease: can we treat two birds with one stone?
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肌肉骨骼疾病的治疗:我们可以一石二鸟吗?

DOI:
10.1007/s11914-014-0204-5
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发表时间:
2014-06
影响因子:
4.3
通讯作者:
DiGirolamo, Douglas J.
DiGirolamo, Douglas J.
中科院分区:
医学2区
文献类型:
--
作者:
Girgis, Christian M.;Mokbel, Nancy;DiGirolamo, Douglas J.

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肌肉骨骼疾病在地球仪上非常普遍,每年的医疗保健费用惊人。肌肉(少肌症)和骨骼(骨质疏松症)的联合消耗-无论是在正常老化和病理状态下-都可能导致患者骨折的风险大大增加。到目前为止,我们预防此类骨折的治疗方法仅集中在骨骼上,但我们对肌肉和骨骼相互关联的生物学的日益了解已经开始改变我们对肌肉骨骼疾病的治疗模式。靶向途径,集中调节骨骼和肌肉(例如,GH/IGF-1,性类固醇等)并且可能促进这两种组织之间的通信的新出现的途径(例如,激活素/肌肉生长抑制素)可能允许更大的治疗益处和/或先前未预料到的方法,通过该方法来治疗这些虚弱的患者并预防骨折。在这篇综述中,我们将讨论一些目前正在开发的治疗方法,旨在治疗肌肉骨骼疾病正是这样一个整体的方式。
Musculoskeletal diseases are highly prevalent with staggering annual health care costs across the globe. The combined wasting of muscle (sarcopenia) and bone (osteoporosis)— both in normal aging and pathologic states—can lead to vastly compounded risk for fracture in patients. Until now, our therapeutic approach to the prevention of such fractures has focused solely on bone, but our increasing understanding of the interconnected biology of muscle and bone has begun to shift our treatment paradigm for musculoskeletal disease. Targeting pathways that centrally regulate both bone and muscle (eg, GH/IGF-1, sex steroids, etc.) and newly emerging pathways that might facilitate communication between these 2 tissues (eg, activin/myostatin) might allow a greater therapeutic benefit and/or previously unanticipated means by which to treat these frail patients and prevent fracture. In this review, we will discuss a number of therapies currently under development that aim to treat musculoskeletal disease in precisely such a holistic fashion.
激活素A-乳腺抑制素系统对衰老的骨骼和肌肉祖细胞的影响。
DOI: 10.1016/j.exger.2012.11.004
发表时间: 2013-02
影响因子: 3.9
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期刊: MUSCLE & NERVE
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影响因子: --
作者:
DiGirolamo DJ;Kiel DP;Esser KA
通讯作者: Esser KA
DOI: 10.1111/j.1532-5415.2007.01048.x
发表时间: 2007-02-01
影响因子: 6.3
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