Abstract:
:Osteoporosis is a major and growing healthcare concern. When administered by daily injection, parathyroid hormone (PTH) and its N-terminal fragments and analogs are potent bone-formation agents. Teriparatide, recombinant human PTH(1-34), is likely to be the first anabolic agent approved for treating osteoporosis, despite inducing osteosarcomas in rats. Native PTH and other PTH fragments and analogs are also in development. N-terminal fragments sometimes differ in activity from the native hormone, however, and the C-terminal region of PTH, acting through a receptor different from the classical PTH-1 receptor, initiates a variety of distinct biological activities. In particular, the C-terminal region of PTH, by promoting bone-cell apoptosis, may be important in opposing the anti-apoptotic effects of teriparatide in these cells, thereby maintaining normal bone-cell turnover. Because of these differences, care must be taken to consider the effects of native PTH and N-terminal PTH fragments and analogs separately.
journal_name
Curr Opin Pharmacoljournal_title
Current opinion in pharmacologyauthors
Fox Jdoi
10.1016/s1471-4892(02)00154-6keywords:
subject
Has Abstractpub_date
2002-06-01 00:00:00pages
338-44issue
3eissn
1471-4892issn
1471-4973pii
S1471489202001546journal_volume
2pub_type
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