[Novel anti-osteoporotic drugs on the horizon].

Abstract:

:In recent years the great progress in knowledge on bone cell biology has allowed identification of molecular structures that can be targeted with pinpoint precision (druggable targets). Osteoclasts are regulated via the RANK-RANK-ligand (RANKL) signaling pathway and osteoblasts via the Wnt signaling pathway, both of which can be influenced for therapeutic measures. As a result the number of (functional) osteoclasts can be decreased or the genesis of osteoblasts can be increased and bone resorption is inhibited or bone formation is enhanced, respectively. Osteoclasts degrade collagen through cathepsin K and inactivation of this enzyme stabilizes the bone matrix; however, as osteoclasts are still able to maintain a stimulatory cross-talk with osteoblasts, formation of new bone will not be reduced. Parathyroid hormone-related protein plays a role in endochondral ossification and a synthetic analogue of this protein may have potent bone anabolic activity; however, the use of such new and highly efficient therapeutic principles comes with new questions and uncertainties on the sequence of therapies, duration of therapy, long-term side effects, undesired activation of metabolic pathways and effectiveness in comparison to other strategies of fracture prevention.

journal_name

Z Rheumatol

authors

Knauerhase A,Willenberg HS

doi

10.1007/s00393-016-0102-6

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

466-70

issue

5

eissn

0340-1855

issn

1435-1250

pii

10.1007/s00393-016-0102-6

journal_volume

75

pub_type

杂志文章,评审
  • [Pharmacokinetic studies following 2 and 4-week Felbinac gel administration to the knee joint].

    abstract::Twelve patients with osteoarthrosis were locally treated with Felbinac Gel (biphenyl acetic acid (BPAA) 3%) three times daily for 14 days (five patients), 28 days (six patients) or 42 days (one patient) before elective knee joint surgery. BPAA plasma concentrations as of the seventh day of treatment were steady at bet...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Bolten W,Waldorf-Bolten E,Sarfert D,Lehmann W,Miehlke W

    更新日期:1990-11-01 00:00:00

  • [Proliferative and metaplastic reactions as tentative reparatory processes in spontaneous arthritis in the mouse].

    abstract::Performing histo-morphologic studies of knee joints in several hundred mice of the strains C57 black, STR/1N and MAGf, showing a disposition for spontaneous osteo-arthrosis, we found tentative reparative processes in many cases. There was a proliferation of cartilage and of the synovial membrane, mostly in the periphe...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Wilhelmi G,Schneider-Faust R

    更新日期:1984-09-01 00:00:00

  • [Significance of interleukin 1 and related monokines in the pathogenesis of chronic polyarthritis].

    abstract::Activated monocytes/macrophages secrete monokines, regulatory proteins which are capable of initiating and maintaining immune processes as well as having an effect on other non immunocompetent cells. In rheumatoid arthritis the monokine Interleukin-1 (IL-1) was detected in the synovial fluid. IL-1 activates immunocomp...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Hermann E,Müller W

    更新日期:1985-09-01 00:00:00

  • [Extra-articular manifestations of rheumatoid arthritis].

    abstract::Rheumatoid arthritis (RA) represents an autoimmune disease affecting mostly joints, in particular small finger and toe joints. In addition RA can show extra-articular manifestations in many organs. Information on the frequency of extra-articular manifestations (EAMs) in RA varies greatly in different publications from...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type:

    doi:10.1007/s00393-011-0928-x

    authors: Baerwald C,Kneitz C,Bach M,Licht M

    更新日期:2012-12-01 00:00:00

  • Role of methotrexate chronotherapy in collagen-induced rheumatoid arthritis in rats.

    abstract:AIM:To explore the circadian rhythm of serum interleukin (IL)-6 in collagen-induced arthritis (CIA) rats and compare the safety and effectiveness of methotrexate (MTX) administered traditionally and via chronotherapy. METHODS:CIA rat models were immunized with bovine type II collagen. Serum IL-6 levels in normal and C...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-016-0236-6

    authors: Wang X,Yan X,Wang F,Ge F,Li Z

    更新日期:2018-04-01 00:00:00

  • Rheumatoid nodules located in the penis of a methotrexate-treated patient with rheumatoid arthritis.

    abstract::A case is reported in which a patient with a rheumatoid factor-negative rheumatoid arthritis developed rheumatoid nodules in the penis during treatment with methotrexate. The development of rheumatoid nodules in seronegative rheumatoid arthritis patients is extremely rare. An acceleration of rheumatoid nodules in meth...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Essig KM,Mayet WJ,Mottrie AM,Helmreich-Becker I,Meyer zum Büschenfelde KH

    更新日期:1994-09-01 00:00:00

  • [De-escalation of therapy in ANCA-associated vasculitides].

    abstract::Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) require a differentiated therapeutic approach depending on the degree of organ dysfunction and disease activity. In organ dysfunction and life-threatening AAV cyclophosphamide and rituximab are recommended for the induction of remission. For remi...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-016-0241-9

    authors: Schinke S,Riemekasten G,Lamprecht P

    更新日期:2017-02-01 00:00:00

  • [Pregnancy and inflammatory rheumatic diseases].

    abstract::Inflammatory rheumatic diseases often affect females of childbearing age and pregnancy remains a challenge for this group of patients and their physicians. However, the majority of patients can now have successful pregnancies and deliver healthy babies as a result of our improved knowledge of the risks encountered dur...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0661-x

    authors: Fischer-Betz R,Gromnica-Ihle E

    更新日期:2010-09-01 00:00:00

  • [B-cell depletion in the treatment of rheumatoid arthritis].

    abstract::New strategies including the blockade of TNFalpha showed excellent therapeutic effects even in so far refractory rheumatic diseases. Moreover, these approaches provided us with important informations about the pathogenic role of the mediators involved and distinct autoimmune cellular subsets. Here, we discuss recent d...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-003-0539-2

    authors: Feist E,Burmester GR,Dörner T

    更新日期:2003-08-01 00:00:00

  • [Occurrence of pannus in arthrosis].

    abstract::Eight human femoral heads, surgically removed from patients with the clinical diagnosis: coxarthrosis or necrosis, were examined. In six of these we found severe arthrosis combined with synovitis and pannus formation. The pannus appeared as granulation tissue or fibrous connective tissue covering the surface of the ca...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Pataki A,Lothe K,Spycher MA,Rüttner JR,Cserhati MD

    更新日期:1983-11-01 00:00:00

  • [Regulatory B cells and their role in maintaining peripheral tolerance].

    abstract::The immune system is regulated by a variety of mechanisms that prevent overwhelming immune responses and a break in tolerance. There have been indications for some time that populations of B cells are also a part of this network and able to exert regulatory functions. Here we summarize current knowledge on this previo...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-010-0713-2

    authors: Tretter T,Lorenz HM

    更新日期:2010-11-01 00:00:00

  • [Treat-to-target from the patient perspective].

    abstract::The international treat-to-target initiative including rheumatoid arthritis (RA) patients has defined remission or alternatively low disease activity as treatment goals. In Germany representatives of the medical profession, such as doctors, nurses and including the Deutsche Rheuma-Liga, are deliberating how to adapt a...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-011-0773-y

    authors: Gromnica-Ihle E,Rink M

    更新日期:2011-10-01 00:00:00

  • [SAPHO syndrome].

    abstract::The SAPHO syndrome, an acronym for synovitis, acne, pustulosis, hyperostosis and osteitis, is a rare disease which affects bones, joints and the skin. The main osteoarticular features are hyperostosis and osteitis. Osteoarticular symptoms predominantly occur on the anterior chest wall but the spine and the peripheral ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-014-1460-6

    authors: Heldmann F,Kiltz U,Baraliakos X,Braun J

    更新日期:2014-10-01 00:00:00

  • [Paradigm shift in ANCA diagnostics : New international consensus recommendations].

    abstract:BACKGROUND:Up to now indirect immunofluorescence (IIF) followed by an antigen-specific assay specific for proteinase 3 (PR3) or myeloperoxidase (MPO) has been the standard method for the detection of antineutrophil cytoplasmic antibodies (ANCA). The development of more sensitive and highly specific PR3-ANCA and MPO-ANC...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-016-0240-x

    authors: Csernok E,Kempiners N,Hellmich B

    更新日期:2017-03-01 00:00:00

  • [Low back pain in rheumatoid arthritis].

    abstract::Low back pain (LBP) in patients with rheumatoid arthritis (RA) has so far been of little concern in clinical investigations. The main focus of scientific publications on spinal problems in RA was the cervical spine. In a recent study, we could demonstrate that LBP in RA patients leads to a significantly higher degree ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-017-0363-8

    authors: Kothe R

    更新日期:2017-12-01 00:00:00

  • [Periprosthetic infections in systemic inflammatory rheumatic disease. Review article on diagnostics and therapy].

    abstract:BACKGROUND:Patients with an inflammatory disease have an elevated risk for periprosthetic joint infections due to impairment of the immune system caused by the disease itself in combination with disease-modifying antirheumatic drugs (DMARD). These infections can cause life-threatening sepsis. Unfortunately recommendati...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-013-1346-z

    authors: Illgner U,Uekötter A,Bause L

    更新日期:2014-06-01 00:00:00

  • [Immunoablation followed by autologous stem cell transplantation in lupus: a clinical update].

    abstract::Systemic lupus erythematosus (SLE) is a classic systemic autoimmune disease. Standard treatment consists of chronic therapy with antimalarials, glucocorticoids and immunosuppressive/cytotoxic drugs, which is associated with considerable side effects. In contrast, immunoablation of autoreactive immunologic memory follo...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-008-0391-5

    authors: Alexander T,Arnold R,Hiepe F

    更新日期:2009-05-01 00:00:00

  • Comparison of antinuclear antibody determinations in unselected sera by consumption test and immunofluorescence.

    abstract::The correlation of the determination of antinuclear antibodies, as shown by consumption tests and immunofluorescence was investigated in a collective of 100 sera of patients suspected for SLE, collagenosis and rheumatoid arthritis, sent for routine screening investigation. The results of both methods correlated in 78%...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Weheba AS

    更新日期:1976-05-01 00:00:00

  • [Tocilizumab. What comes after TNF-blockers in clinical routine?].

    abstract::Tocilizumab, a monoclonal humanized antibody against IL-6, was licensed in January 2009 in combination with Methotrexate for the treatment of adult patients with moderately to severely active rheumatoid arthritis and inadequate response to one or more DMARDs or TNF antagonists. Tocilizumab is given once every 4 weeks ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-009-0529-0

    authors: Roll P,Rubbert-Roth A,Tony HP

    更新日期:2010-09-01 00:00:00

  • [Physiotherapy and exercise in osteoporosis and its complications].

    abstract::Osteoporosis is defined by decreased bone strength and increased susceptibility to fracture. Fractures and their consequences are the clinical manifestation of osteoporosis. Acute and chronic pain, functional limitations including permanent impairment and the need for long-term care may be caused by osteoporotic fract...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-009-0445-3

    authors: Preisinger E

    更新日期:2009-09-01 00:00:00

  • [Mimetics of systemic sclerosis].

    abstract:BACKGROUND:Systemic sclerosis (SSc) is characterized by heterogeneous clinical symptoms. Peripheral skin fibrosis can be a common symptom. Nevertheless, a variety of diseases with different etiologies are associated with a thickening of the skin and make the initial diagnosis of systemic sclerosis more difficult. OBJE...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-018-0538-y

    authors: Jendrek ST,Kahle B,Riemekasten G

    更新日期:2019-02-01 00:00:00

  • Comparison of the efficacy and safety of tofacitinib and baricitinib in patients with active rheumatoid arthritis: a Bayesian network meta-analysis of randomized controlled trials.

    abstract:OBJECTIVES:The relative efficacy and safety of tofacitinib and baricitinib were assessed in patients with rheumatoid arthritis (RA) with an inadequate response to disease-modifying anti-rheumatic drugs (DMARDs) or biologics. METHODS:We performed a Bayesian network meta-analysis to combine direct and indirect evidence ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-018-0531-5

    authors: Bae SC,Lee YH

    更新日期:2019-08-01 00:00:00

  • [Variability of the clinical picture and the classification of progressive systemic scleroderma].

    abstract::Fiftythree patients with progressive systemic sclerosis were studied. Four of them (3 males) had the diffuse form of the disease. The skin manifestation of this clinical picture is characterized by diffuse progression of the cutaneous sclerosis over almost the whole body surface, except for the hands where it eventual...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Giordano M,Ara M,Capelli L,Tirri G,Vatti M

    更新日期:1976-07-01 00:00:00

  • [Bone morphogenetic proteins in the skeletal system].

    abstract::Bone morphogenetic proteins (BMPs) belong to the transforming growth factor-beta superfamily. Their potential for organ and tissue regeneration and repair has been intensively investigated in recent years. Studies on fetal development have demonstrated the important role of these proteins for the development and diffe...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-005-0665-0

    authors: Bramlage CP,Häupl T,Kaps C,Bramlage P,Müller GA,Strutz F

    更新日期:2005-09-01 00:00:00

  • [Recommendations of the German Society for Rheumatology for management of patients with inflammatory rheumatic diseases in the context of the SARS-CoV-2/COVID-19 pandemic - Update July 2020].

    abstract::A few days after the SARS-CoV-2 infection was declared a pandemic, the German Society for Rheumatology (DGRh) compiled first recommendations for the care of patients with inflammatory rheumatic diseases (IRD). These first recommendations were based on an expert consensus and were largely non-evidence-based. Now that t...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,实务指引,评审

    doi:10.1007/s00393-020-00851-x

    authors: Schulze-Koops H,Iking-Konert C,Leipe J,Hoyer BF,Holle J,Moosig F,Aries P,Burmester G,Fiehn C,Krause A,Lorenz HM,Schneider M,Sewerin P,Voormann A,Wagner U,Krüger K,Specker C,Kommission Pharmakotherapie.,Vorstand der De

    更新日期:2020-09-01 00:00:00

  • Immunoregulatory role of stress mediators in rheumatoid arthritis.

    abstract::Eighteen patients suffering from chronic rheumatoid arthritis were selected for the present study. Plasma levels of stress hormones like catecholamines and cortisol were found to be elevated. At the same time reduction in percentage of E-rosette forming lymphocytes and an elevation in levels of major serum immunoglobu...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Kumar R,Singh LM,Vaidya MP

    更新日期:1981-05-01 00:00:00

  • Association of HLA-G polymorphisms with systemic lupus erythematosus and correlation between soluble HLA‑G levels and the disease: a meta-analysis.

    abstract:OBJECTIVE:To investigate the association between HLA‑G polymorphisms and systemic lupus erythematosus (SLE) susceptibility as well as the relationship between circulating soluble HLA‑G (sHLA‑G) levels and SLE. METHODS:A meta-analysis was performed to investigate the relationships between HLA‑G 14-bp insertion (I)/dele...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:10.1007/s00393-020-00783-6

    authors: Bae SC,Lee YH

    更新日期:2020-04-09 00:00:00

  • [Ultrastructure of hyaline cartilage and articular capsule tissue in alkaptonuric ochronosis].

    abstract::The biochemical defect leading to alcaptonuria is well known. However, the pathogenesis of ochronotic arthropathy is poorly understood. The present ultrastructural study elucidated the localization of ochronotic pigment in the articular cartilage and evidence was found that suggests a pathway for cartilage destruction...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Mohr W,Wessinghage D,Lenschow E

    更新日期:1980-03-01 00:00:00

  • [Identification of patients with axial spondylarthritis in primary care (AWARE study)].

    abstract:BACKGROUND:Early detection of patients with axial spondylarthritis (axSpA) in primary care is difficult. The combination of various parameters indicative of inflammatory back pain (AWARE criteria) was found to be beneficial in an initial study. OBJECTIVE:Review of the criteria for the identification of young patients ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:10.1007/s00393-018-0550-2

    authors: Braun J,Mosch T,Fischer I,Kiltz U

    更新日期:2019-08-01 00:00:00

  • [Virus-associated arthritis].

    abstract::From the about 400 virus species known to cause illness in man, only a small but growing list of representatives are able to induce arthritis. Although virus-associated arthritides are mostly of acute and short-living type, some patients develop long-lasting or even chronic joint inflammation. The viral or host factor...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

    doi:

    authors: Saal JG

    更新日期:1995-11-01 00:00:00