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

Abstract:

: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.

journal_name

Curr Osteoporos Rep

authors

Girgis CM,Mokbel N,Digirolamo DJ

doi

10.1007/s11914-014-0204-5

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

142-53

issue

2

eissn

1544-1873

issn

1544-2241

journal_volume

12

pub_type

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