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[人甲状旁腺激素相关蛋白(1-36)作为骨质疏松症合成代谢治疗药物的研发]

[Development of hPTHrP (1-36) as an anabolic therapeutic agent for osteoporosis].

作者信息

Takeuchi Yasuhiro

机构信息

Toranomon Hospital Endocrine Center.

出版信息

Clin Calcium. 2011 Jan;21(1):28-32.

Abstract

Parathyroid hormone-related protein (PTHrP) shares the same receptor (PTH/PTHrP recoptor) with parathyroid hormone (PTH) to generate common intracellular signals. Thus, systemic actions of PTHrP are seemed to be essentially the same as those of PTH, although PTHrP plays its physiological roles in cartilage development and smooth muscle contraction as a local factor. Subcutaneous administration of PTH once a day demonstrates anabolic effects on bone and has been established to be an effective therapeutic modality for patients with severe osteoporosis to increase bone mineral density and then prevent fracture substantially. According to preclinical and some clinical data, daily subcutaneous injection of human PTHrP (1-36) could stimulate bone formation without a substantial increase in bone resorption or expected adverse events such as hypercalcemia. Thus, human PTHrP (1-36) is one of the promising drugs for treatment of osteoporosis.

摘要

甲状旁腺激素相关蛋白(PTHrP)与甲状旁腺激素(PTH)共用同一受体(PTH/PTHrP受体)以产生共同的细胞内信号。因此,尽管PTHrP作为局部因子在软骨发育和平滑肌收缩中发挥其生理作用,但其全身作用似乎与PTH基本相同。每天皮下注射一次PTH对骨骼具有合成代谢作用,并且已被确立为重度骨质疏松症患者增加骨矿物质密度并进而大幅预防骨折的有效治疗方式。根据临床前和一些临床数据,每日皮下注射人PTHrP(1-36)可刺激骨形成,而不会大幅增加骨吸收或出现如高钙血症等预期不良事件。因此,人PTHrP(1-36)是治疗骨质疏松症的有前景的药物之一。

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