Ishizuya Toshinori
Asahi Kasei Pharma Corporation, Japan.
Clin Calcium. 2012 Mar;22(3):357-63.
Numerous animal experiments and human studies have shown that intermittent injection of parathyroid hormone (PTH) exerts anabolic effects by increasing bone mass, whereas continuous PTH treatment decreases the bone mass. Thus, PTH has diverse effects on bone metabolism depending on the mode of administration. Several reports suggested that the duration of the serum concentration of PTH above the baseline level of endogenous PTH is a critical factor in regulating such anabolic and catabolic actions on the bone mass. However, the molecular mechanism of different PTH actions is not fully understood yet.
大量动物实验和人体研究表明,间歇性注射甲状旁腺激素(PTH)通过增加骨量发挥合成代谢作用,而持续给予PTH治疗则会降低骨量。因此,PTH对骨代谢的影响因给药方式而异。一些报告表明,血清PTH浓度高于内源性PTH基线水平的持续时间是调节对骨量的这种合成代谢和分解代谢作用的关键因素。然而,不同PTH作用的分子机制尚未完全阐明。