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重组甲状旁腺激素疗法在骨科领域的现状与未来前景

Present and future scope of recombinant parathyroid hormone therapy in orthopaedics.

作者信息

Sain Arnab, Bansal Hemant, Pattabiraman Kirubakaran, Sharma Vijay

机构信息

Department of Orthopaedics, JPNATC, AIIMS, New Delhi, India.

出版信息

J Clin Orthop Trauma. 2021 Feb 7;17:54-58. doi: 10.1016/j.jcot.2021.01.019. eCollection 2021 Jun.

DOI:10.1016/j.jcot.2021.01.019
PMID:33717971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7920101/
Abstract

Parathyroid Hormone (PTH) has a significant role in calcium metabolism. Its intermittent administration has an anabolic effect on bone mineralization. Teriparatide (PTH 1-34), a recombinant form of parathyroid hormone, is useful in the treatment of osteoporosis, fracture healing, non-union, stress fracture, augmentation of implant fixation with bone, and chondroprotection in osteoarthritis. The present review article will elaborate on the potential approved uses of recombinant PTH in orthopedics and its evolving role in the management of fracture osteosynthesis and other common challenging bone pathologies.

摘要

甲状旁腺激素(PTH)在钙代谢中起重要作用。间歇性给药对骨矿化具有合成代谢作用。特立帕肽(PTH 1-34),一种甲状旁腺激素的重组形式,可用于治疗骨质疏松症、骨折愈合、骨不连、应力性骨折、增强植入物与骨的固定以及骨关节炎中的软骨保护。本综述文章将详细阐述重组PTH在骨科的潜在批准用途及其在骨折内固定和其他常见具有挑战性的骨病管理中的不断演变的作用。

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J Orthop Translat. 2022 Dec 7;38:241-255. doi: 10.1016/j.jot.2022.10.015. eCollection 2023 Jan.
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Timing of osteoporosis therapies following fracture: the current status.骨折后骨质疏松症治疗的时机:现状
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本文引用的文献

1
Teriparatide for treating delayed union and nonunion: A systematic review.特立帕肽治疗骨折延迟愈合和骨不连:一项系统评价。
J Clin Orthop Trauma. 2020 Feb;11(Suppl 1):S107-S112. doi: 10.1016/j.jcot.2019.10.009. Epub 2019 Nov 5.
2
Update on the safety and efficacy of teriparatide in the treatment of osteoporosis.特立帕肽治疗骨质疏松症的安全性和有效性最新进展
Ther Adv Musculoskelet Dis. 2019 Oct 5;11:1759720X19877994. doi: 10.1177/1759720X19877994. eCollection 2019.
3
Short-term daily teriparatide improve postoperative functional outcome and fracture healing in unstable intertrochanteric fractures.短期每日特立帕肽可改善不稳定转子间骨折术后的功能结局和骨折愈合。
Injury. 2019 Jul;50(7):1364-1370. doi: 10.1016/j.injury.2019.06.002. Epub 2019 Jun 3.
4
Can Three Months of Teriparatide Be One of Treatment Options for Osteoporotic Vertebral Compression Fracture Patients?三个月的特立帕肽能否成为骨质疏松性椎体压缩骨折患者的治疗选择之一?
Korean J Neurotrauma. 2019 Apr 25;15(1):19-27. doi: 10.13004/kjnt.2019.15.e13. eCollection 2019 Apr.
5
The effectiveness and safety of parathyroid hormone in fracture healing: A meta-analysis.甲状旁腺激素在骨折愈合中的有效性和安全性:一项荟萃分析。
Clinics (Sao Paulo). 2019;74:e800. doi: 10.6061/clinics/2019/e800. Epub 2019 Apr 25.
6
Intermittent Parathyroid Hormone Injection Can Decrease Femoral Head Collapse in the Vascular Deprivation of Rat Femoral Head Model.间歇性甲状旁腺激素注射可减少大鼠股骨头缺血性坏死模型中的股骨头塌陷。
Indian J Orthop. 2019 Mar-Apr;53(2):340-346. doi: 10.4103/ortho.IJOrtho_315_17.
7
Abaloparatide: A new pharmacological option for osteoporosis.阿巴洛肽:治疗骨质疏松症的一种新的药理学选择。
Am J Health Syst Pharm. 2019 Jan 25;76(3):130-135. doi: 10.1093/ajhp/zxy022.
8
Therapy of aseptic nonunions with parathyroid hormone.甲状旁腺激素治疗无菌性骨不连
Eur J Orthop Surg Traumatol. 2019 Jan;29(1):169-173. doi: 10.1007/s00590-018-2269-9. Epub 2018 Jun 21.
9
Short-term effects of teriparatide versus placebo on bone biomarkers, structure, and fracture healing in women with lower-extremity stress fractures: A pilot study.特立帕肽与安慰剂对下肢应力性骨折女性患者骨生物标志物、骨结构及骨折愈合的短期影响:一项初步研究。
J Clin Transl Endocrinol. 2016 May 30;5:7-14. doi: 10.1016/j.jcte.2016.05.004. eCollection 2016 Sep.
10
PTH[1-34] improves the effects of core decompression in early-stage steroid-associated osteonecrosis model by enhancing bone repair and revascularization.甲状旁腺激素[1-34]通过增强骨修复和血管再生来改善早期类固醇相关骨坏死模型中髓芯减压的效果。
PLoS One. 2017 May 31;12(5):e0178781. doi: 10.1371/journal.pone.0178781. eCollection 2017.