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[依普黄酮]

[Ipriflavone].

作者信息

Kitatani K, Morii H

机构信息

Osaka City University Medical School, Second Department of Internal Medicine.

出版信息

Nihon Rinsho. 1998 Jun;56(6):1537-43.

PMID:9648478
Abstract

Ipriflavone (7-isopropoxyisoflavone), a non-hormonal isoflavone derivative, is currently used in several countries for prevention and treatment of postmenopausal osteoporosis. This compound is devoid of estrogenic activity in humans, but increases the activity of estrogens. Ipriflavone has been shown to be effective in reducing bone turnover rate mainly through an inhibition of bone resorption, and has been effect to stimulate of bone formation. Inhibitory effect of ipriflavone on bone resorption has been demonstrated both directly by the activation of mature osteoclast and the formation of new osteoclasts by stimulating estrogen-induced calcitonin secretion by thyroids in vivo. There are some evidence that ipriflavone has direct effect on bone formation. Several clinical studies have demonstrated that bone mineral density (BMD) was increased or maintained in patients treated with ipriflavone. Recently, a large multicentral study, Ipriflavone Multicenter European Fracture Study (IMEFS), was designed in order to investigate the efficacy of ipriflavone on the prevention of vertebral and the effect on BMD in women with postmenopausal osteoporosis.

摘要

依普黄酮(7-异丙氧基异黄酮),一种非激素类异黄酮衍生物,目前在多个国家用于预防和治疗绝经后骨质疏松症。该化合物在人体内无雌激素活性,但能增强雌激素的活性。依普黄酮已被证明主要通过抑制骨吸收来有效降低骨转换率,并且对刺激骨形成也有作用。依普黄酮对骨吸收的抑制作用已通过在体内激活成熟破骨细胞以及通过刺激甲状腺雌激素诱导的降钙素分泌形成新的破骨细胞而得到直接证实。有一些证据表明依普黄酮对骨形成有直接作用。多项临床研究表明,接受依普黄酮治疗的患者骨矿物质密度(BMD)有所增加或维持稳定。最近,为了研究依普黄酮对绝经后骨质疏松症女性预防椎体骨折的疗效及其对BMD的影响,开展了一项大型多中心研究——依普黄酮欧洲多中心骨折研究(IMEFS)。

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