2022, Number 1
Therapeutic approaches to osteoporosis
Language: Spanish
References: 37
Page:
PDF size: 372.63 Kb.
ABSTRACT
The purpose of the treatment of osteoporosis is the primary and secondary prevention of fractures. The indications for therapeutic interventions in osteoporosis should be derived from the determination of the absolute risk of fracture, which takes into account the evaluation of risk factors and bone density. To comment on some therapeutic approaches used in osteoporosis, highlighting the mechanism of action of strontium ranelate that increases bone formation and reduces resorption. The most common cause of osteoporosis in women is the decrease in estrogen levels during menopause, which leads to a significant increase in the turnover of bone mass and the consequent imbalance between bone formation and resorption with an increase in bone loss and deterioration of bone structure and strength. Strontium ranelate continues to be an effective and viable pharmacological option in the prevention of vertebral and femoral neck fractures in postmenopausal women and adult men with osteoporosis, in terms of indications, contraindications and a careful evaluation of its effects and risks. It represents an alternative to antiresorptive drugs in case of contraindication, intolerance or failure.REFERENCES
Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013 [Acceso 14/08/2021];24:23-57. Disponible en: https://archive-ouverte.unige.ch/files/downloads/0/0/0/3/3/6/5/3/unige_33653_attachment01.pdf
Hurtel-Lemaire AS, Mentaverri R, Caudrillier A, Cournarie F, Wattel A, Kamel S, et al. The calcium-sensing receptor is involved in strontium ranelate-induced osteoclast apoptosis. New insights into the associated signaling pathways. J Biol Chem. 2009 [Acceso 14/08/2021];284(1):575-84. Disponible en: https://www.jbc.org/article/S0021-9258(20)68347-8/fulltext
Atkins GJ, Welldon KJ, Halbout P, Findlay DM. Strontium ranelate treatment of human primary osteoblasts promotes an osteocyte-like phenotype while eliciting an osteoprotegerin response. Osteoporos Int. 2009 [Acceso 14/08/2021];20:653-64. Disponible en: https://link.springer.com/article/10.1007/s00198-008-0728-6
Fromigué O, Haÿ E, Barbara A, Marie PJ. Essential role of nuclear factor of activated T cells (NFAT)-mediated Wnt signaling in osteoblast differentiation induced by strontium ranelate. J Biol Chem. 2010 [Acceso 14/08/2021];285(33):25251-8. Disponible en: https://www.jbc.org/article/S0021-9258(20)59909-2/fulltext
Geoffroy V, Chappard D, Marty C, Libouban H, Ostertag A, Lalande A, et al. Strontium ranelate decreases the incidence of new caudal vertebral fractures in a growing mouse model with spontaneous fractures by improving bone microarchitecture. Osteoporos. 2011 [Acceso 14/08/2021];22:289-97. Disponible en: https://link.springer.com/article/10.1007/s00198-010-1193-6
Reginster JY, Seeman E, De Vernejoul MC, Adami S, Compston J, Phenekos C, et al. Strontium ranelate reduces the risk of nonvertebral fractures in postmenopausal women with osteoporosis, Treatment of Peripheral Osteoporosis study. J Clin Endocrinol Metab. 2005 [Acceso 14/08/2021];90(5):2816-22. Disponible en: https://academic.oup.com/jcem/article/90/5/2816/2836859?login=true
Kaufman JM, Audran M, Bianchi G, Braga V, Diaz-Curiel M, Francis RM, et al. Efficacy and safety of strontium ranelate in the treatment of osteoporosis in men. J Clin Endocrinol Metab. 2013 [Acceso 14/08/2021];98(2):592-601. Disponible en: https://academic.oup.com/jcem/article-abstract/98/2/592/2833105
Bruyère O, Roux C, Badurski J, Isaia G, de Vernejoul MC. Relationship between change in femoral neck bone mineral density and hip fracture incidence during treatment with strontium ranelate. Curr Med Res Opin. 2007 [Acceso 14/08/2021];23:3041-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17967221/
Meunier PJ, Roux C, Seeman E, Ortolani S, Badurski JE, Sppector TD, et al. The effects of strontium ranelate on the risk of vertebral fracture in women with postmenopausal osteoporosis. N Engl J Med. 2004 [Acceso 14/08/2021];350:459-68. Disponible en: https://www.nejm.org/doi/full/10.1056/NEJMoa022436
Arlot ME, Jiang Y, Genant HK, Zhao J, Burt-Pichat B, Roux JP, et al. Histomorphometric and microCT analysis of bone biopsies from postmenopausal osteoporotic women treated with strontium ranelate. J Bone Miner Res. 2008 [Acceso 14/08/2021];23(2):215-22. Disponible en: https://asbmr.onlinelibrary.wiley.com/doi/abs/10.1359/jbmr.071012
Rizzoli R, Chapurlat RD, Laroche JM, Krieg MA, Thomas T, Frieling I, et al. Effects of strontium ranelate and alendronate on bone microstructure in women with osteoporosis. Results of a 2-year study. Osteoporos Int. 2012 [Acceso 14/08/2021];23:305-5. Disponible en: https://link.springer.com/article/10.1007/s00198-011-1758-z
Chavassieux P, Meunier PJ, Roux JP, Portero-Muzy N, Pierre M, Chapurlat R. Bone histomorphometry of transiliac paired bone biopsies after 6 or 12 months of treatment with oral strontium ranelate in 387 osteoporotic women: randomized comparison to alendronate. J Bone Miner Res. 2014 [Acceso 14/08/2021];29(3):618-28. Disponible en: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1002/jbmr.2074
Reginster JY, Felsenberg D, Boonen S, Diez-Perez A, Rizzoli R, Brandi ML, et al. Effects of long-term strontium ranelate treatment on the risk of nonvertebral and vertebral fractures in postmenopausal osteoporosis: Results of a five-year, randomized, placebo-controlled trial. Arthritis. 2008 [Acceso 14/08/2021];58(6):1687-95. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/art.23461
Reginster JY, Kaufman JM, Goemaere S, Devogelaer JP, Benhamou CL, Felsenberg D, et al. Maintenance of antifracture efficacy over 10 years with strontium ranelate in postmenopausal osteoporosis. Osteoporos Int. 2012 [Acceso 14/08/2021];23:1115-22. Disponible en: https://link.springer.com/article/10.1007/s00198-011-1847-z
Meunier PJ, Roux C, Ortolani S, Diaz-Curiel M, Compston J, Marquis P, et al. Effects of long-term strontium ranelate treatment on vertebral fracture risk in postmenopausal women with osteoporosis. Osteoporos Int. 2009 [Acceso 14/08/2021];20:1663-73. Disponible en: https://link.springer.com/article/10.1007/s00198-008-0825-6
Roux C, Reginster JY, Fechtenbaum J, Kolta S, Sawicki A, Tulassay Z, et al. Vertebral fracture risk reduction with strontium ranelate in women with postmenopausal osteoporosis is independent of baseline risk factors. J Bone Miner Res. 2006 [Acceso 14/08/2021];21(4):536-42. Disponible en: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1359/jbmr.060101
Seeman E, Boonen S, Borgström F, Vellas B, Aquino JP, Semler J, et al. Five years treatment with strontium ranelate reduces vertebral and nonvertebral fractures and increases the number and quality of remaining life-years in women over 80 years of age. Bone. 2010 [Acceso 14/08/2021];46(4):1038-42. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S8756328209020985
Marquis P, Roux C, de la Loge C, Diaz-Curiel M, Cormier C, Isaia G, et al. Strontium ranelate prevents quality of life impairment in post-menopausal women with established vertebral osteoporosis. Osteoporos Int. 2008 [Acceso 14/08/2021];19:503-10. Disponible en: https://link.springer.com/article/10.1007/s00198-007-0464-3
Busse B, Jobke B, Hahn M, Priemel M, Niecke M, Seitz S, et al. Effects of strontium ranelate administration on bisphosphonate-altered hydroxyapatite: Matrix incorporation of strontium is accompanied by changes in mineralization and microstructure. Acta Biomater. 2010 [Acceso 14/08/2021];6(12):4513-21. Disponible en: https://www.sciencedirect.com/science/article/pii/S1742706110003399
Jobke B, Burghardt AJ, Muche B, Hahn M, Semler J, Amling M, et al. Trabecular reorganization in consecutive iliac crest biopsies when switching from bisphosphonate to strontium ranelate treatment. PLoS One. 2011 [Acceso 14/08/2021];6(8):e23638. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0023638
Audran M, Jakob FJ, Palacios S, Brandi ML, Bröll H, Hamdy NA, et al. A large prospective European cohort study of patients treated with strontium ranelate and followed up over 3 years. Rheumatol Int. 2013 [Acceso 14/08/2021];33:2231-9. Disponible en: https://link.springer.com/article/10.1007%2Fs00296-012-2594-y