2014
DOI: 10.1016/j.drudis.2013.07.015
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Treating osteoporosis by targeting parathyroid hormone to bone

Abstract: Osteoporosis is a major public health problem despite widespread use of bisphosphonate therapy. PTH(1–34) is a more effective treatment; but its use has been limited by side effects (hypercalcemia, tumor risk) and inconvenient dosing (daily injection). Long-acting forms of PTH are also effective but cause severe hypercalcemia, presumably from effects in kidney. We hypothesized that targeted delivery of PTH to bone using a collagen binding domain (PTH-CBD) could reduce hypercalcemia. PTH-CBD is cleared from ser… Show more

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Cited by 59 publications
(33 citation statements)
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“…The CBD from clostridial collagenases has a unique property, as it binds to collagen, adopting a triple‐helix structure, but does not bind to denatured collagen (gelatin) (Matsushita et al ., ). A fusion protein consisting of a growth factor and a bacterial CBD as an anchoring unit can potentially be delivered as a targeted therapeutic drug (Katikaneni et al ., , ; Ponnapakkam et al ., , ; Saito et al ., ; Ueno et al ., ). We previously established a method for accelerating periosteal bone formation using collagen materials decorated with collagen‐binding bFGF protein fused with a PKD domain and a CBD, which are derived from C. histolyticum class II collagenase (ColH) (Uchida et al ., ).…”
Section: Discussionmentioning
confidence: 98%
“…The CBD from clostridial collagenases has a unique property, as it binds to collagen, adopting a triple‐helix structure, but does not bind to denatured collagen (gelatin) (Matsushita et al ., ). A fusion protein consisting of a growth factor and a bacterial CBD as an anchoring unit can potentially be delivered as a targeted therapeutic drug (Katikaneni et al ., , ; Ponnapakkam et al ., , ; Saito et al ., ; Ueno et al ., ). We previously established a method for accelerating periosteal bone formation using collagen materials decorated with collagen‐binding bFGF protein fused with a PKD domain and a CBD, which are derived from C. histolyticum class II collagenase (ColH) (Uchida et al ., ).…”
Section: Discussionmentioning
confidence: 98%
“…The benefits of PTH treatment include an increase in bone mass through a combination of new bone modeling and the sustained bone remodeling with a positive balance as well as improved bone material properties (13,18,29,32,59). However, the potency of PTH precipitously declines and there is an FDAmandated two-year limit on treatment (18), emphasizing the need for new strategies that improve the efficacy of the drug, such as by combining hormone treatment with an anti-catabolic drug or targeting PTH directly to bone (26,83). Neutralizing intrinsic pathways that temper PTHinduced osteoblast secretion of bone matrix might improve drug efficacy.…”
Section: Introductionmentioning
confidence: 99%
“…More recently, derivatives of anthraquinone were found to bind hydroxyapatite mineral and may be used to deliver nonsteroidal anti-inflammatory drugs to arthritic bone [59]. It is also possible to target the organic phase of bone by using collagen binding domain (CBD) peptides derived from Clostridium histolyticum ( ColH ) collagenase, where CBD can be a synthetic extension of a peptide drug [60 •• ]. …”
Section: Controlled Drug Delivery To Bonementioning
confidence: 99%