2008
DOI: 10.1111/j.1532-5415.2008.01764.x
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Understanding the Mechanisms of Senile Osteoporosis: New Facts for a Major Geriatric Syndrome

Abstract: Knowledge of the underlying mechanisms of osteoporosis in older adults has significantly advanced in recent years. There is an acute loss of bone mineral density in the peri-menopausal period, followed by a more gradual and progressive decline, which is also seen in men. Markedly increased bone resorption leads to the initial fall in bone mineral density. With increasing age, there is also a significant reduction in bone formation. This is mostly due to a shift from osteoblastogenesis to predominant adipogenes… Show more

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Cited by 133 publications
(109 citation statements)
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“…Pycnodysostosis is characterized by the same phenotype in rats and humans, in which cathepsin K removal in rats and a lack of cathepsin K in humans cause pycnodysostosis; in both cases, bone resorption is seriously damaged and can lead to osteopetrosis (Duque and Troen, 2008). Therefore, cathepsin K is a potential target in the treatment of pycnodysostosis.…”
Section: Discussionmentioning
confidence: 99%
“…Pycnodysostosis is characterized by the same phenotype in rats and humans, in which cathepsin K removal in rats and a lack of cathepsin K in humans cause pycnodysostosis; in both cases, bone resorption is seriously damaged and can lead to osteopetrosis (Duque and Troen, 2008). Therefore, cathepsin K is a potential target in the treatment of pycnodysostosis.…”
Section: Discussionmentioning
confidence: 99%
“…Osteoporoz (OP); düşük kemik kütlesi ve kemik dokusunun mikromimarisinin bozulması sonucu kemik kırılganlığında ve kırık riskinde artış ile karakterize en sık görülen metabolik kemik hastalığıdır (1). Yaşlanma ise OP oluşumu için önemli bir risk faktörüdür.…”
Section: Introductionunclassified
“…21,22 Owing to both intrinsic changes and an inappropriate bone marrow milieu, MSC decrease their capacity to differentiate into osteoblasts and therefore predominantly differentiate into adipocytes. 9,10 The mechanism of this differentiation shift of MSC in aging bone remains poorly understood with some groups proposing that the age-related changes in MSC differentiation could be associated with oxidative stress, 11 progressive DNA damage 23 or defective telomerase activity. 24 Owing to the essential role of lamin A / C as a ' guardian of the soma ' and the evidence that most of the organs affected by lamin A / C deficiency are from mesenchymal origin, it has been proposed that the lamin A / C abnormalities could predispose to some of the age-related changes observed in MSC.…”
Section: A-type Lamins In Mscmentioning
confidence: 99%
“…8 -10 In addition to these changes in mesenchymal stem cells (MSC) differentiation, old bones show other features such as high number of apoptotic osteocytes and osteoblasts, decreasing levels of growth factors and increasing levels of adipokines. 10 In addition, the mechanosensing function of the osteocytes is also affected by aging, thus decreasing their capacity to regulate bone formation. 11 Overall, these age-related changes in bone are the consequence of defective somatic maintenance and repair and decreasing response to stress, which are the main components of the ' disposable soma ' theory.…”
Section: Introductionmentioning
confidence: 99%