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Osteoporosis Drug Might Repair Joints2 Damaged by Arthritis3
A medication that builds bone mass in patients with osteoporosis might actually help repair damaged joints and could be used to treat people suffering from arthritis, according to University of Rochester Medical Center researchers.
The study authors hope their findings, published in Science Translational Medicine, will lead to clinical trials to test human parathyroid hormone4 in arthritis patients.
Many older people suffer from arthritis, which is a painful joint1 condition. Treatment options have been very limited for some forms of the disease.
Osteoarthritis is the most common form of the disease. It occurs when cartilage breaks down, so it can no longer cushion bones as they move against each other in joints like the knee, hips5, or hands.
The body maintains cartilage with parathyroid hormone (PTH). A synthetic6 form is used to treat the bone disease osteoporosis. It's called teriparatide, sold under the brand name Forteo. Researchers at the University of Rochester thought this osteoporosis drug might help rebuilt cartilage in arthritis patients.
To find out, Michael J. Zuscik and his colleagues used mice with injured knees, simulating arthritis. Some of the animals got the drug Forteo, while others did not.
"The treatment with Forteo induced the cartilage to become thicker by 32 or 35 percent relative to animals that were given a placebo7 treatment," Zuscik says.
Currently, osteoarthritis patients use a variety of medicines to treat pain, but available drugs do nothing to reverse the actual damage that causes the pain.
"In the context of human disease, this is what we would love to do. We would love to be able to take an arthritic8 patient, provide them with a therapy that actually makes their cartilage thicker, so they have longer lifetime use of their joint," Zuscik says.
The researcher says it wouldn't make the joint like new, but it would roll back the clock, so that the painfully arthritic knees of a 70-year-old might become more like the pretty-good knees of a 60-year-old.
More research is needed to see if Forteo would be effective in humans, and safe. Osteoporosis patients get a warning of one possible risk. Studies of Forteo in rats have found the drug increases the risk of a rare bone cancer, osteoscarcoma. But studies of other animals, including primates9, have not confirmed the rat finding. Still, to be on the safe side, Forteo is not prescribed for people with a history of cancer.
1 joint | |
adj.联合的,共同的;n.关节,接合处;v.连接,贴合 | |
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2 joints | |
接头( joint的名词复数 ); 关节; 公共场所(尤指价格低廉的饮食和娱乐场所) (非正式); 一块烤肉 (英式英语) | |
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3 arthritis | |
n.关节炎 | |
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4 hormone | |
n.荷尔蒙,激素,内分泌 | |
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5 hips | |
abbr.high impact polystyrene 高冲击强度聚苯乙烯,耐冲性聚苯乙烯n.臀部( hip的名词复数 );[建筑学]屋脊;臀围(尺寸);臀部…的 | |
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6 synthetic | |
adj.合成的,人工的;综合的;n.人工制品 | |
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7 placebo | |
n.安慰剂;宽慰话 | |
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8 arthritic | |
adj.关节炎的 | |
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9 primates | |
primate的复数 | |
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