Pathophysiologie und Pathomorphologie der Osteoporose
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Pathophysiologie und Pathomorphologie der Osteoporose. / Priemel, M; Münch, C; Beil, F T; Ritzel, H; Amling, M.
In: RADIOLOGE, Vol. 46, No. 10, 01.10.2006, p. 831-8.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Pathophysiologie und Pathomorphologie der Osteoporose
AU - Priemel, M
AU - Münch, C
AU - Beil, F T
AU - Ritzel, H
AU - Amling, M
PY - 2006/10/1
Y1 - 2006/10/1
N2 - Osteoporosis is a disease that leads to fragility fractures due to loss of bone mass and bone microstructure. This review presents an update on the fundamental pathophysiologic and pathomorphologic mechanisms of bone loss situations. Pathomorphologic characteristics such as perforations and microcallus formations are explained. The physiologic relevance of the remodeling process as well as its control by local-paracrine, systemic-endocrine and central-neural signaling pathways is discussed. Furthermore the role of hormones such as estrogen, FSH and leptin, of transcription-factors such as Runx2 and osterix and as well as that of the wnt signaling pathway for bone cell differentiation and function is presented. On the basis of current knowledge osteoporosis can be diagnosed, treated and fractures can be prevented. However, it is likely that new and even more effective diagnostic and therapeutic strategies will emerge as our understanding of the remodeling process that controls osteoblast and osteoclast function increases.
AB - Osteoporosis is a disease that leads to fragility fractures due to loss of bone mass and bone microstructure. This review presents an update on the fundamental pathophysiologic and pathomorphologic mechanisms of bone loss situations. Pathomorphologic characteristics such as perforations and microcallus formations are explained. The physiologic relevance of the remodeling process as well as its control by local-paracrine, systemic-endocrine and central-neural signaling pathways is discussed. Furthermore the role of hormones such as estrogen, FSH and leptin, of transcription-factors such as Runx2 and osterix and as well as that of the wnt signaling pathway for bone cell differentiation and function is presented. On the basis of current knowledge osteoporosis can be diagnosed, treated and fractures can be prevented. However, it is likely that new and even more effective diagnostic and therapeutic strategies will emerge as our understanding of the remodeling process that controls osteoblast and osteoclast function increases.
KW - Bone Resorption
KW - Bone and Bones
KW - Calcification, Physiologic
KW - Fractures, Spontaneous
KW - Growth Hormone
KW - Humans
KW - Models, Biological
KW - Osteoporosis
U2 - 10.1007/s00117-006-1413-4
DO - 10.1007/s00117-006-1413-4
M3 - SCORING: Zeitschriftenaufsatz
C2 - 16964480
VL - 46
SP - 831
EP - 838
JO - RADIOLOGE
JF - RADIOLOGE
SN - 0033-832X
IS - 10
ER -