New insight into unexpected bone formation by denosumab
Abstract
Denosumab (Dmab) was the first monoclonal antibody (mAb) approved for the treatment of osteoporosis. It blocks the receptor activator for nuclear factor κB ligand (RANKL) and acts as a potent antiresorptive agent. In contrast to classic antiresorptive agents, Dmab treatment leads to a progressive increase in bone mass, but the mechanisms remain controversial. Recently, RANKL signaling in osteoblastogenesis and bone formation and RANKL reverse signaling in coupling bone resorption and formation were demonstrated. Thus, here we discuss the roles of RANKL signaling and RANKL reverse signaling in the bone-forming effects of Dmab.
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It is more likely that DMAB blocks RANKL expressed on bone marrow mesenchymal stem cells, through which it negatively regulates osteogenic differentiation.
“It is more likely that DMAB blocks RANKL expressed on bone marrow mesenchymal stem cells (BMSCs),243 through which it negatively regulates osteogenic differentiation.244”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [243]
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- Authors
- Wang, L., Huang, B., Chen, X., & Su, J.
- Affiliations
- Second Military Medical University (CN)
- Shanghai University (CN)
- Corresponding author
- Chen, Xiao
- Su, Jiacan
- Venue
- Drug Discovery Today
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 25
- Issue
- 11
- Pages
- 1919-1922
- ISSN
- 1359-6446 (ISSN-L)
- OpenAlex
- W3086220456
- Cited by
- 13
- References
- 32
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug Discovery Today (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China
- Ministry of Science and Technology
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- denosumab, RANKL, bone formation, osteoporosis treatment, antiresorptive agents, osteoblastogenesis, bone resorption, monoclonal antibodies
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