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2011 Fiscal Year Final Research Report

Importance of tailor-made treatment for primary osteoporosis : Evaluation based on measurements of bone density and bone quality.

Research Project

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Project/Area Number 21591962
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionJikei University School of Medicine

Principal Investigator

SAITO Mitsuru  東京慈恵会医科大学, 医学部, 准教授 (50301528)

Co-Investigator(Kenkyū-buntansha) NISHIZAWA Tetsuro  東京慈恵会医科大学, 医学部, 助教 (50439791)
Project Period (FY) 2009 – 2011
Keywords原発性骨粗鬆症 / 骨質 / 骨密度 / 動物モデル / テーラーメード治療
Research Abstract

Biochemical markers of bone quality following administration of different pharmacological agents were measured in a rabbit hyperhomocysteinemia model(an experimental model of reduced human bone quality) developed in our laboratory. The results clearly indicated, similarly to our previously reported findings on human reduced-bone-quality-type osteoporosis that by incurring direct detrimental changes on collagen coss-links homocysteine reduces bone strength ; this mechanism is independent of reduction in bone density.
Additionally, based on findings that estrogen receptor modulators are more effective in patients with reduced-bone-quality-type osteoporosis, we suggest subdividing patients accordingly with the type of osteoporosis upon diagnosis and treatment of the disease.

  • Research Products

    (27 results)

All 2011 2010 2009 Other

All Journal Article (10 results) (of which Peer Reviewed: 10 results) Presentation (10 results) Book (6 results) Remarks (1 results)

  • [Journal Article] Effects of alfacalcidol on mechanical properties and collagen cross-links of the femoral diaphysis in glucocorticoid-treated rats2011

    • Author(s)
      Saito M, Marumo K, at al
    • Journal Title

      Calcified Tissue International

      Volume: 88 Pages: 314-324

    • Peer Reviewed
  • [Journal Article] Changes in the contents of enzymatic immature, mature, and non-enzymatic senescent cross-links of collagen after once-weekly treatment with human parathyroid hormone(1-34) for 18 months contribute to improvement of bone strength in ovariectomized monkeys2011

    • Author(s)
      Saito M, Marumo K, at al
    • Journal Title

      Osteoporosis International

      Volume: 22 Pages: 2373-2383

    • Peer Reviewed
  • [Journal Article] Non-enzymatic crosslinking pentosidine increase in bone collagen and are associated with disorders of bone mineralization in dialysis patients2011

    • Author(s)
      Mitome J, Yamamoto H, Saito M, at al
    • Journal Title

      Calcified Tissue International

      Volume: 88 Pages: 521-529

    • Peer Reviewed
  • [Journal Article] Urinary pentosidine improves risk classification using fracture risk assessment tools for postmenopausal women2011

    • Author(s)
      Tanaka S, Kuroda T, Saito M, et al
    • Journal Title

      J Bone Miner Res

      Volume: 26 Pages: 2778-84

    • Peer Reviewed
  • [Journal Article] Urinary pentosidine and plasma homocysteine levels at baseline predict future fractures in osteoporosis under bisphosphonate treatment2011

    • Author(s)
      Shiraki M, Kuroda T, Saito M, at al
    • Journal Title

      Journal of Bone and Mineral Metabolism

      Volume: 29 Pages: 62-70

    • Peer Reviewed
  • [Journal Article] 骨粗鬆症治療のテーラーメイド化と薬剤選択.骨強度の規定因子の多様性における骨密度と骨質の関与-2011

    • Author(s)
      斎藤充, 丸毛啓史
    • Journal Title

      THE BONE

      Volume: 25 Pages: 25-32

    • Peer Reviewed
  • [Journal Article] Collagen cross-links as a determinant of bone quality : a possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus2010

    • Author(s)
      Saito M, Marumo K
    • Journal Title

      Osteoporosis International

      Volume: 21 Pages: 195-214

    • Peer Reviewed
  • [Journal Article] Raloxifene ameliorates detrimental enzymatic and nonenzymatic collagen cross-links and bone strength in rabbits with hyperhomocysteinemia2010

    • Author(s)
      Saito M, Marumo K, Soshi S, et al
    • Journal Title

      Osteoporosis International

      Volume: 21 Pages: 655-666

    • Peer Reviewed
  • [Journal Article] Comparison of effects of alfacalcidol and alendronate on mechanical properties and bone collagen cross-links of callus in the fracture repair rat model2010

    • Author(s)
      Saito M, Shiraishi A, Ito M, et al
    • Journal Title

      Bone

      Volume: 48 Pages: 1170-1179

    • Peer Reviewed
  • [Journal Article] High level of serum undercarboxylated osteocalcin in patients with incident fractures during bisphosphonate treatment2010

    • Author(s)
      Shiraki M, Yamazaki Y, Saito M, et al
    • Journal Title

      J Bone Miner Metab

      Volume: 28 Pages: 578-584

    • Peer Reviewed
  • [Presentation] 骨の材質劣化の原因と薬剤による改善作用2011

    • Author(s)
      斎藤充
    • Organizer
      第13回日本骨粗鬆症学会
    • Place of Presentation
      神戸
    • Year and Date
      2011-11-03
  • [Presentation] 骨粗鬆症:骨質の視点からの薬剤の適応と選択2011

    • Author(s)
      斎藤充, 丸毛啓史
    • Organizer
      第26回日本整形外科学会基礎学術集会
    • Place of Presentation
      前橋
    • Year and Date
      2011-10-20
  • [Presentation] ヒト組織分析をもとにした骨脆弱化動物モデルの確立と薬効評価のpitfall-齧歯類・家兎・イヌ・サルでの検討-2011

    • Author(s)
      斎藤充
    • Organizer
      第26回日本整形外科学会基礎学術集会
    • Place of Presentation
      前橋
    • Year and Date
      2011-10-20
  • [Presentation] 変形性関節症と骨粗鬆症の接点-病態からみたビスフォスフォネートおよびSERMの可能性-2011

    • Author(s)
      斎藤充
    • Organizer
      第38回日本股関節学会
    • Place of Presentation
      鹿児島
    • Year and Date
      2011-10-07
  • [Presentation] 骨密度・骨質マーカー同時評価に基づく治療薬の使い分け-PTH製剤の骨量・骨質改善効果2011

    • Author(s)
      斎藤充
    • Organizer
      第29回日本骨代謝学会
    • Place of Presentation
      大阪
    • Year and Date
      2011-07-29
  • [Presentation] 骨質因子の制御機構-コラーゲンの架橋形成はリモデリングのみに規定されない2011

    • Author(s)
      斎藤充
    • Organizer
      第31回日本骨形態計測学会
    • Place of Presentation
      岐阜
    • Year and Date
      2011-05-21
  • [Presentation] 骨質劣化型骨折の予防と治療:骨質マーカーの可能性について2011

    • Author(s)
      斎藤充, 丸毛啓史
    • Organizer
      第84回日本整形外科学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2011-05-13
  • [Presentation] 尿中コラーゲン老化マーカー(ペントシジン)および血中ホモシステイン高値は変形性膝関節症の独立した危険因子である2011

    • Author(s)
      斎藤充, 丸毛啓史, 他
    • Organizer
      第84回日本整形外科学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2011-05-13
  • [Presentation] テーラーメード治療のエビデンス-骨質劣化型骨粗鬆症に対する新規SERMsの可能性-2011

    • Author(s)
      斎藤充
    • Organizer
      第84回日本整形外科学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2011-05-13
  • [Presentation] なぜ高い骨密度で骨折するのか?-ステロイド・AGEs・酸化ストレスによる骨質劣化の基礎からテーラーメード治療まで-2011

    • Author(s)
      斎藤充
    • Organizer
      第84回日本内分泌学会学術総会
    • Place of Presentation
      神戸
    • Year and Date
      2011-04-22
  • [Book] 酸化ストレスと糖尿病合併症:骨粗鬆症2011

    • Author(s)
      斎藤充
    • Total Pages
      135-145
    • Publisher
      メディカルレビュー社
  • [Book] 相互に関連? 3大疾患:骨代謝におけるAEGの蓄積2011

    • Author(s)
      斎藤充
    • Total Pages
      177-186
    • Publisher
      メディカルレビュー社
  • [Book] マネージメントシリーズ.材質特性と骨質2010

    • Author(s)
      斎藤充
    • Total Pages
      34-39
    • Publisher
      医薬ジャーナル
  • [Book] 糖化による疾患と抗糖化食品・素材.加齢に伴う骨へのAGEsの蓄積と骨折リスク2010

    • Author(s)
      斎藤充
    • Total Pages
      56-65
    • Publisher
      シーエムシー出版
  • [Book] 骨代謝マーカー改訂版.各種マーカーとその特徴2010

    • Author(s)
      斎藤充
    • Total Pages
      72-78
    • Publisher
      医薬ジャーナル
  • [Book] CKD-MBD病態解明のトピックス-骨質は何で決まるか-2009

    • Author(s)
      斎藤充
    • Total Pages
      239-245
    • Publisher
      日本メディカルセンター
  • [Remarks] 東京慈恵会医科大学整形外科学講座

    • URL

      http://www.jikeiseikei.com

URL: 

Published: 2013-07-31  

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