Diabetes, TZDs, and Bone: A Review of the Clinical Evidence

Evidence from rodent and in vitro models suggests that activation of PPAR-γ by thiazolidinediones (TZDs) causes increased bone marrow adiposity and decreased osteoblastogenesis, resulting in bone loss. TZDs are prescribed for the treatment of diabetes, providing an opportunity to determine whether P...

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Main Author: Ann V. Schwartz
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/PPAR/2006/24502
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author Ann V. Schwartz
author_facet Ann V. Schwartz
author_sort Ann V. Schwartz
collection DOAJ
description Evidence from rodent and in vitro models suggests that activation of PPAR-γ by thiazolidinediones (TZDs) causes increased bone marrow adiposity and decreased osteoblastogenesis, resulting in bone loss. TZDs are prescribed for the treatment of diabetes, providing an opportunity to determine whether PPAR-γ activation also impacts bone in humans. In addition, since type 2 diabetes is associated with higher fracture risk, an understanding of the clinical impact of TZDs on bone is needed to guide fracture prevention efforts in this population. This review summarizes current findings regarding type 2 diabetes and increased fracture risk and then considers the available evidence regarding TZD use and bone metabolism in humans.
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spelling doaj-art-5d23f5ba9e074799bfa2bf367a9c942b2025-02-03T05:59:41ZengWileyPPAR Research1687-47571687-47652006-01-01200610.1155/PPAR/2006/2450224502Diabetes, TZDs, and Bone: A Review of the Clinical EvidenceAnn V. Schwartz0Department of Epidemiology and Biostatistics, University of California, San Francisco, 185 Berry Street, Suite 5700, San Francisco 94107, CA, USAEvidence from rodent and in vitro models suggests that activation of PPAR-γ by thiazolidinediones (TZDs) causes increased bone marrow adiposity and decreased osteoblastogenesis, resulting in bone loss. TZDs are prescribed for the treatment of diabetes, providing an opportunity to determine whether PPAR-γ activation also impacts bone in humans. In addition, since type 2 diabetes is associated with higher fracture risk, an understanding of the clinical impact of TZDs on bone is needed to guide fracture prevention efforts in this population. This review summarizes current findings regarding type 2 diabetes and increased fracture risk and then considers the available evidence regarding TZD use and bone metabolism in humans.http://dx.doi.org/10.1155/PPAR/2006/24502
spellingShingle Ann V. Schwartz
Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
PPAR Research
title Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
title_full Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
title_fullStr Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
title_full_unstemmed Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
title_short Diabetes, TZDs, and Bone: A Review of the Clinical Evidence
title_sort diabetes tzds and bone a review of the clinical evidence
url http://dx.doi.org/10.1155/PPAR/2006/24502
work_keys_str_mv AT annvschwartz diabetestzdsandboneareviewoftheclinicalevidence