RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis

Male osteoporosis is an increasingly recognized problem in aging men. A common cause of male osteoporosis is hypogonadism. Thousands of men with prostate cancer are treated with androgen deprivation therapy, a treatment that dramatically reduces serum testosterone and causes severe hypogonadism. Men...

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Main Authors: Alicia K. Morgans, Matthew R. Smith
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.4061/2011/941310
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author Alicia K. Morgans
Matthew R. Smith
author_facet Alicia K. Morgans
Matthew R. Smith
author_sort Alicia K. Morgans
collection DOAJ
description Male osteoporosis is an increasingly recognized problem in aging men. A common cause of male osteoporosis is hypogonadism. Thousands of men with prostate cancer are treated with androgen deprivation therapy, a treatment that dramatically reduces serum testosterone and causes severe hypogonadism. Men treated with androgen deprivation therapy experience a decline in bone mineral density and have an increased rate of fracture. This paper describes prostate cancer survivors as a model of hypogonadal osteoporosis and discusses the use of RANKL-targeted therapies in osteoporosis. Denosumab, the only RANKL-targeted therapy currently available, increases bone mineral density and decreases fracture rate in men with prostate cancer. Denosumab is also associated with delayed time to first skeletal-related event and an increase in bone metastasis-free survival in these men. It is reasonable to investigate the use of RANKL-targeted therapy in male osteoporosis in the general population.
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spelling doaj-art-ea6c380ad11149f3819ce20c2cd68a762025-02-03T06:13:39ZengWileyJournal of Osteoporosis2042-00642011-01-01201110.4061/2011/941310941310RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male OsteoporosisAlicia K. Morgans0Matthew R. Smith1Division of Hematology/Oncology, Massachusetts General Hospital Cancer Center, POB 221, Boston, MA 02114, USADivision of Hematology/Oncology, Massachusetts General Hospital Cancer Center, POB 221, Boston, MA 02114, USAMale osteoporosis is an increasingly recognized problem in aging men. A common cause of male osteoporosis is hypogonadism. Thousands of men with prostate cancer are treated with androgen deprivation therapy, a treatment that dramatically reduces serum testosterone and causes severe hypogonadism. Men treated with androgen deprivation therapy experience a decline in bone mineral density and have an increased rate of fracture. This paper describes prostate cancer survivors as a model of hypogonadal osteoporosis and discusses the use of RANKL-targeted therapies in osteoporosis. Denosumab, the only RANKL-targeted therapy currently available, increases bone mineral density and decreases fracture rate in men with prostate cancer. Denosumab is also associated with delayed time to first skeletal-related event and an increase in bone metastasis-free survival in these men. It is reasonable to investigate the use of RANKL-targeted therapy in male osteoporosis in the general population.http://dx.doi.org/10.4061/2011/941310
spellingShingle Alicia K. Morgans
Matthew R. Smith
RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
Journal of Osteoporosis
title RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
title_full RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
title_fullStr RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
title_full_unstemmed RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
title_short RANKL-Targeted Therapies: The Next Frontier in the Treatment of Male Osteoporosis
title_sort rankl targeted therapies the next frontier in the treatment of male osteoporosis
url http://dx.doi.org/10.4061/2011/941310
work_keys_str_mv AT aliciakmorgans rankltargetedtherapiesthenextfrontierinthetreatmentofmaleosteoporosis
AT matthewrsmith rankltargetedtherapiesthenextfrontierinthetreatmentofmaleosteoporosis