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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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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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. |
format | Article |
id | doaj-art-ea6c380ad11149f3819ce20c2cd68a76 |
institution | Kabale University |
issn | 2042-0064 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Osteoporosis |
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 |