摘要
作为抗骨质疏松的基础用药,活性维生素D主要通过促进肠道对钙和磷的吸收,抑制甲状旁腺激素释放,维持血钙和血磷水平正常,进而保证骨骼健康。艾地骨化醇(eldecalcitol,ED-71)是活性维生素D的新型类似物,于2011年正式用于日本骨质疏松患病人群的临床治疗。艾地骨化醇不仅能够促进肠道钙吸收、抑制破骨细胞数量和活性,还可有效促进不依存于破骨细胞骨吸收的局灶性骨形成—"mini-modeling"骨形成,提升骨小梁连续性和增加骨小梁厚度,从而修复骨组织微损伤。
As a basic anti-osteoporosis drug,active vitamin D mainly promotes intestinal absorption of calcium and phosphorus,inhibits the release of parathyroid hormone,and maintains normal blood calcium and phosphorus levels,thus ensuring bone health.Eldecalcitol(ED-71),a novel derivative of active vitamin D,was approved for clinical treatment of osteoporosis in Japan in 2011.Eldecalcitol not only improves intestinal calcium absorption and inhibits osteoclast differentiation,but also effectively promotes"mini-modeling"bone formation-focal bone formation that is independent of osteoclastic bone resorption,elevating trabecular continuity and increasing the thickness of weak trabeculae,thereby repairing the microinjury of bone tissue.
作者
李敏启
Li Minqi(Center of Osteoporosis and Bone Mineral Research,Shandong University,Jinan 250012,China)
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2023年第8期726-732,共7页
Chinese Journal of Endocrinology and Metabolism
基金
国家自然科学基金面上项目(81972072)
山东省泰山学者特聘专家人才项目(tstp20221160)。