Romosozumab — on track or derailed?

Romosozumab — on track or derailed?

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Romosozumab, a recently developed sclerostin inhibitor, stimulates bone formation and inhibits bone resorption, thereby markedly increasing bone mass and reducing fracture risk. But will a red flag regarding possible adverse cardiovascular events derail this promising new drug for osteoporosis? Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution RELEVANT ARTICLES Open Access articles citing this article. * CARDIOPROTECTIVE FUNCTION OF SCLEROSTIN BY REDUCING CALCIUM DEPOSITION, PROLIFERATION, AND APOPTOSIS IN HUMAN VASCULAR SMOOTH MUSCLE CELLS * Sheila González-Salvatierra * , Cristina García-Fontana *  … Beatriz García-Fontana _Cardiovascular Diabetology_ Open Access 02 November 2023 * NOTUM INHIBITION INCREASES ENDOCORTICAL BONE FORMATION AND BONE STRENGTH * Robert Brommage * , Jeff Liu *  … Qingyun Liu _Bone Research_ Open Access 08 January 2019 ACCESS OPTIONS Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value online-access subscription $32.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Khosla, S. & Hofbauer, L. C. Osteoporosis treatment: recent developments and ongoing challenges. _Lancet Diabetes Endocrinol._ http://dx.doi.org/10.1016/s2213-8587(17)30188-2 (2017). * Brunkow, M. E. _ et al_. Bone dysplasia sclerosteosis results from loss of the _SOST_ gene product, a novel cystine knot-containing protein. _Am. J. Hum. Genet._ 68, 577–589 (2001). Article  CAS  Google Scholar  * Khosla, S., Westendorf, J. J. & Oursler, M. J. Building bone to reverse osteoporosis and repair fractures. _J. Clin. Invest._ 118, 421–428 (2008). Article  CAS  Google Scholar  * Li, X. _ et al_. Sclerostin antibody treatment increases bone formation, bone mass, and bone strength in a rat model of postmenopausal osteoporosis. _J. Bone Miner. Res._ 24, 578–588 (2009). Article  CAS  Google Scholar  * McClung, M. R. _ et al_. Romosozumab in postmenopausal women with low bone mineral density. _N. Engl. J. Med._ 370, 412–420 (2014). Article  CAS  Google Scholar  * Cosman, F. _ et al_. Romosozumab treatment in postmenopausal women with osteoporosis. _N. Engl. J. Med._ 375, 1532–1543 (2016). Article  CAS  Google Scholar  * Saag, K. G. _ et al_. Romosozumab or alendronate for fracture prevention in women with osteoporosis. _N. Engl. J. Med._ http://dx.doi.org/10.1056/NEJMoa1708322 (2017). * Rosen, C. J. Romosozumab — promising or practice changing? _N. Engl. J. Med._ http://dx.doi.org/10.1056/NEJMe1711298 (2017). * Tanko, L. B. _ et al_. Relationship between osteoporosis and cardiovascular disease in postmenopausal women. _J. Bone. Miner. Res._ 20, 1912–1920 (2005). Article  Google Scholar  * Gay, A. & Towler, D. A. Wnt signaling in cardiovascular disease: opportunities and challenges. _Curr. Opin. Lipidol._ 28, 387–396 (2017). Article  CAS  Google Scholar  Download references ACKNOWLEDGEMENTS The author's work is supported by NIH grants AG004875, AG048792 and AR027065. In addition, the author greatly appreciates the critical review of this article by M. Drake and J. Farr. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Robert and Arlene Kogod Center on Aging and the Endocrine Research Unit, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, 55905, Minnesota, USA Sundeep Khosla Authors * Sundeep Khosla View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Sundeep Khosla. ETHICS DECLARATIONS COMPETING INTERESTS The author declares no competing financial interests. POWERPOINT SLIDES POWERPOINT SLIDE FOR TABLE 1 RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Khosla, S. Romosozumab — on track or derailed?. _Nat Rev Endocrinol_ 13, 697–698 (2017). https://doi.org/10.1038/nrendo.2017.136 Download citation * Published: 13 October 2017 * Issue Date: December 2017 * DOI: https://doi.org/10.1038/nrendo.2017.136 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative

Romosozumab, a recently developed sclerostin inhibitor, stimulates bone formation and inhibits bone resorption, thereby markedly increasing bone mass and reducing fracture risk. But will a


red flag regarding possible adverse cardiovascular events derail this promising new drug for osteoporosis? Access through your institution Buy or subscribe This is a preview of subscription


content, access via your institution RELEVANT ARTICLES Open Access articles citing this article. * CARDIOPROTECTIVE FUNCTION OF SCLEROSTIN BY REDUCING CALCIUM DEPOSITION, PROLIFERATION, AND


APOPTOSIS IN HUMAN VASCULAR SMOOTH MUSCLE CELLS * Sheila González-Salvatierra * , Cristina García-Fontana *  … Beatriz García-Fontana _Cardiovascular Diabetology_ Open Access 02 November


2023 * NOTUM INHIBITION INCREASES ENDOCORTICAL BONE FORMATION AND BONE STRENGTH * Robert Brommage * , Jeff Liu *  … Qingyun Liu _Bone Research_ Open Access 08 January 2019 ACCESS OPTIONS


Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value online-access subscription $32.99 / 30 days cancel any time Learn more


Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full


article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs *


Contact customer support REFERENCES * Khosla, S. & Hofbauer, L. C. Osteoporosis treatment: recent developments and ongoing challenges. _Lancet Diabetes Endocrinol._


http://dx.doi.org/10.1016/s2213-8587(17)30188-2 (2017). * Brunkow, M. E. _ et al_. Bone dysplasia sclerosteosis results from loss of the _SOST_ gene product, a novel cystine knot-containing


protein. _Am. J. Hum. Genet._ 68, 577–589 (2001). Article  CAS  Google Scholar  * Khosla, S., Westendorf, J. J. & Oursler, M. J. Building bone to reverse osteoporosis and repair


fractures. _J. Clin. Invest._ 118, 421–428 (2008). Article  CAS  Google Scholar  * Li, X. _ et al_. Sclerostin antibody treatment increases bone formation, bone mass, and bone strength in a


rat model of postmenopausal osteoporosis. _J. Bone Miner. Res._ 24, 578–588 (2009). Article  CAS  Google Scholar  * McClung, M. R. _ et al_. Romosozumab in postmenopausal women with low bone


mineral density. _N. Engl. J. Med._ 370, 412–420 (2014). Article  CAS  Google Scholar  * Cosman, F. _ et al_. Romosozumab treatment in postmenopausal women with osteoporosis. _N. Engl. J.


Med._ 375, 1532–1543 (2016). Article  CAS  Google Scholar  * Saag, K. G. _ et al_. Romosozumab or alendronate for fracture prevention in women with osteoporosis. _N. Engl. J. Med._


http://dx.doi.org/10.1056/NEJMoa1708322 (2017). * Rosen, C. J. Romosozumab — promising or practice changing? _N. Engl. J. Med._ http://dx.doi.org/10.1056/NEJMe1711298 (2017). * Tanko, L. B.


_ et al_. Relationship between osteoporosis and cardiovascular disease in postmenopausal women. _J. Bone. Miner. Res._ 20, 1912–1920 (2005). Article  Google Scholar  * Gay, A. & Towler,


D. A. Wnt signaling in cardiovascular disease: opportunities and challenges. _Curr. Opin. Lipidol._ 28, 387–396 (2017). Article  CAS  Google Scholar  Download references ACKNOWLEDGEMENTS The


author's work is supported by NIH grants AG004875, AG048792 and AR027065. In addition, the author greatly appreciates the critical review of this article by M. Drake and J. Farr.


AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Robert and Arlene Kogod Center on Aging and the Endocrine Research Unit, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, 55905,


Minnesota, USA Sundeep Khosla Authors * Sundeep Khosla View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Sundeep


Khosla. ETHICS DECLARATIONS COMPETING INTERESTS The author declares no competing financial interests. POWERPOINT SLIDES POWERPOINT SLIDE FOR TABLE 1 RIGHTS AND PERMISSIONS Reprints and


permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Khosla, S. Romosozumab — on track or derailed?. _Nat Rev Endocrinol_ 13, 697–698 (2017). https://doi.org/10.1038/nrendo.2017.136 Download


citation * Published: 13 October 2017 * Issue Date: December 2017 * DOI: https://doi.org/10.1038/nrendo.2017.136 SHARE THIS ARTICLE Anyone you share the following link with will be able to


read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing


initiative