Histochemical characteristics on minimodeling-based bone formation induced by anabolic drugs for osteoporotic treatment

Biomed Res. 2021;42(5):161-171. doi: 10.2220/biomedres.42.161.

Abstract

Modeling, the changes of bone size and shape, often takes place at the developmental stages, whereas bone remodeling-replacing old bone with new bone-predominantly occurs in adults. Unlike bone remodeling, bone formation induced by modeling i.e., minimodeling (microscopic modeling in cancellous bone) is independent of osteoclastic bone resorption. Although recently-developed drugs for osteoporotic treatment could induce minimodeling-based bone formation in addition to remodeling-based bone formation, few reports have demonstrated the histological aspects of minimodeling-based bone formation. After administration of eldecalcitol or romosozumab, unlike teriparatide treatment, mature osteoblasts formed new bone by minimodeling, without developing thick preosteoblastic layers. The histological characteristics of minimodeling-based bone formation is quite different from remodeling, as it is not related to osteoclastic bone resorption, resulting in convex-shaped new bone and smooth cement lines called arrest lines. In this review, we will show histological properties of minimodeling-based bone formation by osteoporotic drugs.

Publication types

  • Review

MeSH terms

  • Bone Remodeling
  • Bone and Bones
  • Osteoblasts
  • Osteogenesis*
  • Pharmaceutical Preparations*

Substances

  • Pharmaceutical Preparations