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Correspondence
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Volume 350:189-192 January 8, 2004 Number 2
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Effects of Parathyroid Hormone and Alendronate Alone or in Combination in Osteoporosis

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-PubMed Citation
To the Editor: Both Black et al.1 and Finkelstein et al.2 (Sept. 25 issue) measured markers of bone turnover, but neither group took osteoprotegerin into consideration as a possibly relevant player in bone remodeling. Osteoprotegerin, a secreted member of the family of tumor necrosis factor receptors, is a potent inhibitor of osteoclast activation and differentiation.3,4 In patients with osteoporosis, osteoprotegerin has been found to correlate strongly with markers of bone turnover5 — a finding that may point toward a higher level of osteoprotegerin expression in patients with a higher level of these markers.

In limited experimental settings, the serum osteoprotegerin . . . [Full Text of this Article]


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