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国内最大サンゴ礁、生息6割減…海水温上昇で (読売新聞)

石西礁湖で昨年、白化した状態で見つかったサンゴ=環境省提供 環境省は19日、沖縄や九州、四国など日本近海にあるサンゴ礁について、今年度の調査結果を発表した。 調...

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The prevention of fragility fractures in patients with non-metastatic prostate cancer: a position statement by the international osteoporosis foundation.

著者 Cianferotti L , Bertoldo F , Carini M , Kanis JA , Lapini A , Longo N , Martorana G , Mirone V , Reginster JY , Rizzoli R , Brandi ML
Oncotarget.2017 Sep 26 ; 8(43):75646-75663.
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Androgen deprivation therapy is commonly employed for the treatment of non-metastatic prostate cancer as primary or adjuvant treatment. The skeleton is greatly compromised in men with prostate cancer during androgen deprivation therapy because of the lack of androgens and estrogens, which are trophic factors for bone. Men receiving androgen deprivation therapy sustain variable degrees of bone loss with an increased risk of fragility fractures. Several bone antiresorptive agents have been tested in randomized controlled trials in these patients. Oral bisphosphonates, such as alendronate and risedronate, and intravenous bisphosphonates, such as pamidronate and zoledronic acid, have been shown to increase bone density and decrease the risk of fractures in men receiving androgen deprivation therapy. Denosumab, a fully monoclonal antibody that inhibits osteoclastic-mediated bone resorption, is also effective in increasing bone mineral density and reducing fracture rates in these patients. The assessment of fracture risk, T-score and/or the evaluation of prevalent fragility fractures are mandatory for the selection of patients who will benefit from antiresorptive therapy. In the future, new agents modulating bone turnover and skeletal muscle metabolism will be available for testing in these subjects.
PMID: 29088899 [PubMed]
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