口腔医学研究 ›› 2019, Vol. 35 ›› Issue (12): 1119-1121.DOI: 10.13701/j.cnki.kqyxyj.2019.12.004

• 综述 • 上一篇    下一篇

骨硬化蛋白抗体的临床研究进展

梁婷婷, 郭吕华*   

  1. 广州医科大学附属口腔医院 广州口腔病研究所 口腔医学重点实验室 广东 广州 510140
  • 收稿日期:2019-09-28 出版日期:2019-12-28 发布日期:2019-12-23
  • 通讯作者: 郭吕华,E-mail:562210919@qq.com
  • 作者简介:梁婷婷(1993~ ),女,广东江门人,硕士,研究方向:3D打印技术对成骨的研究与应用。
  • 基金资助:
    广东省科技计划项目(编号:2017A050501041)

Research Progress on Sclerostin Antibody

LIANG Tingting, GUO Lvhua*   

  1. Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou 510140, China.
  • Received:2019-09-28 Online:2019-12-28 Published:2019-12-23

摘要: 骨硬化蛋白(sclerostin)是骨形成的负性调节因子,通过抑制Wnt/β-连环蛋白(β-catenin)信号通路,抑制成骨细胞的成骨作用。骨硬化蛋白抗体(sclerostin monoclonal antibody,Scl-Ab)则通过拮抗其对骨形成的负向调节作用而保证Wnt/β-catenin信号通路的正常传导。相比其他促骨形成的药物,Scl-Ab在促进新骨形成的同时,避免刺激破骨活动。目前已经研制出多种Scl-Ab,其中最具代表性的Romosozumab已经完成了临床Ⅲ期实验,证明其可以显著促进骨形成,降低骨吸收。但其临床疗效和安全性仍在探讨,还需进一步的长期研究。本文对Scl-Ab的临床研究进行综述,以期为相关实验研究和临床治疗提供理论基础。

关键词: 骨硬化蛋白抗体, Romosozumab, 骨再生

Abstract: Sclerostin is a negative regulator of bone formation and inhibits bone formation by inhibiting the Wnt/β-catenin signaling pathway. Sclerostin antibody (Scl-Ab) ensures the transmission of the Wnt/β-catenin signaling pathway by antagonizing the negative regulation of sclerostin on bone formation. Compared to other osteogenic drugs, Scl-Ab can stimulate osteogenic activity without stimulating osteoclast activity. A variety of Scl-Ab have been developed. Romosozumab, the most representative antibody, has completed clinical phase III trials, demonstrating that it can significantly promote bone formation and inhibit bone resorption. However, clinical efficacy and safety of Scl-Ab is still unclear and requires further investigation and discussion. Therefore, this review was conducted in order to provide theoretical basis for experimental research and clinical treatment.

Key words: sclerostin antibody, Romosozumab, bone regeneration