口腔医学研究 ›› 2022, Vol. 38 ›› Issue (8): 718-721.DOI: 10.13701/j.cnki.kqyxyj.2022.08.004

• 综述 • 上一篇    下一篇

特立帕肽在药物性颌骨坏死中的治疗作用

王甲甲, 王绍义*   

  1. 上海交通大学医学院附属第九人民医院口腔外科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室 上海 200011
  • 收稿日期:2021-04-28 出版日期:2022-08-28 发布日期:2022-08-24
  • 通讯作者: *王绍义,E-mail:wangshaoyi@163.aliyun.com
  • 作者简介:王甲甲(1996~ ),男,安徽人,硕士在读,主要从事口腔慢性病研究。

Therapeutic Effect of TPTD on Medication-related Osteonecrosis of the Jaw

WANG Jiajia, WANG Shaoyi*   

  1. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University;National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai 200011, China
  • Received:2021-04-28 Online:2022-08-28 Published:2022-08-24

摘要: 特立帕肽(Teriparatide, TPTD)是甲状旁腺激素(parathyroid hormone,PTH)的1~34位的人工合成多肽,具有促进骨合成代谢、免疫调节等作用,临床已成为治疗骨质疏松的常规药物,并逐渐开发用于颌骨相关疾病。其中,大量证据表明TPTD具有治疗药物相关性颌骨坏死(medication-related osteonecrosis of the jaw, MRONJ)的效应。本综述介绍TPTD治疗MRONJ的最新进展,研究其在治疗MRONJ的潜在价值。

关键词: 特立帕肽, 药物性颌骨坏死, 治疗

Abstract: Teriparatide(TPTD), a synthetic peptide corresponding to the first 34 amino acids of human parathyroid hormone (PTH), has been approved for the treatment of osteoporosis for its anabolic and immunoregulatory effects. Such effects inspired clinicians to dig its potential to rescue jaw bone related disease. Among these, an increasing number of research has shown the therapeutic effect of TPTD on medication-related osteonecrosis of the Jaw (MRONJ). However, the exact pathogenesis of TPTD for treating MRONJ remains largely unknown. This review focuses on the progress of TPTD in the management of MRONJ, investigating its potential value on clinical use.

Key words: Teriparatide, medication-related osteonecrosis of the jaw, treatment