PATHOGENETIC BASES FOR THE DEVELOPMENT OF AN ACUTE PHASE RESPONSE TO INTRAVENOUS ADMINISTRATION OF NITROGEN-CONTAINING BISPHOSPHONATES


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Abstract

Osteoporosis is a systemic skeletal disease characterized by reduced bone mass and microarchitectural impairment of bone tissue, which result in increased bone fragility. Drugs of varying antiresorptive potency from a class of bisphosphonates have been designed today. The need for the long-term (3-5-year) and regulatory use of the drugs to ensure the adequate efficiency of therapy is associated with its low compliance. Intravenous bisphosphonate formulations (ibandronate, zoledronic acid) that can reduce the frequency of use to once 3-12 months have been designed to enhance therapy compliance. Adverse events (the symptoms of an acute phase response) occurring after intravenous administration of antiresorptive drugs promotes any patient alertness and unwillingness to further use bisphosphonates. Recent international studies have provided a more insight into the pleiotropic mechanism of bisphosphonates and disclosed pathogenetic mechanisms for the development of the symptoms of an acute phase response to these drugs in the treatment of osteoporosis.

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About the authors

O. V YAKUSHEVSKAYA

Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: ykushox83@mail.ru

S. V YURENEVA

Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: syureneva@gmail.com

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