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dc.provenanceComisión de Investigaciones Científicas-
dc.contributorMcCarthy, Antonio Desmond-
dc.contributorCortizo, Ana María-
dc.contributorSedlinsky, Claudia-
dc.creatorMcCarthy, Antonio Desmond-
dc.creatorCortizo, Ana María-
dc.creatorSedlinsky, Claudia-
dc.date2016-
dc.date.accessioned2019-04-29T16:07:46Z-
dc.date.available2019-04-29T16:07:46Z-
dc.date.issued2016-
dc.identifierhttp://digital.cic.gba.gob.ar/handle/11746/4901-
dc.identifier.urihttp://rodna.bn.gov.ar:8080/jspui/handle/bnmm/309908-
dc.descriptionPatients with long-term type 1 and type 2 diabetes or “diabetic osteopathy”. These include osteopenia, osteoporosis and an increased incidence of low-stress fractures. In this context, it is important to evaluate whether current anti-diabetic treatments can secondarily affect bone metabolism. Adenosine monophosphateactivated protein kinase (AMPK) modulates multiple metabolic pathways and acts as a sensor of the cellular energy status; recent evidence suggests a critical role for AMPK in bone homeostasis. In addition, AMPK activation is believed to mediate most clinical effects of the insulin-sensitizer metformin. Over the past decade, several research groups have investigated the effects of metformin on bone, providing a considerable body of pre-clinical (in vitro , ex vivo and in vivo ) as well as clinical evidence for an anabolic action of metformin on bone. However, two caveats should be kept in mind when considering metformin treatment for a patient with type 2 DM at risk for diabetic osteopathy. In the first place, metformin should probably not be considered an antiosteoporotic drug; it is an insulin sensitizer with proven macrovascular benefits that can secondarily improve bone metabolism in the context of DM. Secondly, we are still awaiting the results of randomized placebo-controlled studies in humans that evaluate the effects of metformin on bone metabolism as a primary endpoint.-
dc.formatapplication/pdf-
dc.format13 p.-
dc.languagespa-
dc.rightsinfo:eu-repo/semantics/openAccess-
dc.rightsAttribution 4.0 International (BY 4.0)-
dc.sourcereponame:CIC Digital (CICBA)-
dc.sourceinstname:Comisión de Investigaciones Científicas de la Provincia de Buenos Aires-
dc.sourceinstacron:CICBA-
dc.source.urihttp://digital.cic.gba.gob.ar/handle/11746/4901-
dc.subjectCiencias Químicas-
dc.titleMetformin revisited: Does this regulator of AMP-activated protein kinase secondarily affect bone metabolism and prevent diabetic osteopathy?-
dc.typeinfo:eu-repo/semantics/article-
dc.typeinfo:eu-repo/semantics/submittedVersion-
dc.typeinfo:ar-repo/semantics/articulo-
Aparece en las colecciones: Comisión de Investigaciones Científicas de la Prov. de Buenos Aires

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