Title |
Giant cell tumour of bone: new treatments in development
|
---|---|
Published in |
Clinical and Translational Oncology, January 2015
|
DOI | 10.1007/s12094-014-1268-5 |
Pubmed ID | |
Authors |
A. López-Pousa, J. Martín Broto, T. Garrido, J. Vázquez |
Abstract |
Giant cell tumour of bone (GCTB) is a benign osteolytic tumour with three main cellular components: multinucleated osteoclast-like giant cells, mononuclear spindle-like stromal cells (the main neoplastic components) and mononuclear cells of the monocyte/macrophage lineage. The giant cells overexpress a key mediator in osteoclastogenesis: the RANK receptor, which is stimulated in turn by the cytokine RANKL, which is secreted by the stromal cells. The RANK/RANKL interaction is predominantly responsible for the extensive bone resorption by the tumour. Historically, standard treatment was substantial surgical resection, with or without adjuvant therapy, with recurrence rates of 20-56 %. Studies with denosumab, a monoclonal antibody that specifically binds to RANKL, resulted in dramatic treatment responses, which led to its approval by the United States Food and Drugs Administration (US FDA). Recent advances in the understanding of GCTB pathogenesis are essential to develop new treatments for this locally destructive primary bone tumour. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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India | 1 | <1% |
Italy | 1 | <1% |
Unknown | 109 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 16 | 14% |
Student > Bachelor | 13 | 12% |
Student > Master | 12 | 11% |
Student > Doctoral Student | 8 | 7% |
Student > Ph. D. Student | 7 | 6% |
Other | 20 | 18% |
Unknown | 35 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 61 | 55% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Veterinary Science and Veterinary Medicine | 1 | <1% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | <1% |
Unspecified | 1 | <1% |
Other | 5 | 5% |
Unknown | 40 | 36% |