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Bone cells and tissues represent the structural and metabolic framework of the vertebrate skeleton, consisting of a specialized connective tissue with a mineralized extracellular matrix. This system is maintained by a dynamic process called remodeling, which involves the coordinated action of osteoblasts (bone-forming cells), osteoclasts (bone-resorbing cells), and osteocytes (mechanosensing cells embedded in the matrix) [1][2]. Beyond providing mechanical support and protecting internal organs, bone tissues play a critical role in mineral homeostasis, particularly for calcium and phosphate, and house the bone marrow for hematopoiesis [1]. Pathological conditions arise when the balance between bone resorption and formation is disrupted, leading to disorders such as osteoporosis, Paget's disease, and various bone cancers [3]. Pharmacological treatments for bone-related conditions typically target specific molecular pathways within these cells, such as the RANK/RANKL/OPG axis or the Wnt/Sclerostin signaling pathway, to modulate bone density and quality [3][4].
Drugs targeting bone tissues generally act by inhibiting osteoclast activity (antiresorptives), stimulating osteoblast activity (anabolics), or modulating the signaling pathways that regulate bone remodeling, such as the RANKL/RANK and Wnt/beta-catenin pathways [3][4].
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