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Table 1 Characteristics of in vivo studies about the effect of teriparatide on OA

From: Potential effects of teriparatide (PTH (1–34)) on osteoarthritis: a systematic review

Author (year, country)

Subjects

Intervention

Dose (duration)

Route

Findings

Shao et al. (2020, China) [18]

CIOA mouse

PTH (1–34)

10/40 μg/kg (6 weeks)

SC

PTH (1–34) exhibits protective effects on both cartilage and SCB in a dose-dependent manner via the JAK2/STAT3 signaling pathway

Shao et al. (2021, China) [19]

CIOA mouse

PTH (1–34)

40 μg/kg (6 weeks)

SC

PTH (1–34) exhibits protective effects on both cartilage and SCB by down-regulating the expression of JAK2/STAT3 and WNT5A/ROR2

Chen et al. (2021, China) [20]

Guinea pig

PTH (1–34)

10 nM (12 weeks)

IA

PTH (1–34) improves spontaneous OA by directly affecting the cartilage rather than the SCB or metaphyseal bone

Chen et al. (2018, China) [21]

ACLT Rats

PTH (1–34)

10 nM (5 weeks)

IA

PTH (1–34) alleviates OA progression after ACLT and histological molecular changes by reducing chondrocyte terminal differentiation and apoptosis and by increasing autophagy

Eswaramoorthy et al. (2012, China) [22]

PIOA Rat

PTH (1–34)

0.4 mg (5 weeks)

IA

PTH (1–34) has beneficial effects on suppressing early OA progress

PLGA microsphere-encapsulated PTH (1–34) with a controlled-release property represents a potent method to treat early OA

Ma et al. (2017, China) [23]

SD rats

PTH (1–34)

15 μg/kg (2/6 weeks)

SC

PTH (1–34) up-regulates the Wnt/β-catenin signaling pathway and down-regulated RUNX2 through an alternative pathway

Zhang et al. (2022, China) [24]

Patellar ligament shortening SD rats

PTH (1–34)

30 μg/kg (10 weeks)

SC

PTH (1–34) could improve cartilage metabolism and SCB health in early PFJOA model

Chang et al. (2009, China) [25]

CIOA Rats

PTH (1–34)

10 nM (10 days)

SC

PTH (1–34) treats early OA without affecting normal chondrocytes, which might a potential effectiveness of the agent for OA treatment

Yan et al. (2014, China) [26]

Guinea pigs

PTH (1–34)

15 μg/kg (3/6 months)

SC

PTH (1–34) prevents cartilage damage progression and retard the deterioration of SCB

Dai et al. (2016, China) [27]

Guinea pigs

PTH (1–34)

24 μg/kg (12 weeks)

SC

Both celecoxib and PTH (1–34) exhibit protective effects on cartilage degeneration in menisc-ectomized guinea pigs

PTH (1–34) exhibits superior performance to celecoxib not only in metabolism of cartilage tissue but also in maintenance of SCB micro-architecture

Cui et al. (2019, China) [28]

C57BL/6 J

PTH (1–34)

40 μg/kg (4 weeks)

SC

PTH (1–34) reduces the accumulation of senescent cells in SCB by inhibiting p16 and improves bone marrow microenvironment to active bone remodeling process, indicating a potential preventative and therapeutic treatment for age-related OA

He et al. (2021, China) [29]

DMM OA mice

PTH (1–34)

80 μg/kg (4 weeks)

SC

PTH (1–34) has an obvious analgesic and anti-inflammatory effect, inhibits the matrix synthesis, and alleviates the OA progression

PTH (1–34) inhibited TNF-α expression and antagonized TNF-α-induced MMP13 expression via the PKA pathway and the NF-κB signaling pathways

Longo et al. (2020, China) [30]

Meniscectomy Dogs

PTH (1–34)

2.4 μg/kg (3 weeks)

IA

PTH (1–34) promotes the regenerative and chondroprotective effects of the tissue-engineered meniscus total implantation in a canine model by inhibiting the terminal differentiation of BMSC chondrogenesis and degeneration of knee joint cartilage

Orth et al. (2014, Germany) [31]

Rabbits

PTH (1–34)

10 mg/kg (6 weeks)

SC

PTH (1–34) causes broadening of the calcified cartilage layer and resulting in osteoarthritic cartilage degeneration

PTH (1–34)-induced alterations of the normal SCB microarchitecture may provoke early OA

Orth et al. (2013, Germany) [32]

Rabbits osteochondral defects

PTH (1–34)

10 μg/kg (6 weeks)

SC

PTH (1–34) stimulates articular cartilage and SCB repair, which emerges as a promising agent in the treatment of focal osteochondral defects

Dutra et al. (2017, USA) [33]

C57BL/6 J

PTH (1–34)

80 μg/kg (21 days)

SC

PTH (1–34) results in early mineralization of the MCC and cartilage degeneration

PTH (1–34) induces alteration in the microarchitecture of the MCC and the SCB

Sampson et al. (2011, USA) [34]

MLI OA mice

PTH (1–34)

40 μg/kg (8 weeks)

SC

PTH (1–34) may be useful for decelerating cartilage degeneration and inducing matrix regeneration in OA model

O'Brien et al. (2017, USA) [35]

Transgenic mice

PTH (1–34)

80 μg/kg (2 weeks)

SC

PTH (1–34) increases the number of Col1a1/Col2a1/Col10a1-positive cells; bone volume fraction, tissue density and trabecular thickness of the SCB; proteoglycan distribution with a concomitant increase in MCC mineralization; chondrocytes differentiation and increases mineralization

Bagi et al. (2015, USA) [36]

Posttraumatic OA Rats

PTH (1–34)

40 μg/kg (10 weeks)

SC

A single drug will have the capacity to reduce joint inflammation, curb excessive bone remodeling, improve cartilage regeneration, and reduce pain

Both Zol and PTH does not prevent or correct the deterioration of the hyaline cartilage, thickening of the SCB plate, osteophyte formation, and mechanical incapacity of the OA

Antunes et al. (2013, USA) [37]

Prg4 mutant mice

PTH (1–34)

50 μg/kg (6 weeks)

SC

SCB contributes to the disruption of the articular cartilage in Prg4 mutant mice

PTH (1–34) could not demonstrate a protective effect in the arthropathic joints because of Prg4 mutant

Lugo et al. (2012, Spain) [38]

OVX and ACLT rabbits

PTH (1–34)

10 mg/kg (10 weeks)

SC

PTH (1–34) ameliorates OA by improving SCB integrity, inhibiting cartilage degradation, and exerting certain beneficial effects on synovial changes

PTH (1–34) exhibits direct beneficial effects upon the synovium of this experimental model

PTH (1–34) administration might hold a potential as therapeutic option for synoviopathy associated with OA

Bellido et al. (2011, Spain) [39]

OVX and ACLT rabbits

PTH (1–34)

10 μg/kg (10 weeks)

SC

PTH (1–34) prevents cartilage damage progression and microstructural and remodeling of SCB in rabbits with early OPOA

  1. OA Osteoarthritis, CIOA Collagenase-induced osteoarthritis, PTH (134) Teriparatide, SC Subcutaneous injection, SCB Subchondral bone, IA Intra-articular, ACLT Anterior cruciate ligament transection, MCC Mandibular condylar cartilage, PLGA Poly lactic-co-glycolic acid, PIOA Induced osteoarthritis, OVX Ovariectomized, SD Sprague–Dawley, PFJOA Patellofemoral joint osteoarthritis, nM nmol/L, MLI Meniscal ligamentous injury, OPOA Osteoarthritis preceded by osteoporosis, DMM Destabilization of the medial meniscus