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   <subfield code="a">Immunomodulators for multiple sclerosis may ameliorate spinal bone loss</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[M. McKenna, B. Murray, R. Lonergan, J. Redmond]</subfield>
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   <subfield code="a">Background: The effect of immunomodulator therapy (IMT) for multiple sclerosis (MS) on bone turnover is unknown. Aim: The aim of this study was to assess bone turnover in MS patients on IMT. Methods: MS patients (n=29) on maintenance IMT had repeat measurement of bone mineral density (BMD) after a 4.0±0.4years; bone turnover markers (BTM) were measured at the time of repeat BMD. Results: BMD was unchanged at the spine but declined at the hip. BTMs, both resorption and formation, were reduced compared to normative range that may indicate an anti-resorptive action of IMT. Significant negative correlations were noted between BTMs and changes in BMD at spine but not hip. Conclusion: These observations suggest that IMT may have a beneficial effect on spinal bone by an antiresorptive action. A prospective study of the effect of IMT on BMD and bone turnover is warranted.</subfield>
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