Fifty years of steady clinical progress and five years of acceleratedbasic research in understanding the cellular and molecular biologyof the osteoclast have led to the development of two drugs forthe treatment of Paget's disease of bone, as reported in thisissue of the Journal by Reid and colleagues (pages 898908)and Cundy and colleagues (pages 918923). In Paget's disease,as in many other skeletal disorders, the osteoclast is the cellularvillain; it literally chews up and spits out the skeleton (seediagram). In the normal adult skeleton, this large, multinucleatedcell helps to maintain skeletal homeostasis . . . [Full Text of this Article]
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Dr. Deftos is a professor of medicine and a physician at the University of California at San Diego and the San Diego Veterans Affairs Medical Center, respectively, and a professor of law at the California Western School of Law, San Diego.
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