A Review on the Relationship between Aspirin and Bone Health

Aspirin is a cyclooxygenase inhibitor commonly used in primary prevention of cardiovascular diseases and cancers. Its users are elderly population susceptible to osteoporosis. It also inhibits the synthesis of prostaglandin E2 essential in bone remodeling. This prompts the question whether it can in...

Full description

Saved in:
Bibliographic Details
Main Author: Kok-Yong Chin
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.1155/2017/3710959
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849305471261868032
author Kok-Yong Chin
author_facet Kok-Yong Chin
author_sort Kok-Yong Chin
collection DOAJ
description Aspirin is a cyclooxygenase inhibitor commonly used in primary prevention of cardiovascular diseases and cancers. Its users are elderly population susceptible to osteoporosis. It also inhibits the synthesis of prostaglandin E2 essential in bone remodeling. This prompts the question whether it can influence bone health among users. This review aimed to summarize the current literature on the use of aspirin on bone health. A literature search on experimental and clinical evidence on the effects of aspirin on bone health was performed using major scientific databases. In vitro studies showed that aspirin could enhance the survival of bone marrow mesenchymal stem cells, the progenitors of osteoblasts, and stimulate the differentiation of preosteoblasts. Aspirin also inhibited the nuclear factor kappa-B (NFκB) pathway and decreased the expression of receptor activator of NFκB ligand, thus suppressing the formation of osteoclast. Aspirin could prevent bone loss in animal models of osteoporosis. Despite a positive effect on bone mineral density, the limited human epidemiological studies revealed that aspirin could not reduce fracture risk. A study even suggested that the use of aspirin increased fracture risk. As a conclusion, aspirin may increase bone mineral density but its effect on fracture prevention is inconclusive. More data are needed to determine the effects of aspirin and bone health in human.
format Article
id doaj-art-0a2ed2f4828541f394470447c9da0faa
institution Kabale University
issn 2090-8059
2042-0064
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Journal of Osteoporosis
spelling doaj-art-0a2ed2f4828541f394470447c9da0faa2025-08-20T03:55:27ZengWileyJournal of Osteoporosis2090-80592042-00642017-01-01201710.1155/2017/37109593710959A Review on the Relationship between Aspirin and Bone HealthKok-Yong Chin0Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, MalaysiaAspirin is a cyclooxygenase inhibitor commonly used in primary prevention of cardiovascular diseases and cancers. Its users are elderly population susceptible to osteoporosis. It also inhibits the synthesis of prostaglandin E2 essential in bone remodeling. This prompts the question whether it can influence bone health among users. This review aimed to summarize the current literature on the use of aspirin on bone health. A literature search on experimental and clinical evidence on the effects of aspirin on bone health was performed using major scientific databases. In vitro studies showed that aspirin could enhance the survival of bone marrow mesenchymal stem cells, the progenitors of osteoblasts, and stimulate the differentiation of preosteoblasts. Aspirin also inhibited the nuclear factor kappa-B (NFκB) pathway and decreased the expression of receptor activator of NFκB ligand, thus suppressing the formation of osteoclast. Aspirin could prevent bone loss in animal models of osteoporosis. Despite a positive effect on bone mineral density, the limited human epidemiological studies revealed that aspirin could not reduce fracture risk. A study even suggested that the use of aspirin increased fracture risk. As a conclusion, aspirin may increase bone mineral density but its effect on fracture prevention is inconclusive. More data are needed to determine the effects of aspirin and bone health in human.http://dx.doi.org/10.1155/2017/3710959
spellingShingle Kok-Yong Chin
A Review on the Relationship between Aspirin and Bone Health
Journal of Osteoporosis
title A Review on the Relationship between Aspirin and Bone Health
title_full A Review on the Relationship between Aspirin and Bone Health
title_fullStr A Review on the Relationship between Aspirin and Bone Health
title_full_unstemmed A Review on the Relationship between Aspirin and Bone Health
title_short A Review on the Relationship between Aspirin and Bone Health
title_sort review on the relationship between aspirin and bone health
url http://dx.doi.org/10.1155/2017/3710959
work_keys_str_mv AT kokyongchin areviewontherelationshipbetweenaspirinandbonehealth
AT kokyongchin reviewontherelationshipbetweenaspirinandbonehealth