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Basic Science
intermediate
X-Type

RANK-RANKL Signaling in Bone

Bone Biology

A 72-year-old woman with severe osteoporosis and intolerance to bisphosphonates is being considered for denosumab therapy. Her endocrinologist explains that this medication works by blocking a key signaling pathway essential for osteoclast formation. She has a history of recurrent vertebral compression fractures and a T-score of -3.8 at the lumbar spine. Regarding the RANK-RANKL-OPG signaling pathway:

Mark each as TRUE or FALSE

A

RANKL (Receptor Activator of Nuclear Factor Kappa-B Ligand) is produced primarily by osteoblasts and...

B

OPG (Osteoprotegerin) is a soluble decoy receptor produced by osteoblasts that binds to RANKL and pr...

C

RANK is expressed exclusively on osteoblasts; RANKL is produced by osteoclasts; OPG promotes bone re...

D

Denosumab is a fully human monoclonal antibody against RANKL that mimics the action of OPG; it preve...

E

The RANK-RANKL pathway is implicated in pathological bone conditions including bone metastases (tumo...

Answer the questions to see explanations

Click T (True) or F (False) for each option