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. 2011 Oct 5;34(6):1421–1433. doi: 10.1007/s11357-011-9319-0

Fig. 5.

Fig. 5

Mechanism of GCs induced osteoporosis. The illustration represents two ways viz. bone resorption and bone matrix break down as a process for osteoporosis. Here, activated GRs positively (+) regulated MMP-13 and increased ejection of collagenase 3 which is responsible for bone matrix break down. On the other side, RANKL and MCSF positively (+) regulated and OPG is negatively (−) regulated by GRs. The both regulation induce bone resorption