Researchers at Mount Sinai School of Medicine have identified a potential treatment for osteonecrosis or death of bone tissue.

The complication is noticed in individuals administered with steroids for multiple medical conditions and there is no treatment option presently for dealing with the debilitating disease.

From Sciencedaily.com:

Glucocorticoids cause reduced blood flow to bone cells in the hip, resulting in cell death, and ACTH reduces these devastating side effects. However, research indicates that osteonecrosis is not significant in people in which steroid levels are high in the blood. Dr. Zaidi’s team knew that these tumors produce excess ACTH, and this spurred the team to evaluate the ACTH’s potential therapeutic effect.

The researchers injected one group of rabbits with depomedrol, a type of steroid, and another group with depomedrol plus ACTH. Osteonecrosis was dramatically reduced in the rabbits that were treated with ACTH. Dr. Zaidi’s team found that ACTH stimulates the vascular endothelial growth factor (VEGF), a protein that signals for the growth of new blood vessels. The stimulation of VEGF results in increased blood flow to the bone cells, preventing cell death.

“The results confirm that ACTH may be of value as a drug to prevent osteonecrosis,” said Dr. Zaidi. “While more research is required, we hope to someday evaluate the efficacy of ACTH in treating osteoporosis as well.”

The research appeared in the April 27 issue of Proceedings of the National Academy of Sciences.