INTRODUCTION
Osteoporosis, the most prevalent skeletal remodeling disorder, is primarily treated by antiresorptive drugs inhibiting the differentia-tion and/or activity of osteoclasts.1 Although osteoanabolic treatment options, stimulating osteoblast-mediated bone forma-tion, are available, they are not commonly used to treat osteoporotic patients.2 In the case of teriparatide, a fragment of parathyroid hormone (PTH), this is mostly explained by the relatively high costs and the mode of application (daily injection). In the case of romosozumab, an antibody blocking the action of the bone formation inhibitor sclerostin, there is still no long-lasting clinical experience, as this type of treatment was approved only recently.3 This explains why it is of highest clinical relevance to uncover additional molecular mechanisms regulating bone formation and skeletal integrity to optimize the treatment of not only osteoporosis but also various other skeletal disorders.