Abstract

Bisphosphonates (BPs) are compounds resembling the pyrophosphate structure. BPs bind the mineral component of bones. During the bone resorption by osteoclasts, nitrogen-containing BPs are released and internalized, causing an inhibition of the mevalonate pathway. As a consequence, osteoclasts are unable to execute their function. Alendronate (ALN) is a bisphosphonate used to treat osteoporosis. Its administration could be associated with adverse effects. The purpose of this study is to evaluate four different ALN concentrations, ranging from 10−6 to 10−10 M, in the presence of different combinations of M-CSF and RANKL, to find out the effect of low ALN concentrations on osteoclastogenesis using rat and human peripheral blood mononuclear cells. The cytotoxic effect of ALN was evaluated based on metabolic activity and DNA concentration measurement. The alteration in osteoclastogenesis was assessed by the activity of carbonic anhydrase II (CA II), tartrate-resistant acid phosphatase staining, and actin ring formation. The ALN concentration of 10−6 M was cytotoxic. Low ALN concentrations of 10−8 and 10−10 M promoted proliferation, osteoclast-like cell formation, and CA II activity. The results indicated the induction of osteoclastogenesis with low ALN concentrations. However, when high doses of ALN were administered, their cytotoxic effect was demonstrated.

Highlights

  • Accepted: 11 March 2021Bone is a rigid connective tissue that enables locomotion, supports weight, protects the internal organs, and maintains mineral homeostasis

  • The bones consist of several cell types that are orchestrated together in order to balance the process of bone formation, executed by osteoblasts and bone resorption carried out by osteoclasts

  • The most important include macrophage-colony stimulating factor (M-CSF) and receptor activator of nuclear factor kappa B ligand (RANKL), which bind to the cell surface receptors of osteoclast precursors [1]

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Summary

Introduction

Bone is a rigid connective tissue that enables locomotion, supports weight, protects the internal organs, and maintains mineral homeostasis. As it is a dynamic type of tissue, the process of continuous bone remodeling occurs throughout life. The bones consist of several cell types that are orchestrated together in order to balance the process of bone formation, executed by osteoblasts and bone resorption carried out by osteoclasts. The most important include macrophage-colony stimulating factor (M-CSF) and receptor activator of nuclear factor kappa B ligand (RANKL), which bind to the cell surface receptors of osteoclast precursors [1]. OPG binds to RANKL, thereby preventing excessive bone resorption [2]

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