Ricchiuto Silvia, Palumbo Rossella, Lami Francesca, Gavioli Francesca, Caselli Lorenzo, Montanari Monica, Zappavigna Vincenzo, Anesi Alexandre, Zanocco-Marani Tommaso, Grande Alexis
Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Department of Life Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Biology (Basel). 2023 Sep 29;12(10):1297. doi: 10.3390/biology12101297.
Bisphosphonates (BPs) are successfully used to cure a number of diseases characterized by a metabolic reduction in bone density, such as Osteoporosis, or a neoplastic destruction of bone tissue, such as multiple myeloma and bone metastases. These drugs exert their therapeutic effect by causing a systemic osteoclast depletion that, in turn, is responsible for reduced bone resorption. Unfortunately, in addition to their beneficial activity, BPs can also determine a frightening side effect known as osteonecrosis of the jaw (ONJ). It is generally believed that the inability of osteoclasts to dispose of inflamed/necrotic bone represents the main physiopathological aspect of ONJ. In principle, a therapeutic strategy able to elicit a local re-activation of osteoclast production could counteract ONJ and promote the healing of its lesions. Using an experimental model of Vitamin D3-dependent osteoclastogenesis, we have previously demonstrated that Magnesium is a powerful inducer of osteoclast differentiation. Here we show that, surprisingly, this effect is greatly enhanced by the presence of Zoledronate, chosen for our study because it is the most effective and dangerous of the BPs. This finding allows us to hypothesize that Magnesium might play an important role in the topical therapy of ONJ.
双膦酸盐(BPs)已成功用于治疗多种以骨密度代谢降低为特征的疾病,如骨质疏松症,或骨组织的肿瘤性破坏,如多发性骨髓瘤和骨转移瘤。这些药物通过引起全身性破骨细胞耗竭发挥治疗作用,而破骨细胞耗竭又导致骨吸收减少。不幸的是,除了有益作用外,BPs还会引发一种可怕的副作用,即颌骨坏死(ONJ)。一般认为,破骨细胞无法清除发炎/坏死的骨组织是ONJ的主要病理生理方面。原则上,一种能够引发破骨细胞生成局部重新激活的治疗策略可以对抗ONJ并促进其病变愈合。使用维生素D3依赖性破骨细胞生成的实验模型,我们之前已经证明镁是破骨细胞分化的有力诱导剂。在这里我们表明,令人惊讶的是,唑来膦酸的存在大大增强了这种作用,我们选择唑来膦酸进行研究是因为它是最有效且最危险的双膦酸盐。这一发现使我们能够推测镁可能在ONJ的局部治疗中发挥重要作用。