Combination of a 1,25-dihydroxyvitamin D3 analog and a bisphosphonate prevents experimental autoimmune encephalomyelitis and preserves bone

Bone. 2003 Apr;32(4):397-404. doi: 10.1016/s8756-3282(03)00030-9.

Abstract

The vitamin D analog TX527 (19-nor-14,20-bis epi-23-yne-1,25(OH)(2)D(3)), decreased disease severity (P < 0.001) and postponed disease onset (P < 0.0001) in SJL mice in which experimental autoimmune encephalomyelitis was induced. Levels of IFN-gamma and IL-2 mRNA were decreased in spinal cord and spleen in the analog-treated mice, suggesting a Th(1)-targeted effect. Adding the bisphosphonate pamidronate did not affect analog-protective efficacy, but completely prevented TX527-caused acceleration of bone turnover and increased total bone mineral content as well as femoral mineral and calcium content (P < 0.01). Less calcemic analogs of 1,25-dihydroxyvitamin D(3), in combination with bone sparing products such as bisphosphonates allow immune modulation in vivo without affecting bone.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Bone Density / drug effects
  • Calcium / blood
  • Cytokines / drug effects
  • Cytokines / metabolism
  • Diphosphonates / therapeutic use*
  • Encephalomyelitis, Autoimmune, Experimental / drug therapy*
  • Female
  • Femur / drug effects
  • Mice
  • Osteocalcin / blood
  • Pamidronate
  • Reverse Transcriptase Polymerase Chain Reaction
  • Vitamin D / analogs & derivatives*
  • Vitamin D / therapeutic use*

Substances

  • Cytokines
  • Diphosphonates
  • Osteocalcin
  • Vitamin D
  • Pamidronate
  • Calcium