From molds and macrophages to mevalonate: a decade of progress in understanding the molecular mode of action of bisphosphonates

Calcif Tissue Int. 2004 Dec;75(6):451-61. doi: 10.1007/s00223-004-0024-1. Epub 2004 Aug 31.

Abstract

Although bisphosphonates were first used as therapeutic agents to inhibit bone resorption in the early 1970s, their mode of action at the molecular level has only become fully clear within the last few years. One of the reasons for this lack of understanding was the difficulty in isolating large numbers of pure osteoclasts for biochemical studies. In the last decade, the identification of appropriate surrogate models that reflected the antiresorptive potencies of bisphosphonates, such as Dictyostelium slime molds and macrophages, helped overcome this problem and proved to be instrumental in elucidating the molecular pathways by which these compounds inhibit osteoclast-mediated bone resorption. This brief review summarizes our current understanding of these pathways.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Bone Resorption / drug therapy
  • Dictyostelium
  • Diphosphonates / chemistry*
  • Diphosphonates / pharmacology
  • Humans
  • Macrophages / drug effects*
  • Macrophages / metabolism
  • Mevalonic Acid / metabolism*
  • Osteoclasts / drug effects
  • Osteoclasts / metabolism
  • Protein Prenylation / drug effects

Substances

  • Diphosphonates
  • Mevalonic Acid