Abstract | PURPOSE:
Osteonecrosis of the jaws (ONJ) is a clinical condition that is characterized by a nonhealing breach in the oral mucosa resulting in exposure of bone and has been increasingly reported in patients receiving bisphosphonate (BP) therapy. Although the pathogenesis and natural history of ONJ remain ill-defined, it appears that the oral soft tissues play a critical role in the development of this condition. We examined the effects of the nitrogen-containing BPs pamidronate and zoledronate on primary human gingival fibroblasts. MATERIALS AND METHODS: RESULTS: Gingival fibroblasts are significantly more sensitive to inhibition of proliferation by zoledronate compared with pamidronate. Exposure of these cells to pamidronate but not zoledronate resulted in an increase in cellular apoptosis. Furthermore, exposure of gingival fibroblasts to pamidronate or zoledronate resulted in a decrease in cellular migration. We show that these defects are due to a loss of cell-substratum adhesion and a reduction of F-actin bundles. Finally, we show that the addition of rhPDGF-BB and GGOH in vitro is able to partially rescue the cell proliferation, migration, and adhesion defects. CONCLUSION: The cytotoxic effects of BPs on oral fibroblasts and their significant reversal by the addition of GGOH and rhPDGF-BB provide both the potential mechanism and treatment options for ONJ.
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Authors | Matthew Cozin, Bradley M Pinker, Kimberley Solemani, Jeremy M Zuniga, Stephen C Dadaian, Serge Cremers, Regina Landesberg, Srikala Raghavan |
Journal | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
(J Oral Maxillofac Surg)
Vol. 69
Issue 10
Pg. 2564-78
(Oct 2011)
ISSN: 1531-5053 [Electronic] United States |
PMID | 21807448
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Actins
- Bone Density Conservation Agents
- Diphosphonates
- Diterpenes
- Imidazoles
- Platelet-Derived Growth Factor
- Proto-Oncogene Proteins c-sis
- Recombinant Proteins
- Becaplermin
- Zoledronic Acid
- geranylgeraniol
- Caspase 3
- Pamidronate
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Topics |
- Actins
(metabolism)
- Apoptosis
- Becaplermin
- Bone Density Conservation Agents
(adverse effects)
- Caspase 3
(metabolism)
- Cell Adhesion
(drug effects)
- Cell Culture Techniques
- Cell Movement
(drug effects)
- Cell Proliferation
(drug effects)
- Diphosphonates
(adverse effects)
- Diterpenes
(pharmacology)
- Fibroblasts
(drug effects)
- Gingiva
(cytology, drug effects)
- Humans
- Imidazoles
(adverse effects)
- In Situ Nick-End Labeling
- Pamidronate
- Platelet-Derived Growth Factor
(pharmacology)
- Proto-Oncogene Proteins c-sis
- Recombinant Proteins
(pharmacology)
- Wound Healing
(drug effects)
- Zoledronic Acid
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