Bisphosphonates inhibit osteoclast-mediated
bone resorption by mechanisms that have only recently become clear. Whereas
nitrogen-containing
bisphosphonates affect osteoclast function by preventing protein prenylation (especially geranylgeranylation), non-
nitrogen-containing
bisphosphonates have a different molecular mechanism of action. In this study, we demonstrate that
nitrogen-containing
bisphosphonates (
risedronate,
alendronate,
pamidronate, and
zoledronic acid) and non-
nitrogen-containing
bisphosphonates (
clodronate and
etidronate) cause apoptosis of rabbit osteoclasts, human osteoclastoma-derived osteoclasts, and human osteoclast-like cells generated in cultures of bone marrow in vitro. Osteoclast apoptosis was shown to involve characteristic morphological changes, loss of mitochondrial membrane potential, and the activation of caspase-3-like
proteases capable of cleaving
peptide substrates with the sequence DEVD. Caspase-3-like activity could be visualized in unfixed, dying osteoclasts and osteoclast-like cells using a cell-permeable,
fluorogenic substrate.
Bisphosphonate-induced osteoclast apoptosis was dependent on
caspase activation, because apoptosis resulting from
alendronate,
clodronate, or
zoledronic acid treatment was suppressed by
zVAD-fmk, a broad-range
caspase inhibitor, or by SB-281277, a specific
isatin sulfonamide inhibitor of
caspase-3/-7. Furthermore,
caspase-3 (but not
caspase-6 or
caspase-7) activity could be detected and quantitated in lysates from purified rabbit osteoclasts, whereas the p17 fragment of active
caspase-3 could be detected in human osteoclast-like cells by immunofluorescence staining.
Caspase-3, therefore, appears to be the major effector
caspase activated in osteoclasts by
bisphosphonate treatment.
Caspase activation and apoptosis induced by
nitrogen-containing
bisphosphonates are likely to be the consequence of the loss of geranylgeranylated rather than farnesylated
proteins, because the ability to cause apoptosis and
caspase activation was mimicked by
GGTI-298, a specific inhibitor of protein geranylgeranylation, whereas
FTI-277, a specific inhibitor of protein farnesylation, had no effect on apoptosis or
caspase activity.