2003
DOI: 10.1016/j.bone.2003.07.007
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Differentiating the mechanisms of antiresorptive action of nitrogen containing bisphosphonates

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Cited by 172 publications
(111 citation statements)
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“…BPs act by inhibiting the osteoclastic resorption of bone tissue (Colucci et al 1998;Van Beek et al 2003), they bind strongly to HA crystals and are retained for a long time in bone, being excreted unmetabolized in urine (Papapoulos 2006;Panzavolta et al 2009). Chemically, BPs are analogous to pyrophosphates, which are natural modulators of bone metabolism (Nancollas et al 2006;Nieto et al 2008).…”
Section: Bisphosphonatesmentioning
confidence: 99%
“…BPs act by inhibiting the osteoclastic resorption of bone tissue (Colucci et al 1998;Van Beek et al 2003), they bind strongly to HA crystals and are retained for a long time in bone, being excreted unmetabolized in urine (Papapoulos 2006;Panzavolta et al 2009). Chemically, BPs are analogous to pyrophosphates, which are natural modulators of bone metabolism (Nancollas et al 2006;Nieto et al 2008).…”
Section: Bisphosphonatesmentioning
confidence: 99%
“…The bisphosphonate compounds are analogs of inorganic pyrophosphate in which the oxygen atom has been replaced with a carbon atom (22)(23)(24)(25). The phosphate-carbon-phosphate group accounts for the unique high-affinity binding property of these compounds to the hydroxyapatite component of the bone matrix and provides the unique pharmacologic advantage of generating a high local concentration of the drug on the bone surface, where these agents can act directly to interfere with osteoclast-mediated bone resorption.…”
mentioning
confidence: 99%
“…The non-nitrogenous bisphosphonates(disphosphonates) are metabolised in the cell to compounds that replace the terminal pyrophosphate moiety of ATP, forming a nonfunctional molecule that competes with adenosine triphosphate (ATP) in the cellular energy metabolism. The osteoclast initiates apoptosis and dies, leading to an overall decrease in the breakdown of bone (5,6).…”
Section: Classificationmentioning
confidence: 99%