“…Several hormones and cytokines regulate the production of RANKL and OPG by osteoblasts, including parathyroid hormone (PTH), PTH-related protein (PTH-rP), 1,25-dihydroxyvitamin D3 [1,25(OH)2D3 or vitamin D], estrogens, transforming growth factor (TGF), interleukin-1 (IL-1), and tumor-necrosis factor (TNF) (reviewed in [19]). Several studies have analyzed the effects of alendronate and other BPs in OB (stromal cells, primary cells and OB cell lines) and have shown that these drugs influence the differentiation, proliferation and maturation [9,[20][21][22][23][24][25][26][27][28], apoptosis [9,20,[29][30][31][32][33] and gene expression [13-16, 24, 26, 30, 34, 35] of these cells. Despite this, the knowledge of the effect of alendronate on the mature osteoblast cells, especially in the OPG/RANKL system, is still incomplete and it has not been totally clarified.…”