Author/Editor     Marolt, Darja; Cozin, Matthew; Vunjak-Novakovic, Gordana; Cremers, Serge; Landesberg, Regina
Title     Effects of pamidronate on human alveolar osteoblasts in vitro
Type     članek
Vol. and No.     Letnik 70, št. 5
Publication year     2012
Volume     str. 1081-1092
ISSN     0278-2391 - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
Language     eng
Abstract     Purpose Administration of bisphosphonates has recently been associated with the development of osteonecrotic lesions of the jaw (ONJ). To elucidate the potential contributions of osteogenic cells to the development and regeneration of ONJ, we have isolated primary cells from human alveolar and long/iliac bones, and examined the effects of pamidronate on cell viability, proliferation, osteogenesis, and wound healing. Materials and Methods Primary human osteoblasts and bone marrow stromal cells were isolated from alveolar and iliac/long bone and marrow tissue. Cellular proliferation, alkaline phosphatase activity, apoptosis (terminal deoxynucleotidyl transferase dUTP nick end labeling, caspase-3, and 4,6-diamidino-2-phenylindole dihydrochloride assays) and wound healing in an in vitro scratch assay were assessed after exposure to pamidronate at a range of clinically relevant doses. Results Primary alveolar osteoblasts proliferated at significantly higher rates than long/iliac bone osteoblasts in vitro. Upon exposure of alveolar osteoblasts and long/iliac bone marrow stromal cells to pamidronate for more than 72 hours, we have observed significantly decreased cell viability, proliferation, osteogenesis, and in vitro wound healing at 6 105 mol/L pamidronate, with the induction of apoptosis in approximately 20% of cell population. Conclusions The remodeling activity of alveolar bone, indicated by higher proliferation of alveolar osteoblasts, could be negatively affected by exposure to high concentrations of pamidronate over extended periods. The absence of anabolic effects of pamidronate on alveolar osteoblasts and the induction of apoptosis in osteogenic cells could negatively affect bone balance at this site and contribute to osteonecrosis of the jaw.
Keywords     bisphosphonates
osteonecrosis of the jaw
stromal cells
biofosfati
osteonekroza čeljusti
stromalne celice