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Updated: Mar 17, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Anti-cancer effects of nitrogen-containing bisphosphonates on human cancer cells
Pengfei Jiang1, Peiying Zhang2, Rajesh Mukthavaram1
1Moores Cancer Center, UC San Diego, La Jolla, CA 92093, USA.
Abstract:
Zoledronic acid, a potent nitrogen-containing bisphosphonate (NBP), has been extensively used to limit bone turnover in a various diseases including tumors. Recent clinical studies have demonstrated direct anti-cancer effects of zoledronic acid, in addition to its clinical benefits for skeletal-related events. Here we investigated the effects of 4 clinically available NBPs on human tumor cell proliferation. Our data demonstrate a potent anti-proliferative effect of zoledronic acid against glioblastoma (GBM) cell lines, breast cancer cells and GBM patient-derived lines. Zoledronic acid also effectively inhibited GBM tumor growth in xenograft mouse models. Zoledronic acid strongly stimulated autophagy but not apoptotic signals in all tested cells. Only one intermediate product of cholesterols synthesis pathway, geranylgeranyl diphosphate (GGPP) rescued cells from the cytotoxic effects of zoledronic acid. To further investigate the effect of GGPP, we knocked down RABGGTA, which encodes a subunit of the Rabgeranylgeranyltransferase protein. This knockdown induced an effect similar to zoledronic acid in cancer cell lines. These data are promising and suggested a potential for zoledronic acid as an anti-cancer agent, through its ablation of the function of Rab proteins.
Insights
Zoledronic acid, a nitrogen-containing bisphosphonate, effectively inhibits glioblastoma and breast cancer cell growth. It works by stimulating autophagy and interfering with cholesterol synthesis, offering potential as an anti-cancer therapy.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Nitrogen-containing bisphosphonates (NBPs) like zoledronic acid are used to manage bone turnover in various diseases.
- Emerging clinical evidence suggests direct anti-cancer properties of zoledronic acid beyond skeletal benefits.
Purpose of the Study:
- To investigate the anti-proliferative effects of four clinically available NBPs on human tumor cell lines.
- To elucidate the mechanism of action of zoledronic acid in cancer cells.
Main Methods:
- Assessed the anti-proliferative effects of NBPs on glioblastoma (GBM) and breast cancer cell lines.
- Evaluated zoledronic acid's efficacy in GBM xenograft mouse models.
- Investigated cellular responses including autophagy and apoptosis.
- Examined the role of the cholesterol synthesis pathway intermediate, geranylgeranyl diphosphate (GGPP), and Rabgeranylgeranyltransferase (RABGGTA) gene knockdown.
Main Results:
- Zoledronic acid demonstrated potent anti-proliferative activity against GBM and breast cancer cell lines, including patient-derived GBM lines.
- Zoledronic acid significantly inhibited GBM tumor growth in vivo.
- The drug strongly induced autophagy but not apoptosis in tested cancer cells.
- Geranylgeranyl diphosphate (GGPP) rescued cells from zoledronic acid's cytotoxic effects.
- Knockdown of RABGGTA mimicked the anti-cancer effects of zoledronic acid.
Conclusions:
- Zoledronic acid exhibits significant direct anti-cancer effects, particularly against glioblastoma.
- The anti-cancer mechanism involves the induction of autophagy and disruption of Rab protein prenylation via the GGPP pathway.
- Zoledronic acid shows promise as a potential anti-cancer therapeutic agent.
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