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Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
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Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
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The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
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Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
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Alendronate alters osteoblast activities.

Tormod B Krüger1, Bente B Herlofson1, Maria A Landin2

  • 1a Department of Oral Surgery and Oral Medicine, Faculty of Dentistry , University of Oslo , Oslo , Norway.

Acta Odontologica Scandinavica
|August 23, 2016
PubMed
Summary

Alendronate (ALN) affects human osteoblasts by enhancing immune factor secretion and altering proliferation and differentiation. High doses or accumulation may lead to adverse bone changes.

Keywords:
Bisphosphonatesbonecytotoxicosteonecrosis

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Area of Science:

  • Bone biology and pharmacology
  • Cellular and molecular mechanisms of bisphosphonates

Background:

  • Bisphosphonates (BPs) accumulate in bone with long half-lives, necessitating understanding their cellular effects.
  • Alendronate (ALN) is a widely used bisphosphonate for treating bone diseases.

Purpose of the Study:

  • To investigate the impact of alendronate (ALN) on human primary osteoblasts.
  • To assess ALN's effects on osteoblast proliferation, viability, and differentiation.

Main Methods:

  • Human osteoblasts were treated with varying concentrations of ALN (5, 20, 100 μM).
  • Cell proliferation was measured using 3H-thymidine incorporation and MTT assays.
  • Cell viability, differentiation markers (mRNA expression), and immune factor secretion were analyzed.

Main Results:

  • ALN did not affect osteoblast viability.
  • Low ALN concentrations increased proliferation; high concentration (100 μM) decreased it.
  • ALN reduced osteoblast differentiation markers but increased leptin, IL-8, and RANTES expression/secretion.

Conclusions:

  • Alendronate enhances immune factor secretion from osteoblasts.
  • Reduced proliferation and differentiation, coupled with immune factor release, suggest potential adverse local bone effects at higher doses or with accumulation.