Synthetic Calcium Phosphate Ceramics as a Potential Treatment for Bisphosphonate-Related Osteonecrosis of the Jaw.
biomaterials
biomineralization
bisphosphonate-related osteonecrosis of the jaw
cellular biology
gingival fibroblasts
osteonecrosis
zoledronate
Journal
Materials (Basel, Switzerland)
ISSN: 1996-1944
Titre abrégé: Materials (Basel)
Pays: Switzerland
ID NLM: 101555929
Informations de publication
Date de publication:
06 Jun 2019
06 Jun 2019
Historique:
received:
14
05
2019
revised:
03
06
2019
accepted:
04
06
2019
entrez:
9
6
2019
pubmed:
9
6
2019
medline:
9
6
2019
Statut:
epublish
Résumé
(1) Background: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is one of the most often seen side effects in patients treated with nitrogen-containing bisphosphonates (BPs), a post-surgical non-healing wound condition. Since calcium phosphate (CP) compounds are able to adsorb zoledronate (ZOL) when used as a drug delivery vehicle, we aimed to verify if these ceramics might have a potential protective effect for soft tissues surrounding surgical osseous wounds. (2) Methods: The chemical reaction between ZOL and CP compounds was evaluated through ultraviolet-visible spectroscopy and elemental analysis. A primary culture of human gingival fibroblasts (HGF) was established as a model to evaluate the cytotoxicity of the association of ZOL (5-500 μM) and of ZOL/biphasic calcium phosphates (BCP). Metabolic activity, cell viability, types of cell death, the cell cycle through, and the migration ability of human gingival fibroblasts were evaluated. (3) Results: ZOL was adsorbed by biphasic calcium phosphate compounds in an aqueous solution. The HGF were sensitive to ZOL toxicity; nevertheless, ZOL/BCP showed a significant protective effect regarding metabolic activity, cell viability, and cell migration. (4) Conclusions: BCP interaction with ZOL reduces or abolishes its toxicity in HGF. This finding represents a potential solution for BRONJ in the case of patients undergoing therapy with ZOL.
Identifiants
pubmed: 31174333
pii: ma12111840
doi: 10.3390/ma12111840
pmc: PMC6601279
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : FCT, COMPETE-FEDER
ID : PEst-C/SAU/UI3282/2013 and UID/NEU/04539/2013
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