Phosphonocarboxylates Can Protect Mice against the Inflammatory and Necrotic Side Effects of Nitrogen-Containing Bisphosphonates by Inhibiting Their Entry into Cells via Phosphate Transporters

Biol Pharm Bull. 2016;39(5):712-20. doi: 10.1248/bpb.b15-00770.

Abstract

Bisphosphonates (BPs) are used against diseases involving increased bone-resorption. Among BPs, nitrogen-containing BPs (N-BPs) have much stronger anti-bone-resorptive effects than non-nitrogen-containing BPs (non-N-BPs). However, N-BPs carry the risk of inflammatory/necrotic effects, including osteonecrosis of jawbones. When injected into mouse ear-pinnas, N-BPs induce inflammatory/necrotic effects within the ear-pinna. We previously found that (a) the non-N-BPs clodronate and etidronate can reduce such side effects of N-BPs, and (b) phosphonoformate (an inhibitor of the phosphate transporters SLC20 and SLC34) can reduce the inflammatory/necrotic effects of zoledronate (the N-BP with the highest reported risk of side effects). However, it is not clear (i) whether phosphonoformate can reduce the side effects of other N-BPs, too, and (ii) whether other phosphonocarboxylates have such inhibitory effects. Here, using the mouse ear-pinna model, we compared the effects of etidronate, clodronate, and four phosphonocarboxylates on the inflammatory/necrotic effects of N-BPs of the alkyl type (alendronate) or cyclic type (zoledronate and minodronate). Like phosphonoformate, the other three phosphonocarboxylates protected against the inflammatory/necrotic effects of all the N-BPs. The protective potencies were clodronate>etidronate>phosphonoacetate>phosphonoformate>phosphonopropionate>phosphonobutyrate. With a similar order of potencies, these agents reduced the amount of (3)H-alendronate retained within the ear-pinna after its injection therein. The mRNAs of SLC20 and SLC34 were detected in untreated ear-pinnas. These findings suggest that the inhibition of phosphate transporters by phosphonocarboxylates, as well as by etidronate and clodronate, might be a useful preventive strategy against the side effects of both alkyl- and cyclic-type N-BPs.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology*
  • Bone Density Conservation Agents* / adverse effects
  • Bone Density Conservation Agents* / pharmacology
  • Carboxylic Acids / pharmacology*
  • Diphosphonates* / adverse effects
  • Diphosphonates* / pharmacology
  • Ear / pathology
  • Female
  • Mice, Inbred BALB C
  • Necrosis / chemically induced
  • Necrosis / prevention & control
  • Nitrogen
  • Organophosphonates / pharmacology*
  • Phosphate Transport Proteins / metabolism*
  • Protective Agents / pharmacology

Substances

  • Anti-Inflammatory Agents
  • Bone Density Conservation Agents
  • Carboxylic Acids
  • Diphosphonates
  • Organophosphonates
  • Phosphate Transport Proteins
  • Protective Agents
  • Nitrogen