PMID- 23505553 OWN - NLM STAT- MEDLINE DCOM- 20130906 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 3 DP - 2013 TI - Zoledronate effects on systemic and jaw osteopenias in ovariectomized periostin-deficient mice. PG - e58726 LID - 10.1371/journal.pone.0058726 [doi] LID - e58726 AB - Osteoporosis and periodontal disease (PD) are frequently associated in the elderly, both concurring to the loss of jaw alveolar bone and finally of teeth. Bisphosphonates improve alveolar bone loss but have also been associated with osteonecrosis of the jaw (ONJ), particularly using oncological doses of zoledronate. The effects and therapeutic margin of zoledronate on jaw bone therefore remain uncertain. We reappraised the efficacy and safety of Zoledronate (Zol) in ovariectomized (OVX) periostin (Postn)-deficient mice, a unique genetic model of systemic and jaw osteopenia. Compared to vehicle, Zol 1M (100 microg/kg/month) and Zol 1W (100 microg/kg/week) for 3 months both significantly improved femur BMD, trabecular bone volume on tissue volume (BV/TV) and cortical bone volume in both OVX Postn(+/+) and Postn(-/-) (all p<0.01). Zol 1M and Zol 1W also improved jaw alveolar and basal BV/TV, although the highest dose (Zol 1W) was less efficient, particularly in Postn(-/-). Zol decreased osteoclast number and bone formation indices, i.e. MAR, MPm/BPm and BFR, independently in Postn(-/-) and Postn(+/+), both in the long bones and in deep jaw alveolar bone, without differences between Zol doses. Zol 1M and Zol 1W did not reactivate inflammation nor increase fibrous tissue in the bone marrow of the jaw, whereas the distance between the root and the enamel of the incisor (DRI) remained high in Postn(-/-) vs Postn(+/+) confirming latent inflammation and lack of crestal alveolar bone. Zol 1W and Zol 1M decreased osteocyte numbers in Postn(-/-) and Postn(+/+) mandible, and Zol 1W increased the number of empty lacunae in Postn(-/-), however no areas of necrotic bone were observed. These results demonstrate that zoledronate improves jaw osteopenia and suggest that in Postn(-/-) mice, zoledronate is not sufficient to induce bone necrosis. FAU - Bonnet, Nicolas AU - Bonnet N AD - Division of Bone Diseases, Department of Internal Medicine Specialties, Geneva University Hospital, Geneva, Switzerland. nicolas.bonnet@unige.ch FAU - Lesclous, Philippe AU - Lesclous P FAU - Saffar, Jean Louis AU - Saffar JL FAU - Ferrari, Serge AU - Ferrari S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130307 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Bone Density Conservation Agents) RN - 0 (Cell Adhesion Molecules) RN - 0 (Diphosphonates) RN - 0 (Imidazoles) RN - 0 (Postn protein, mouse) RN - 6XC1PAD3KF (Zoledronic Acid) SB - IM MH - Animals MH - Bone Density/drug effects MH - Bone Density Conservation Agents/*administration & dosage MH - Bone Diseases, Metabolic/diagnosis/*drug therapy MH - Bone Remodeling/drug effects MH - Bone Resorption/drug therapy/pathology MH - Bone and Bones/diagnostic imaging/drug effects/pathology MH - Cell Adhesion Molecules/*deficiency MH - Diphosphonates/*administration & dosage MH - Female MH - Imidazoles/*administration & dosage MH - Jaw/*pathology MH - Mice MH - Mice, Knockout MH - *Ovariectomy MH - Tomography, X-Ray Computed MH - Zoledronic Acid PMC - PMC3591374 COIS- Competing Interests: The authors have the following interests: Co-author Serge Ferrari has declared a conflict of interest since he serves as an expert in trials about ONJ cases in the US involving Novartis; however, he is not an employee of this company nor is he directly remunerated by the company for this expertise. There are no patents, products in development or marketed products to declare. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials. EDAT- 2013/03/19 06:00 MHDA- 2013/09/07 06:00 PMCR- 2013/03/07 CRDT- 2013/03/19 06:00 PHST- 2012/11/21 00:00 [received] PHST- 2013/02/05 00:00 [accepted] PHST- 2013/03/19 06:00 [entrez] PHST- 2013/03/19 06:00 [pubmed] PHST- 2013/09/07 06:00 [medline] PHST- 2013/03/07 00:00 [pmc-release] AID - PONE-D-12-36472 [pii] AID - 10.1371/journal.pone.0058726 [doi] PST - ppublish SO - PLoS One. 2013;8(3):e58726. doi: 10.1371/journal.pone.0058726. Epub 2013 Mar 7.