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Msx-1 is suppressed in bisphosphonate-exposed jaw bone analysis of bone turnover-related cell signalling after bisphosphonate treatment

Oral Diseases (2011) 17, 433–442 Objectives:  Bone‐destructive disease treatments include bisphosphonates and antibodies against receptor activator for nuclear factor κB ligand (aRANKL). Osteonecrosis of the jaw (ONJ) is a side‐effect. Aetiopathology models failed to explain their restriction to the...

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Published in:Oral diseases 2011-05, Vol.17 (4), p.433-442
Main Authors: Wehrhan, F, Hyckel, P, Amann, K, Ries, J, Stockmann, P, Schlegel, KA, Neukam, FW, Nkenke, E
Format: Article
Language:English
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Summary:Oral Diseases (2011) 17, 433–442 Objectives:  Bone‐destructive disease treatments include bisphosphonates and antibodies against receptor activator for nuclear factor κB ligand (aRANKL). Osteonecrosis of the jaw (ONJ) is a side‐effect. Aetiopathology models failed to explain their restriction to the jaw. The osteoproliferative transcription factor Msx‐1 is expressed constitutively only in mature jaw bone. Msx‐1 expression might be impaired in bisphosphonate‐related ONJ. This study compared the expression of Msx‐1, Bone Morphogenetic Protein (BMP)‐2 and RANKL, in ONJ‐affected and healthy jaw bone. Material and methods:  An automated immunohistochemistry‐based alkaline phosphatase‐anti‐alkaline phosphatase method was used on ONJ‐affected and healthy jaw bone samples (n = 20 each): cell‐number ratio (labelling index, Bonferroni adjustment). Real‐time RT‐PCR was performed to quantitatively compare Msx‐1, BMP‐2, RANKL and GAPDH mRNA levels. Results:  Labelling indices were significantly lower for Msx‐1 (P 
ISSN:1354-523X
1601-0825
DOI:10.1111/j.1601-0825.2010.01778.x