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[Cancer Research 65, 4971-4974, June 15, 2005]
© 2005 American Association for Cancer Research


Reviews

Bisphosphonates and Cancer-Induced Bone Disease: Beyond Their Antiresorptive Activity

Philippe Clézardin1, Frank H. Ebetino2 and Pierrick G.J. Fournier1

1 Institut National de la Sante et de la Recherche Medicale Research Unit 664, Laennec School of Medicine, Lyon, France and 2 Procter and Gamble Pharmaceuticals, Mason, Ohio

Requests for reprints: Philippe Clézardin, Institut National de la Sante et de la Recherche Medicale Research Unit 664, Laennec School of Medicine Rue G. Paradin, 69372 Lyon cedex 08, France. Phone: 33-4-78-78-57-37; Fax: 33-4-78-77-86-63; E-mail: clezardin{at}lyon.inserm.fr.

Bisphosphonates are primarily known for their ability to inhibit osteoclast-mediated bone resorption. They are an indispensable part of therapy for patients with cancers that cause osteolysis. However, there is now a growing body of evidence from preclinical research showing that bisphosphonates also exhibit antitumor activity, both in vitro and in vivo. They can affect molecular mechanisms of tumor cell adhesion, invasion, and proliferation; reinforce the effects of cytotoxic agents in a synergistic manner; and exhibit antiangiogenic and immunomodulatory effects. These preclinical findings reveal exciting ways of optimizing bisphosphonate therapy in oncology to fully exploit their antitumor potential.




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