Bisphosphonates inhibit osteoclast-mediated bone resorption by mechanisms that have only recently become clear. Whereas nitrogen-containing bisphosphonates affect osteoclast function by preventing protein prenylation (especially geranylgeranylation),non-nitrogen-containing bisphosphonates have a different molecular mechanism of action. In this study,we demonstrate that nitrogen-containing bisphosphonates (risedronate,alendronate,pamidronate,and zoledronic acid) and non-nitrogen-containing bisphosphonates (clodronate and etidronate) cause apoptosis of rabbit osteoclasts,human osteoclastoma-derived osteoclasts,and human osteoclast-like cells generated in cultures of bone marrow in vitro. Osteoclast apoptosis was shown to involve characteristic morphological changes,loss of mitochondrial membrane potential,and the activation of caspase-3-like proteases capable of cleaving peptide substrates with the sequence DEVD. Caspase-3-like activity could be visualized in unfixed,dying osteoclasts and osteoclast-like cells using a cell-permeable,fluorogenic substrate. Bisphosphonate-induced osteoclast apoptosis was dependent on caspase activation,because apoptosis resulting from alendronate,clodronate,or zoledronic acid treatment was suppressed by zVAD-fmk,a broad-range caspase inhibitor,or by SB-281277,a specific isatin sulfonamide inhibitor of caspase-3/-7. Furthermore,caspase-3 (but not caspase-6 or caspase-7) activity could be detected and quantitated in lysates from purified rabbit osteoclasts,whereas the p17 fragment of active caspase-3 could be detected in human osteoclast-like cells by immunofluorescence staining. Caspase-3,therefore,appears to be the major effector caspase activated in osteoclasts by bisphosphonate treatment. Caspase activation and apoptosis induced by nitrogen-containing bisphosphonates are likely to be the consequence of the loss of geranylgeranylated rather than farnesylated proteins,because the ability to cause apoptosis and caspase activation was mimicked by GGTI-298,a specific inhibitor of protein geranylgeranylation,whereas FTI-277,a specific inhibitor of protein farnesylation,had no effect on apoptosis or caspase activity.
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