Meet the Professor
Mike Rogers
How Bisphosphonates Work
Enormous progress has been made over the last few years
in understanding how bisphosphonate drugs (BPs) act at the molecular level
to inhibit bone resorption. Recent studies have illustrated how BPs are
internalised by osteoclasts, helping to explain their selective action
on osteoclasts, while the elucidation of the x-ray crystal structure of
nitrogen-containing BPs bound to their target enzyme (FPP synthase) has
provided new insights into the structure-activity relationships of these
compounds and hence why BPs differ in their potency.
This session will summarise these findings and discuss current
concepts of how inhibition of FPP synthase affects protein prenylation
and signalling pathways in osteoclasts, how inhibition of this enzyme
can cause an acute phase reaction in some patients, and to what extent
BPs might also affect cell types other than osteoclasts in vivo, such
as tumour cells.
The session will be interactive, addressing questions from
the audience and developing discussion with participants.
The session will be of interest to anyone with an interest
in clinical and pre-clinical effects of bisphosphonate drugs.
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