In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review

Background: Invasive dental treatment in patients exposed to antiresorptive and antiangiogenic drugs can cause medication-related osteonecrosis of the jaw (MRONJ). Currently, the exact pathogenesis of this disease is unclear. Methods: In March 2022, Medline (Ovid), Embase (Ovid), Scopus, and Web of...

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Main Authors: Robert H. Guirguis, Leonard P. Tan, Rebecca M. Hicks, Aniqa Hasan, Tina D. Duong, Xia Hu, Jordan Y. S. Hng, Mohammad H. Hadi, Henry C. Owuama, Tamara Matthyssen, Michael McCullough, Federica Canfora, Rita Paolini, Antonio Celentano
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/13/6/973
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author Robert H. Guirguis
Leonard P. Tan
Rebecca M. Hicks
Aniqa Hasan
Tina D. Duong
Xia Hu
Jordan Y. S. Hng
Mohammad H. Hadi
Henry C. Owuama
Tamara Matthyssen
Michael McCullough
Federica Canfora
Rita Paolini
Antonio Celentano
author_facet Robert H. Guirguis
Leonard P. Tan
Rebecca M. Hicks
Aniqa Hasan
Tina D. Duong
Xia Hu
Jordan Y. S. Hng
Mohammad H. Hadi
Henry C. Owuama
Tamara Matthyssen
Michael McCullough
Federica Canfora
Rita Paolini
Antonio Celentano
author_sort Robert H. Guirguis
collection DOAJ
description Background: Invasive dental treatment in patients exposed to antiresorptive and antiangiogenic drugs can cause medication-related osteonecrosis of the jaw (MRONJ). Currently, the exact pathogenesis of this disease is unclear. Methods: In March 2022, Medline (Ovid), Embase (Ovid), Scopus, and Web of Science were screened to identify eligible in vitro studies investigating the effects of antiresorptive and antiangiogenic compounds on orally derived cells. Results: Fifty-nine articles met the inclusion criteria. Bisphosphonates were used in 57 studies, denosumab in two, and sunitinib and bevacizumab in one. Zoledronate was the most commonly used nitrogen-containing bisphosphonate. The only non-nitrogen-containing bisphosphonate studied was clodronate. The most frequently tested tissues were gingival fibroblasts, oral keratinocytes, and alveolar osteoblasts. These drugs caused a decrease in cell proliferation, viability, and migration. Conclusions: Antiresorptive and antiangiogenic drugs displayed cytotoxic effects in a dose and time-dependent manner. Additional research is required to further elucidate the pathways of MRONJ.
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spelling doaj.art-582cc19bd4e141818a190de62109d2932023-11-18T09:31:23ZengMDPI AGBiomolecules2218-273X2023-06-0113697310.3390/biom13060973In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic ReviewRobert H. Guirguis0Leonard P. Tan1Rebecca M. Hicks2Aniqa Hasan3Tina D. Duong4Xia Hu5Jordan Y. S. Hng6Mohammad H. Hadi7Henry C. Owuama8Tamara Matthyssen9Michael McCullough10Federica Canfora11Rita Paolini12Antonio Celentano13Melbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaDepartment of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, 80131 Naples, ItalyMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaMelbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, AustraliaBackground: Invasive dental treatment in patients exposed to antiresorptive and antiangiogenic drugs can cause medication-related osteonecrosis of the jaw (MRONJ). Currently, the exact pathogenesis of this disease is unclear. Methods: In March 2022, Medline (Ovid), Embase (Ovid), Scopus, and Web of Science were screened to identify eligible in vitro studies investigating the effects of antiresorptive and antiangiogenic compounds on orally derived cells. Results: Fifty-nine articles met the inclusion criteria. Bisphosphonates were used in 57 studies, denosumab in two, and sunitinib and bevacizumab in one. Zoledronate was the most commonly used nitrogen-containing bisphosphonate. The only non-nitrogen-containing bisphosphonate studied was clodronate. The most frequently tested tissues were gingival fibroblasts, oral keratinocytes, and alveolar osteoblasts. These drugs caused a decrease in cell proliferation, viability, and migration. Conclusions: Antiresorptive and antiangiogenic drugs displayed cytotoxic effects in a dose and time-dependent manner. Additional research is required to further elucidate the pathways of MRONJ.https://www.mdpi.com/2218-273X/13/6/973MRONJbisphosphonatesantiresorptivesantiangiogenicsoral tissues
spellingShingle Robert H. Guirguis
Leonard P. Tan
Rebecca M. Hicks
Aniqa Hasan
Tina D. Duong
Xia Hu
Jordan Y. S. Hng
Mohammad H. Hadi
Henry C. Owuama
Tamara Matthyssen
Michael McCullough
Federica Canfora
Rita Paolini
Antonio Celentano
In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
Biomolecules
MRONJ
bisphosphonates
antiresorptives
antiangiogenics
oral tissues
title In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
title_full In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
title_fullStr In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
title_full_unstemmed In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
title_short In Vitro Cytotoxicity of Antiresorptive and Antiangiogenic Compounds on Oral Tissues Contributing to MRONJ: Systematic Review
title_sort in vitro cytotoxicity of antiresorptive and antiangiogenic compounds on oral tissues contributing to mronj systematic review
topic MRONJ
bisphosphonates
antiresorptives
antiangiogenics
oral tissues
url https://www.mdpi.com/2218-273X/13/6/973
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