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Skeletal accumulation of fluorescently tagged zoledronate is higher in animals with early stage chronic kidney disease.


ABSTRACT: This work examines the skeletal accumulation of fluorescently tagged zoledronate in an animal model of chronic kidney disease. The results show higher accumulation in 24-h post-dose animals with lower kidney function due to greater amounts of binding at individual surfaces. INTRODUCTION:Chronic kidney disease (CKD) patients suffer from increased rates of skeletal-related mortality from changes driven by biochemical abnormalities. Bisphosphonates are commonly used in reducing fracture risk in a variety of diseases, yet their use is not recommended in advanced stages of CKD. This study aimed to characterize the accumulation of a single dose of fluorescently tagged zoledronate (FAM-ZOL) in the setting of reduced kidney function. METHODS:At 25 weeks of age, FAM-ZOL was administered to normal and CKD rats. Twenty-four hours later, multiple bones were collected and assessed using bulk fluorescence imaging, two-photon imaging, and dynamic histomorphometry. RESULTS:CKD animals had significantly higher levels of FAM-ZOL accumulation in the proximal tibia, radius, and ulna, but not in lumbar vertebral body or mandible, based on multiple measurement modalities. Although a majority of trabecular bone surfaces were covered with FAM-ZOL in both normal and CKD animals, the latter had significantly higher levels of fluorescence per unit bone surface in the proximal tibia. CONCLUSIONS:These results provide new data regarding how reduced kidney function affects drug accumulation in rat bone.

SUBMITTER: Swallow EA 

PROVIDER: S-EPMC6103914 | biostudies-other | 2018 Sep

REPOSITORIES: biostudies-other

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Skeletal accumulation of fluorescently tagged zoledronate is higher in animals with early stage chronic kidney disease.

Swallow E A EA   Aref M W MW   Chen N N   Byiringiro I I   Hammond M A MA   McCarthy B P BP   Territo P R PR   Kamocka M M MM   Winfree S S   Dunn K W KW   Moe S M SM   Allen M R MR  

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 20180611 9


This work examines the skeletal accumulation of fluorescently tagged zoledronate in an animal model of chronic kidney disease. The results show higher accumulation in 24-h post-dose animals with lower kidney function due to greater amounts of binding at individual surfaces.<h4>Introduction</h4>Chronic kidney disease (CKD) patients suffer from increased rates of skeletal-related mortality from changes driven by biochemical abnormalities. Bisphosphonates are commonly used in reducing fracture risk  ...[more]

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