Is the Use of Bisphosphonates Putting Horses at Risk? An Osteoclast Perspective.
Abstract: Osteoclasts are unique and vital bone cells involved in bone turnover. These cells are active throughout the individual's life and play an intricate role in growth and remodeling. However, extra-label bisphosphonate use may impair osteoclast function, which could result in skeletal microdamage and impaired healing without commonly associated pain, affecting bone remodeling, fracture healing, and growth. These effects could be heightened when administered to growing and exercising animals. Bisphosphonates (BPs) are unevenly distributed in the skeleton; blood supply and bone turnover rate determine BPs uptake in bone. Currently, there is a critical gap in scientific knowledge surrounding the biological impacts of BP use in exercising animals under two years old. This may have significant welfare ramifications for growing and exercising equids. Therefore, future research should investigate the effects of these drugs on skeletally immature horses.
Publication Date: 2022-07-03 PubMed ID: 35804621PubMed Central: PMC9265010DOI: 10.3390/ani12131722Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Review
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research paper discusses the potential harm that can be caused to horses, particularly those under two years old, from the use of bisphosphonates, a type of drug that could interfere with the function of osteoclasts, essential cells involved in bone development and healing.
Background on Osteoclasts and Bisphosphonates
- The research paper begins by providing some background on osteoclasts. These are unique and essential cells that are involved in the turnover of bones. These cells function all through a horse’s life, actively participating in growth and remodeling of the skeletal structure.
- The drug under scrutiny in this paper is bisphosphonates (BPs). These are widely used in medical treatments like osteoporosis. BPs have a significant impact on bone metabolism as they can alter the function of osteoclasts, and thereby the process of bone remodeling.
- However, the research points out that there could be negative implications from interfering with the normal functioning of osteoclasts. There’s a risk that using BPs could lead to skeletal microdamage and impaired healing, all happening without associated pain that would usually signal a problem.
Potential Risks in Younger, Exercising Horses
- The research further stress that these potential risks could be even more pronounced in growing and exercising animals. This is mainly because their bone structures are in a faster rate of growth and remodeling.
- The distribution of BPs in the skeleton is not even; it is determined by the bone’s blood supply and turnover rate. This could mean that some bones may be more affected than others by the use of the drug.
- It’s outlined that a critical gap currently exists in the scientific understanding of how BPs potentially affect exercising animals, particularly those that are under two years old. The research implies that this could have serious implications for the overall welfare of young, active horses.
Call for Future Research
- The paper concludes by stating that there is a need for future research to be conducted on this issue. It suggests that future investigations should particularly focus on the effects of BPs on young horses that are still growing, to better understand any potential risks and complications.
Cite This Article
APA
Vergara-Hernandez FB, Nielsen BD, Colbath AC.
(2022).
Is the Use of Bisphosphonates Putting Horses at Risk? An Osteoclast Perspective.
Animals (Basel), 12(13).
https://doi.org/10.3390/ani12131722 Publication
Researcher Affiliations
- Department of Animal Science, Michigan State University, 474 S. Shaw Ln, East Lansing, MI 48824, USA.
- Department of Animal Science, Michigan State University, 474 S. Shaw Ln, East Lansing, MI 48824, USA.
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, 736 Wilson Ave, East Lansing, MI 48864, USA.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 104 references
- Martin JT. Historically Significant Events in the Discovery of RANK/RANKL/OPG. World J. Orthop. 2013;4:186–197.
- Allen MR, Burr DB. Bone Growth, Modeling, and Remodeling. 2019. pp. 85–100.
- Burr DB. Fifty Years of Bisphosphonates: What Are Their Mechanical Effects on Bone?. Bone 2020;138:115518.
- Mitchell A, Watts AE, Ebetino FH, Suva LJ. Bisphosphonate Use in the Horse: What Is Good and What Is Not?. BMC Vet. Res. 2019;15:211.
- Suva LJ, Cooper A, Watts AE, Ebetino FH, Price J, Gaddy D. Bisphosphonates in Veterinary Medicine: The New Horizon for Use. Bone 2021;142:115711.
- Boyle WJ, Simonet WS, Lacey DL. Osteoclast Differentiation and Activation. Nature 2003;423:337–342.
- Yasuda H, Shima N, Nakagawa N, Yamaguchi K, Kinosaki M, Mochizuki S, Tomoyasu A, Yano K, Goto M, Murakami A. Osteoclast Differentiation Factor is a Ligand for Osteoprotegerin/Osteoclastogenesis-Inhibitory Factor and is Identical to TRANCE/RANKL. Proc. Natl. Acad. Sci. USA 1998;95:3597–3602.
- Park-Min KH. Mechanisms Involved in Normal and Pathological Osteoclastogenesis. Cell. Mol. Life Sci. 2018;75:2519–2528.
- Whyte MP, Wenkert D, Clements KL, Mcalister WH, Mumm S. Bisphosphonate-Induced Osteopetrosis: Novel Bone Modeling Defects, Metaphyseal Osteopenia, and Osteosclerosis Fractures after Drug Exposure Ceases. J. Bone Miner. Res. 2008;23:1698–1707.
- Teitelbaum SL. Osteoclasts; Culprits Inflammatory Osteolysis. Arthritis Res. Ther. 2006;8:201.
- Bellido T, Plotkin LI, Bruzzaniti A. Bone Cells. 2019. pp. 37–55.
- Xu F, Teitelbaum SL. Osteoclasts: New Insights. Bone Res. 2013;1:11–26.
- Holtrop ME, King GJ. The Ultrastructure of the Osteoclast and its Functional Implications. Clin. Orthop. Relat. Res. 1977;123:177–196.
- Robling AG, Daly R, Fuchs RK, Burr DB. Mechanical Adaptation. 2019. pp. 203–233.
- Sobacchi C, Frattini A, Guerrini MM, Abinun M, Pangrazio A, Susani L, Bredius R, Mancini G, Cant A, Bishop N. Osteoclast-Poor Human Osteopetrosis Due to Mutations in the Gene Encoding RANKL. Nat. Genet. 2007;39:960–962.
- Fukumoto S, Martin TJ. Bone as an Endocrine Organ. Trends Endocrinol. Metab. 2009;20:230–236.
- Burr DB. Bone Morphology and Organization. 2019. pp. 3–26.
- Wolff J. Ueber Die Innere Architectur der Knochen und Ihre Bedeutung Für Die Frage Vom Knochenwachsthum. Arch. Für Pathol. Anat. Und Physiol. Und Für Klin. Med. 1870;50:389–450.
- Langdahl B, Ferrari S, Dempster DW. Bone Modeling and Remodeling: Potential as Therapeutic Targets for the Treatment of Osteoporosis. TAMD 2016;8:225–235.
- Nancollas GH, Tang R, Phipps RJ, Henneman Z, Gulde S, Wu W, Mangood A, Russell RGG, Ebetino FH. Novel Insights into Actions of Bisphosphonates on Bone: Differences in Interactions with Hydroxyapatite. Bone 2006;38:617–627.
- Khosla S, Bilezikian JP, Dempster DW, Lewiecki EM, Miller PD, Neer RM, Recker RR, Shane E, Shoback D, Potts JT. Benefits and Risks of Bisphosphonate Therapy for Osteoporosis. J. Clin. Endocrinol. Metab. 2012;97:2272–2282.
- Soto SA, Chiappe Barbará A. Bisphosphonates: Pharmacology and Clinical Approach to Their Use in Equine Osteoarticular Diseases. J. Equine Vet. Sci. 2014;34:727–737.
- Rogers MJ, Crockett JC, Coxon FP, Mönkkönen J. Biochemical and Molecular Mechanisms of Action of Bisphosphonates. Bone 2011;49:34–41.
- Russell RGG. Bisphosphonates: Mode of Action and Pharmacology. Pediatrics 2007;119:S150–S162.
- Russell RGG. Bisphosphonates: The First 40 Years. Bone 2011;49:2–19.
- Sims NA, Martin TJ. Osteoclasts Provide Coupling Signals to Osteoblast Lineage Cells Through Multiple Mechanisms. Annu. Rev. Physiol. 2020;82:507–529.
- Jensen PR, Andersen TL, Chavassieux P, Roux JP, Delaisse JM. Bisphosphonates Impair the Onset of Bone Formation at Remodeling Sites. Bone 2021;145:115850.
- Lin JH. Bisphosphonates: A Review of Their Pharmacokinetic Properties. Bone 1996;18:75–85.
- Daley-Yates PT, Dodwell DJ, Pongchaidecha M, Coleman RE, Howell A. The Clearance and Bioavailability of Pamidronate in Patients with Breast Cancer and Bone Metastases. Calcif. Tissue Int. 1991;49:433–435.
- Gertz BJ, Holland SD, Kline WF, Matuszewski BK, Porras AG. Clinical Pharmacology of Alendronate Sodium. Osteoporos. Int. 1993;3:13–16.
- Yakatan GJ, Poynor WJ, Talbert RL, Floyd BF, Slough CL, Ampulski RS, Benedict JJ. Clodronate Kinetics and Bioavailability. Clin. Pharmacol. Ther. 1982;31:402–410.
- Mönkkönen J, Ylitalo P. The Tissue Distribution of Clodronate (Dichloromethylene Bisphosphonate) in Mice. The Effects of Vehicle and the Route of Administration. Eur. J. Drug Metab. Pharmacokinet. 1990;15:239–243.
- Lin JH, Chen IW, Duggan DE. Effects of Dose, Sex, and Age on the Disposition of Alendronate, a Potent Antiosteolytic Bisphosphonate, in Rats. Drug Metab. Dispos. 1992;20:473–478.
- Sato M, Grasser W, Endo N, Akins R, Simmons H, Thompson DD, Golub E, Rodan GA. Bisphosphonate Action. Alendronate Localization in Rat Bone and Effects on Osteoclast Ultrastructure. J. Clin. Investig. 1991;88:2095–2105.
- Kasting GB, Francis MD. Retention of Etidronate in Human, Dog, and Rat. J. Bone Miner. Res. 1992;7:513–522.
- Cremers S, Papapoulos S. Pharmacology of Bisphosphonates. Bone 2011;49:42–49.
- Frith JC, Mönkkönen J, Blackburn GM, Russell RGG, Rogers MJ. Clodronate and Liposome-Encapsulated Clodronate Are Metabolized to a Toxic ATP Analog, Adenosine 5’-(β,γ-Dichloromethylene) Triphosphate, by Mammalian Cells in Vitro. J. Bone Miner. Res. 1997;12:1358–1367.
- Freedom of Information Summary Original, New Animal Drug Application, NADA 141-427, Osphos, Clodronate Injection, Horse, for the Control of Clinical Signs Associated with Navicular Syndrome in Horses|FDA Center for Veterinary Medicine|FDA Approved Animal Drug Products. [(accessed on 30 May 2022)]; Available online: https://animaldrugsatfda.fda.gov/adafda/app/search/public/document/downloadFoi/923.
- Krueger CR, Mitchell CF, Leise BS, Knych HK. Pharmacokinetics and Pharmacodynamics of Clodronate Disodium Evaluated in Plasma, Synovial Fluid and Urine. Equine Vet. J. 2020;52:725–732.
- Delguste C, Amory H, Guyonnet J, Thibaud D, Garnero P, Detilleux J, Lepage OM, Doucet M. Comparative Pharmacokinetics of Two Intravenous Administration Regimens of Tiludronate in Healthy Adult Horses and Effects on the Bone Resorption Marker CTX-1. J. Vet. Pharmacol. Ther. 2008;31:108–116.
- Russell RGG, Watts NB, Ebetino FH, Rogers MJ. Mechanisms of Action of Bisphosphonates: Similarities and Differences and Their Potential Influence on Clinical Efficacy. Osteoporos. Int. 2008;19:733–759.
- Maruotti N, Corrado A, Neve A, Cantatore FP. Bisphosphonates: Effects on Osteoblast. Eur. J. Clin. Pharmacol. 2012;68:1013–1018.
- Wong ASY, Ho ENM, Wan TSM, Lam KKH, Stewart BD. Liquid Chromatography-Mass Spectrometry Analysis of Five Bisphosphonates in Equine Urine and Plasma. J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 2015;15:1–7.
- D’Eufemia P, Finocchiaro R, Celli M, Zambrano A, Tetti M, Villani C, Persiani P, Mari E, Zicari A. High Levels of Serum Prostaglandin E2 in Children with Osteogenesis Imperfecta are Reduced by Neridronate Treatment. Pediatr. Res. 2008;63:203–206.
- Felix R, Bettex JD, Fleisch H. Effect of Diphosphonates on the Synthesis of Prostaglandins in Cultured Calvaria Cells. Calcif. Tissue Int. 1981;33:549–552.
- Garganta MD, Jaser SS, Lazow MA, Schoenecker JG, Cobry E, Hays SR, Simmons JH. Cyclic Bisphosphonate Therapy Reduces Pain and Improves Physical Functioning in Children with Osteogenesis Imperfecta 11 Medical and Health Sciences 1103 Clinical Sciences. BMC Musculoskelet. Disord. 2018;19:344.
- Markell R, Saviola G, Barker EA, Conway JD, Dujardin C. What Do We Know About Clodronate Now? A Medical and Veterinary Perspective. J. Equine Vet. Sci. 2020;88:102874.
- Xing RL, Zhao LR, Wang PM. Bisphosphonates Therapy for Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials. SpringerPlus 2016;5:1704.
- Roman-Blas JA, Castañeda S, Largo R, Lems WF, Herrero-Beaumont G. An OA Phenotype May Obtain Major Benefit from Bone-Acting Agents. Semin. Arthritis Rheum. 2014;43:421–428.
- Fernández-Martín S, López-Peña M, Muñoz F, Permuy M, González-Cantalapiedra A. Bisphosphonates as Disease-Modifying Drugs in Osteoarthritis Preclinical Studies: A Systematic Review from 2000 to 2020. Arthritis Res. Ther. 2021;23:60.
- Park JY, Pillinger MH, Abramson SB. Prostaglandin E2 Synthesis and Secretion: The Role of PGE2 Synthases. Clin. Immunol. 2006;119:229–240.
- Frisbie DD, Al-Sobayil F, Billinghurst RC, Kawcak CE, McIlwraith CW. Changes in Synovial Fluid and Serum Biomarkers with Exercise and Early Osteoarthritis in Horses. Osteoarthr. Cartil. 2008;16:1196–1204.
- McIlwraith CW, Kawcak C, Baxter GM, Goodrich LR, Valberg SJ. Principles of Musculoskeletal Disease. 2020. pp. 801–874.
- Coudry V, Thibaud D, Riccio B, Audigié F, Didierlaurent D, Denoix JM. Efficacy of Tiludronate in the Treatment of Horses with Signs of Pain Associated with Osteoarthritic Lesions of the Thoracolumbar Vertebral Column. Am. J. Vet. Res. 2007;68:329–337.
- Gough MR, Thibaud D, Smith RKW. Tiludronate Infusion in the Treatment of Bone Spavin: A Double Blind Placebo-Controlled Trial. Equine Vet. J. 2010;42:381–387.
- Mitchell A, Wright G, Sampson SN, Martin M, Cummings K, Gaddy D, Watts AE. Clodronate Improves Lameness in Horses without Changing Bone Turnover Markers. Equine Vet. J. 2019;51:356–363.
- Moriyama Y, Nomura M. Clodronate: A Vesicular ATP Release Blocker. Trends. Pharmacol. Sci. 2018;39:13–23.
- Lewiecki EM, Miller PD. Renal Safety of Intravenous Bisphosphonates in the Treatment of Osteoporosis. Expert Opin. Drug Saf. 2006;6:663–672.
- Castillo H, Samson-Fang L. Effects of Bisphosphonates in Children with Osteogenesis Imperfecta: An AACPDM Systematic Review. Dev. Med. Child Neurol. 2009;51:17–29.
- Khosla S, Burr D, Cauley J, Dempster DW, Ebeling PR, Felsenberg D, Gagel RF, Gilsanz V, Guise T, Koka S. Bisphosphonate-Associated Osteonecrosis of the Jaw: Report of a Task Force of the American Society for Bone and Mineral Research. J. Bone Miner. Res. 2007;22:1479–1491.
- Black DM, Geiger EJ, Eastell R, Vittinghoff E, Li BH, Ryan DS, Dell RM, Adams AL. Atypical Femur Fracture Risk versus Fragility Fracture Prevention with Bisphosphonates. N. Engl. J. Med. 2020;383:743–753.
- Khan AA, Sándor GKB, Dore E, Morrison AD, Alsahli M, Amin F, Peters E, Hanley DA, Chaudry SR, Lentle B. Bisphosphonate Associated Osteonecrosis of the Jaw. J. Rheumatol. 2009;36:478–490.
- Voss PJ, Stoddart MJ, Bernstein A, Schmelzeisen R, Nelson K, Stadelmann V, Ziebart T, Poxleitner PJ. Zoledronate Induces Bisphosphonate-Related Osteonecrosis of the Jaw in Osteopenic Sheep. Clin. Oral Investig. 2016;20:31–38.
- Davison MR, Lyardet L, Preliasco M, Yaful G, Torres P, Bonanno MS, Pellegrini GG, Zeni SN. Aminobisphosphonate-Treated Ewes as a Model of Osteonecrosis of the Jaw and of Dental Implant Failure. J. Periodontol. 2020;91:628–637.
- Pautke C, Kreutzer K, Weitz J, Knödler M, Münzel D, Wexel G, Otto S, Hapfelmeier A, Stürzenbaum S, Tischer T. Bisphosphonate Related Osteonecrosis of the Jaw: A Minipig Large Animal Model. Bone 2012;51:592–599.
- Allen MR, Burr DB. Mandible Matrix Necrosis in Beagle Dogs after 3 Years of Daily Oral Bisphosphonate Treatment. J. Oral Maxillofac. Surg. 2008;66:987–994.
- Larson MJ, Oakes AB, Epperson E, Chew DJ. Medication-Related Osteonecrosis of the Jaw after Long-Term Bisphosphonate Treatment in a Cat. J. Vet. Intern. Med. 2019;33:862–867.
- Rogers-Smith E, Whitley N, Elwood C, Reese D, Wong P. Suspected Bisphosphate-Related Osteonecrosis of the Jaw in a Cat Being Treated with Alendronate for Idiopathic Hypercalcaemia. Vet. Rec. Case Rep. 2019;7:e000798.
- Khan AA, Kaiser S. Atypical Femoral Fracture. CMAJ 2017;189:E542.
- Council N, Dyce J, Drost WT, de Brito Galvao JF, Rosol TJ, Chew DJ. Bilateral Patellar Fractures and Increased Cortical Bone Thickness Associated with Long-Term Oral Alendronate Treatment in a Cat. J. Feline Med. Surg. Open Rep. 2017;3:205511691772713.
- Monzem S, Ballester RY, Javaheri B, Poulet B, Sônego DA, Pitsillides AA, Souza RL. Long-Term Bisphosphonate Treatment Coupled with Ovariectomy in Mice Provokes Deleterious Effects on Femoral Neck Fracture Pattern and Modifies Tibial Shape. Bone Jt. Open. 2020;1:512–519.
- Knych HK, Janes J, Kennedy L, McKemie DS, Arthur RM, Samol MA, Uzal FA, Scollay M. Detection and Residence Time of Bisphosphonates in Bone of Horses. Vet. Diagn. 2022;34:23–27.
- Riggs CM, Thompson SL, So YM, Wong JKY, Wan TSM, Robinson P, Stewart BD, Ho ENM. Tiludronic Acid Can Be Detected in Blood and Urine Samples from Thoroughbred Racehorses Over 3 Years After Last Administration. Equine Vet. J. 2021;53:1287–1295.
- Freedom of Information Summary Original, New Animal Drug Application, NADA 141-420, Tildren, Tiludronate Disodium, Powder for Injection, Horse, for the Control of Clinical Signs Associated with Navicular Syndrome in Horses|FDA Center for Veterinary Medicine|FDA Approved Animal Drug Products. [(accessed on 30 May 2022)]; Available online: https://animaldrugsatfda.fda.gov/adafda/app/search/public/document/downloadFoi/918.
- Denoix JM, Thibaud D, Riccio B. Tiludronate as a New Therapeutic Agent in the Treatment of Navicular Disease: A Double-Blind Placebo-Controlled Clinical Trial. Equine Vet. J. 2003;35:407–413.
- Bertuglia A, Basano I, Pagliara E, Bottegaro NB, Spinella G, Bullone M. Effect of Intravenous Tiludronate Disodium Administration on the Radiographic Progression of Osteoarthritis of the Fetlock Joint in Standardbred Racehorses. J. Am. Vet. Med. Assoc. 2021;259:651–661.
- Katzman SA, Nieto JE, Arens AM, MacDonald MH, Puchalski SM, Galuppo LD, Snyder JR, Maher O, Bell RJW. Use of Zoledronate for Treatment of a Bone Fragility Disorder in Horses. J. Am. Vet. Med. Assoc. 2012;240:1323–1328.
- Arens AM, Barr B, Puchalski SM, Poppenga R, Kulin RM, Anderson J, Stover SM. Osteoporosis Associated with Pulmonary Silicosis in an Equine Bone Fragility Syndrome. Vet. Pathol. 2011;48:593–615.
- Beckstett A. Take-Homes from Veterinarian Roundtable on Bisphosphonate Use in Horses|The Horse. [(accessed on 4 May 2022)]. Available online: https://thehorse.com/184900/take-homes-from-veterinarian-roundtable-on-bisphosphonate-use-in-horses/
- Gilday R, Richard H, Beauchamp G, Fogarty U, Laverty S. Abundant Osteoclasts in the Subchondral Bone of the Juvenile Thoroughbred Metacarpus Suggest an Important Role in Joint Maturation. Equine Vet. J. 2020;52:733–742.
- Logan AA, Nielsen BD. Training Young Horses: The Science behind the Benefits. Animals 2021;11:463.
- Pepper M, Akuthota V, McCarty EC. The Pathophysiology of Stress Fractures. Clin. Sports Med. 2006;25:1–16.
- Romani WA, Gieck JH, Perrin DH, Saliba EN, Kahler DM. Mechanisms and Management of Stress Fractures in Physically Active Persons. J. Athl. Train. 2002;37:306–314.
- Burr DB. Pharmaceutical Treatments That May Prevent or Delay the Onset of Stress Fractures. 2019. pp. 269–280.
- Shima Y, Lars AE, Ae E, Iwasa J, Katsuhiko AE, Ae K, Tomita K. Use of Bisphosphonates for the Treatment of Stress Fractures in Athletes. Knee Surg. Sports Traumatol. Arthrosc. 2009;17:542–550.
- Ekenman I. Do Not Use Bisphosphonates without Scientific Evidence, Neither in Treatment nor Prophylactic, in the Treatment of Stress Fractures. Knee Surg. Sports Traumatol. Arthrosc. 2009;17:433–434.
- Breathnach O, Ng K, Spindler KP, Wasserstein DN. Pathophysiology and Epidemiology of Stress Fractures. 2020. pp. 29–39.
- Dolan E, Varley I, Ackerman KE, Pereira RMR, Elliott-Sale KJ, Sale C. The Bone Metabolic Response to Exercise and Nutrition. Exerc. Sport Sci. Rev. 2020;48:49–58.
- Logan AA, Nielsen BD, Robison CI, Manfredi JM, Buskirk DD, Schott HC, Hiney KM. Calves, as a Model for Juvenile Horses, Need Only One Sprint per Week to Experience Increased Bone Strength. J. Anim. Sci. 2019;97:3300–3312.
- Billinghurst RC, Brama PAJ, van Weeren PR, Knowlton MS, McIlwraith CW. Significant Exercise-Related Changes in the Serum Levels of Two Biomarkers of Collagen Metabolism in Young Horses. Osteoarth. Cartil. 2003;11:760–769.
- Reid IR, Davidson JS, Wattie D, Wu F, Lucas J, Gamble GD, Rutland MD, Cundy T. Comparative Responses of Bone Turnover Markers to Bisphosphonate Therapy in Paget’s Disease of Bone. Bone 2004;35:224–230.
- de Lorimier L-P, Fan TM. Bone Metabolic Effects of Single-Dose Zoledronate in Healthy Dogs. J. Vet. Int. Med. 2005;19:924–927.
- Statham L, Abdy S, Aspray TJ. Can Bone Turnover Markers Help to Define the Suitability and Duration of Bisphosphonate Drug Holidays?. Drugs Context 2020;9:1–3.
- Delguste C, Amory H, Doucet M, Piccot-Crézollet C, Thibaud D, Garnero P, Detilleux J, Lepage OM. Pharmacological Effects of Tiludronate in Horses after Long-Term Immobilization. Bone 2007;41:414–421.
- McLellan J. Science-in-Brief: Bisphosphonate Use in the Racehorse: Safe or Unsafe?. Equine Vet. J. 2017;49:404–407.
- Smith EJ, Little DG, Briody JN, McEvoy A, Smith NC, Eisman JA, Gardiner EM. Transient Disturbance in Physeal Morphology Is Associated With Long-Term Effects of Nitrogen-Containing Bisphosphonates in Growing Rabbits. J. Bone Miner. Res. 2005;20:1731–1741.
- Martini L, Fini M, Giavaresi G, Giardino R. Comparative Medicine Sheep Model in Orthopedic Research: A Literature Review. Comp. Med. 2001;51:292–299.
- Kennedy OD, Brennan O, Mahony NJ, Rackard SM, O’Brien FJ, Taylor D, Lee CT. Effects of High Bone Turnover on the Biomechanical Properties of the L3 Vertebra in an Ovine Model of Early Stage Osteoporosis. Spine 2008;33:2518–2523.
- Wu Z, Lei W, Hu Y, Wang H, Wan S, Ma Z, Sang H, Fu S, Han Y. Effect of Ovariectomy on BMD, Micro-Architecture and Biomechanics of Cortical and Cancellous Bones in a Sheep Model. Med. Eng. Phys. 2008;30:1112–1118.
- Zhang Y, Li Y, Gao Q, Shao B, Xiao J, Zhou H, Niu Q, Shen M, Liu B, Hu K. The Variation of Cancellous Bones at Lumbar Vertebra, Femoral Neck, Mandibular Angle and Rib in Ovariectomized Sheep. Arch. Oral Biol. 2014;59:663–669.
- Vernon KL, Riggs L, Coverdale J, Bodine AB, Gibbons J. The Effects of Forced Exercise on Collagen Type II Fragments, Lysyl Oxidase Concentrations, and Total Protein Concentrations in Sera and Synovial Fluid of Lambs. J. Equine Vet. Sci. 2010;30:266–274.
- Tischmacher A, Wilford S, Allen K, Mitchell RD, Parkin T, Denoix J-M. Retrospective Analysis of the Use of Tiludronate in Equine Practice: Safety on 1804 Horses, Efficacy on 343 Horses. J. Equine Vet. Sci. 2022;13:104007.
- Delguste C, Doucet M, Gabriel A, Guyonnet J, Lepage OM, Amory H. Assessment of a Bone Biopsy Technique for Measuring Tiludronate in Horses: A Preliminary Study. Can. J. Vet. Res. 2011;75:128–133.
- Abboud C, Duveau A, Bouali-Benazzouz R, Massé K, Mattar J, Brochoire L, Fossat P, Boué-Grabot E, Hleihel W, Landry M. Animal Models of Pain: Diversity and Benefits. J. Neurosc. Methods. 2021;348:108997.
Citations
This article has been cited 6 times.- Hatunen SL, Anderson JG, Bell CM, Campos HC, Finkelman MD, Shope BH. A retrospective case series on bisphosphonate related osteonecrosis of the jaw in 20 cats. Front Vet Sci 2024;11:1436988.
- Tippen SP, Metzger CE, Sacks SA, Allen MR, Mitchell CF, McNulty MA. Clinically relevant doses of tiludronate do not affect bone remodelling in pasture-exercised horses. Equine Vet J 2025 Mar;57(2):513-521.
- Reis IL, Lopes B, Sousa P, Sousa AC, Caseiro AR, Mendonça CM, Santos JM, Atayde LM, Alvites RD, Maurício AC. Equine Musculoskeletal Pathologies: Clinical Approaches and Therapeutical Perspectives-A Review. Vet Sci 2024 Apr 26;11(5).
- Vergara-Hernandez FB, Nielsen BD, Popovich JM Jr, Panek CL, Logan AA, Robison CI, Ehrhardt RA, Johnson TN, Chargo NJ, Welsh TH Jr, Bradbery AN, Leatherwood JL, Colbath AC. Clodronate disodium does not produce measurable effects on bone metabolism in an exercising, juvenile, large animal model. PLoS One 2024;19(4):e0300360.
- Ahmad Hairi H, Jayusman PA, Shuid AN. Revisiting Resveratrol as an Osteoprotective Agent: Molecular Evidence from In Vivo and In Vitro Studies. Biomedicines 2023 May 16;11(5).
- Nielsen BD. A Review of Three Decades of Research Dedicated to Making Equine Bones Stronger: Implications for Horses and Humans. Animals (Basel) 2023 Feb 22;13(5).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists