Bisphosphonate's Effect on Tongue Mucosa: An Experimental Electron Microscopy Study

Medicina (Kaunas). 2020 Jan 24;56(2):51. doi: 10.3390/medicina56020051.

Abstract

Background and objectives: Bisphosphonates (BPs) are selective inhibitors of osteoclasts, used for the treatment of bone disorders. The objective of this study is to investigate the possible effects of BPs on the tongue's mucosa.

Materials and methods: Specimens of the tongue of 20 female 12-month old Wistar rats were taken. Ten were used as control group, while in the remaining alendronate (Fosamax, Merck) was administered per os from 13 weeks. Observation of the harvested samples was made by Transmission Electron Microscopy (TEM).

Results: In the experimental group, focal alterations were observed to various extent in all specimens. The basement membrane was intact. Furthermore, an increase at the intercellular space was observed, predominantly at the middle layer, and the desmosomes were disorganized. In the lamina propria focal edema was observed.

Conclusions: Investigation on the effect of BPs on the tongue's mucosa through TEM hasn't been documented in the past. According to our results, BPs seem to cause mild mucosal lesions on the tongue.

Keywords: biphosphonates; electron microscopy; tongue mucosa.

MeSH terms

  • Animals
  • Bone Density Conservation Agents / adverse effects
  • Bone Density Conservation Agents / therapeutic use
  • Diphosphonates / adverse effects*
  • Diphosphonates / therapeutic use
  • Disease Models, Animal
  • Female
  • Microscopy, Electron / methods
  • Mouth Mucosa / drug effects*
  • Mouth Mucosa / pathology
  • Mouth Mucosa / physiopathology
  • Osteoporosis / drug therapy*
  • Osteoporosis / prevention & control
  • Rats
  • Rats, Wistar
  • Tongue / drug effects
  • Tongue / pathology
  • Tongue / physiopathology

Substances

  • Bone Density Conservation Agents
  • Diphosphonates