Review Article

Medication-Related Osteonecrosis of the Jaw: New Insights into Molecular Mechanisms and Cellular Therapeutic Approaches

Table 1

Drugs demonstrated to be implied in the triggering of the jaw osteonecrosis: name, mode of action or molecular target, and therapeutic indications.

DrugsMode of actionIndications

Biphosphonate:
SBPs
N-BPs
Nonhydrolysable cytotoxic analogs of ATP
Farnesyl-diphosphate (FPP) synthase inhibition
Osteoporosis
Paget’s disease
Hypercalcemia of malignancy
Tumor-associated osteolysis

DenosumabMonoclonal antibody that inactivates RANKLOsteoporosis
Tumor-associated osteolysis

BevacizumabMonoclonal antibody that inactivates VEGFGlioblastoma
Metastatic cancers:
breast, renal, lung, colorectal

Sunitinib, Sorafenib, CabozantinibTyrosine kinase inhibitors that block VEGF receptorMetastatic cancers:
breast, renal, lung, colorectal

Everolimus, Temsirolimus®mTor inhibitorsMetastatic renal cell carcinoma