Antiresorptive Agents and Anti-Angiogenesis Drugs in the Development of Osteonecrosis of the Jaw

Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with antiresorptive agents or anti-angiogenesis drugs, despite the lack of a history of head or neck radiation treatment. Although there are still many...

Full description

Saved in:
Bibliographic Details
Published inThe Tohoku Journal of Experimental Medicine Vol. 248; no. 1; pp. 27 - 29
Main Authors Allegra, Alessandro, Pulvirenti, Nicolina, Innao, Vanessa, Musolino, Caterina
Format Journal Article
LanguageEnglish
Published Japan Tohoku University Medical Press 2019
Subjects
Online AccessGet full text
ISSN0040-8727
1349-3329
1349-3329
DOI10.1620/tjem.248.27

Cover

Abstract Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with antiresorptive agents or anti-angiogenesis drugs, despite the lack of a history of head or neck radiation treatment. Although there are still many points to be clarified about the mechanism of MRONJ, it is possible to hypothesize a common pathogenetic mechanism for two different classes of drugs: antiresorptive and anti-angiogenetic drugs. These drugs can inhibit angiogenesis by interfering with endothelial cell proliferation and survival, leading to loss of blood vessels and avascular necrosis. This hypothesis could be of immediate translational interest. Targeting the anti-angiogenetic effect of the antiresorptive agents could provide a new possibility for the prevention of treatment of MRONJ.
AbstractList Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with antiresorptive agents or anti-angiogenesis drugs, despite the lack of a history of head or neck radiation treatment. Although there are still many points to be clarified about the mechanism of MRONJ, it is possible to hypothesize a common pathogenetic mechanism for two different classes of drugs: antiresorptive and anti-angiogenetic drugs. These drugs can inhibit angiogenesis by interfering with endothelial cell proliferation and survival, leading to loss of blood vessels and avascular necrosis. This hypothesis could be of immediate translational interest. Targeting the anti-angiogenetic effect of the antiresorptive agents could provide a new possibility for the prevention of treatment of MRONJ.
Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with antiresorptive agents or anti-angiogenesis drugs, despite the lack of a history of head or neck radiation treatment. Although there are still many points to be clarified about the mechanism of MRONJ, it is possible to hypothesize a common pathogenetic mechanism for two different classes of drugs: antiresorptive and anti-angiogenetic drugs. These drugs can inhibit angiogenesis by interfering with endothelial cell proliferation and survival, leading to loss of blood vessels and avascular necrosis. This hypothesis could be of immediate translational interest. Targeting the anti-angiogenetic effect of the antiresorptive agents could provide a new possibility for the prevention of treatment of MRONJ.Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with antiresorptive agents or anti-angiogenesis drugs, despite the lack of a history of head or neck radiation treatment. Although there are still many points to be clarified about the mechanism of MRONJ, it is possible to hypothesize a common pathogenetic mechanism for two different classes of drugs: antiresorptive and anti-angiogenetic drugs. These drugs can inhibit angiogenesis by interfering with endothelial cell proliferation and survival, leading to loss of blood vessels and avascular necrosis. This hypothesis could be of immediate translational interest. Targeting the anti-angiogenetic effect of the antiresorptive agents could provide a new possibility for the prevention of treatment of MRONJ.
Author Innao, Vanessa
Allegra, Alessandro
Pulvirenti, Nicolina
Musolino, Caterina
Author_xml – sequence: 1
  fullname: Allegra, Alessandro
  organization: Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina
– sequence: 1
  fullname: Pulvirenti, Nicolina
  organization: Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina
– sequence: 1
  fullname: Innao, Vanessa
  organization: Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina
– sequence: 1
  fullname: Musolino, Caterina
  organization: Division of Hematology, Department of Human Pathology in Adulthood and Childhood “Gaetano Barresi”, University of Messina
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31080196$$D View this record in MEDLINE/PubMed
BookMark eNpt0E1rGzEQBmBRUhon7an3oGOhrKuP3dXuqRg7XyWQS3JWZWnWltmVXEl26L-PFtsJlJ4EM88MmvcCnTnvAKGvlExpzciPtIFhyspmysQHNKG8bAvOWXuGJoSUpGgEE-foIsYNIbwkov6EzjklDaFtPUG_Zy7ZANGHbbJ7wLMVuBSxcgaPnWLmVtbnGkQb8SLsVhFbh9Ma8AL20PvtkD32HX6MCfK_dPCjzIXR_FIvn9HHTvURvhzfS_R8c_00vyseHm_v57OHQleCp6JTVV1BK6iBzqi2rFgFlLOm07QEvjSaVMy0hHNBzJIbA5UyNVDFtSBKsIZfom-Hvdvg_-wgJjnYqKHvlQO_i5Ixng-u66bM9OpId8sBjNwGO6jwV55SyYAewHhNDNBJbZNK1rsUlO0lJXJMXo7Jy5y8ZCLPfP9n5rT2__rnQW9iUit4syokq3t4t_Q48dbRaxUkOP4K8R2c8g
CitedBy_id crossref_primary_10_1016_j_heliyon_2023_e19468
crossref_primary_10_1016_j_bone_2021_116144
crossref_primary_10_1155_2020_9879876
crossref_primary_10_4103_jispcd_JISPCD_110_22
crossref_primary_10_1007_s10006_024_01214_5
crossref_primary_10_1111_jgs_18414
crossref_primary_10_1111_ors_12578
crossref_primary_10_2485_jhtb_30_323
crossref_primary_10_1016_j_jbo_2024_100650
crossref_primary_10_1007_s00784_023_05359_7
crossref_primary_10_2174_1874210602115010769
crossref_primary_10_1038_s41415_023_5852_3
crossref_primary_10_3390_ijms22094922
crossref_primary_10_1093_jscr_rjad270
crossref_primary_10_1002_dvg_23500
crossref_primary_10_3390_app11083365
crossref_primary_10_3389_fendo_2022_1054827
crossref_primary_10_3390_ijms20194925
Cites_doi 10.1159/000313787
10.1016/j.cyto.2008.05.010
10.1080/10428190701509806
10.1007/s00520-018-4501-x
10.1007/s00277-018-3296-7
ContentType Journal Article
Copyright 2019 Tohoku University Medical Press
Copyright_xml – notice: 2019 Tohoku University Medical Press
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1620/tjem.248.27
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1349-3329
EndPage 29
ExternalDocumentID 31080196
10_1620_tjem_248_27
article_tjem_248_1_248_27_article_char_en
Genre Journal Article
GroupedDBID ---
-~X
.55
.GJ
123
29Q
2WC
36B
3O-
53G
5RE
7.U
ABCQX
ACGFO
ADBBV
AEGXH
AENEX
AIAGR
ALMA_UNASSIGNED_HOLDINGS
BAWUL
CS3
DIK
DU5
E3Z
EBD
EMB
EMOBN
F5P
GX1
JSF
JSH
KQ8
L7B
MK0
OK1
OVT
P2P
RJT
RNS
RZJ
SV3
TKC
TR2
W2D
WH7
X7J
X7M
XSB
ZGI
ZXP
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
M~E
NPM
7X8
ID FETCH-LOGICAL-c573t-fa565e971defda94525e1328fc14e3bdc052d903370db3dde5ad6e1a3c70a7283
ISSN 0040-8727
1349-3329
IngestDate Thu Jul 10 23:40:16 EDT 2025
Thu Jan 02 22:59:25 EST 2025
Thu Apr 24 22:55:48 EDT 2025
Tue Jul 01 01:28:58 EDT 2025
Wed Sep 03 06:05:47 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords medications-related osteonecrosis of the jaw
antiresorptive agent
bisphosphonates
anti-angiogenesis agents
denosumab
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c573t-fa565e971defda94525e1328fc14e3bdc052d903370db3dde5ad6e1a3c70a7283
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://www.jstage.jst.go.jp/article/tjem/248/1/248_27/_article/-char/en
PMID 31080196
PQID 2231966684
PQPubID 23479
PageCount 3
ParticipantIDs proquest_miscellaneous_2231966684
pubmed_primary_31080196
crossref_citationtrail_10_1620_tjem_248_27
crossref_primary_10_1620_tjem_248_27
jstage_primary_article_tjem_248_1_248_27_article_char_en
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2019-00-00
PublicationDateYYYYMMDD 2019-01-01
PublicationDate_xml – year: 2019
  text: 2019-00-00
PublicationDecade 2010
PublicationPlace Japan
PublicationPlace_xml – name: Japan
PublicationTitle The Tohoku Journal of Experimental Medicine
PublicationTitleAlternate Tohoku J. Exp. Med.
PublicationYear 2019
Publisher Tohoku University Medical Press
Publisher_xml – name: Tohoku University Medical Press
References Ruggiero, S.L., Dodson, T.B., Fantasia, J., Goodday, R., Aghaloo, T., Mehrotra, B., O’Ryan, F.; American Association of Oral and Maxillofacial Surgeons (2014) American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw: 2014 update. J. Oral Maxillofac. Surg., 72, 1938-1956.
Khan, A.A., Morrison, A., Hanley, D.A., Felsenberg, D., McCauley, L.K., O’Ryan, F., Reid, I.R., Ruggiero, S.L., Taguchi, A., Tetradis, S., Watts, N.B., Brandi, M.L., Peters, E., Guise, T., Eastell, R., et al. (2015) Diagnosis and management of osteonecrosis of the jaw: a systematic review and international consensus. J. Bone Miner. Res., 30, 3-23.
Ge, Y.L., Zhang, X., Zhang, J.Y., Hou, L. & Tian, R.H. (2009) The mechanisms on apoptosis by inhibiting VEGF expression in human breast cancer cells. Int. Immunopharmacol., 9, 389-395.
Alonci, A., Allegra, A., Bellomo, G., Quartarone, E., Oteri, G., Nastro, E., Cicciu, D., De Ponte, F.S. & Musolino, C. (2007) Patients with bisphosphonate-associated osteonecrosis of the jaw have unmodified levels of soluble vascular endothelial growth factor receptor 1. Leuk. Lymphoma, 48, 1852-1854.
Allegra, A., Innao, V., Allegra, A.G., Ettari, R., Pugliese, M., Pulvirenti, N. & Musolino, C. (2019) Role of the microbiota in hematologic malignancies. Neth. J. Med., 77, 67-80.
Nicolatou-Galitis, O., Kouri, M., Papadopoulou, E., Vardas, E., Galiti, D., Epstein, J.B., Elad, S., Campisi, G., Tsoukalas, N., Bektas-Kayhan, K., Tan, W., Body, J.J., Migliorati, C. & Lalla, R.V.; MASCC Bone Study Group (2019) Osteonecrosis of the jaw related to non-antiresorptive medications: a systematic review. Support. Care Cancer, 27, 383-394.
Girolami, I., Mancini, I., Simoni, A., Baldi, G.G., Simi, L., Campanacci, D., Beltrami, G., Scoccianti, G., D’Arienzo, A., Capanna, R. & Franchi, A. (2016) Denosumab treated giant cell tumour of bone: a morphological, immunohistochemical and molecular analysis of a series. J. Clin. Pathol., 69, 240-247.
Wood, J., Bonjean, K., Ruetz, S., Bellahcene, A., Devy, L., Foidart, J.M., Castronovo, V. & Green, J.R. (2002) Novel antiangiogenic effects of the bisphosphonate compound zoledronic acid. J. Pharmacol. Exp. Ther., 302, 1055-1061.
Egloff-Juras, C., Gallois, A., Salleron, J., Massard, V., Dolivet, G., Guillet, J. & Phulpin, B. (2018) Denosumab-related osteonecrosis of the jaw: a retrospective study. J. Oral Pathol. Med., 47, 66-70.
Allegra, A., Alonci, A., Penna, G., Granata, A., Nastro Siniscalchi, E., Oteri, G., Loddo, S., Teti, D., Cicciu, D., De Ponte, F.S. & Musolino, C. (2010) Bisphosphonates induce apoptosis of circulating endothelial cells in multiple myeloma patients and in subjects with bisphosphonate-induced osteonecrosis of the jaws. Acta Haematol., 124, 79-85.
Oteri, G., Allegra, A., Bellomo, G., Alonci, A., Nastro, E., Penna, G., Catalfamo, L., Cicciu, D., De Ponte, F.S. & Musolino, C. (2008) Reduced serum levels of Interleukin 17 in patients with osteonecrosis of the jaw and in multiple myeloma subjects after bisphosphonates administration. Cytokine, 43, 103-104.
Carneiro, A., Falcao, M., Pirraco, A., Milheiro-Oliveira, P., Falcao-Reis, F. & Soares, R. (2009) Comparative effects of bevacizumab, ranibizumab and pegaptanib at intravitreal dose range on endothelial cells. Exp. Eye Res., 88, 522-527.
Allegra, A., Oteri, G., Nastro, E., Alonci, A., Bellomo, G., Del Fabro, V., Quartarone, E., Alati, C., De Ponte, F.S., Cicciu, D. & Musolino, C. (2007) Patients with bisphosphonates-associated osteonecrosis of the jaw have reduced circulating endothelial cells. Hematol. Oncol., 25, 164-169.
Musolino, C., Oteri, G., Allegra, A., Mania, M., D’Ascola, A., Avenoso, A., Innao, V., Allegra, A.G. & Campo, S. (2018) Altered microRNA expression profile in the peripheral lymphoid compartment of multiple myeloma patients with bisphosphonate-induced osteonecrosis of the jaw. Ann. Hematol., 97, 1259-1269.
Shibahara, T. (2019) Antiresorptive Agent-Related Osteonecrosis of the Jaw (ARONJ): a twist of fate in the bone. Tohoku J. Exp. Med., 247, 75-86.
11
12
13
14
15
1
2
3
4
5
6
7
8
9
10
References_xml – reference: Nicolatou-Galitis, O., Kouri, M., Papadopoulou, E., Vardas, E., Galiti, D., Epstein, J.B., Elad, S., Campisi, G., Tsoukalas, N., Bektas-Kayhan, K., Tan, W., Body, J.J., Migliorati, C. & Lalla, R.V.; MASCC Bone Study Group (2019) Osteonecrosis of the jaw related to non-antiresorptive medications: a systematic review. Support. Care Cancer, 27, 383-394.
– reference: Girolami, I., Mancini, I., Simoni, A., Baldi, G.G., Simi, L., Campanacci, D., Beltrami, G., Scoccianti, G., D’Arienzo, A., Capanna, R. & Franchi, A. (2016) Denosumab treated giant cell tumour of bone: a morphological, immunohistochemical and molecular analysis of a series. J. Clin. Pathol., 69, 240-247.
– reference: Allegra, A., Innao, V., Allegra, A.G., Ettari, R., Pugliese, M., Pulvirenti, N. & Musolino, C. (2019) Role of the microbiota in hematologic malignancies. Neth. J. Med., 77, 67-80.
– reference: Ge, Y.L., Zhang, X., Zhang, J.Y., Hou, L. & Tian, R.H. (2009) The mechanisms on apoptosis by inhibiting VEGF expression in human breast cancer cells. Int. Immunopharmacol., 9, 389-395.
– reference: Khan, A.A., Morrison, A., Hanley, D.A., Felsenberg, D., McCauley, L.K., O’Ryan, F., Reid, I.R., Ruggiero, S.L., Taguchi, A., Tetradis, S., Watts, N.B., Brandi, M.L., Peters, E., Guise, T., Eastell, R., et al. (2015) Diagnosis and management of osteonecrosis of the jaw: a systematic review and international consensus. J. Bone Miner. Res., 30, 3-23.
– reference: Oteri, G., Allegra, A., Bellomo, G., Alonci, A., Nastro, E., Penna, G., Catalfamo, L., Cicciu, D., De Ponte, F.S. & Musolino, C. (2008) Reduced serum levels of Interleukin 17 in patients with osteonecrosis of the jaw and in multiple myeloma subjects after bisphosphonates administration. Cytokine, 43, 103-104.
– reference: Musolino, C., Oteri, G., Allegra, A., Mania, M., D’Ascola, A., Avenoso, A., Innao, V., Allegra, A.G. & Campo, S. (2018) Altered microRNA expression profile in the peripheral lymphoid compartment of multiple myeloma patients with bisphosphonate-induced osteonecrosis of the jaw. Ann. Hematol., 97, 1259-1269.
– reference: Allegra, A., Alonci, A., Penna, G., Granata, A., Nastro Siniscalchi, E., Oteri, G., Loddo, S., Teti, D., Cicciu, D., De Ponte, F.S. & Musolino, C. (2010) Bisphosphonates induce apoptosis of circulating endothelial cells in multiple myeloma patients and in subjects with bisphosphonate-induced osteonecrosis of the jaws. Acta Haematol., 124, 79-85.
– reference: Alonci, A., Allegra, A., Bellomo, G., Quartarone, E., Oteri, G., Nastro, E., Cicciu, D., De Ponte, F.S. & Musolino, C. (2007) Patients with bisphosphonate-associated osteonecrosis of the jaw have unmodified levels of soluble vascular endothelial growth factor receptor 1. Leuk. Lymphoma, 48, 1852-1854.
– reference: Ruggiero, S.L., Dodson, T.B., Fantasia, J., Goodday, R., Aghaloo, T., Mehrotra, B., O’Ryan, F.; American Association of Oral and Maxillofacial Surgeons (2014) American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw: 2014 update. J. Oral Maxillofac. Surg., 72, 1938-1956.
– reference: Carneiro, A., Falcao, M., Pirraco, A., Milheiro-Oliveira, P., Falcao-Reis, F. & Soares, R. (2009) Comparative effects of bevacizumab, ranibizumab and pegaptanib at intravitreal dose range on endothelial cells. Exp. Eye Res., 88, 522-527.
– reference: Wood, J., Bonjean, K., Ruetz, S., Bellahcene, A., Devy, L., Foidart, J.M., Castronovo, V. & Green, J.R. (2002) Novel antiangiogenic effects of the bisphosphonate compound zoledronic acid. J. Pharmacol. Exp. Ther., 302, 1055-1061.
– reference: Egloff-Juras, C., Gallois, A., Salleron, J., Massard, V., Dolivet, G., Guillet, J. & Phulpin, B. (2018) Denosumab-related osteonecrosis of the jaw: a retrospective study. J. Oral Pathol. Med., 47, 66-70.
– reference: Shibahara, T. (2019) Antiresorptive Agent-Related Osteonecrosis of the Jaw (ARONJ): a twist of fate in the bone. Tohoku J. Exp. Med., 247, 75-86.
– reference: Allegra, A., Oteri, G., Nastro, E., Alonci, A., Bellomo, G., Del Fabro, V., Quartarone, E., Alati, C., De Ponte, F.S., Cicciu, D. & Musolino, C. (2007) Patients with bisphosphonates-associated osteonecrosis of the jaw have reduced circulating endothelial cells. Hematol. Oncol., 25, 164-169.
– ident: 2
– ident: 3
– ident: 5
– ident: 13
– ident: 14
– ident: 15
– ident: 1
  doi: 10.1159/000313787
– ident: 6
– ident: 9
– ident: 12
  doi: 10.1016/j.cyto.2008.05.010
– ident: 4
  doi: 10.1080/10428190701509806
– ident: 7
– ident: 8
– ident: 11
  doi: 10.1007/s00520-018-4501-x
– ident: 10
  doi: 10.1007/s00277-018-3296-7
SSID ssj0034076
Score 2.2940495
Snippet Medication-related osteonecrosis of the jaw (MRONJ) is a condition of exposed bone in the maxillofacial region, which occurs among subjects treated with...
SourceID proquest
pubmed
crossref
jstage
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 27
SubjectTerms Angiogenesis Inhibitors - adverse effects
anti-angiogenesis agents
antiresorptive agent
Bisphosphonate-Associated Osteonecrosis of the Jaw - blood
Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology
bisphosphonates
Bone Density Conservation Agents - adverse effects
denosumab
Endothelial Cells - drug effects
Endothelial Cells - metabolism
Humans
Interleukin-17 - blood
medications-related osteonecrosis of the jaw
Title Antiresorptive Agents and Anti-Angiogenesis Drugs in the Development of Osteonecrosis of the Jaw
URI https://www.jstage.jst.go.jp/article/tjem/248/1/248_27/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/31080196
https://www.proquest.com/docview/2231966684
Volume 248
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX The Tohoku Journal of Experimental Medicine, 2019, Vol.248(1), pp.27-29
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lj9MwELbKghAXxJvyUpD2xColid24OVawsFpp4dJFvYXEj9JSklWTcOAf8q-YcZzUpYu07CWqkmmd5vsyM7a_sQk5jKjWgZLC53k-9pkOEj_XSvsB04JPBNPU7NZw9ik-OWen8_F8MPjtqJaaOh-JX5fWlVwHVTgHuGKV7H8g2_8onIDPgC8cAWE4XgnjaVGDx6rKzYURAE0XplwNh8Lxij8tFstygc5sWR293zSLqlM1OlIhzBY_A9RloTBitsuToM2pHd5ebfk0K7-V35sjJ4k9djcIOPtrnn66Nnta2DqaqspwcYTeFzfrn0tcGmrZE9Lu5G2YWhSZGcT9kqEvzra8qNCutMWLWLuYuQMXjmO0N-soT7pJKVd2Ytw1C8Bdt4sHjFTroSlLfErtMIl14RGb7HHVOmTuhPb2S3tBI45QZVmv1I9RhHI_vo2NvWLRYpyiVQpWaWiOEU-7K1glB6S8QW5GnIeoLv0479VGFPrNcSfgxH9kS0Wh6bdOwzvJ0a0V9A8W6t9dH5MCze6RuxZ2b9reyn0yUMUDcrtD_SH5ustHr-WjB7B7e3z0DB-9ZeEB1zyHj16pvR0-4gm0AT4-IucfjmfvTny7g4cvxpzWvs6gv6ASHkqlZZbgHLoKaTTRImSK5lIE40gmAaU8kDmFSDvOZKzCjAoeZBwy38fkoID2nhIvi3IJ6bFMQi2YhEgU5CGnQksmJUaWIXnTPbpU2OXtcZeVdYrdXHjOW-giPiSHvfFFu6rL5WaTFoPe6Mo0GJLXHWopOGychYP3pWyqFPJxiHpxPGFD8qSFs_95iopfuPrs-g0_J3fwZWtHCV-Qg3rTqJeQN9f5K8PIPwiF0hM
linkProvider Geneva Foundation for Medical Education and Research
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Antiresorptive+Agents+and+Anti-Angiogenesis+Drugs+in+the+Development+of+Osteonecrosis+of+the+Jaw&rft.jtitle=The+Tohoku+Journal+of+Experimental+Medicine&rft.au=Allegra%2C+Alessandro&rft.au=Pulvirenti%2C+Nicolina&rft.au=Innao%2C+Vanessa&rft.au=Musolino%2C+Caterina&rft.date=2019&rft.pub=Tohoku+University+Medical+Press&rft.issn=0040-8727&rft.eissn=1349-3329&rft.volume=248&rft.issue=1&rft.spage=27&rft.epage=29&rft_id=info:doi/10.1620%2Ftjem.248.27&rft.externalDocID=article_tjem_248_1_248_27_article_char_en
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0040-8727&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0040-8727&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0040-8727&client=summon