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Identification of Potential Biomarkers and Small Molecule Drugs for Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ): An Integrated Bioinformatics Study Using Big Data.

Abstract
This study aimed to identify potential molecular mechanisms and therapeutic targets for bisphosphonate-related osteonecrosis of the jaw (BRONJ), a rare but serious side effect of bisphosphonate therapy. This study analyzed a microarray dataset (GSE7116) of multiple myeloma patients with BRONJ (n = 11) and controls (n = 10), and performed gene ontology, a pathway enrichment analysis, and a protein-protein interaction network analysis. A total of 1481 differentially expressed genes were identified, including 381 upregulated and 1100 downregulated genes, with enriched functions and pathways related to apoptosis, RNA splicing, signaling pathways, and lipid metabolism. Seven hub genes (FN1, TNF, JUN, STAT3, ACTB, GAPDH, and PTPRC) were also identified using the cytoHubba plugin in Cytoscape. This study further screened small-molecule drugs using CMap and verified the results using molecular docking methods. This study identified 3-(5-(4-(Cyclopentyloxy)-2-hydroxybenzoyl)-2-((3-hydroxybenzo[d]isoxazol-6-yl) methoxy) phenyl) propanoic acid as a potential drug treatment and prognostic marker for BRONJ. The findings of this study provide reliable molecular insight for biomarker validation and potential drug development for the screening, diagnosis, and treatment of BRONJ. Further research is needed to validate these findings and develop an effective biomarker for BRONJ.
AuthorsKumarendran Balachandran, Roszalina Ramli, Saiful Anuar Karsani, Mariati Abdul Rahman
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 24 Issue 10 (May 11 2023) ISSN: 1422-0067 [Electronic] Switzerland
PMID37239981 (Publication Type: Journal Article)
Chemical References
  • Biomarkers
  • Diphosphonates
  • Bone Density Conservation Agents
Topics
  • Humans
  • Bisphosphonate-Associated Osteonecrosis of the Jaw (diagnosis, drug therapy, etiology)
  • Big Data
  • Molecular Docking Simulation
  • Biomarkers
  • Multiple Myeloma (drug therapy)
  • Diphosphonates (adverse effects)
  • Bone Density Conservation Agents (therapeutic use)

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