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Bisphosphonates are stable analogues of pyrophosphate. The more potent bisphosphonates in routine use all contain a nitrogen atom in the R2 side-chain attached to the geminal carbon in the P-C-P backbone, and are known as the ‘nitrogen-containing bisphosphonates’ (N-BPs). The presence of the nitrogen atom increases their potency and enables them to act in the mevalonate pathway of cholesterol biosynthesis by selectively inhibiting the key enzyme, farnesyl pyrophosphate synthase (FPPS) [1]. Inhibition of FPPS leads to a diminished post-translational prenylation of small GTPase proteins, including signalling molecules such as monomeric G proteins of the Ras and Rho families.When their expression and activation escape the control mechanisms, small GTPases play an essential part in promoting tumorigenesis and tumour metastasis [2–5] and their inactivation could have anti-tumoral effects.Indeed, growth of human colon cancer cells can be inhibited by N-BPs [6, 7]. Furthermore, N-BPs are known to stimulate gamma delta (γδ)- T cells which cause the acute phase response often seen when they are given parenterally, and this in turn may induce anti-tumour properties [8]. For these reasons, we postulated that orally administered N-BPs might have local anti-neoplastic actions in the colon.
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