{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:19:33Z","timestamp":1789690773762,"version":"4.0.1"},"reference-count":52,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T00:00:00Z","timestamp":1370563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Periodontal Research"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Background and Objective<\/jats:title><jats:p>Atorvastatin (<jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content>) has bone anabolic properties, and alendronate (<jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content>) is an important antiresorptive drug. This study aimed to evaluate the effects of the combination of <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> on ligature\u2010induced alveolar bone loss in rats.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Periodontitis was induced by ligature in 78 <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>istar rats. Groups of six rats prophylactically received 0.9% saline (<jats:styled-content style=\"fixed-case\">SAL<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content> (0.01 or 0.25\u00a0mg\/kg subcutaneously) or <jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> (0.3 or 27\u00a0mg\/kg by gavage). Then, groups of six rats received the combination of <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> (0.25\u00a0mg\/kg +\u00a027 mg\/kg, 0.01 mg\/kg\u00a0+\u00a00.3 mg\/kg, 0.25 mg\/kg\u00a0+\u00a00.3 mg\/kg or 0.01 mg\/kg\u00a0+\u00a027\u00a0mg\/kg) prophylactically. An extra group of six rats received therapeutic <jats:styled-content style=\"fixed-case\">SAL<\/jats:styled-content> or a lower\u2010dose combination of <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively) therapeutically. Three extra groups of six rats each received <jats:styled-content style=\"fixed-case\">SAL<\/jats:styled-content> or a <jats:styled-content style=\"fixed-case\">lower\u2010dose combination<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively) prophylactically or therapeutically for histometric and immunohistochemical analyses. The rats were killed on day 11 after ligature placement, and the maxillae were removed and processed for macroscopic, histomorphometric and <jats:styled-content style=\"fixed-case\">TRAP<\/jats:styled-content> immunohistochemical analyses. Gingival samples were collected to evaluate myeloperoxidase (<jats:styled-content style=\"fixed-case\">MPO<\/jats:styled-content>) activity. Blood samples were collected to measure serum bone\u2010specific alkaline phosphatase (<jats:styled-content style=\"fixed-case\">BALP<\/jats:styled-content>) and transaminase levels and for hematological studies. Rats were weighed daily.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All combined therapies prevented alveolar bone loss when compared with <jats:styled-content style=\"fixed-case\">SAL<\/jats:styled-content> or low doses of monotherapy (<jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content>) (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). The <jats:styled-content style=\"fixed-case\">lower\u2010dose combination<\/jats:styled-content> of ALD+ATV (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively), administered either prophylactically (39.0%) or therapeutically (53.5%), prevented alveolar bone loss. Decreases in bone and cementum resorption, in leukocyte infiltration and in immunostaining for <jats:styled-content style=\"fixed-case\">TRAP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">MPO<\/jats:styled-content> activity corroborated the morphometric findings. The l<jats:styled-content style=\"fixed-case\">ower\u2010dose combination<\/jats:styled-content> of ALD+ATV (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively) prevented <jats:styled-content style=\"fixed-case\">BALP<\/jats:styled-content> reduction (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05) and did not alter the level of serum transaminases. Moreover, the <jats:styled-content style=\"fixed-case\">lower\u2010dose combination<\/jats:styled-content> of ALD+ATV (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively) also reduced neutrophilia and lymphomonocytosis and did not cause weight loss when compared with administration of <jats:styled-content style=\"fixed-case\">SAL<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The l<jats:styled-content style=\"fixed-case\">ower\u2010dose combination<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">ALD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ATV<\/jats:styled-content> (0.01 mg\/kg\u00a0+\u00a00.3\u00a0mg\/kg, respectively) demonstrated a protective effect on alveolar bone loss.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jre.12077","type":"journal-article","created":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T09:56:07Z","timestamp":1370598967000},"page":"45-54","source":"Crossref","is-referenced-by-count":26,"title":["Low\u2010dose combination of alendronate and atorvastatin reduces ligature\u2010induced alveolar bone loss in rats"],"prefix":"10.1111","volume":"49","author":[{"given":"P.","family":"Goes","sequence":"first","affiliation":[{"name":"Department of Clinical Dentistry Federal University of Cear\u00e1 Fortaleza, Cear\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. 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