<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2009-07-15 20:43:20 UTC</creation_date>
  <update_date>2026-05-14 16:44:34 UTC</update_date>
  <accession>T3D2666</accession>
  <common_name>Alendronic acid</common_name>
  <class>SmallMolecule</class>
  <description>Alendronic acid belongs to the bisphosphonates, a subclass of organic phosphonic acids and derivatives within the organic compounds. It is an exogenous solid with the formula C4H13NO7P2 and an average molecular weight of 249.10 g/mol. This compound is used as a drug (PMC8713161) and a bone density conservation agent (PMC8713161). It acts as an inhibitor of EC 2.5.1.1 (dimethylallyltranstransferase) (PMC8713161). Its protein targets include farnesyl pyrophosphate synthase (FDPS), tyrosine-protein phosphatase non-receptor type 4 (PTPN4), receptor-type tyrosine-protein phosphatase S (PTPRS), receptor-type tyrosine-protein phosphatase epsilon (PTPRE), V-type proton ATPase catalytic subunit A (ATP6V1A), and geranylgeranyl pyrophosphate synthase (GGPS1). The action of alendronic acid on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. It also targets farnesyl pyrophosphate (FPP) synthase, acting as an analogue of isoprenoid diphosphate lipids to inhibit this enzyme in the mevalonate pathway.

Alendronic acid is found in healthcare, pharmaceuticals, and veterinary products as a drug for the treatment of bone diseases, and it has been detected in the prostate and intestine. The recorded exposure route is oral. It is used for the treatment of osteoporosis (PMC10516574, PMC10547673, PMC10889292, PMC11012270, PMC11036926, PMC12025247, PMC12896522, PMC2686344, PMC2971711), multiple myeloma (PMC4293349, PMC4684366, PMC6924235), hypercalcemia (PMC6924235), glucocorticoid-induced osteoporosis (PMC5114204), breast cancer (PMC7829671), and prostate cancer (PMC7829671). It has therapeutic effects on prostate cancer (PMC3932719), ovarian cancer (PMC1828067, PMC7192836), osteoporosis (PMC10425235), pain (PMC4257480), heart failure (PMC6452576), and breast cancer (PMC6607035). Associated health effects include an increase in arthritis (PMC10560398), hypophosphatemia (PMC2686344), nausea (PMC9738991), fever (PMC2971711), and a decrease in lung cancer (PMC7793382).</description>
  <categories>
    <category>Drug</category>
    <category>Food Toxin</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Amine</type>
    <type>Drug</type>
    <type>Food Toxin</type>
    <type>Antihypocalcemic Agent</type>
    <type>Bisphosphonate</type>
    <type>Bone Density Conservation Agent</type>
    <type>Antiresorptive</type>
    <type>Metabolite</type>
    <type>Synthetic Compound</type>
    <type>Human Neurotoxin</type>
  </types>
  <synonyms>
    <synonym>(4-Amino-1-hydroxybutylidene)bisphosphonic acid</synonym>
    <synonym>Acide Alendronique</synonym>
    <synonym>Acido Alendronico</synonym>
    <synonym>Acidum Alendronicum</synonym>
    <synonym>Alendronate</synonym>
    <synonym>Alendronate Sodium</synonym>
    <synonym>Alendronate sodium hydrate</synonym>
    <synonym>Alenotop</synonym>
    <synonym>Alned</synonym>
    <synonym>Arendal</synonym>
    <synonym>Beenos</synonym>
    <synonym>Berlex</synonym>
    <synonym>Binosto</synonym>
    <synonym>Denfos</synonym>
    <synonym>Densidron</synonym>
    <synonym>Dronat</synonym>
    <synonym>Durost</synonym>
    <synonym>Fixopan</synonym>
    <synonym>Forosa</synonym>
    <synonym>Fosagen</synonym>
    <synonym>Fosalen</synonym>
    <synonym>Fosamax</synonym>
    <synonym>Fosmin</synonym>
    <synonym>Fostolin</synonym>
    <synonym>Fosval</synonym>
    <synonym>Huesobone</synonym>
    <synonym>Lendrate</synonym>
    <synonym>Oseolen</synonym>
    <synonym>Ostemax</synonym>
  </synonyms>
  <chemical_formula>C4H13NO7P2</chemical_formula>
  <average_molecular_weight>249.096</average_molecular_weight>
  <monisotopic_moleculate_weight>249.016724799</monisotopic_moleculate_weight>
  <iupac_name>(4-amino-1-hydroxy-1-phosphonobutyl)phosphonic acid</iupac_name>
  <traditional_iupac>alendronate</traditional_iupac>
  <cas_registry_number>66376-36-1</cas_registry_number>
  <smiles>NCCCC(O)(P(O)(O)=O)P(O)(O)=O</smiles>
  <inchi>InChI=1S/C4H13NO7P2/c5-3-1-2-4(6,13(7,8)9)14(10,11)12/h6H,1-3,5H2,(H2,7,8,9)(H2,10,11,12)</inchi>
  <inchikey>OGSPWJRAVKPPFI-UHFFFAOYSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Organic acids and derivatives</super_class>
    <class>Organic phosphonic acids and derivatives</class>
    <sub_class>Bisphosphonates</sub_class>
    <direct_parent>Bisphosphonates</direct_parent>
    <alternate_parents>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>Monoalkylamines</alternative_parent>
      <alternative_parent>Organic oxides</alternative_parent>
      <alternative_parent>Organic phosphonic acids</alternative_parent>
      <alternative_parent>Organooxygen compounds</alternative_parent>
      <alternative_parent>Organophosphorus compounds</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>Aliphatic acyclic compound</substituent>
      <substituent>Amine</substituent>
      <substituent>Bisphosphonate</substituent>
      <substituent>Hydrocarbon derivative</substituent>
      <substituent>Organic nitrogen compound</substituent>
      <substituent>Organic oxide</substituent>
      <substituent>Organic oxygen compound</substituent>
      <substituent>Organonitrogen compound</substituent>
      <substituent>Organooxygen compound</substituent>
      <substituent>Organophosphonic acid</substituent>
      <substituent>Organophosphorus compound</substituent>
      <substituent>Organopnictogen compound</substituent>
      <substituent>Primary aliphatic amine</substituent>
      <substituent>Primary amine</substituent>
    </substituents>
    <molecular_framework>Aliphatic acyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>1,1-bis(phosphonic acid)</descriptor>
      <descriptor>primary amino compound</descriptor>
    </descriptors>
  </taxonomy>
  <status>Detected and Not Quantified</status>
  <origin>Exogenous</origin>
  <cellular_locations>
    <cellular_location>Cytoplasm</cellular_location>
    <cellular_location>Membrane</cellular_location>
  </cellular_locations>
  <biofluid_locations/>
  <tissue_locations>
    <tissue>Intestine</tissue>
    <tissue>Prostate</tissue>
  </tissue_locations>
  <pathways>
    <pathway>
      <name>Alendronate Action Pathway</name>
      <smpdb_id>SMP0000095</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Alendronic acid Drug Metabolism</name>
      <smpdb_id>SMP0130694</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Alendronic acid Drug Metabolism Action Pathway</name>
      <smpdb_id>SMP0143076</smpdb_id>
      <kegg_map_id/>
    </pathway>
  </pathways>
  <state>Solid</state>
  <appearance>White powder.</appearance>
  <experimental_properties>
    <property>
      <kind>melting_point</kind>
      <value>234 dec°C</value>
    </property>
    <property>
      <kind>solubility</kind>
      <value>1mg/L</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>-4.3</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>-1.34</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-1.17</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>1.69e+01 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>-4.2</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>0.69</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_basic</kind>
      <value>9.91</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>(4-amino-1-hydroxy-1-phosphonobutyl)phosphonic acid</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>249.096</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>249.016724799</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>NCCCC(O)(P(O)(O)=O)P(O)(O)=O</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C4H13NO7P2</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C4H13NO7P2/c5-3-1-2-4(6,13(7,8)9)14(10,11)12/h6H,1-3,5H2,(H2,7,8,9)(H2,10,11,12)</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>OGSPWJRAVKPPFI-UHFFFAOYSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>161.31</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>47.37</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>19.4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>5</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>8</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>donor_count</kind>
      <value>6</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>physiological_charge</kind>
      <value>-1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formal_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
  </predicted_properties>
  <route_of_exposure>Relative to an intravenous (IV) reference dose, the mean oral bioavailability of alendronate in women was 0.7% for doses ranging from 5 to 40 mg when administered after an overnight fast and two hours before a standardized breakfast. Oral bioavailability of the 10 mg tablet in men (0.59%) was similar to that in women (0.78%) when administered after an overnight fast and 2 hours before breakfast.</route_of_exposure>
  <mechanism_of_toxicity>The action of Alendronate on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. Alendronate also targets farnesyl pyrophosphate (FPP) synthase. Nitrogen-containing bisphosphonates (such as pamidronate, alendronate, risedronate, ibandronate and zoledronate) appear to act as analogues of isoprenoid diphosphate lipids, thereby inhibiting FPP synthase, an enzyme in the mevalonate pathway. Inhibition of this enzyme in osteoclasts prevents the biosynthesis of isoprenoid lipids (FPP and GGPP) that are essential for the post-translational farnesylation and geranylgeranylation of small GTPase signalling proteins. This activity inhibits osteoclast activity and reduces bone resorption and turnover. In postmenopausal women, it reduces the elevated rate of bone turnover, leading to, on average, a net gain in bone mass.</mechanism_of_toxicity>
  <metabolism>There is no evidence that alendronate is metabolized in humans or animals.&#13;Route of Elimination: Following a single IV dose of [14C]alendronate, approximately 50% of the radioactivity was excreted in the urine within 72 hours and little or no radioactivity was recovered in the feces.&#13;Half Life: &gt;10 years</metabolism>
  <toxicity/>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>For the treatment and prevention of osteoporosis in women and Paget's disease of bone in both men and women.</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f3bf3124248&gt;</health_effects>
  <symptoms>Alendronate can damage the esophagus both by toxicity from the medication itself and by nonspecific irritation secondary to contact between the pill and the esophageal mucosa, similar to other cases of "pill esophagitis."</symptoms>
  <treatment/>
  <drugbank_id>DB00630</drugbank_id>
  <hmdb_id>HMDB01915</hmdb_id>
  <pubchem_compound_id>2088</pubchem_compound_id>
  <chembl_id>CHEMBL870</chembl_id>
  <chemspider_id>2004</chemspider_id>
  <kegg_id>C07752</kegg_id>
  <uniprot_id/>
  <omim_id>125700
145000</omim_id>
  <chebi_id>2567</chebi_id>
  <biocyc_id>ALENDRONATE</biocyc_id>
  <ctd_id/>
  <stitch_id>Alendronic acid</stitch_id>
  <actor_id/>
  <pdb_id/>
  <wikipidia>Alendronate</wikipidia>
  <general_references>
    <reference>
      <pubmed_id>18048412</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>18214569</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>11980672</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>11020278</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>15959617</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>11350019</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>11149474</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>15921672</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>15915200</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>15695300</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>12919710</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>8298198</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>16095861</pubmed_id>
    </reference>
    <reference>
      <reference_text>Drugs.com: http://www.drugs.com/cons/Alendronate.html</reference_text>
    </reference>
  </general_references>
  <targets>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000776</target_id>
      <mechanism_of_action>The action of Alendronate on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. Alendronate also targets farnesyl pyrophosphate (FPP) synthase. Nitrogen-containing bisphosphonates (such as pamidronate, alendronate, risedronate, ibandronate and zoledronate) appear to act as analogues of isoprenoid diphosphate lipids, thereby inhibiting FPP synthase, an enzyme in the mevalonate pathway. Inhibition of this enzyme in osteoclasts prevents the biosynthesis of isoprenoid lipids (FPP and GGPP) that are essential for the post-translational farnesylation and geranylgeranylation of small GTPase signalling proteins. This activity inhibits osteoclast activity and reduces bone resorption and turnover. In postmenopausal women, it reduces the elevated rate of bone turnover, leading to, on average, a net gain in bone mass.</mechanism_of_action>
      <constants>
        <constant>
          <constant_type>Inhibitory</constant_type>
          <value>0.0442</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>Inhibitory</constant_type>
          <value>0.3931</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.05</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.26</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.95</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.955</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>2.249</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0003567</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0003570</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>IC50</constant_type>
          <value>436.52</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>440</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25313</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0004801</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0003568</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000980</target_id>
      <mechanism_of_action>The action of Alendronate on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. Alendronate also targets farnesyl pyrophosphate (FPP) synthase. Nitrogen-containing bisphosphonates (such as pamidronate, alendronate, risedronate, ibandronate and zoledronate) appear to act as analogues of isoprenoid diphosphate lipids, thereby inhibiting FPP synthase, an enzyme in the mevalonate pathway. Inhibition of this enzyme in osteoclasts prevents the biosynthesis of isoprenoid lipids (FPP and GGPP) that are essential for the post-translational farnesylation and geranylgeranylation of small GTPase signalling proteins. This activity inhibits osteoclast activity and reduces bone resorption and turnover. In postmenopausal women, it reduces the elevated rate of bone turnover, leading to, on average, a net gain in bone mass.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0003569</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
  </targets>
</compound>
