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Hydroxyapatite crystal is the primary inorganic component of bone and dental matrices, composed predominantly of calcium and phosphate in the stoichiometric form Ca₁₀(PO₄)₆(OH)₂. In bone, these crystals are interwoven with collagen and non-collagenous proteins, forming nanocrystalline platelets with numerous defects and substitutions (such as carbonate or magnesium), making them distinct from pure synthetic hydroxyapatite[1][3][4][5]. Hydroxyapatite provides bones with structural rigidity and acts as a reservoir for mineral ions[3][5]. It is formed within the collagen fibrils of bone by a process of nucleation and mineralization[4][1]. Hydroxyapatite crystals are subject to resorption by osteoclasts in bone remodeling and are targeted by several drug classes in osteoporosis and imaging[3]. Abnormal deposition of hydroxyapatite is involved in a variety of pathological calcifications in soft tissues and in systemic diseases[2][5][4]. However, hydroxyapatite is not a druggable target in the conventional sense but serves as the locus for drug actions modulating bone metabolism and turnover.
Bisphosphonates: bind with high affinity to hydroxyapatite, are taken up by osteoclasts during bone resorption, interfere with osteoclast function and survival Tetracyclines: bind by chelating calcium ions in HA crystal lattice (for imaging, not therapy) Chelators: dissolve or modify the HA crystal by binding calcium
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