Abstract. Bisphosphonates exert a potent inhibitory effect on bone resorption. Several studies have been performed, with contradictory results, to ascertain whether the effect of bisphosphonates on osteoclasts could be produced, at least in part, by modulation of the synthesis of resorption-promoting factors by osteoblasts. The aim of this study was to evaluate the effect of etidronate (10 )4 -10 )9 M) and alendronate (10 )7 -10 )12 M) on the production of IL-6 and IL-11 using human osteoblast cultures. Cytokines were quantified by ELI-SA, and mRNA expression was tested. Treatment with alendronate and etidronate had no effect on the synthesis of IL-6 or IL-11, and IL-6 and IL-11 mRNA levels. These results were obtained both in nonstimulated cultures and in cultures stimulated by means of TNF-a, IL-1b, and TNF-a+IL-1b, with or without FCS. In conclusion, a possible indirect osteoclast-mediated effect of alendronate and etidronate on bone resorption would not be exerted through reduction in osteoblastic synthesis of IL-6 and IL-11.Key words: Alendronate -Etidronate -Human osteoblasts -Interleukin 6 -Interleukin 11Bisphosphonates are potent inhibitors of bone resorption when tested in different systems, both in vivo and in vitro. At present, there are two models that would explain how this inhibition is produced. On the one hand, owing to the high affinity of bisphosphonates for hydroxyapatite, the inhibiting effect of these bone matrix-linked compounds would result from their direct action on the resorptive ability of osteoclasts [1][2][3]. Thanks to their endocytotic capacity osteoclasts would internalize bisphosphonates, which in turn would inhibit the metabolic reactions involved in osteoclast function. Bisphosphonates that closely resemble pyrophosphate (such as clodronate and etidronate) can be metabolically incorporated into nonhydrolyzable analogs of ATP. It is likely that intracellular accumulation of these metabolites inhibits osteoclast function.The more potent, nitrogen-containing bisphosphonates (such as pamidronate and ibandronate) are not metabolized but can inhibit enzymes of the mevalonate pathway, thereby preventing the biosynthesis of isopropenoid compounds that are essential for posttranslational modification of small GTPases. These GTPases are important signaling proteins regulating a variety of cell processes required to maintain osteoclast activity and survival [4]. Loss of osteoclast function and apoptosis is probably the consequence of function loss of one or more of these signaling proteins [5][6][7][8].On the other hand, several in vitro studies [9, 10] failed to show the differences in inhibitory power on bone resorption found in vivo among the different types of bisphosphonates. These differences appeared when osteoclasts were co-cultured with osteoblasts [11]. This finding suggests that the effect of bisphosphonates on osteoclasts could be produced, at least in part, by modulation of the synthesis of resorption-promoting [12] or resorption-inhibiting factors by osteoblasts [13].Among t...