Some geminal bisphosphonates are used clinically in a number of import
ant bone and calcium-related diseases. This work reports the anticalci
fication and antiresorption effects of a series of bisacylphosphonates
, nongeminal compounds with varying chain lengths having oxo groups in
or positions relative to the phosphonic functions. We compared the ac
tivity of the novel compounds to clinically used geminal bisphosphonat
es, and to a bisphosphonate devoid of the oxo groups. The interaction
of the compounds with calcium was studied by various in vitro and in v
ivo models. We found that keto groups in cw positions to the phosphoni
c functions render activity. The bisacylphosphonates with a shorter ch
ain [(CH2)n, = 4, 6] were found significantly to inhibit hydroxyapatit
e formation and dissolution in vitro, the calcification of bioprosthet
ic tissue implanted subdermally in rats, and bone resorption in the in
tact young animal model. The various in vitro results were found to be
in good correlation with the in vivo results. Structure-activity rela
tionship studies indicate that both bisacylphosphonates and geminal bi
sphosphonates are active only when at least three ionizable groups are
present in the molecule. The role of the keto groups is related to th
eir contribution to chelating calcium and/or to their electron-withdra
wing influence on acidity.