NCIt definition : Anhydrous form of a synthetic imidazole third generation bisphosphonate analog of
pyrophosphate with antiresorptive activity. Zoledronate binds to hydroxyapatite crystals
in the bone matrix and inhibits farnesyl pyrophosphate (diphosphate) synthase, thereby
preventing protein prenylation within the mevalonate pathway. This leads to the loss
of downstream metabolites essential for osteoclast function, leading to the induction
of apoptosis and eventually, osteoclast-cell death. By preventing osteoclast-mediated
bone resorption, zoledronate decreases bone turnover and stabilizes the bone matrix.;