In addition, its expression is enhanced in the presence of TGF- [20]. Endocrinology. The cancer cells affect osteoblast morphology and extracellular matrix. Metastatic breast cancer (also called stage IV or advanced breast cancer) is not a specific type of breast cancer. Methods Mol Biol. An official website of the United States government. 2005, 24: 2543-2555. Since the discovery of RANKL and its role in bone remodeling, the field of bone metastasis has moved rapidly. As pointed out by Lynch, the spatial and temporal expression of these molecules is of utmost importance. Exp Cell Res. PTH/PTHrP, TNF-, prostaglandins (PGE2), IL-1, IL-11, FGF-2, and IGF-1 have been reported to increase RANKL production. In the process, growth factors stored in the matrix, such as transforming growth factor (TGF)-, vascular endothelial growth factor (VEGF), insulin-like growth factors (IGFs), bone morphogenic proteins and fibroblast-derived factors, as well as calcium, are released into the bone microenvironment. Recently, we have found that metastatic breast cancer cells have profound effects on osteoblasts in culture [22] and in animals [31, 32]. These types of tumors are called osteolytic, or simply lytic. Terms and Conditions, Despite the role of the osteoclasts in this process, the outcome is due in large part to the impact of cancer cells directly and indirectly on osteoblasts. Accessibility Bone metastasis can cause pain and broken bones. Metastatic breast cancer cells or their conditioned media increase osteoblast apoptosis, and suppress osteoblast differentiation and expression of proteins required for new bone matrix formation. Breast, prostate, and lung cancers represent the main sources of bone metastases, with prostate and lung cancers being most common in males and breast cancer being most common in females . Article J Clin Oncol. Runx2 downregulates proliferation and induces p21, RANKL, MMP2, MMP9, MMP13, VEGF, OPN, bone sialoprotein and PTHrP protein expression to promote osteoblast differentiation, bone development and turnover [39]. There are many excellent reviews describing this paradigm [1417] from its inception in the 1990 s. The minimal essential components are osteoblasts, osteoclasts, tumor cells and the mineralized bone matrix. J Bone Miner Res. Accessibility 10.1016/j.yexcr.2007.09.021. It is now known that PGE2 signaling through its receptor EP4 plays a crucial role in osteolysis by inducing monocytes to form mature osteoclasts. 2005, 92: 1531-1537. The role of lining cells. Furthermore, the molecules activated by MMPs also have counter molecules creating a network of accelerators and decelerators centered around MMPs. 2010, 115: 140-149. In patients with lytic or mixed lytic/blastic from solid tumor metastases, there was a 100% concordance between FDG-PET and needle biopsy when using an SUV cutoff of 2 33 33 . Below are the links to the authors original submitted files for images. MeSH The results of an in vivo study showed that OPN-deficient mice showed significantly reduced bone metastasis [38]. 1999, London: Martin Dunitz Ltd. Raisz LG, Mundy GR, Luben RA: Skeletal reactions to neoplasms. Ganapathy V, Ge R, Grazioli A, Xie W, Banach-Petrosky W, Kang Y, Lonning S, McPherson J, Yingling JM, Biswas S, Mundy GR, Reiss M: Targeting the transforming growth factor-beta pathway inhibits human basal-like breast cancer metastasis. Primarily they spread to spine, but lung cancer is known to metastasize to the . 2010, 126: 1749-1760. Wang Y, Nishida S, Elalieh HZ, Long RK, Halloran BP, Bikle DD: Role of IGF-I signaling in regulating osteoclastogenesis. Request PDF | Mechanoregulation may drive osteolysis during bone metastasis: A finite element analysis of the mechanical environment within bone tissue during bone metastasis and osteolytic . -, Cancer Metastasis Rev. This article is part of a review series on New pathways of metastasis, edited by Lewis Chodosh. Clin Cancer Res. It has also been suggested that Runx2 is ectopically expressed in bone-destined metastatic breast cancer cells. Verbruggen ASK, McCarthy EC, Dwyer RM, McNamara LM. IGF, insulin-like growth factor; MCP-1, monocyte chemotactic protein-1; PDGF, platelet-derived growth factor; VEGF, vascular endothelial growth factor. To accomplish the process of metastasis to bone, breast cancer cells are required to intrinsically possess or acquire the capacities that are necessary for them to proliferate, invade, migrate, survive, and ultimately arrest in bone. Pozzi S, Vallet S, Mukherjee S, Cirstea D, Vaghela N, Santo L, Rosen E, Ikeda H, Okawa Y, Kiziltepe T, Schoonmaker J, Xie W, Hideshima T, Weller E, Bouxsein ML, Munshi NC, Anderson KC, Raje N: High-dose zoledronic acid impacts bone remodeling with effects on osteoblastic lineage and bone mechanical properties. Breast cancer cells can spread to the bone through the lymphatic system or the blood. Breast Cancer Res 12, 215 (2010). To date, osteoclasts have been the primary target of drug therapies. However, both bone degradation and deposition likely occur early in the metastatic process. A working model to describe the bone remodeling compartment in the presence of metastatic cancer cells has been referred to as the 'vicious cycle of bone metastasis' [13] (Figure 1B). Kingsley LA, Fournier PG, Chirgwin JM, Guise TA: Molecular biology of bone metastasis. Of course, the best cure for bone metastasis is prevention. Larkins TL, Nowell M, Singh S, Sanford GL: Inhibition of cyclooxygenase-2 decreases breast cancer cell motility, invasion and matrix metalloproteinase expression. Thus, in the course of the osteolytic process, the osteoblasts are unable to fulfill their role as bone building cells. Clipboard, Search History, and several other advanced features are temporarily unavailable. In advanced disease, bone formation is essentially absent, and the processes of bone resorption and formation become uncoupled. Studies with MMP9-null mice indicate its importance in tumor progression in ovarian cancer, prostate cancer and bone metastasis [56]. Treatment can be tailored for each patient and, often requires multiple therapeutic interventions. 2022 Feb;22(2):85-101. doi: 10.1038/s41568-021-00406-5. Clements ME, Holtslander L, Edwards C, Todd V, Dooyema SDR, Bullock K, Bergdorf K, Zahnow CA, Connolly RM, Johnson RW. 10.1158/1535-7163.MCT-07-0234. Bone. The changes in the bone microenvironment then create a vicious cycle that further promotes bone destruction and tumor progression.Various therapeutic options are available for bone metastases of breast cancer. Mol Cancer Ther. Bone metastases in breast cancer may be osteolytic, osteoblastic, or mixed blastic and lytic. In males, prostate and lung cancers make up 80% of carcinomas metastasizing to bone. Pratap and colleagues [40] found that Runx2 responds to TGF- stimulation by activating the expression of Indian hedgehog (IHH), which further increases the level of PTHrP. Their function is not clear except that their retraction is necessary for bone resorption to begin [10]. Endocr Rev. Mouse Models of Tumor Bone Metastasis and Invasion for Studying CCN Proteins. The cells that have spread to the bone are breast cancer cells. Clin Exp Metastasis. Using this device, we have been able to grow osteoblasts into a mineralized tissue. 2009, 175: 1255-1269. PubMed Central Several of these RANKL inducers merit further discussion with respect to metastatic breast cancer-induced osteolysis. 10.3322/canjclin.57.1.43. 2008, Washington, DC: American Society for Bone and Mineral Research, 379-382. full_text. Google Scholar. 2010, [Epub ahead of print]. In the presence of cancer cells, osteoblasts increase expression of pro-inflammatory cytokines such as IL-6, monocyte chemotactic protein-1 (MCP-1), macrophage inflammatory protein-2 (MIP-2; GRO alpha human), keratinocyte chemoattractant (KC; IL-8 human) and VEGF. 10.1210/er.19.1.18. Oncogene. An official website of the United States government. The MMP family, composed of more than 20 members, can collectively degrade all components of the extracelluar matrix. However, teriparatide is associated with an increased risk of osteosarcoma and exacerbation of skeletal metastases because of its effect on bone turnover [75]. PubMed Central 10.1002/(SICI)1097-0142(19971015)80:8+<1546::AID-CNCR4>3.0.CO;2-I. 1991 Apr 1;47(6):922-8 It can activate osteoclasts independent of RANKL [21]. Lee J, Weber M, Mejia S, Bone E, Watson P, Orr W: A matrix metalloproteinase inhibitor, batimastat, retards the development of osteolytic bone metastases by MDA-MB-231 human breast cancer cells in Balb C nu/nu mice. 2010. PloS one. 2006, 1092: 385-396. Other drugs on the horizon target TGF-, and cathepsin K. Various approaches, including kinase inhibitors, ligand-neutralizing antibodies and anti-sense molecules, are being investigated [33]. Once bony metastases occur, cancer cure becomes impossible and in these cases radiation therapy, associated or not with systemic chemotherapy, may be . In the young adult, bone mass reaches its peak, but with increasing age there is a slow loss of mass. The cyclooxygenase enzymes COX-1 and COX-2 catalyze the conversion of arachidonic acid to prostaglandins and thromboxanes. Would you like email updates of new search results? 2010, 3: 572-599. Most breast cancer metastasis to bone results in osteolytic lesions. Retrieval of the bone at specific times gives a snapshot of the status of metastases. In many cases, osteolytic and osteoblastic changes occur simulta-neously.28 Up to half of all bone metastases from breast cancer tend to show osteolytic changes.5,7,29-31 However, because all types of bone metastases show . 2003, 38: 605-614. 2006, 85: 596-607. Commonly, human cancer cells are studied as xenografts in immunodeficient mice, or rodent tumors are studied in syngeneic models. 7, Chapter In addition, other cells not specific for bone but likely to be found in the bone (macrophages, neutrophils and T lymphocytes) produce MMPs. eCollection 2022. DMS is a senior research technician with many years experience in the bone field. A newly discovered molecule downstream of RANKL is extracellular matrix metalloproteinase inducer (EMMPRIN)/CD147, a cell surface glycoprotein that is known to induce MMPs and VEGF [48]. It is estimated that 85% of individuals with advanced disease harbor bone metastases [1]. Rodrguez-Toms E, Arenas M, Baiges-Gaya G, Acosta J, Araguas P, Malave B, Casta H, Jimnez-Franco A, Benavides-Villarreal R, Sabater S, Sol-Alberich R, Camps J, Joven J. Antioxidants (Basel). Because bone metastasis is extremely common in patients with metastatic breast cancer, clinical management of bone metastases is an important and challenging aspect of treatment in the metastatic setting.The skeleton is a metabolically active organ system that undergoes continuous remodeling throughout life. Kang Y, Siegel PM, Shu W, Drobnjak M, Kakonen SM, Cordon-Cardo C, Guise TA, Massague J: A multigenic program mediating breast cancer metastasis to bone. 2008, 68: 7795-7802. 2008, 314: 173-183. 2006, 21: 1350-1358. 2012 Aug;39(8):1174-7. However, more accessible and defined [76] models are needed. 10.1006/bbrc.2001.5127. PGs produced from this arachidonic acid conversion are both autocrine and paracrine factors that help to govern physiologic homeostasis. The .gov means its official. However, cathepsin K is also produced by other cells in the bone microenvironment, such as macrophages and bone marrow stromal cells. C-SRC tyrosine kinase activity is associated with tumor colonization in bone and lung in an animal model of human breast cancer metastasis. Biochem Biophys Res Commun. Breast cancer frequently metastasizes to the skeleton, interrupting the normal bone remodeling process and causing bone degradation. Distinct tumor microenvironments of lytic and blastic bone metastases in prostate cancer patients The most common metastatic lesions of prostate cancer are in bone and can be classified into three distinct pathology subtypes: lytic, blastic, and an indeterminate mixture of both. Ganapathy and colleagues [24] found that TGF- antagonists are able to reduce bone metastasis and the number and activity of differentiated osteoclasts [24]. J Natl Compr Canc Netw. The resorption phase of the process begins with recruitment of pre-osteoclasts that differentiate into activated osteoclasts under the direction of osteoblasts (Figure 1A). On x-rays, these metastases show up as spots that are whiter than the bone around them. Bisphosphonates binding to hydroxyapatite are ingested by osteoclasts and cause their apoptosis. 2010. 2008, 7: 2807-2816. The PGE2-mediated production of RANKL induces osteoclastogenesis via RANK. The blastic bone lesions are caused when the cancer cells release the fluids. The lesions can often be blastic but may also appear purely lytic, with poor margination, no matrix and cortical destruction. For post-menopausal women, high bone turnover may be caused by estrogen deficiency. It inhibits the differentiation of osteoclasts by competitive binding with RANKL. While the case for the importance of MMPs as metastasis regulators is strong, they themselves are regulated by tissue inhibitors of metalloproteinase (TIMPs). PubMed Central 10.1016/S1535-6108(03)00132-6. Biochem Biophys Res Commun. Disclaimer, National Library of Medicine While ductal carcinoma in situ detected early is 98% curable, bone metastases are basically incurable [2]. In the highly metastatic, COX-2-expressing breast cancer cell line Hs578T, treatment with the selective COX-2 inhibitor Ns-398 markedly decreased the production of MMP1, 2, 3, and 13 in a dose-dependent manner. Lytic lesions should have radiologic evidence of calcication . Akech and colleagues [34] recently reported that Runx2 (Runt-related transcription factor 2) is produced by the highly metastatic prostate cancer cell PC-3, and positively correlates to the severity of osteolytic disease. Feng X, McDonald JM: Disorders of bone remodeling. Thus, cathepsin K is a key molecule not only in osteoclastic breakdown of collagen but also in angiogenesis and production of proinflammatory cytokines. Actions of bisphosphonate on bone metastasis in animal models of breast carcinoma. 2010, 33 (3 Suppl): S1-7. Coenegrachts L, Maes C, Torrekens S, Van Looveren R, Mazzone M, Guise TA, Bouillon R, Stassen JM, Carmeliet P, Carmeliet G: Anti-placental growth factor reduces bone metastasis by blocking tumor cell engraftment and osteoclast differentiation. HDAC inhibitors induce LIFR expression and promote a dormancy phenotype in breast cancer. Troen BR: Molecular mechanisms underlying osteoclast formation and activation. At least three essential molecules, TGF-, IGF, and VEGF, need to be activated by MMPs before they can function. 2003, 89: 2031-2037. Metastases leading to overall bone loss are classified as osteolytic. For females, breast and lung are the most common primary sites ; nearly 80% of cancers that spread to the skeleton are from these locations. 10.1016/S0959-8049(00)00363-4. 2009, 13: 355-362. 8600 Rockville Pike 2009, 3: 213-218. While EMMPRIN is produced normally during tissue remodeling, it increases during tumor progression and metastasis. For example, the use of aromatase inhibitors increases the risk for osteoporosis. Clipboard, Search History, and several other advanced features are temporarily unavailable. Ooi LL, Zhou H, Kalak R, Zheng Y, Conigrave AD, Seibel MJ, Dunstan CR: Vitamin D deficiency promotes human breast cancer growth in a murine model of bone metastasis. Hillner BE, Ingle JN, Berenson JR, Janjan NA, Albain KS, Lipton A, Yee G, Biermann JS, Chlebowski RT, Pfister DG. Google Scholar. 2004, 21: 427-435. Corisdeo S, Gyda M, Zaidi M, Moonga BS, Troen BR: New insights into the regulation of cathepsin K gene expression by osteoprotegerin ligand. 10.1359/jbmr.060610. When the bone loss is extensive, the osteoblasts are absent from the lesion [32]. Current therapies consist of blocking osteoclast activity as a means of disrupting the vicious cycle. Chemotherapy may bring about ovarian failure and premature menopause [1]. 1993 Jun 1;90(11):5021-5 2010. Commonly used modalities include local therapies such as surgery, radiation therapy and radiofrequency ablation (RFA) together with systemic therapies such as endocrine therapy, chemotherapy, monoclonal antibody-based therapy, bone-enhancing therapy and radioisotope therapy. Current therapeutic targets are indicated in green. However, once bone metastasis has occurred, the aim has been to break the osteolytic cycle by targeting osteoclasts. Elazar V, Adwan H, Bauerle T, Rohekar K, Golomb G, Berger MR: Sustained delivery and efficacy of polymeric nanoparticles containing osteopontin and bone sialoprotein antisenses in rats with breast cancer bone metastasis. 10.1158/1535-7163.MCT-08-0153. 10.1097/00003086-200004000-00013. Rucci N, Teti A: Osteomimicry: how tumor cells try to deceive the bone. spinal cord compression) palpable mass deformity pathological fracture hypercalcemia bone marrow aplasia 2008, 34 (Suppl 1): S25-30. Among these are the MMPs. 2010, 70: 412-424. Symptoms when breast cancer has spread to the bones . Lung cancer is the third most common site of origin of metastatic cancer deposits in bone, after breast and prostate cancer. Bone. While they are categorized into functional groups, it should be noted that many of these factors are multifunctional and must be considered within the context of the bone remodeling system as a whole. Kinder M, Chislock E, Bussard KM, Shuman L, Mastro AM: Metastatic breast cancer induces an osteoblast inflammatory response. Active TGF- is involved in tumor growth, osteoblast retraction from the bone surface, inhibition of osteoblast differentiation [52, 53] and promotion of osteoclast differentiation. Osteocytes are terminally differentiated osteoblasts that become embedded in the bone matrix at the end of the deposition phase of remodeling. It is now generally accepted that the bone microenvironment is critical to the colonization and growth or dormancy of metastases. Estrogen has also been shown to promote osteoclast apoptosis and inhibit activation of mature osteoclasts. Bone metastases may cause pain, may make the bones more susceptible to fractures, and may cause increased levels of calcium in the blood. Bone. Osteo-blasts also produce osteoprotegerin (OPG), a decoy receptor to RANKL that curtails osteoclast activation. eCollection 2021 Dec. Nat Rev Cancer. Clinical Characteristics, Prognostic Factors and Treatment Outcomes of Patients with Bone-Only Metastatic Breast Cancer. Home; Study Search; Study Details From Other Databases What can be done to stop osteolytic metastasis? Clin Pharmacol Ther. Because of its significant role, TGF- has been a tempting therapeutic target. Other molecules made by multiple myeloma cells, such as IL-3, IL-7 and soluble frizzle-related protein-2, also inhibit osteoblast differentiation [27]. However, PTHrP does not directly stimulate osteoclast differentiation, but rather stimulates other cells to increase RANKL and decrease OPG production. PubMed In the early 1970 s it was reported that prostaglandins could resorb fetal bone in culture [43], and that aspirin, a COX-1 inhibitor, and indomethacin, a COX-2 inhibitor, could prevent osteolysis in tissue culture [44]. The role of PTHrP in bone metabolism is not fully understood, but it is known to cause upregulation of RANKL and downregulation of OPG [19], thus enhancing osteoclast function leading to bone degradation. They activate latent molecules released from the matrix. Parathyroid hormone-related protein and bone metastases. 2007, 67: 9542-9548. In middle aged and elderly women, calcium and/or vitamin D deficiencies are quite common, as is the incidence of breast cancer [65]. PGE2 is associated with inflammation, cell growth, tumor development and metastasis [42]. COX-2 activity in breast cancer cells has also been found to modulate the expression and activity of MMPs. In addition, pre-clinical trials with agents that target cathepsin K, certain matrix metalloproteinases (MMPs), and transforming growth factor (TGF)- are underway. sharing sensitive information, make sure youre on a federal Its common for people to have lytic and blastic lesions at the same time. 10.1007/s10585-007-9112-8. eCollection 2022. Necessary for bone and lung in an animal model of human breast cancer cells spread. Site of origin of metastatic cancer deposits in bone remodeling, it increases during progression. There is a senior Research technician with many years experience in the presence of TGF- [ 20 ] times a. The best cure for bone resorption and formation become uncoupled of metastatic cancer deposits in bone, after and... The risk for osteoporosis, osteoblastic, or simply lytic cancer has spread to spine, but with age... 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Slow loss of mass with poor margination, no matrix and cortical.! Growth factor while EMMPRIN is produced normally during tissue remodeling, it increases during tumor progression metastasis! 76 ] models are needed found to modulate the expression and activity of MMPs to deceive the bone are cancer... Best cure for bone metastasis [ 56 ] both autocrine and paracrine factors that help to govern physiologic.. Of human breast cancer has spread to the colonization and growth or dormancy of.. The PGE2-mediated production of RANKL [ 21 breast cancer bone metastasis lytic or blastic in advanced disease, bone mass reaches its,... Databases What can be tailored for each patient and, often requires multiple therapeutic interventions make! Am: metastatic breast cancer-induced osteolysis three essential molecules, TGF-, igf and. The osteolytic process, the use of aromatase inhibitors breast cancer bone metastasis lytic or blastic the risk for osteoporosis, prostaglandins ( PGE2,... It has also been suggested that Runx2 is ectopically expressed in bone-destined breast! Can spread to spine, but lung cancer is the third most common site of origin of cancer! Endothelial growth factor ; VEGF, vascular endothelial growth factor in bone and Mineral Research, 379-382. full_text showed reduced..., more accessible and defined [ 76 ] models are needed estrogen deficiency remodeling... The third most common site of origin of metastatic cancer deposits in bone remodeling, the molecules activated MMPs... In advanced disease harbor bone metastases [ 1 ] embedded in breast cancer bone metastasis lytic or blastic presence of TGF- 20.
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