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Changes in Cytokines of the Bone Microenvironment during Breast Cancer Metastasis

DOI: 10.1155/2012/160265

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Abstract:

It is commonly accepted that cancer cells interact with host cells to create a microenvironment favoring malignant colonization. The complex bone microenvironment produces an ever changing array of cytokines and growth factors. In this study, we examined levels of MCP-1, IL-6, KC, MIP-2, VEGF, MIG, and eotaxin in femurs of athymic nude mice inoculated via intracardiac injection with MDA-MB- human metastatic breast cancer cells, MDA-MB-231BRMS , a metastasis suppressed variant, or PBS. Animals were euthanized (day 3, 11, 19, 27 after injection) to examine femoral cytokine levels at various stages of cancer cell colonization. The epiphysis contained significantly more cytokines than the diaphysis except for MIG which was similar throughout the bone. Variation among femurs was evident within all groups. By day 27, MCP-1, MIG, VEGF and eotaxin levels were significantly greater in femurs of cancer cell-inoculated mice. These pro-osteoclastic and angiogenic cytokines may manipulate the bone microenvironment to enhance cancer cell colonization. 1. Introduction The colonization and growth of cancer metastases in the bone depends on a cooperative interaction of the cancer cells with the host cells in the bone microenvironment. This microenvironment includes the resident osteoblasts, osteoclasts, endothelial cells, bone-lining cells, stromal cells, hematopoietic stem cells, and transient cells such as macrophages, lymphocytes, neutrophils, and other blood cells. While cell-cell contacts are established between cancer cells and bone cells via adhesion molecules, a wider network of communication occurs through secreted cytokines and growth factors. These soluble molecules play a critical role in the normal bone remodeling process as well as in cancer cell colonization of the bone marrow. The interplay of the cancer cells with the cells of the bone marrow cavity has been described in terms of a vicious cycle [1]. In brief, cytokines or growth factors secreted by invading cancer cells (e.g., parathyroid hormone-related protein, PTHrP) act to stimulate osteoblasts to produce more receptor activator of nuclear factor kappa-B ligand (RANKL) and less osteoprotegerin (OPG), a decoy receptor for RANKL. The RANKL binds to RANK on osteoclast precursors leading to differentiation and activation of osteoclasts. Activated osteoclasts degrade bone matrix releasing growth factors such as transforming growth factor beta (TGF-β) and insulin-like growth factor (IGF). These molecules, in turn, stimulate further cancer cell growth. This series of events provides an explanation of the

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