Soluble rank ligand produced by myeloma cells causes generalised bone loss in multiple myeloma

Patients with multiple myeloma commonly develop focal osteolytic bone disease, as well as generalised osteoporosis. The mechanisms underlying the development of osteoporosis in patients with myeloma are poorly understood. Although disruption of the RANKL/OPG pathway has been shown to underlie format...

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Veröffentlicht in:PloS one 2012-08, Vol.7 (8), p.e41127-e41127
Hauptverfasser: Buckle, Clive Henry, De Leenheer, Evy, Lawson, Michelle Anne, Yong, Kwee, Rabin, Neil, Perry, Mark, Vanderkerken, Karen, Croucher, Peter Ian
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De Leenheer, Evy
Lawson, Michelle Anne
Yong, Kwee
Rabin, Neil
Perry, Mark
Vanderkerken, Karen
Croucher, Peter Ian
description Patients with multiple myeloma commonly develop focal osteolytic bone disease, as well as generalised osteoporosis. The mechanisms underlying the development of osteoporosis in patients with myeloma are poorly understood. Although disruption of the RANKL/OPG pathway has been shown to underlie formation of focal osteolytic lesions, its role in the development of osteoporosis in myeloma remains unclear. Increased soluble RANKL in serum from patients with myeloma raises the possibility that this molecule plays a key role. The aim of the present study was to establish whether sRANKL produced by myeloma cells contributes directly to osteoporosis. C57BL/KaLwRij mice were injected with either 5T2MM or 5T33MM murine myeloma cells. 5T2MM-bearing mice developed osteolytic bone lesions (p
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The mechanisms underlying the development of osteoporosis in patients with myeloma are poorly understood. Although disruption of the RANKL/OPG pathway has been shown to underlie formation of focal osteolytic lesions, its role in the development of osteoporosis in myeloma remains unclear. Increased soluble RANKL in serum from patients with myeloma raises the possibility that this molecule plays a key role. The aim of the present study was to establish whether sRANKL produced by myeloma cells contributes directly to osteoporosis. C57BL/KaLwRij mice were injected with either 5T2MM or 5T33MM murine myeloma cells. 5T2MM-bearing mice developed osteolytic bone lesions (p<0.05) with increased osteoclast surface (p<0.01) and reduced trabecular bone volume (p<0.05). Bone volume was also reduced at sites where 5T2MM cells were not present (p<0.05). In 5T2MM-bearing mice soluble mRANKL was increased (p<0.05), whereas OPG was not altered. In contrast, 5T33MM-bearing mice had no changes in osteoclast surface or trabecular bone volume and did not develop osteolytic lesions. Soluble mRANKL was undetectable in serum from 5T33MM-bearing mice. In separate experiments, RPMI-8226 human myeloma cells were transduced with an human RANKL/eGFP construct, or eGFP alone. RPMI-8226/hRANKL/eGFP cells, but not RPMI-8226/eGFP cells, stimulated osteoclastic bone resorption (p<0.05) in vitro. Sub-cutaneous injection of NOD/SCID mice with RPMI-8226/hRANKL/eGFP or RPMI-8226/eGFP cells resulted in tumour development in all mice. RPMI-8226/hRANKL/eGFP-bearing mice exhibited increased serum soluble hRANKL (p<0.05) and a three-fold increase in osteoclast number (p<0.05) compared to RPMI-8226/eGFP-bearing mice. This was associated with reduced trabecular bone volume (27%, p<0.05), decreased trabecular number (29%, p<0.05) and increased trabecular thickness (8%, p<0.05). Our findings demonstrate that soluble RANKL produced by myeloma cells causes generalised bone loss, suggesting that targeting RANKL may prevent osteoporosis in patients with myeloma.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0041127</identifier><identifier>PMID: 22952578</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animals ; Bearing ; Biocompatibility ; Biology ; Biomedical materials ; Bone and Bones - metabolism ; Bone diseases ; Bone lesions ; Bone loss ; Bone marrow ; Bone resorption ; Cancellous bone ; Cancer ; Cell Line, Tumor ; Complications and side effects ; Dentistry ; DNA, Complementary - metabolism ; Green Fluorescent Proteins - metabolism ; Health aspects ; Hematology ; Humans ; Lesions ; Ligands ; Ligands (Chemistry) ; Lumbar Vertebrae - metabolism ; Medical research ; Medicine ; Metabolism ; Metastasis ; Mice ; Mice, Inbred C57BL ; Mice, SCID ; Multiple myeloma ; Multiple Myeloma - metabolism ; Neoplasm Transplantation ; Osteoclasts ; Osteoclasts - cytology ; Osteolysis ; Osteoporosis ; Osteoporosis - genetics ; Osteoporosis - physiopathology ; Osteoprotegerin ; Osteoprotegerin - metabolism ; Patients ; Prevention ; RANK Ligand - metabolism ; Risk factors ; Rodents ; TRANCE protein ; Tumor necrosis factor-TNF ; Tumors</subject><ispartof>PloS one, 2012-08, Vol.7 (8), p.e41127-e41127</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>Buckle et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The mechanisms underlying the development of osteoporosis in patients with myeloma are poorly understood. Although disruption of the RANKL/OPG pathway has been shown to underlie formation of focal osteolytic lesions, its role in the development of osteoporosis in myeloma remains unclear. Increased soluble RANKL in serum from patients with myeloma raises the possibility that this molecule plays a key role. The aim of the present study was to establish whether sRANKL produced by myeloma cells contributes directly to osteoporosis. C57BL/KaLwRij mice were injected with either 5T2MM or 5T33MM murine myeloma cells. 5T2MM-bearing mice developed osteolytic bone lesions (p<0.05) with increased osteoclast surface (p<0.01) and reduced trabecular bone volume (p<0.05). Bone volume was also reduced at sites where 5T2MM cells were not present (p<0.05). In 5T2MM-bearing mice soluble mRANKL was increased (p<0.05), whereas OPG was not altered. In contrast, 5T33MM-bearing mice had no changes in osteoclast surface or trabecular bone volume and did not develop osteolytic lesions. Soluble mRANKL was undetectable in serum from 5T33MM-bearing mice. In separate experiments, RPMI-8226 human myeloma cells were transduced with an human RANKL/eGFP construct, or eGFP alone. RPMI-8226/hRANKL/eGFP cells, but not RPMI-8226/eGFP cells, stimulated osteoclastic bone resorption (p<0.05) in vitro. Sub-cutaneous injection of NOD/SCID mice with RPMI-8226/hRANKL/eGFP or RPMI-8226/eGFP cells resulted in tumour development in all mice. RPMI-8226/hRANKL/eGFP-bearing mice exhibited increased serum soluble hRANKL (p<0.05) and a three-fold increase in osteoclast number (p<0.05) compared to RPMI-8226/eGFP-bearing mice. This was associated with reduced trabecular bone volume (27%, p<0.05), decreased trabecular number (29%, p<0.05) and increased trabecular thickness (8%, p<0.05). Our findings demonstrate that soluble RANKL produced by myeloma cells causes generalised bone loss, suggesting that targeting RANKL may prevent osteoporosis in patients with myeloma.]]></description><subject>Animals</subject><subject>Bearing</subject><subject>Biocompatibility</subject><subject>Biology</subject><subject>Biomedical materials</subject><subject>Bone and Bones - metabolism</subject><subject>Bone diseases</subject><subject>Bone lesions</subject><subject>Bone loss</subject><subject>Bone marrow</subject><subject>Bone resorption</subject><subject>Cancellous bone</subject><subject>Cancer</subject><subject>Cell Line, Tumor</subject><subject>Complications and side effects</subject><subject>Dentistry</subject><subject>DNA, Complementary - metabolism</subject><subject>Green Fluorescent Proteins - metabolism</subject><subject>Health aspects</subject><subject>Hematology</subject><subject>Humans</subject><subject>Lesions</subject><subject>Ligands</subject><subject>Ligands (Chemistry)</subject><subject>Lumbar Vertebrae - 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The mechanisms underlying the development of osteoporosis in patients with myeloma are poorly understood. Although disruption of the RANKL/OPG pathway has been shown to underlie formation of focal osteolytic lesions, its role in the development of osteoporosis in myeloma remains unclear. Increased soluble RANKL in serum from patients with myeloma raises the possibility that this molecule plays a key role. The aim of the present study was to establish whether sRANKL produced by myeloma cells contributes directly to osteoporosis. C57BL/KaLwRij mice were injected with either 5T2MM or 5T33MM murine myeloma cells. 5T2MM-bearing mice developed osteolytic bone lesions (p<0.05) with increased osteoclast surface (p<0.01) and reduced trabecular bone volume (p<0.05). Bone volume was also reduced at sites where 5T2MM cells were not present (p<0.05). In 5T2MM-bearing mice soluble mRANKL was increased (p<0.05), whereas OPG was not altered. In contrast, 5T33MM-bearing mice had no changes in osteoclast surface or trabecular bone volume and did not develop osteolytic lesions. Soluble mRANKL was undetectable in serum from 5T33MM-bearing mice. In separate experiments, RPMI-8226 human myeloma cells were transduced with an human RANKL/eGFP construct, or eGFP alone. RPMI-8226/hRANKL/eGFP cells, but not RPMI-8226/eGFP cells, stimulated osteoclastic bone resorption (p<0.05) in vitro. Sub-cutaneous injection of NOD/SCID mice with RPMI-8226/hRANKL/eGFP or RPMI-8226/eGFP cells resulted in tumour development in all mice. RPMI-8226/hRANKL/eGFP-bearing mice exhibited increased serum soluble hRANKL (p<0.05) and a three-fold increase in osteoclast number (p<0.05) compared to RPMI-8226/eGFP-bearing mice. This was associated with reduced trabecular bone volume (27%, p<0.05), decreased trabecular number (29%, p<0.05) and increased trabecular thickness (8%, p<0.05). Our findings demonstrate that soluble RANKL produced by myeloma cells causes generalised bone loss, suggesting that targeting RANKL may prevent osteoporosis in patients with myeloma.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22952578</pmid><doi>10.1371/journal.pone.0041127</doi><tpages>e41127</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry
subjects Animals
Bearing
Biocompatibility
Biology
Biomedical materials
Bone and Bones - metabolism
Bone diseases
Bone lesions
Bone loss
Bone marrow
Bone resorption
Cancellous bone
Cancer
Cell Line, Tumor
Complications and side effects
Dentistry
DNA, Complementary - metabolism
Green Fluorescent Proteins - metabolism
Health aspects
Hematology
Humans
Lesions
Ligands
Ligands (Chemistry)
Lumbar Vertebrae - metabolism
Medical research
Medicine
Metabolism
Metastasis
Mice
Mice, Inbred C57BL
Mice, SCID
Multiple myeloma
Multiple Myeloma - metabolism
Neoplasm Transplantation
Osteoclasts
Osteoclasts - cytology
Osteolysis
Osteoporosis
Osteoporosis - genetics
Osteoporosis - physiopathology
Osteoprotegerin
Osteoprotegerin - metabolism
Patients
Prevention
RANK Ligand - metabolism
Risk factors
Rodents
TRANCE protein
Tumor necrosis factor-TNF
Tumors
title Soluble rank ligand produced by myeloma cells causes generalised bone loss in multiple myeloma
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