Bone cancer pain: the effects of the bisphosphonate alendronate on pain, skeletal remodeling, tumor growth and tumor necrosis

Patients with metastatic breast, lung or prostate cancer frequently have significant bone cancer pain. In the present report we address, in a single in vivo mouse model, the effects the bisphosphonate alendronate has on bone cancer pain, bone remodeling and tumor growth and necrosis. Following injec...

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Veröffentlicht in:Pain (Amsterdam) 2004-09, Vol.111 (1), p.169-180
Hauptverfasser: Sevcik, Molly A., Luger, Nancy M., Mach, David B., Sabino, Mary Ann C., Peters, Christopher M., Ghilardi, Joseph R., Schwei, Matthew J., Röhrich, Heidi, De Felipe, Carmen, Kuskowski, Michael A., Mantyh, Patrick W.
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container_end_page 180
container_issue 1
container_start_page 169
container_title Pain (Amsterdam)
container_volume 111
creator Sevcik, Molly A.
Luger, Nancy M.
Mach, David B.
Sabino, Mary Ann C.
Peters, Christopher M.
Ghilardi, Joseph R.
Schwei, Matthew J.
Röhrich, Heidi
De Felipe, Carmen
Kuskowski, Michael A.
Mantyh, Patrick W.
description Patients with metastatic breast, lung or prostate cancer frequently have significant bone cancer pain. In the present report we address, in a single in vivo mouse model, the effects the bisphosphonate alendronate has on bone cancer pain, bone remodeling and tumor growth and necrosis. Following injection and confinement of green fluorescent protein-transfected murine osteolytic tumor cells into the marrow space of the femur of male C3H/HeJ mice, alendronate was administered chronically from the time the tumor was established until the bone cancer pain became severe. Alendronate therapy reduced ongoing and movement-evoked bone cancer pain, bone destruction and the destruction of sensory nerve fibers that innervate the bone. Whereas, alendronate treatment did not change viable tumor burden, both tumor growth and tumor necrosis increased. These data emphasize that it is essential to utilize a model where pain, skeletal remodeling and tumor growth can be simultaneously assessed, as each of these can significantly impact patient quality of life and survival.
doi_str_mv 10.1016/j.pain.2004.06.015
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subjects Activating Transcription Factor 3
Alendronate - pharmacology
Animals
Behavior, Animal
Biological and medical sciences
Biomarkers, Tumor
Bone Neoplasms - complications
Bone Neoplasms - drug therapy
Bone Neoplasms - pathology
Diseases of the osteoarticular system
Male
Medical sciences
Mice
Mice, Inbred C3H
Mouse
Necrosis
Nociception
Osteoclasts - drug effects
Osteoclasts - pathology
Osteolysis
Osteolysis - drug therapy
Osteolysis - etiology
Osteolysis - pathology
Pain - drug therapy
Pain - etiology
Pain - pathology
Sarcoma
Sarcoma - complications
Sarcoma - drug therapy
Sarcoma - pathology
Transcription Factors - metabolism
Tumors of striated muscle and skeleton
title Bone cancer pain: the effects of the bisphosphonate alendronate on pain, skeletal remodeling, tumor growth and tumor necrosis
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