von Metzler I, Krebbel H, Hecht M, Manz R A, Fleissner C, Mieth M, Kaiser M, Jakob C, Sterz J, Kleeberg L, Heider U, Sezer O
Department of Hematology and Oncology, Charité - Universitätsmedizin Berlin, and Deutsches Rheumaforschungszentrum, Berlin, Germany.
Leukemia. 2007 Sep;21(9):2025-34. doi: 10.1038/sj.leu.2404806. Epub 2007 Jun 21.
In multiple myeloma, the overexpression of receptor activator of nuclear factor kappa B (NF-kappaB) ligand (RANKL) leads to the induction of NF-kappaB and activator protein-1 (AP-1)-related osteoclast activation and enhanced bone resorption. The purpose of this study was to examine the molecular and functional effects of proteasome inhibition in RANKL-induced osteoclastogenesis. Furthermore, we aimed to compare the outcome of proteasome versus selective NF-kappaB inhibition using bortezomib (PS-341) and I-kappaB kinase inhibitor PS-1145. Primary human osteoclasts were derived from CD14+ precursors in presence of RANKL and macrophage colony-stimulating factor (M-CSF). Both bortezomib and PS-1145 inhibited osteoclast differentiation in a dose- and time-dependent manner and furthermore, the bone resorption activity of osteoclasts. The mechanisms of action involved in early osteoclast differentiation were found to be related to the inhibition of p38 mitogen-activated protein kinase pathways, whereas the later phase of differentiation and activation occurred due to inhibition of p38, AP-1 and NF-kappaB activation. The AP-1 blockade contributed to significant reduction of osteoclastic vascular endothelial growth factor production. In conclusion, our data demonstrate that proteasomal inhibition should be considered as a novel therapeutic option of cancer-induced lytic bone disease.
在多发性骨髓瘤中,核因子κB(NF-κB)配体(RANKL)的受体激活剂过表达会导致NF-κB和激活蛋白-1(AP-1)相关的破骨细胞活化及骨吸收增强。本研究的目的是检测蛋白酶体抑制在RANKL诱导的破骨细胞生成中的分子和功能效应。此外,我们旨在比较使用硼替佐米(PS-341)和I-κB激酶抑制剂PS-1145进行蛋白酶体抑制与选择性NF-κB抑制的结果。原代人破骨细胞由存在RANKL和巨噬细胞集落刺激因子(M-CSF)的CD14+前体衍生而来。硼替佐米和PS-1145均以剂量和时间依赖性方式抑制破骨细胞分化,此外还抑制破骨细胞的骨吸收活性。发现早期破骨细胞分化所涉及的作用机制与抑制p38丝裂原活化蛋白激酶途径有关,而后期的分化和活化则是由于抑制p38、AP-1和NF-κB活化所致。AP-1阻断导致破骨细胞血管内皮生长因子产生显著减少。总之,我们的数据表明蛋白酶体抑制应被视为癌症诱导的溶骨性骨病的一种新的治疗选择。