Hecht Monica, Heider Ulrike, Kaiser Martin, von Metzler Ivana, Sterz Jan, Sezer Orhan
Department of Haematology and Oncology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Br J Haematol. 2007 Aug;138(4):446-58. doi: 10.1111/j.1365-2141.2007.06665.x. Epub 2007 Jun 25.
Formation of osteolytic lesions is a key pathophysiological feature in multiple myeloma and results from the interaction of myeloma cells with the bone marrow microenvironment. Matrix metalloproteinases (MMPs) and plasmin may be involved in bone destruction, but their precise roles have not been clarified. Furthermore, the impact of osteoblast-related alterations on myeloma bone disease is not well understood. We addressed this complex phenomenon by applying a coculture system between myeloma cells and osteoblasts. Osteoblasts induced expression of MMP-1 and upregulated the expression of MMP-2, urokinase plasminogen activator (uPA) and hepatocyte growth factor (HGF) in myeloma cells. In turn, interaction with myeloma cells led to abundant MMP-1 expression in osteoblasts. Because MMP-1 degrades collagen, its upregulation might represent an essential mechanism contributing to bone destruction. Cocultures using primary myeloma cells confirmed the results obtained with cell lines. The mechanisms responsible for MMP-1 upregulation are mediated by both membrane-bound and soluble factors, and involve the p38 mitogen-activated protein kinase (MAPK) pathway. The interaction with osteoblasts enhances the capability of myeloma cells to transmigrate and invade through Matrigel or type I collagen. Using appropriate inhibitors, we provide evidence that these processes involve MMPs, uPA, HGF and activation of p38 MAPK.
溶骨性病变的形成是多发性骨髓瘤的关键病理生理特征,由骨髓瘤细胞与骨髓微环境相互作用所致。基质金属蛋白酶(MMPs)和纤溶酶可能参与骨破坏,但其确切作用尚未阐明。此外,成骨细胞相关改变对骨髓瘤骨病的影响也未得到充分了解。我们通过应用骨髓瘤细胞与成骨细胞的共培养系统来研究这一复杂现象。成骨细胞诱导骨髓瘤细胞中MMP-1的表达,并上调MMP-2、尿激酶型纤溶酶原激活剂(uPA)和肝细胞生长因子(HGF)的表达。反过来,与骨髓瘤细胞的相互作用导致成骨细胞中大量表达MMP-1。由于MMP-1可降解胶原蛋白,其上调可能是导致骨破坏的重要机制。使用原代骨髓瘤细胞进行的共培养证实了细胞系实验所得结果。MMP-1上调的机制由膜结合因子和可溶性因子介导,且涉及p38丝裂原活化蛋白激酶(MAPK)途径。与成骨细胞的相互作用增强了骨髓瘤细胞通过基质胶或I型胶原进行迁移和侵袭的能力。使用适当的抑制剂,我们证明这些过程涉及MMPs、uPA、HGF以及p38 MAPK的激活。