Ottewell Penelope D, Wang Ning, Meek Joshua, Fowles C Anne, Croucher Peter I, Eaton Colby L, Holen Ingunn
Academic Unit of Clinical Oncology, Department of OncologyBone Biology, Department of Human Metabolism, Medical School, University of SheffieldBeech Hill Road, Sheffield S10 2RX, UKMusculoskeletal Medicine DivisionGarvan Institute of Medical Research, Sydney, New South Wales, Australia
Academic Unit of Clinical Oncology, Department of OncologyBone Biology, Department of Human Metabolism, Medical School, University of SheffieldBeech Hill Road, Sheffield S10 2RX, UKMusculoskeletal Medicine DivisionGarvan Institute of Medical Research, Sydney, New South Wales, Australia.
Endocr Relat Cancer. 2014 Oct;21(5):769-81. doi: 10.1530/ERC-14-0199. Epub 2014 Jul 22.
Up to 90% of patients with castrate-resistant prostate cancer develop bone metastases, and the majority of these men have received androgen deprivation therapy known to cause bone loss. Whether this treatment-induced change to the bone microenvironment affects disseminated tumour cells, potentially stimulating development of bone metastasis, remains to be determined. The objective of this study was to use an in vivo model mimicking androgen ablation to establish the effects of this intervention on disseminated prostate cancer cells in bone. We mimicked the effects of androgen deprivation on bone metastasis by castrating 12-week-old BALB/c nude mice that had disseminated, hormone-insensitive PC3 prostate cancer cells present in the long bones. Castration caused increased bone resorption and loss of bone volume, compared with sham operation. In addition, castration triggered growth of disseminated PC3 cells to form bone metastasis in 70% of animals. In contrast, only 10% of sham-operated animals had detectable long bone tumours. Weekly administration of 100 μg/kg zoledronic acid (ZOL) prevented castration-induced tumour growth in bone and increased bone volume, but did not eliminate the disseminated tumour cells. ZOL had no effect on tumour growth in the sham-operated animals, despite causing a significant increase in bone volume. This is the first demonstration that, in a model of prostate cancer bone metastasis, mimicking androgen ablation results in growth of disseminated tumour cells in bone through osteoclast-mediated mechanisms. We provide the first biological evidence supporting the administration of ZOL to prostate cancer patients at the time of androgen ablation to prevent subsequent relapse in bone.
高达90%的去势抵抗性前列腺癌患者会发生骨转移,并且这些男性中的大多数都接受过已知会导致骨质流失的雄激素剥夺疗法。这种治疗引起的骨微环境变化是否会影响播散的肿瘤细胞,从而潜在地刺激骨转移的发生,仍有待确定。本研究的目的是使用一种模拟雄激素消融的体内模型来确定这种干预对骨中播散的前列腺癌细胞的影响。我们通过阉割12周龄、长骨中存在播散的激素不敏感型PC3前列腺癌细胞的BALB/c裸鼠,来模拟雄激素剥夺对骨转移的影响。与假手术相比,阉割导致骨吸收增加和骨量减少。此外,阉割引发了70%的动物体内播散的PC3细胞生长并形成骨转移。相比之下,只有10%的假手术动物在长骨中检测到肿瘤。每周给予100μg/kg唑来膦酸(ZOL)可预防阉割诱导的骨肿瘤生长并增加骨量,但并未消除播散的肿瘤细胞。尽管ZOL导致假手术动物的骨量显著增加,但对其肿瘤生长没有影响。这是首次证明,在前列腺癌骨转移模型中,模拟雄激素消融会通过破骨细胞介导的机制导致骨中播散的肿瘤细胞生长。我们提供了首个生物学证据,支持在雄激素消融时对前列腺癌患者给予ZOL,以预防随后的骨复发。
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