Molecular Skeletal Biology Laboratory, Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Department of Life Sciences, IMC FH Krems University of Applied Sciences, 3500 Krems, Austria.
Int J Mol Sci. 2021 Mar 12;22(6):2898. doi: 10.3390/ijms22062898.
Patients with advanced breast cancer are at high risk of developing bone metastasis. Despite treatment advances for primary breast cancer, metastatic bone disease remains incurable with a low relative survival. Hence, new therapeutic approaches are required to improve survival and treatment outcome for these patients. Bone is among the most frequent sites of metastasis in breast cancer. Once in the bone, disseminated tumor cells can acquire a dormant state and remain quiescent until they resume growth, resulting in overt metastasis. At this stage the disease is characterized by excessive, osteoclast-mediated osteolysis. Cells of the bone microenvironment including osteoclasts, osteoblasts and endothelial cells contribute to the initiation and progression of breast cancer bone metastasis. Direct cell-to-cell contact as well as soluble factors regulate the crosstalk between disseminated breast cancer cells and bone cells. In this complex signaling network interleukins (ILs) have been identified as key regulators since both, cancer cells and bone cells secrete ILs and express corresponding receptors. ILs regulate differentiation and function of bone cells, with several ILs being reported to act pro-osteoclastogenic. Consistently, the expression level of ILs (e.g., in serum) has been associated with poor prognosis in breast cancer. In this review we discuss the role of the most extensively investigated ILs during the establishment of breast cancer bone metastasis and highlight their potential as therapeutic targets in preventing metastatic outgrowth in bone.
晚期乳腺癌患者有发生骨转移的高风险。尽管原发性乳腺癌的治疗取得了进展,但转移性骨病仍然无法治愈,相对生存率较低。因此,需要新的治疗方法来改善这些患者的生存和治疗效果。骨骼是乳腺癌最常见的转移部位之一。一旦进入骨骼,播散的肿瘤细胞可以进入休眠状态并保持静止,直到它们重新生长,导致明显的转移。在这个阶段,疾病的特征是过度的、破骨细胞介导的骨溶解。骨微环境中的细胞,包括破骨细胞、成骨细胞和内皮细胞,有助于乳腺癌骨转移的起始和进展。播散的乳腺癌细胞和骨细胞之间的串扰受直接细胞间接触和可溶性因子的调节。在这个复杂的信号网络中,白细胞介素(ILs)已被确定为关键调节剂,因为癌细胞和骨细胞都分泌 ILs 并表达相应的受体。ILs 调节骨细胞的分化和功能,有几种 ILs 被报道具有促破骨细胞生成作用。一致地,ILs 的表达水平(例如,在血清中)与乳腺癌的不良预后相关。在这篇综述中,我们讨论了在乳腺癌骨转移形成过程中最广泛研究的 ILs 的作用,并强调了它们作为预防骨转移生长的治疗靶点的潜力。
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