一种调节多发性骨髓瘤中骨细胞RANKL表达的新型CCL3-HMGB1信号轴。

A novel CCL3-HMGB1 signaling axis regulating osteocyte RANKL expression in multiple myeloma.

作者信息

Anloague Aric, Sabol Hayley M, Kaur Japneet, Khan Sharmin, Ashby Cody, Schinke Carolina, Barnes C Lowry, Alturkmani Farah, Ambrogini Elena, Gundesen Michael Tveden, Lund Thomas, Amstrup Anne Kristine, Andersen Thomas Levin, Diaz-delCastillo Marta, Roodman G David, Bellido Teresita, Delgado-Calle Jesus

机构信息

Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, AR.

Physiology and Cell Biology, University of Arkansas for Medical Sciences, Little Rock, AR, US; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock.

出版信息

Haematologica. 2025 Apr 1;110(4):952-966. doi: 10.3324/haematol.2024.286484. Epub 2024 Nov 28.

Abstract

Multiple myeloma (MM) is a clonal plasma cell proliferative malignancy characterized by a debilitating bone disease. Osteolytic destruction, a hallmark of MM, is driven by increased osteoclast number and exacerbated bone resorption, primarily fueled by the excessive production of RANKL, the master regulator of osteoclast formation, within the tumor niche. We previously reported that osteocytes, the most abundant cells in the bone niche, promote tumor progression and support MM bone disease by overproducing RANKL. However, the molecular mechanisms underlying RANKL dysregulation in osteocytes in the context of MM bone disease are not entirely understood. Here, we present evidence that MM-derived CCL3 induces upregulation of RANKL expression in both human and murine osteocytes. Through a combination of in vitro, ex vivo, and in vivo models and clinical data, we demonstrate that genetic or pharmacologic inhibition of CCL3 prevents RANKL upregulation in osteocytes and attenuates the bone loss induced by MM cells. Mechanistic studies revealed that MM-derived CCL3 triggers the secretion of HMGB1 by osteocytes, a process required for osteocytic RANKL upregulation by MM cells. These findings identify a previously unknown CCL3-HMGB1 signaling axis in the MM tumor niche that drives bone resorption by promoting RANKL overproduction in osteocytes.

摘要

多发性骨髓瘤(MM)是一种克隆性浆细胞增殖性恶性肿瘤,其特征为严重的骨病。溶骨性破坏是MM的一个标志,它是由破骨细胞数量增加和骨吸收加剧所驱动的,主要是由肿瘤微环境中破骨细胞形成的主要调节因子RANKL的过度产生所推动。我们之前报道过,骨细胞是骨微环境中最丰富的细胞,它通过过度产生RANKL来促进肿瘤进展并支持MM骨病。然而,在MM骨病背景下,骨细胞中RANKL失调的分子机制尚未完全明确。在此,我们提供证据表明,MM来源的CCL3可诱导人源和鼠源骨细胞中RANKL表达上调。通过体外、离体和体内模型以及临床数据相结合的方式,我们证明对CCL3进行基因或药物抑制可防止骨细胞中RANKL上调,并减轻MM细胞诱导的骨质流失。机制研究表明,MM来源的CCL3触发骨细胞分泌HMGB1,这是MM细胞诱导骨细胞RANKL上调所必需的过程。这些发现确定了MM肿瘤微环境中一个此前未知的CCL3-HMGB1信号轴,该信号轴通过促进骨细胞中RANKL的过量产生来驱动骨吸收。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b0d/11959238/1a223dec2656/110952.fig1.jpg

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