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TGF-beta-related mechanisms of bone destruction in multiple myeloma

期刊

BONE
卷 48, 期 1, 页码 129-134

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.bone.2010.05.036

关键词

Multiple myeloma; Osteoblast differentiation; Wnt signal; TGF-beta type I receptor kinase; Bone formation; Bone resorption

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In destructive bone lesions of multiple myeloma (MM), osteoclastic bone resorption is enhanced, while bone formation is suppressed with impaired osteoblast differentiation from their progenitor cells. As a result, a strong negative balance in bone turnover develops in MM bone lesions. The suppression of bone formation is mainly due to a secretion of Wnt signal inhibitors, secreted Frizzled-related protein (sFRP)-2 and 3 and dikkopf1 (DKK1). In addition, the enhanced bone resorption in MM bone lesions causes a marked increase in the release and activation of transforming growth factor (TGF)-beta. Although TGF-beta enhances the recruitment and proliferation of osteoblast progenitors, TGF-beta potently inhibits later phases of osteoblast differentiation and maturation and suppresses matrix mineralization. Thus, TGF-beta also plays a role in the suppression of bone formation in MM bone lesions. In fact, when TGF-beta action is suppressed by inhibitors of TGF-beta type I receptor kinase, the inhibition of terminal differentiation of osteoblasts and mineralization is abrogated. While immature mesenchymal stromal cells support the growth and survival of MM cells, mature osteoblasts enhance MM cell apoptosis and cell cycle arrest. Thus, the inhibition of TGF-beta signaling by TGF-beta type I receptor kinase inhibitor causes not only an enhancement of bone formation but also a suppression of MM cell growth. Inhibition of TGF-beta signaling can become a new therapeutic approach against MM. (C) 2010 Elsevier Inc. All rights reserved.

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