Academic Journal

Role of osteocytes in myeloma bone disease: Anti-sclerostin antibody as new therapeutic strategy

التفاصيل البيبلوغرافية
العنوان: Role of osteocytes in myeloma bone disease: Anti-sclerostin antibody as new therapeutic strategy
المؤلفون: TOSCANI, DENISE, Bolzoni, Marina, Ferretti, Marzia, Palumbo, Carla, GIULIANI, NICOLA
المساهمون: Toscani, Denise, Bolzoni, Marina, Ferretti, Marzia, Palumbo, Carla, Giuliani, Nicola
سنة النشر: 2018
المجموعة: Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS)
مصطلحات موضوعية: Bone disease, Immunotherapy, Multiple myeloma, Osteocyte, Sclerostin, Immunology and Allergy, Immunology
الوصف: Osteocytes are terminally differentiated cells of the osteoblast lineage. They are involved in the regulation of bone remodeling by increasing osteoclast formation or decreasing bone formation by the secretion of the osteoblast inhibitor sclerostin. Monoclonal antibody anti-sclerostin, Romosozumab, has been developed and tested in clinical trials in patients with osteoporosis. In the last years, the role of osteocytes in the development of osteolytic bone lesions that occurs in multiple myeloma, have been underlined. Myeloma cells increase osteocyte death through the up-regulation of both apoptosis and autophagy that, in turn, triggers osteoclast formation, and activity. When compared to healthy controls, myeloma patients with bone disease have higher osteocyte cell death, but the treatment with proteasome inhibitor bortezomib has been shown to maintain osteocyte viability. In preclinical mouse models of multiple myeloma, treatment with blocking anti-sclerostin antibody increased osteoblast numbers and bone formation rate reducing osteolytic bone lesions. Moreover, the combination of anti-sclerostin antibody and the osteoclast inhibitor zoledronic acid increased bone mass and fracture resistance synergistically. However, anti-sclerostin antibody did not affect tumor burden in vivo or the efficacy of antimyeloma drugs in vitro. Nevertheless, the combination therapy of antisclerostin antibody and the proteasome inhibitor carfilzomib, displayed potent anti-myeloma activity as well as positive effects on bone disease in vivo. In conclusion, all these data suggest that osteocytes are involved in myeloma bone disease and may be considered a novel target for the use of antibody-mediated anti-sclerostin therapy also in multiple myeloma patients.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/30410490; info:eu-repo/semantics/altIdentifier/wos/WOS:001029152400001; volume:9; issue:OCT; firstpage:2467; lastpage:2467; journal:FRONTIERS IN IMMUNOLOGY; https://hdl.handle.net/11380/1172562; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85055783778; www.frontiersin.org/Immunology
DOI: 10.3389/fimmu.2018.02467
الاتاحة: https://hdl.handle.net/11380/1172562
https://doi.org/10.3389/fimmu.2018.02467
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.FCD52067
قاعدة البيانات: BASE
الوصف
DOI:10.3389/fimmu.2018.02467