Sclerostin inhibition alleviates breast cancer-induced bone metastases and muscle weakness
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Sclerostin inhibition alleviates breast cancer-induced bone metastases and muscle weakness. / Hesse, Eric; Schröder, Saskia; Brandt, Diana; Pamperin, Jenny; Saito, Hiroaki; Taipaleenmäki, Hanna.
in: JCI INSIGHT, Jahrgang 5, 09.04.2019.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Sclerostin inhibition alleviates breast cancer-induced bone metastases and muscle weakness
AU - Hesse, Eric
AU - Schröder, Saskia
AU - Brandt, Diana
AU - Pamperin, Jenny
AU - Saito, Hiroaki
AU - Taipaleenmäki, Hanna
PY - 2019/4/9
Y1 - 2019/4/9
N2 - Breast cancer bone metastases often cause a debilitating non-curable condition with osteolytic lesions, muscle weakness and a high mortality. Current treatment comprises chemotherapy, irradiation, surgery and anti-resorptive drugs that restrict but do not revert bone destruction. In metastatic breast cancer cells, we determined the expression of sclerostin, a soluble Wnt inhibitor that represses osteoblast differentiation and bone formation. In mice with breast cancer bone metastases, pharmacological inhibition of sclerostin using an anti-sclerostin antibody (Scl-Ab) reduced metastases without tumor cell dissemination to other distant sites. Sclerostin inhibition prevented the cancer-induced bone destruction by augmenting osteoblast-mediated bone formation and reducing osteoclast-dependent bone resorption. During advanced disease, NF-κB and p38 signaling was increased in muscles in a TGF-β1-dependent manner, causing muscle fiber atrophy, muscle weakness and tissue regeneration with an increase in Pax7-positive satellite cells. Scl-Ab treatment restored NF-κB and p38 signaling, the abundance of Pax7-positive cells and ultimately muscle function. These effects improved the overall health condition and expanded the life span of cancer-bearing mice. Together, these results demonstrate that pharmacological inhibition of sclerostin reduces bone metastatic burden and muscle weakness with a prolongation of the survival time. This might provide novel options for treating musculoskeletal complications in breast cancer patients. .
AB - Breast cancer bone metastases often cause a debilitating non-curable condition with osteolytic lesions, muscle weakness and a high mortality. Current treatment comprises chemotherapy, irradiation, surgery and anti-resorptive drugs that restrict but do not revert bone destruction. In metastatic breast cancer cells, we determined the expression of sclerostin, a soluble Wnt inhibitor that represses osteoblast differentiation and bone formation. In mice with breast cancer bone metastases, pharmacological inhibition of sclerostin using an anti-sclerostin antibody (Scl-Ab) reduced metastases without tumor cell dissemination to other distant sites. Sclerostin inhibition prevented the cancer-induced bone destruction by augmenting osteoblast-mediated bone formation and reducing osteoclast-dependent bone resorption. During advanced disease, NF-κB and p38 signaling was increased in muscles in a TGF-β1-dependent manner, causing muscle fiber atrophy, muscle weakness and tissue regeneration with an increase in Pax7-positive satellite cells. Scl-Ab treatment restored NF-κB and p38 signaling, the abundance of Pax7-positive cells and ultimately muscle function. These effects improved the overall health condition and expanded the life span of cancer-bearing mice. Together, these results demonstrate that pharmacological inhibition of sclerostin reduces bone metastatic burden and muscle weakness with a prolongation of the survival time. This might provide novel options for treating musculoskeletal complications in breast cancer patients. .
KW - Adaptor Proteins, Signal Transducing/drug effects
KW - Animals
KW - Antineoplastic Agents, Immunological/pharmacology
KW - Benzothiazoles
KW - Bone Neoplasms/metabolism
KW - Bone Resorption/prevention & control
KW - Bone and Bones/pathology
KW - Breast Neoplasms/metabolism
KW - Cell Differentiation/drug effects
KW - Cell Line, Tumor
KW - Disease Models, Animal
KW - Female
KW - Mice
KW - Mice, SCID
KW - Muscle Weakness/pathology
KW - NF-kappa B/metabolism
KW - Osteoblasts/metabolism
KW - Osteoclasts
KW - Osteogenesis/drug effects
KW - PAX7 Transcription Factor/metabolism
U2 - 10.1172/jci.insight.125543
DO - 10.1172/jci.insight.125543
M3 - SCORING: Journal article
C2 - 30965315
VL - 5
JO - JCI INSIGHT
JF - JCI INSIGHT
SN - 2379-3708
ER -