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Updated: Aug 11, 2026

Osteoclast Derivation from Mouse Bone Marrow
Published on: November 6, 2014
Role of osteoprotegerin (OPG) in cancer
Ingunn Holen1, Claire M Shipman
1Academic Unit of Clinical Oncology, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield S10 2RX, U.K. I.Holen@Sheffield.ac.uk
Abstract:
OPG (osteoprotegerin), a secreted member of the TNF (tumour necrosis factor) receptor superfamily, has a variety of biological functions which include the regulation of bone turnover. OPG is a potent inhibitor of osteoclastic bone resorption and has been investigated as a potential therapeutic for the treatment of both osteoporosis and tumour-induced bone disease. Indeed, in murine models of cancer-induced bone disease, inhibition of osteoclastic activity by OPG was also associated with a reduction in tumour burden. The discovery that OPG can bind to and inhibit the activity of TRAIL (TNF-related apoptosis-inducing ligand) triggered extensive research into the potential role of OPG in the regulation of tumour cell survival. A number of reports from studies using in vitro models have shown that OPG protects tumour cells from the effects of TRAIL, thereby possibly providing tumour cells that produce OPG with a survival advantage. However, the ability of OPG to act as a tumour cell survival factor remains to be verified using appropriate in vivo systems. A third area of interest has been the use of OPG as a prognostic marker in various cancer types, including myeloma, breast and prostate cancer. This review provides an overview of the role of OPG in cancer, both in cancer-induced bone disease and in tumour growth and survival.
Insights
Osteoprotegerin (OPG) regulates bone turnover and inhibits osteoclast activity. This review explores OPG's role in cancer-induced bone disease, tumor growth, and survival.
Area of Science:
- Oncology
- Bone Biology
- Immunology
Background:
- Osteoprotegerin (OPG) is a secreted protein regulating bone turnover.
- OPG inhibits osteoclastic bone resorption, showing therapeutic potential for osteoporosis and cancer-induced bone disease.
- OPG also binds TNF-related apoptosis-inducing ligand (TRAIL), influencing tumor cell survival.
Purpose of the Study:
- To review the multifaceted role of OPG in cancer.
- To discuss OPG's involvement in cancer-induced bone disease.
- To examine OPG's impact on tumor growth, survival, and its potential as a prognostic marker.
Main Methods:
- Literature review of studies on OPG in cancer.
- Analysis of in vitro and in vivo models investigating OPG's functions.
- Examination of clinical data on OPG as a prognostic marker.
Main Results:
- OPG inhibits osteoclastic bone resorption, reducing tumor burden in bone disease models.
- In vitro studies suggest OPG protects tumor cells from TRAIL-induced apoptosis.
- OPG shows potential as a prognostic marker in myeloma, breast, and prostate cancers.
Conclusions:
- OPG plays a significant role in cancer-induced bone disease.
- OPG may promote tumor cell survival, though in vivo validation is needed.
- OPG's prognostic value in various cancers warrants further investigation.
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