Constitutive activation of p38 MAPK in tumor cells contributes to osteolytic bone lesions in multiple myeloma
1Department of Lymphoma/Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. jiyang@mdanderson.org
Abstract:
Bone destruction is a hallmark of multiple myeloma and affects more than 80% of patients. However, current therapy is unable to completely cure and/or prevent bone lesions. Although it is accepted that myeloma cells mediate bone destruction by inhibition of osteoblasts and activation of osteoclasts, the underlying mechanism is still poorly understood. This study demonstrates that constitutive activation of p38 mitogen-activated protein kinase in myeloma cells is responsible for myeloma-induced osteolysis. Our results show that p38 is constitutively activated in most myeloma cell lines and primary myeloma cells from patients. Myeloma cells with high/detectable p38 activity, but not those with low/undetectable p38 activity, injected into severe combined immunodeficient (SCID) or SCID-hu mice caused bone destruction. Inhibition or knockdown of p38 in human myeloma reduced or prevented myeloma-induced osteolytic bone lesions without affecting tumor growth, survival, or homing to bone. Mechanistic studies showed that myeloma cell p38 activity inhibited osteoblastogenesis and bone formation and activated osteoclastogenesis and bone resorption in myeloma-bearing SCID mice. This study elucidates a novel molecular mechanism-activation of p38 signaling in myeloma cells-by which myeloma cells induce osteolytic bone lesions, and indicates that targeting myeloma cell p38 may be a viable approach to treating or preventing myeloma bone disease.
Insights
Constitutive activation of p38 mitogen-activated protein kinase in multiple myeloma cells drives bone destruction. Inhibiting p38 in myeloma cells may prevent or treat myeloma-induced osteolytic bone lesions.
Area of Science:
- Oncology
- Molecular Biology
- Bone Biology
Background:
- Multiple myeloma frequently causes bone destruction, impacting over 80% of patients.
- Current therapies are insufficient for complete cure or prevention of myeloma-related bone lesions.
- The precise mechanisms by which myeloma cells mediate bone destruction remain incompletely understood.
Purpose of the Study:
- To investigate the role of p38 mitogen-activated protein kinase (MAPK) signaling in myeloma-induced osteolysis.
- To determine if targeting p38 MAPK in myeloma cells can prevent or treat bone lesions.
Main Methods:
- Assessed p38 MAPK activation in myeloma cell lines and primary patient cells.
- Utilized mouse models (SCID and SCID-hu mice) by injecting myeloma cells with varying p38 activity.
- Investigated the effects of p38 inhibition or knockdown on myeloma cell-induced bone destruction and tumor growth.
Main Results:
- Constitutive p38 MAPK activation was observed in most myeloma cell lines and primary myeloma cells.
- Myeloma cells with high p38 activity induced significant bone destruction in mouse models.
- Inhibition or knockdown of p38 in myeloma cells reduced or prevented osteolytic bone lesions without impacting tumor growth or survival.
Conclusions:
- Constitutive activation of p38 MAPK in myeloma cells is a key driver of myeloma-induced osteolysis.
- Myeloma cell p38 activity inhibits osteoblastogenesis and promotes osteoclastogenesis.
- Targeting p38 MAPK in myeloma cells presents a potential therapeutic strategy for managing myeloma bone disease.
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