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Updated: May 17, 2026

Osteoclast Derivation from Mouse Bone Marrow
Published on: November 6, 2014
p38 MAPK in myeloma cells regulates osteoclast and osteoblast activity and induces bone destruction
Jin He1, Zhiqiang Liu, Yuhuan Zheng
1Department of Lymphoma/Myeloma, Division of Cancer Medicine and Center for Cancer Immunology Research, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
Abstract:
p38 mitogen-activated protein kinase (MAPK), which is constitutively activated in human myeloma, has been implicated in bone destruction by this cancer, but the processes it recruits are obscure. In this study, we show that p38 activity in myeloma inhibits osteoblast differentiation and bone formation, but also enhances osteoclast maturation and bone resorption. p38 regulated the expression and secretion of the Wnt pathway antagonist DKK-1 and the monocyte chemoattractant MCP-1. Attenuating p38, DKK-1, or MCP-1 were each sufficient to reduce bone lesions in vivo. Although it is well known that DKK-1 inhibits osteoblast differentiation, we found that together with MCP-1, it could also promote osteoclast differentiation and bone resorption. The latter effects were mediated by enhancing expression of RANK in osteoclast progenitor cells and by upregulating secretion of its ligand RANKL from stromal cells and mature osteoblasts. In summary, our study defined the mechanisms by which p38 signaling in myeloma cells regulates osteoblastogenesis, osteoclastogenesis, and bone destruction. Our findings, which may have implications for bone invasion by other cancers where p38 is elevated, strongly suggests that targeting p38 for inhibition may offer an effective therapeutic approach to treat osteolytic bone lesions in patients with myeloma.
Insights
p38 mitogen-activated protein kinase (MAPK) signaling in myeloma drives bone destruction by inhibiting bone formation and promoting bone breakdown. Targeting p38 may treat myeloma-related bone lesions.
Area of Science:
- Oncology
- Molecular Biology
- Bone Biology
Background:
- p38 mitogen-activated protein kinase (MAPK) is active in human myeloma and linked to bone destruction.
- The precise mechanisms by which p38 MAPK contributes to myeloma-induced bone pathology are not fully understood.
Purpose of the Study:
- To elucidate the molecular mechanisms by which p38 MAPK signaling in myeloma cells regulates bone destruction.
- To investigate the roles of DKK-1 and MCP-1 in p38-mediated bone pathology.
- To evaluate the therapeutic potential of targeting p38, DKK-1, or MCP-1 for treating osteolytic bone lesions.
Main Methods:
- Investigated the effects of p38 activity on osteoblast and osteoclast differentiation and function in myeloma.
- Analyzed the regulation of DKK-1 and MCP-1 expression and secretion by p38.
- Assessed the impact of inhibiting p38, DKK-1, or MCP-1 on bone lesions in vivo.
- Examined the effects of DKK-1 and MCP-1 on osteoclast differentiation and RANK/RANKL expression.
Main Results:
- p38 MAPK activity in myeloma inhibits osteoblast differentiation and bone formation.
- p38 MAPK enhances osteoclast maturation and bone resorption by regulating DKK-1 and MCP-1.
- DKK-1 and MCP-1 promote osteoclast differentiation by upregulating RANK and RANKL.
- Inhibition of p38, DKK-1, or MCP-1 reduced bone lesions in vivo.
Conclusions:
- p38 signaling in myeloma cells orchestrates osteoblast suppression and osteoclast activation, leading to bone destruction.
- DKK-1 and MCP-1 are key mediators of p38's pro-resorptive effects.
- Targeting p38 MAPK presents a promising therapeutic strategy for managing osteolytic bone lesions in myeloma and potentially other cancers.
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