Ibrutinib Inhibits Tumor Progression, Alleviates Pain, and Protects the Tibia in a Bone Metastasis Model of Lung

Rong-Guang Luo1, Xian-Bing Xie2, Yuan-Yuan Zhang3

  • 1Department of Medical Imaging and Interventional Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, P.R. China.

Anticancer Research
|November 29, 2025
PubMed
Abstract

Insights

Ibrutinib effectively inhibits lung cancer cell growth and migration. In bone metastasis models, it reduces pain, preserves bone density, and decreases tumor burden, offering a potential dual-action therapy.

Area of Science:

  • Oncology
  • Pharmacology
  • Bone Metastasis Research

Background:

  • Lung cancer bone metastasis severely impacts patient quality of life, causing pain and fractures.
  • Current treatments lack the ability to simultaneously inhibit metastatic growth and alleviate pain.
  • Ibrutinib, an EGFR inhibitor, shows promise in inhibiting lung cancer cell proliferation and migration.

Purpose of the Study:

  • To investigate the effects of ibrutinib on lung cancer progression, pain management, and bone protection in a bone metastasis model.
  • To assess ibrutinib's impact on cancer cell viability and migration in vitro.
  • To evaluate ibrutinib's efficacy in reducing pain and preserving bone integrity in vivo.

Main Methods:

  • In vitro: CCK-8, wound healing, and transwell assays assessed lung cancer cell viability and migration after ibrutinib treatment.
  • In vivo: Tumor-bearing mice underwent behavioral tests, micro-computed tomography, and histological analysis to evaluate pain, bone status, and metastasis.
  • Specific assays included mechanical allodynia, flinches, pain scoring, TRAP staining, and TUNEL staining.

Main Results:

  • Ibrutinib significantly suppressed lung cancer cell proliferation and migration in vitro.
  • In vivo, ibrutinib treatment reduced mechanical and spontaneous pain, delayed motor function loss, and increased bone volume and density.
  • Histological analysis showed decreased lung metastatic lesions, reduced osteoclast numbers, and increased tumor cell apoptosis.

Conclusions:

  • Ibrutinib demonstrates efficacy in inhibiting lung cancer cell proliferation and migration.
  • The drug effectively inhibits tumor growth, alleviates pain, and protects bone in a lung cancer bone metastasis model.
  • Ibrutinib presents a potential therapeutic strategy for managing lung cancer bone metastasis, addressing both tumor progression and pain.

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