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Anti-myeloma strategies by re-establishing bone regeneration and hematopoietic niches

Subject Area Hematology, Oncology
Term from 2014 to 2018
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 179902948
 
Final Report Year 2018

Final Report Abstract

In summary, we identified a characteristic genomic signature in skeletal precursor cells after physical interaction with myeloma cells. The transcriptome analyses reflect changes in the gene expression profiles that have previously been linked to malignancy and are supporting a tumor-induced bone loss. According to the analysis, intrinsic pro-osteogenic pathways are downregulated in MSC that may be mediated by enhanced expression of osteoclast-derived coupling factors, an imbalanced ratio of antianabolic/anabolic factors, and a potential commitment to the adipocyte lineage. Furthermore, this hampered osteogenesis is associated with enhanced pro-angiogenic activity. This uncoupling between angiogenesis and osteogenesis may be triggered by an enhanced expression of key factors, like ANGPTL4 and CYR61, which further promote MM cell adhesion, tumor relapse and development of secondary malignancies. The third identified factor, the KISS1R, provides a promising new opportunity for the diagnosis of MM bone disease. As a novel strategy it allows for targeting both the tumor cells and the host response to tumor arrival. This brings about an enhanced potential for monitoring especially early changes in bone microenvironment along disease development and also for treatment response. Our data reveal novel, potential trigger mechanisms and targets that trace the early processes of myeloma bone disease and offer new opportunities in the treatment scenario.

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