Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis

Bone metastasis (BM) is a dismal complication of cancer that frequently occurs in patients with advanced carcinomas and that often manifests as an osteolytic lesion. In bone, tumor cells promote an imbalance in bone remodeling via the release of growth factors that, directly or indirectly, stimulate...

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Main Authors: Gemma Di Pompo, Costantino Errani, Robert Gillies, Laura Mercatali, Toni Ibrahim, Jacopo Tamanti, Nicola Baldini, Sofia Avnet
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2021.678532/full
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author Gemma Di Pompo
Costantino Errani
Robert Gillies
Laura Mercatali
Toni Ibrahim
Jacopo Tamanti
Nicola Baldini
Nicola Baldini
Sofia Avnet
Sofia Avnet
author_facet Gemma Di Pompo
Costantino Errani
Robert Gillies
Laura Mercatali
Toni Ibrahim
Jacopo Tamanti
Nicola Baldini
Nicola Baldini
Sofia Avnet
Sofia Avnet
author_sort Gemma Di Pompo
collection DOAJ
description Bone metastasis (BM) is a dismal complication of cancer that frequently occurs in patients with advanced carcinomas and that often manifests as an osteolytic lesion. In bone, tumor cells promote an imbalance in bone remodeling via the release of growth factors that, directly or indirectly, stimulate osteoclast resorption activity. However, carcinoma cells are also characterized by an altered metabolism responsible for a decrease of extracellular pH, which, in turn, directly intensifies osteoclast bone erosion. Here, we speculated that tumor-derived acidosis causes the osteoblast–osteoclast uncoupling in BM by modulating the pro-osteoclastogenic phenotype of osteoblasts. According to our results, a low pH recruits osteoclast precursors and promotes their differentiation through the secretome of acid-stressed osteoblasts that includes pro-osteoclastogenic factors and inflammatory mediators, such as RANKL, M-CSF, TNF, IL-6, and, above the others, IL-8. The treatment with the anti-IL-6R antibody tocilizumab or with an anti-IL-8 antibody reverted this effect. Finally, in a series of BM patients, circulating levels of the osteolytic marker TRACP5b significantly correlated with IL-8. Our findings brought out that tumor-derived acidosis promotes excessive osteolysis at least in part by inducing an inflammatory phenotype in osteoblasts, and these results strengthen the use of anti-IL-6 or anti-IL-8 strategies to treat osteolysis in BM.
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spelling doaj.art-22adb51a329f4ab8864534961bda888d2022-12-21T22:10:04ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2021-05-01910.3389/fcell.2021.678532678532Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone MetastasisGemma Di Pompo0Costantino Errani1Robert Gillies2Laura Mercatali3Toni Ibrahim4Jacopo Tamanti5Nicola Baldini6Nicola Baldini7Sofia Avnet8Sofia Avnet9Biomedical Science and Technologies Lab, IRCCS Istituto Ortopedico Rizzoli, Bologna, ItalyOrthopaedic Oncology Surgical Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, ItalyDepartment of Cancer Physiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, United StatesOsteoncology and Rare Tumors Center, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyOsteoncology and Rare Tumors Center, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyNational Tumor Assistance (ANT) Foundation, Bologna, ItalyBiomedical Science and Technologies Lab, IRCCS Istituto Ortopedico Rizzoli, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyBiomedical Science and Technologies Lab, IRCCS Istituto Ortopedico Rizzoli, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyBone metastasis (BM) is a dismal complication of cancer that frequently occurs in patients with advanced carcinomas and that often manifests as an osteolytic lesion. In bone, tumor cells promote an imbalance in bone remodeling via the release of growth factors that, directly or indirectly, stimulate osteoclast resorption activity. However, carcinoma cells are also characterized by an altered metabolism responsible for a decrease of extracellular pH, which, in turn, directly intensifies osteoclast bone erosion. Here, we speculated that tumor-derived acidosis causes the osteoblast–osteoclast uncoupling in BM by modulating the pro-osteoclastogenic phenotype of osteoblasts. According to our results, a low pH recruits osteoclast precursors and promotes their differentiation through the secretome of acid-stressed osteoblasts that includes pro-osteoclastogenic factors and inflammatory mediators, such as RANKL, M-CSF, TNF, IL-6, and, above the others, IL-8. The treatment with the anti-IL-6R antibody tocilizumab or with an anti-IL-8 antibody reverted this effect. Finally, in a series of BM patients, circulating levels of the osteolytic marker TRACP5b significantly correlated with IL-8. Our findings brought out that tumor-derived acidosis promotes excessive osteolysis at least in part by inducing an inflammatory phenotype in osteoblasts, and these results strengthen the use of anti-IL-6 or anti-IL-8 strategies to treat osteolysis in BM.https://www.frontiersin.org/articles/10.3389/fcell.2021.678532/fullbone metastasisintratumoral acidosisosteoclastsosteoblastsinterleukin 8interleukin 6
spellingShingle Gemma Di Pompo
Costantino Errani
Robert Gillies
Laura Mercatali
Toni Ibrahim
Jacopo Tamanti
Nicola Baldini
Nicola Baldini
Sofia Avnet
Sofia Avnet
Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
Frontiers in Cell and Developmental Biology
bone metastasis
intratumoral acidosis
osteoclasts
osteoblasts
interleukin 8
interleukin 6
title Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
title_full Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
title_fullStr Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
title_full_unstemmed Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
title_short Acid-Induced Inflammatory Cytokines in Osteoblasts: A Guided Path to Osteolysis in Bone Metastasis
title_sort acid induced inflammatory cytokines in osteoblasts a guided path to osteolysis in bone metastasis
topic bone metastasis
intratumoral acidosis
osteoclasts
osteoblasts
interleukin 8
interleukin 6
url https://www.frontiersin.org/articles/10.3389/fcell.2021.678532/full
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