LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens

We have previously shown that through the production of high LIGHT levels, immune cells contribute to both osteoclastogenesis and bone destruction in Multiple Myeloma (MM)-related bone disease. With the aim of further exploring the mechanisms underlying the development of MM-related bone disease, he...

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Main Authors: Giacomina Brunetti, Rita Rizzi, Giuseppina Storlino, Sara Bortolotti, Graziana Colaianni, Lorenzo Sanesi, Luciana Lippo, Maria Felicia Faienza, Anna Mestice, Paola Curci, Giorgina Specchia, Maria Grano, Silvia Colucci
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.02459/full
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author Giacomina Brunetti
Rita Rizzi
Giuseppina Storlino
Sara Bortolotti
Graziana Colaianni
Lorenzo Sanesi
Luciana Lippo
Maria Felicia Faienza
Anna Mestice
Paola Curci
Giorgina Specchia
Maria Grano
Silvia Colucci
author_facet Giacomina Brunetti
Rita Rizzi
Giuseppina Storlino
Sara Bortolotti
Graziana Colaianni
Lorenzo Sanesi
Luciana Lippo
Maria Felicia Faienza
Anna Mestice
Paola Curci
Giorgina Specchia
Maria Grano
Silvia Colucci
author_sort Giacomina Brunetti
collection DOAJ
description We have previously shown that through the production of high LIGHT levels, immune cells contribute to both osteoclastogenesis and bone destruction in Multiple Myeloma (MM)-related bone disease. With the aim of further exploring the mechanisms underlying the development of MM-related bone disease, here we focused on a possible role of LIGHT in MM patients with active bone disease despite the treatment received. We detected LIGHT over-expression by circulating CD14+ monocytes from MM patients still showing active bone disease, despite the treatment. In addition, we found over-expression of receptor activator of nuclear factor kappa-B ligand (RANKL), whose pro-osteoclastogenic role is well-known, in T-lymphocytes isolated from the same patients. Although the percentages of circulating osteoclast progenitors, CD14+CD16+ monocytes, were higher in all the MM patients than in the controls spontaneous osteoclastogenesis occurred only in the cultures derived from PBMCs of MM patients with unresponsive bone disease. Of note, in the same cultures osteoclastogenesis was partially or completely inhibited, in a dose-dependent manner, by the addition of RANK-Fc or anti-LIGHT neutralizing antibody, demonstrating the contribution of both LIGHT and RANKL to the enhanced osteoclast formation observed. In addition, high serum levels of TRAP5b and CTX, the two markers of osteoclast activity, were detected in MM patients with bone disease not responsive to treatment. In conclusion, our study indicates a prominent role of LIGHT in the crosstalk among osteoclasts and immune cells, co-involved together with RANKL in the pathophysiological mechanisms leading to MM-related bone disease. This TNF superfamily member may thus be a possible new therapeutic target in MM-related bone disease.
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spelling doaj.art-a9648d45a0584740bd16b844ad6ac1622022-12-22T03:34:59ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-10-01910.3389/fimmu.2018.02459406909LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic RegimensGiacomina Brunetti0Rita Rizzi1Giuseppina Storlino2Sara Bortolotti3Graziana Colaianni4Lorenzo Sanesi5Luciana Lippo6Maria Felicia Faienza7Anna Mestice8Paola Curci9Giorgina Specchia10Maria Grano11Silvia Colucci12Section of Human Anatomy and Histology, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, Bari, ItalySection of Hematology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalyPaediatric Unit, Department of Biomedical Science and Human Oncology, University of Bari, Bari, ItalySection of Hematology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Hematology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Hematology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Bari, ItalySection of Human Anatomy and Histology, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, Bari, ItalyWe have previously shown that through the production of high LIGHT levels, immune cells contribute to both osteoclastogenesis and bone destruction in Multiple Myeloma (MM)-related bone disease. With the aim of further exploring the mechanisms underlying the development of MM-related bone disease, here we focused on a possible role of LIGHT in MM patients with active bone disease despite the treatment received. We detected LIGHT over-expression by circulating CD14+ monocytes from MM patients still showing active bone disease, despite the treatment. In addition, we found over-expression of receptor activator of nuclear factor kappa-B ligand (RANKL), whose pro-osteoclastogenic role is well-known, in T-lymphocytes isolated from the same patients. Although the percentages of circulating osteoclast progenitors, CD14+CD16+ monocytes, were higher in all the MM patients than in the controls spontaneous osteoclastogenesis occurred only in the cultures derived from PBMCs of MM patients with unresponsive bone disease. Of note, in the same cultures osteoclastogenesis was partially or completely inhibited, in a dose-dependent manner, by the addition of RANK-Fc or anti-LIGHT neutralizing antibody, demonstrating the contribution of both LIGHT and RANKL to the enhanced osteoclast formation observed. In addition, high serum levels of TRAP5b and CTX, the two markers of osteoclast activity, were detected in MM patients with bone disease not responsive to treatment. In conclusion, our study indicates a prominent role of LIGHT in the crosstalk among osteoclasts and immune cells, co-involved together with RANKL in the pathophysiological mechanisms leading to MM-related bone disease. This TNF superfamily member may thus be a possible new therapeutic target in MM-related bone disease.https://www.frontiersin.org/article/10.3389/fimmu.2018.02459/fullmultiple myelomabone diseaseLIGHT/TNFSF14RANKLCD14+/CD16+ monocytes
spellingShingle Giacomina Brunetti
Rita Rizzi
Giuseppina Storlino
Sara Bortolotti
Graziana Colaianni
Lorenzo Sanesi
Luciana Lippo
Maria Felicia Faienza
Anna Mestice
Paola Curci
Giorgina Specchia
Maria Grano
Silvia Colucci
LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
Frontiers in Immunology
multiple myeloma
bone disease
LIGHT/TNFSF14
RANKL
CD14+/CD16+ monocytes
title LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
title_full LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
title_fullStr LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
title_full_unstemmed LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
title_short LIGHT/TNFSF14 as a New Biomarker of Bone Disease in Multiple Myeloma Patients Experiencing Therapeutic Regimens
title_sort light tnfsf14 as a new biomarker of bone disease in multiple myeloma patients experiencing therapeutic regimens
topic multiple myeloma
bone disease
LIGHT/TNFSF14
RANKL
CD14+/CD16+ monocytes
url https://www.frontiersin.org/article/10.3389/fimmu.2018.02459/full
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