Bone Metastasis and Molecular Mechanisms


Book Description

Patients with advanced breast or prostate cancers usually develop bone metastases. The principal complications resulting from metastatic bone disease are pain, spinal cord compression, pathologic fractures and bone marrow suppression. Improving the management of bone metastases is crucial to quality of life for patients with breast and prostate cancer. Advances in understanding of the molecular mechanisms underlying the pathophysiology of bone metastasis are driving the development of new therapeutic strategies.







Bone Metastases


Book Description

Bone Metastases: A Translational and Clinical Approach serves as both an introductory and reference book focusing on the field of metastatic bone disease. Featuring contributions from experts in the field, this volume: describes the molecular and cellular mechanisms involved in the formation of bone metastases, comments on the role of angiogenesis, presents the newer advances made in the understanding of the clinical picture and symptoms of patients, analyses the role of bone markers in research and clinical practice deals with all aspects of imaging modalities applied for the detection and evaluation of bone metastases. This volume also covers the use of radiotherapy, surgery and systemic treatments for the management of metastatic bone disease and new therapeutic approaches. Moreover it may also serve as a guide for the clinical and therapeutic management of patients with metastatic bone disease. Overall this volume presents a thorough overview of all aspects of metastatic bone disease and provides a comprehensive and concise information resource for medical researchers, oncologists, orthopaedic surgeons and clinicians.




Textbook of Bone Metastases


Book Description

The epidemiological and clinical importance of bone metastases has long been recognised. For example, the incidence of bone metastases in breast and prostate cancers is 70%, whereas it is only 30 to 40% in metastatic lung cancer. In clinical terms, bone metastases have substantial negative effects on the patient's quality of life. Bone metastases have generally received insufficient attention because of the difficulty in quantifying them, which has left them outside the scope of therapeutic trials This textbook is the result of the remarkable progress made in the understanding of the molecular and cellular mechanisms involved in osteogenesis and osteolysis, and their development for therapeutic purposes. The treatment of malignant hypercalcaemia has also been revolutionised by the use of bisphosphonates. The Textbook of Bone Metastases presents a broad approach to recent progress in all fields related to bone metastases, ranging from epidemiology to the physiopathology of bone metastases and therapeutics. It provides a better understanding of recent advances and, more importantly, will give clinicians all the information needed to help them in the clinical and therapeutic management of patients with bone metastases.




Metastasis Genes in Breast Cancer Metastasis to Bone


Book Description

The most prevalent site of breast cancer metastasis is bone. We will begin to elucidate the molecular mechanisms involved in bone metastasis. We propose to develop and utilize green (GFP) and/or red (dsRed) fluorescent protein-tagged breast carcinoma xenografts to measure bone metastasis following intracardiac injection. Cell lines developed will be used to test whether a metastasis suppressor (BRMSl) and a gene it down-regulates (osteopontin) alter the efficiency of bone colonization. Concomitantly, we will test the impact of changed gene expression on the ability of tumor cells to adhere to human osteoblast cell cultures or human bone marrow endothelium.




Molecular Mediators of Breast Cancer Bone Metastasis


Book Description

"Breast cancer is the most frequently diagnosed and the second leading cause of cancer deaths in Canadian women. The most devastating and deadly feature of the disease is the emergence of metastases. Breast cancer most commonly metastasizes to bone, often leading to a significantly decreased quality of life in affected patients. Despite progress in understanding the underlying molecular biology of breast tumors that relapse to bone, to date there are no therapies capable of curing the disease. Hence, it is essential to gain a more in-depth knowledge of the molecular mechanisms that underlie the emergence and growth of breast cancer skeletal metastases. Consequently, it was attempted to: 1) examine the efficacy of targeting a known pathway important for breast cancer metastasis to bone, 2) identify novel mediators of this process and 3) develop a stratification tool capable of identifying patients with breast cancer that possesses a high likelihood of spreading to bone. Transforming growth factor-beta (TGF-[beta]) signaling is a potent modulator of the invasive and metastatic behavior of breast cancer cells. The work in this thesis demonstrates that expression of a TGF-[beta] ligand trap, which neutralizes TGF-[beta]1 and TGF-[beta]3 in breast cancer cells, diminished their outgrowth in bone and reduced the severity of osteolytic lesion formation. It is further shown that a reduction or loss of host-derived TGF-[beta]1 reduced the incidence of breast tumor outgrowth in the skeleton. Moreover, tumor cells capable of growing within the bone of a TGF-[beta]1 deficient host up-regulated expression of all three TGF-[beta] isoforms within the tumor cells themselves, effectively bypassing the host-deficiency. Next, a gene discovery approach was undertaken to identify novel candidate mediators of breast cancer skeletal metastasis. Invasive breast epithelium was selectively isolated by laser capture microdissection (LCM) performed on bone metastases and primary tumors from patients displaying breast cancer with subsequent recurrence to the skeleton. In this search, ABCC5 was found to be overexpressed in osseous metastases compared to primary mammary tumors metastatic to bone. Furthermore, this protein was detected at substantially higher levels in human and mouse breast cancer cells, which metastasize to bone in animal models. Importantly, removal of this protein from these cells resulted in their decreased ability to induce osteolytic bone lesions, which was correlated with a decreased recruitment of osteoclasts, cells responsible for the bone resorption process. Finally, the molecular changes occurring within the primary breast tumor were investigated in an attempt to identify a prognostic bone metastatic signature. Gene expression profiling was performed on estrogen receptor (ER)-positive primary breast tumors metastastatic to bone and breast cancers, which spread to soft tissue. A 25-gene signature was derived from the top 100 differentially expressed probes and was found to be capable of discriminating breast tumors metastatic to bone from cancers recurring to visceral sites in an independent gene expression dataset." --




Experimental and Clinical Metastasis


Book Description

Metastatic disease is the most lethal aspect of human malignancies, making the understanding and continued research of the process of metastasis a crucial step in treating cancer. The proposed book, entitled “Experimental and Clinical Metastasis: A Comprehensive Review” aims to provide a clear and extensive review of the clinical and experimental implications of metastatic disease. This work focuses on recent contributions to the field of metastasis, and will highlight crucial findings in the molecular understanding of disseminated disease as well as standard and personalized medicine currently being investigated in the clinic. Topics will include, among many, gene properties of metastatic cells, molecular mechanisms of tumour growth and spread, animal models of metastasis, and clinical implications, markers and treatment for metastatic disease. With the participation of worldwide experts in the field of oncology, from major academic and government centres, this book will provide a leading manual for the study of the metastatic process, from benchside science to bedside care. In this light, the proposed book will facilitate classroom learning for both medical and graduate students, as well as serve as a tool for physicians and researchers interested in the metastatic process. In addition, this book will include the latest advances in basic science as well as leading technologies and theories of targeting metastatic cells. Most importantly, not only will basic and clinical aspects be discussed, but furthermore, the translational aspect of research in metastatic diseases will be emphasized.




Defining the Molecular Mechanisms that Regulate Breast Cancer Cell Migration


Book Description

"Many physiological processes, including angiogenesis, neurodevelopment and wound healing, rely on the directed movement of cells through the extracellular matrix (ECM). Cell migration is also a fundamental process involved in cancer metastasis. Indeed, proteins that enhance focal adhesion and actin cytoskeletal dynamics are often upregulated in invasive and metastatic cancer cells. In this thesis, we show that the adapter proteins ShcA (p46/52 isoforms) and lipoma-preferred partner (LPP) are required for the migration and invasion of ErbB2-overexpressing breast cancer cells in response to transforming growth factor [beta] (TGF[beta]). Live-cell microscopy techniques reveal that ShcA and LPP are both required for TGF[beta]-enhanced assembly and disassembly of adhesions. Moreover, p46/52ShcA must be phosphorylated on three key tyrosine residues (Y239/Y240/Y313) and LPP must interact with the actin cytoskeleton through its [alpha]-actinin binding domain (ABD) to mediate these effects. Using a BioID proximity labeling approach, we show that p46/52ShcA exists in a complex with various adhesion and actin cytoskeletal proteins, including paxillin and LPP. Total internal reflection fluorescence (TIRF) and 3D super-resolution iPALM microscopy confirm that p46/52ShcA is a novel component of adhesions and its localization to these structures precedes LPP.In addition to acting as a scaffold, the ECM provides biophysical cues that direct cell migration. We demonstrate that LPP is required for ErbB2+ breast cancer cells to sense substrate stiffness. Cells expressing wildtype LPP exhibit enhanced migration rates on intermediate stiffnesses (30-50 kPa), and slower migration rates on soft (10 kPa) and stiff (90kPa) substrates; in contrast, cells lacking LPP expression migrate at a constant speed. ErbB2+ cells also modulate invasive activity based on substrate stiffness. In particular, cells invade maximally on soft (5 kPa) and hard (100 kPa) substrates where migration is significantly reduced. This is the first study to demonstrate that LPP mediates mechanosensitivity in breast cancer cells.Breast cancer is a highly heterogenous disease with considerable cellular, molecular and pathological differences between patients. We find that LPP also plays an important role during TGF[beta]-enhanced migration and invasion of triple-negative breast cancer (TNBC) cells. Human MDA-MB-231 cells with lower levels of LPP expression fail to exhibit TGF[beta]-enhanced migration and invasion. Mouse 4T1 cells, and 4T1 derivatives that preferentially metastasize to the lungs (4T1-526) and live (4T1-2776), also fail to exhibit TGF[beta]-enhanced migration and invasion when LPP expression is reduced. Consequently, 4T1-2776 cells lacking LPP develop fewer liver metastases following splenic injection.Many of experimental results described in this thesis were obtained with live-cell fluorescence microscopy. Fluorescence microscopy provides a convenient, selective and sensitive way to observe live-cell dynamics; however, phototoxicity is a significant limitation of this technique. In this thesis, we show that much of the phototoxicity and photobleaching experienced with live-cell fluorescence imaging occurs as a result of “illumination overhead” (IO). This occurs when a sample is illuminated but fluorescence emission is not being captured by the microscope camera. As a result, we developed a workflow to optimize imaging conditions on any standard microscope. The workflow includes a guide on how to (1) determine the maximum image exposure time for a dynamic process, (2) optimize excitation light intensity, and (3) assess cell health with mitochondrial markers"--




CiteSpace


Book Description

CiteSpace is a freely available computer program written in Java for visualizing and analyzing literature of a scientific domain. A knowledge domain is broadly defined in order to capture the notion of a logically and cohesively organized body of knowledge. It may range from specific topics such as post-traumatic stress disorder to fields of study lacking clear-cut boundaries, such as research on terrorism or regenerative medicine. CiteSpace takes bibliographic information, especially citation information from the Web of Science, and generates interactive visualizations. Users can explore various patterns and trends uncovered from scientific publications, and develop a good understanding of scientific literature much more efficiently than they would from an unguided search through literature. The full text of many scientific publications can be accessed with a single click through the interactive visualization in CiteSpace. At the end of a session, CiteSpace can generate a summary report to summarize key information about the literature analyzed. This book is a practical guide not only on how to operate the tool but also on why the tool is designed and what implications of various patterns that require special attention. This book is written with a minimum amount of jargon. It uses everyday language to explain what people may learn from the writings of scholars of all kinds.