Bortezomib inhibits human osteoclastogenesis

Leukemia. 2007 Sep;21(9):2025-34. doi: 10.1038/sj.leu.2404806. Epub 2007 Jun 21.

Abstract

In multiple myeloma, the overexpression of receptor activator of nuclear factor kappa B (NF-kappaB) ligand (RANKL) leads to the induction of NF-kappaB and activator protein-1 (AP-1)-related osteoclast activation and enhanced bone resorption. The purpose of this study was to examine the molecular and functional effects of proteasome inhibition in RANKL-induced osteoclastogenesis. Furthermore, we aimed to compare the outcome of proteasome versus selective NF-kappaB inhibition using bortezomib (PS-341) and I-kappaB kinase inhibitor PS-1145. Primary human osteoclasts were derived from CD14+ precursors in presence of RANKL and macrophage colony-stimulating factor (M-CSF). Both bortezomib and PS-1145 inhibited osteoclast differentiation in a dose- and time-dependent manner and furthermore, the bone resorption activity of osteoclasts. The mechanisms of action involved in early osteoclast differentiation were found to be related to the inhibition of p38 mitogen-activated protein kinase pathways, whereas the later phase of differentiation and activation occurred due to inhibition of p38, AP-1 and NF-kappaB activation. The AP-1 blockade contributed to significant reduction of osteoclastic vascular endothelial growth factor production. In conclusion, our data demonstrate that proteasomal inhibition should be considered as a novel therapeutic option of cancer-induced lytic bone disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects
  • Bone Resorption / drug therapy*
  • Bone Resorption / etiology
  • Bone Resorption / pathology
  • Boronic Acids / pharmacology*
  • Bortezomib
  • Cell Differentiation / drug effects
  • Cell Lineage / drug effects
  • Female
  • Heterocyclic Compounds, 3-Ring / pharmacology
  • Humans
  • In Vitro Techniques
  • Male
  • Multiple Myeloma / complications*
  • NF-kappa B / metabolism
  • Osteoclasts / cytology
  • Osteoclasts / drug effects*
  • Osteoclasts / metabolism
  • Pyrazines / pharmacology*
  • Pyridines / pharmacology
  • RANK Ligand / metabolism
  • Signal Transduction / drug effects
  • Stem Cells / cytology
  • Stem Cells / drug effects
  • Transcription Factor AP-1 / metabolism
  • Vascular Endothelial Growth Factor A / metabolism
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Antineoplastic Agents
  • Boronic Acids
  • Heterocyclic Compounds, 3-Ring
  • NF-kappa B
  • PS1145
  • Pyrazines
  • Pyridines
  • RANK Ligand
  • TNFSF11 protein, human
  • Transcription Factor AP-1
  • Vascular Endothelial Growth Factor A
  • Bortezomib
  • p38 Mitogen-Activated Protein Kinases