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        Dual targeting c-met and VEGFR2 in osteoblasts suppresses growth and osteolysis of prostate cancer bone metastasis

        Lee, Changki,Whang, Young Mi,Campbell, Preston,Mulcrone, Patrick L.,Elefteriou, Florent,Cho, Sun Wook,Park, Serk In Elsevier 2018 Cancer letters Vol.414 No.-

        <P><B>Abstract</B></P> <P>Prostate cancer characteristically induces osteoblastic bone metastasis, for which no therapies are available. A dual kinase inhibitor of c-Met and VEGFR-2 (cabozantinib) was shown to reduce prostate cancer growth in bone, with evidence for suppressing osteoblastic activity. However, c-Met and VEGFR2 signaling in osteoblasts in the context of bone metastasis remain unclear. Here we show using cultured osteoblasts that hepatocyte growth factor (HGF) and VEGF-A increased receptor activator of NFκB ligand (RANKL) and M-CSF, two essential factors for osteoclastogenesis. Insulin-like growth factor-1 (IGF1) also increased RANKL and M-CSF via c-Met transactivation. The conditioned media from IGF1-, HGF-, or VEGFA-treated osteoblasts promoted osteoclastogenesis that was reversed by inhibiting c-Met and/or VEGFR2 in osteoblasts. <I>In vivo</I> experiments used cabozantinib-resistant prostate cancer cells (PC-3 and C4-2B) to test the effects of c-Met/VEGFR2 inhibition specifically in osteoblasts. Cabozantinib (60 mg/kg, 3 weeks) suppressed tumor growth in bone and reduced expression of RANKL and M-CSF and subsequent tumor-induced osteolysis. Collectively, inhibition of c-Met and VEGFR2 in osteoblasts reduced RANKL and M-CSF expression, and associated with reduction of tumor-induced osteolysis, suggesting that c-Met and VEGFR2 are promising therapeutic targets in bone metastasis.</P> <P><B>Highlights</B></P> <P> <UL> <LI> HGF, VEGF-A and IGF1 increase M-CSF and RANKL in osteoblasts of the bone metastasis. </LI> <LI> HGF, VEGF-A and IGF1 induce osteoclastogenesis via activation of osteoblasts. </LI> <LI> A c-Met/VEGFR2 inhibitor suppresses osteoblasts and subsequent osteoclastogenesis. </LI> <LI> Targeting c-Met and VEGFR2 in osteoblast suppresses prostate cancer bone metastasis. </LI> <LI> Osteoblasts are promising stromal cell target for the treatment of bone metastasis. </LI> </UL> </P>

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