Abstract
Introduction
Cancer-induced bone pain (CIBP) is one of the most common and debilitating complications associated with bone metastasis. Although our understanding of the precise mechanism is limited, it has been known that bone is densely innervated, and that CIBP is elicited as a consequence of increased neurogenesis, reprogramming, and axonogenesis in conjunction with sensitization and excitation of sensory nerves (SNs) in response to the noxious stimuli that are derived from the tumor microenvironment developed in bone. Recent studies have shown that the sensitized and excited nerves innervating the tumor establish intimate communications with cancer cells by releasing various tumor-stimulating factors for tumor progression.
Approaches
In this review, the role of the interactions of cancer cells and SNs in bone in the pathophysiology of CIBP will be discussed with a special focus on the role of the noxious acidic tumor microenvironment, considering that bone is in nature hypoxic, which facilitates the generation of acidic conditions by cancer. Subsequently, the role of SNs in the regulation of cancer progression in the bone will be discussed together with our recent experimental findings.
Conclusion
It is suggested that SNs may be a newly-recognized important component of the bone microenvironment that contribute to not only in the pathophysiology of CIBP but also cancer progression in bone and dissemination from bone. Suppression of the activity of bone-innervating SNs, thus, may provide unique opportunities in the treatment of cancer progression and dissemination, as well as CIBP.
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Data availability statement
All the data presented in this article are available upon request to the corresponding author.
Abbreviations
- a3V-H + -ATPase:
-
A3 isoform V-H + -ATPase
- AN:
-
Autonomic nerve
- ASIC:
-
Acid-sensing ion channel
- CGRP:
-
Calcitonin gene-related protein
- CIBP:
-
Cancer-induced bone pain
- CNS:
-
Central nervous system
- CRPC:
-
Castration-resistant prostate cancer
- DRG:
-
Dorsal root ganglion
- GPR81:
-
G-protein-coupled receptor 81
- HIF-1α:
-
Hypoxia-inducible factor-1α
- HMGB1:
-
High mobility group box 1
- HRPC:
-
Hormone-refractory prostate cancer
- IGF-1:
-
Insulin-like growth factor 1
- MCT1:
-
Monocarboxylate transporter 1
- MCT4:
-
Monocarboxylate transporter 4
- NGF:
-
Nerve growth factor
- NMDA:
-
N-methyl-D-aspartate
- pCREB:
-
Phosphorylated cyclic AMP-responsive element-binding protein
- pERK1/2:
-
Phosphorylated extracellular receptor kinase 1/2
- PNI:
-
Perineural invasion
- PTH-rP:
-
Parathyroid hormone-related protein
- RAGE:
-
Receptor for advanced glycation end products
- SN:
-
Sensory nerve
- SRE:
-
Skeletal-related events
- TGFβ1:
-
Transforming growth factor β1
- TLR:
-
Toll-like receptors
- TRPV1:
-
Transient receptor potential channel, vanilloid subfamily member 1
- WT:
-
Wild-type
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Funding
This study was supported by Japan Society for the Promotion of Science, 20H03859, Toshiyuki Yoneda. This study is supported by the Project Development Team within the ICTSI NIH/NCRR (#TR000006), the IU Health Strategic Research Initiative in Oncology, and start-up fund of Indiana University School of Medicine for TY, Japan Society for the Promotion of Science Grants-in-aid for Research Activity Start-up and Postdoctoral Fellowship for Research Abroad to HM and TO, the Grants-in-Aid for Young Scientists (JSPS KAKENHI grant no. 18K17225) to TO, and the Grants-in-Aid for Scientific Research (JSPS KAKENHI grant no. 17H04377) to TY.
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Yoneda, T., Hiasa, M., Okui, T. et al. Cancer–nerve interplay in cancer progression and cancer-induced bone pain. J Bone Miner Metab 41, 415–427 (2023). https://doi.org/10.1007/s00774-023-01401-6
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DOI: https://doi.org/10.1007/s00774-023-01401-6