PMID- 10344214 OWN - NLM STAT- MEDLINE DCOM- 19990604 LR - 20190915 IS - 0270-4137 (Print) IS - 0270-4137 (Linking) VI - 39 IP - 4 DP - 1999 Jun 1 TI - Osteomimetic properties of prostate cancer cells: a hypothesis supporting the predilection of prostate cancer metastasis and growth in the bone environment. PG - 246-61 AB - BACKGROUND: Unlike most other malignancies, prostate cancer metastasizes preferentially to the skeleton and elicits osteoblastic reactions. METHODS: We present a hypothesis, based upon results obtained from our laboratory and others, on the nature of progression of prostate cancer cells and their predilection to growth and metastasis in the bone microenvironment. We propose the hypothesis that osseous metastatic prostate cancer cells must be osteomimetic in order to metastasize, grow, and survive in the skeleton. The reciprocal interaction between prostate cancer and bone stromal growth factors, including basic fibroblast growth factor (bFGF), hepatocyte growth factor/scatter factor (HGF/SF), and especially the insulin growth factor (IGF) axis initiates bone tropism, and is enhanced by prostate secreted endothelin-1 (ET-1) and urokinase-type plasminogen activator (uPA). Growth factors and peptides that have differentiating activity, such as transforming growth factor beta (TGF-beta), parathyroid hormone-related protein (PTH-rp), and the bone morphogenetic proteins (BMPs), can shift local homeostasis to produce the characteristic blastic phenotype, via interaction with prostate-secreted human kalikrein 2 (hK2), and prostate-specific antigen (PSA). This proposal asserts that altering the expression of certain critical transcription factors, such as Cbfa and MSX in prostate cancer cells, which presumably are under the inductive influences of prostate or bone stromal cells, can confer profiles of gene expression, such as osteopontin (OPN), osteocalcin (OC), and bone sialoprotein (BSP), that mimic that of osteoblasts. RESULTS AND CONCLUSIONS: Elucidation of common proteins, presumably driven by the same promoters, expressed by both prostate cancer and bone stromal cells, could result in the development of novel preventive and therapeutic strategies for the treatment of prostate cancer skeletal metastasis. Agents developed using these strategies could have the potential advantage of interfering with growth and enhancing apoptosis in both prostate cancer and bone stromal compartments. The selective application of gene therapy strategy, driven by tissue-specific and tumor-restricted promoters for the safe delivery and expression of therapeutic genes in experimental models of prostate cancer metastasis, is discussed. FAU - Koeneman, K S AU - Koeneman KS AD - Department of Urology, University of Virginia Health Sciences Center, Charlottesville 22908, USA. FAU - Yeung, F AU - Yeung F FAU - Chung, L W AU - Chung LW LA - eng GR - CA63341/CA/NCI NIH HHS/United States GR - CA64863/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Prostate JT - The Prostate JID - 8101368 RN - 0 (Growth Substances) RN - 0 (Neoplasm Proteins) SB - IM MH - Bone Neoplasms/*metabolism/*secondary/therapy MH - Cell Division MH - Cell Transformation, Neoplastic MH - Gene Expression Regulation, Neoplastic MH - Growth Substances/metabolism MH - Humans MH - Male MH - Neoplasm Proteins/metabolism MH - Osteoblasts/metabolism/pathology MH - Phenotype MH - Prostatic Neoplasms/*metabolism/*pathology/therapy RF - 153 EDAT- 1999/05/27 06:00 MHDA- 2000/06/20 09:00 CRDT- 1999/05/27 06:00 PHST- 1999/05/27 06:00 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1999/05/27 06:00 [entrez] AID - 10.1002/(SICI)1097-0045(19990601)39:4<246::AID-PROS5>3.0.CO;2-U [pii] AID - 10.1002/(sici)1097-0045(19990601)39:4<246::aid-pros5>3.0.co;2-u [doi] PST - ppublish SO - Prostate. 1999 Jun 1;39(4):246-61. doi: 10.1002/(sici)1097-0045(19990601)39:4<246::aid-pros5>3.0.co;2-u.