PMID- 23787729 OWN - NLM STAT- MEDLINE DCOM- 20140819 LR - 20131220 IS - 1523-4681 (Electronic) IS - 0884-0431 (Linking) VI - 29 IP - 1 DP - 2014 Jan TI - PTHrP produced by myeloma plasma cells regulates their survival and pro-osteoclast activity for bone disease progression. PG - 55-66 LID - 10.1002/jbmr.2022 [doi] AB - To promote their survival and progression in the skeleton, osteotropic malignancies of breast, lung, and prostate produce parathyroid hormone-related protein (PTHrP), which induces hypercalcemia. PTHrP serum elevations have also been described in multiple myeloma (MM), although their role is not well defined. When we investigated MM cells from patients and cell lines, we found that PTHrP and its receptor (PTH-R1) are highly expressed, and that PTHrP is secreted both as a full-length molecule and as small subunits. Among these subunits, the mid-region, including the nuclear localization sequence (NLS), exerted a proliferative effect because it was accumulated in nuclei of MM cells surviving in starvation conditions. This was confirmed by increased transcription of several genes enrolled in proliferation and apoptosis control. PTHrP was also found to stimulate PTH-R1 in MM cells. PTH-R1's selective activation by the full-length PTHrP molecule or the NH2 -terminal fragment resulted in a significant increase of intracellular Ca(2+) influx, cyclic adenosine monophosphate (cAMP) content, and expression of receptor activator of NF-kappaB ligand (RANKL) and monocyte chemoattractant protein-1 (MCP-1). Our data definitely clarify the role of PTHrP in MM. The PTHrP peptide is functionally secreted by malignant plasma cells and contributes to MM tumor biology and progression, both by intracrine maintenance of cell proliferation in stress conditions and by autocrine or paracrine stimulation of PTH-R1, which in turn reinforces the production of osteoclastogenic factors. (c) 2014 American Society for Bone and Mineral Research. CI - (c) 2014 American Society for Bone and Mineral Research. FAU - Cafforio, Paola AU - Cafforio P AD - Department of Biomedical Sciences and Human Oncology, Section of Internal Medicine and Oncology, University of Bari "Aldo Moro,", Bari, Italy. FAU - Savonarola, Annalisa AU - Savonarola A FAU - Stucci, Stefania AU - Stucci S FAU - De Matteo, Monica AU - De Matteo M FAU - Tucci, Marco AU - Tucci M FAU - Brunetti, Anna Elisabetta AU - Brunetti AE FAU - Vecchio, Vita Mariagrazia AU - Vecchio VM FAU - Silvestris, Francesco AU - Silvestris F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Bone Miner Res JT - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research JID - 8610640 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Parathyroid Hormone-Related Protein) RN - 0 (Peptide Fragments) RN - 0 (Receptor Activator of Nuclear Factor-kappa B) RN - 0 (Receptor, Parathyroid Hormone, Type 1) RN - E0399OZS9N (Cyclic AMP) SB - IM MH - Cell Line, Tumor MH - Cell Proliferation MH - Chemokine CCL2/biosynthesis MH - Cyclic AMP/metabolism MH - Disease Progression MH - Humans MH - Multiple Myeloma/*metabolism MH - Parathyroid Hormone-Related Protein/*biosynthesis MH - Peptide Fragments/biosynthesis/pharmacology MH - Plasma Cells/*metabolism MH - Receptor Activator of Nuclear Factor-kappa B/biosynthesis MH - Receptor, Parathyroid Hormone, Type 1/*biosynthesis/metabolism OTO - NOTNLM OT - CELL SURVIVAL OT - MULTIPLE MYELOMA OT - NLS REGION OT - OSTEOCLASTOGENESIS OT - PTHRP EDAT- 2013/06/22 06:00 MHDA- 2014/08/20 06:00 CRDT- 2013/06/22 06:00 PHST- 2013/03/07 00:00 [received] PHST- 2013/05/31 00:00 [revised] PHST- 2013/06/10 00:00 [accepted] PHST- 2013/06/22 06:00 [entrez] PHST- 2013/06/22 06:00 [pubmed] PHST- 2014/08/20 06:00 [medline] AID - 10.1002/jbmr.2022 [doi] PST - ppublish SO - J Bone Miner Res. 2014 Jan;29(1):55-66. doi: 10.1002/jbmr.2022.