PMID- 20881962 OWN - NLM STAT- MEDLINE DCOM- 20110113 LR - 20220316 IS - 1476-4687 (Electronic) IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 468 IP - 7320 DP - 2010 Nov 4 TI - Osteoclast differentiation factor RANKL controls development of progestin-driven mammary cancer. PG - 98-102 LID - 10.1038/nature09387 [doi] AB - Breast cancer is one of the most common cancers in humans and will on average affect up to one in eight women in their lifetime in the United States and Europe. The Women's Health Initiative and the Million Women Study have shown that hormone replacement therapy is associated with an increased risk of incident and fatal breast cancer. In particular, synthetic progesterone derivatives (progestins) such as medroxyprogesterone acetate (MPA), used in millions of women for hormone replacement therapy and contraceptives, markedly increase the risk of developing breast cancer. Here we show that the in vivo administration of MPA triggers massive induction of the key osteoclast differentiation factor RANKL (receptor activator of NF-kappaB ligand) in mammary-gland epithelial cells. Genetic inactivation of the RANKL receptor RANK in mammary-gland epithelial cells prevents MPA-induced epithelial proliferation, impairs expansion of the CD49f(hi) stem-cell-enriched population, and sensitizes these cells to DNA-damage-induced cell death. Deletion of RANK from the mammary epithelium results in a markedly decreased incidence and delayed onset of MPA-driven mammary cancer. These data show that the RANKL/RANK system controls the incidence and onset of progestin-driven breast cancer. FAU - Schramek, Daniel AU - Schramek D AD - IMBA, Institute of Molecular Biotechnology of the Austrian Academy of Sciences, 1030 Vienna, Austria. FAU - Leibbrandt, Andreas AU - Leibbrandt A FAU - Sigl, Verena AU - Sigl V FAU - Kenner, Lukas AU - Kenner L FAU - Pospisilik, John A AU - Pospisilik JA FAU - Lee, Heather J AU - Lee HJ FAU - Hanada, Reiko AU - Hanada R FAU - Joshi, Purna A AU - Joshi PA FAU - Aliprantis, Antonios AU - Aliprantis A FAU - Glimcher, Laurie AU - Glimcher L FAU - Pasparakis, Manolis AU - Pasparakis M FAU - Khokha, Rama AU - Khokha R FAU - Ormandy, Christopher J AU - Ormandy CJ FAU - Widschwendter, Martin AU - Widschwendter M FAU - Schett, Georg AU - Schett G FAU - Penninger, Josef M AU - Penninger JM LA - eng GR - R01 HD055601/HD/NICHD NIH HHS/United States GR - R01 HD055601-04/HD/NICHD NIH HHS/United States GR - HD055601/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100929 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Integrin alpha6) RN - 0 (NF-kappa B) RN - 0 (Phosphoproteins) RN - 0 (Progestins) RN - 0 (RANK Ligand) RN - 0 (Receptor Activator of Nuclear Factor-kappa B) RN - 0 (Tnfrsf11a protein, mouse) RN - 0 (Tnfsf11 protein, mouse) RN - C2QI4IOI2G (Medroxyprogesterone Acetate) SB - IM CIN - Nat Rev Cancer. 2010 Nov;10(11):738. PMID: 21080581 CIN - Nat Rev Endocrinol. 2011 Jan;7(1):2. PMID: 21197701 CIN - Breast Cancer Res. 2011;13(1):302. PMID: 21345281 CIN - Breast Cancer Res. 2011;13(1):301. PMID: 21345282 MH - Animals MH - Apoptosis/radiation effects MH - Cell Differentiation MH - Cell Proliferation/drug effects MH - DNA Damage MH - Epithelial Cells/cytology/drug effects/metabolism/radiation effects MH - Female MH - Gamma Rays MH - Integrin alpha6/metabolism MH - Mammary Neoplasms, Experimental/*chemically induced/genetics/metabolism/*pathology MH - Medroxyprogesterone Acetate/administration & dosage/adverse effects MH - Mice MH - NF-kappa B/metabolism MH - Osteoclasts/cytology MH - Phosphoproteins/analysis/immunology MH - Progestins/administration & dosage/*adverse effects MH - RANK Ligand/deficiency/genetics/*metabolism MH - Receptor Activator of Nuclear Factor-kappa B/deficiency/genetics/metabolism MH - Signal Transduction MH - Stem Cells/cytology/drug effects/metabolism PMC - PMC3084017 MID - NIHMS290461 EDAT- 2010/10/01 06:00 MHDA- 2011/01/14 06:00 PMCR- 2011/04/28 CRDT- 2010/10/01 06:00 PHST- 2009/11/09 00:00 [received] PHST- 2010/07/28 00:00 [accepted] PHST- 2010/10/01 06:00 [entrez] PHST- 2010/10/01 06:00 [pubmed] PHST- 2011/01/14 06:00 [medline] PHST- 2011/04/28 00:00 [pmc-release] AID - nature09387 [pii] AID - 10.1038/nature09387 [doi] PST - ppublish SO - Nature. 2010 Nov 4;468(7320):98-102. doi: 10.1038/nature09387. Epub 2010 Sep 29.