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First published online November 17, 2005
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2005-0220v1
24/4/986    most recent
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Submitted on May 16, 2005
Accepted on November 13, 2005

Original Article

A Crosstalk between Myeloma Cells and Marrow Stromal Cells Stimulates Production of DKK1 and IL-6: A Potential Role in the Development of Lytic Bone Disease and Tumor Progression in Multiple Myeloma

W. G. Gunn 1, A. Conley 1, L. Deininger 1, S. D. Olson 1, D. J. Prockop 1, C. A. Gregory 1*

1 Tulane University, New Orleans, Louisiana

* To whom correspondence should be addressed. E-mail: cgregory{at}tulane.edu.


   Abstract

Multiple myeloma (MM) is a malignancy of antibody-secreting plasma cells. B cell plasmacytomas stimulate bone resorption and angiogenesis, resulting in osteolytic lesions in the skeleton that persist upon successful treatment of the malignancy with chemotherapy. We found that an interaction between MM cells and mesenchymal stem cells (MSCs) from bone marrow stroma results in the formation and persistence of osteolytic bone lesions. It is known that MM cells activate osteoclast activity and secrete high levels of the Wnt inhibitor, Dickkopf-1, which prevents MSCs from differentiating into osteoblasts. We show that the Wnt signaling activator 6-bromoindirubin-3'-monoxime (BIO), releases MSCs from the osteoinhibitory effects of Dickkopf-1, whereas LiCl treatment does not. Additionally, we show that the >5 kDa fraction of MSCconditioned medium promotes the proliferation of Dickkopf-1-secreting MM cells, and that an IL6-neutralizing antibody blocks this effect. IL6 gene expression levels were higher in undifferentiated MSCs than in MSCs treated with osteogenic medium, remained high in the presence of Dkk1, and were reduced by BIO treatment. Therefore, BIO treatment reduces the MSC-stimulated proliferation of MM cells and may enable MSCs to repair existing osteolytic lesions.

Key Words. multiple myeloma, mesenchymal stem cell, osteolytic lesions, chemotherapy, Wnt signaling, 6-bromoindirubin-3'-monoxime, interleukin-6




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