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Thymidine phosphorylase exerts complex effects on bone resorption and formation in myeloma.


ABSTRACT: Myelomatous bone disease is characterized by the development of lytic bone lesions and a concomitant reduction in bone formation, leading to chronic bone pain and fractures. To understand the underlying mechanism, we investigated the contribution of myeloma-expressed thymidine phosphorylase (TP) to bone lesions. In osteoblast progenitors, TP up-regulated the methylation of RUNX2 and osterix, leading to decreased bone formation. In osteoclast progenitors, TP up-regulated the methylation of IRF8 and thereby enhanced expression of NFATc1 (nuclear factor of activated T cells, cytoplasmic 1 protein), leading to increased bone resorption. TP reversibly catalyzes thymidine into thymine and 2-deoxy-d-ribose (2DDR). Myeloma-secreted 2DDR bound to integrin ?V?3/?5?1 in the progenitors, activated PI3K (phosphoinositide 3-kinase)/Akt signaling, and increased DNMT3A (DNA methyltransferase 3A) expression, resulting in hypermethylation of RUNX2, osterix, and IRF8 This study elucidates an important mechanism for myeloma-induced bone lesions, suggesting that targeting TP may be a viable approach to healing resorbed bone in patients. Because TP overexpression is common in bone-metastatic tumors, our findings could have additional mechanistic implications.

SUBMITTER: Liu H 

PROVIDER: S-EPMC5109917 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Thymidine phosphorylase exerts complex effects on bone resorption and formation in myeloma.

Liu Huan H   Liu Zhiqiang Z   Du Juan J   He Jin J   Lin Pei P   Amini Behrang B   Starbuck Michael W MW   Novane Nora N   Shah Jatin J JJ   Davis Richard E RE   Hou Jian J   Gagel Robert F RF   Yang Jing J  

Science translational medicine 20160801 353


Myelomatous bone disease is characterized by the development of lytic bone lesions and a concomitant reduction in bone formation, leading to chronic bone pain and fractures. To understand the underlying mechanism, we investigated the contribution of myeloma-expressed thymidine phosphorylase (TP) to bone lesions. In osteoblast progenitors, TP up-regulated the methylation of RUNX2 and osterix, leading to decreased bone formation. In osteoclast progenitors, TP up-regulated the methylation of IRF8 a  ...[more]

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