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Metastatic bone disease in proximal femur. Outcome of surgical treatments. − Do we know what to do? 股骨近端转移性骨病。手术治疗的结果。−我们知道该怎么做吗?
IF 3.5 2区 医学 Q2 Medicine Pub Date : 2025-10-01 Epub Date: 2025-09-06 DOI: 10.1016/j.jbo.2025.100711
K. Kilk , G. Kask , J. Nieminen , M.K. Laitinen

Background

Skeletal metastases related pathological fracture reconstruction methods in proximal femur range from osteosynthesis to tumor prostheses with acetabular reconstruction, depending on lesion size and location. This retrospective study, of 299 patients surgically treated for proximal femur metastases, investigates implant survival, complications, and functional outcomes of various surgical strategies for treating pathological fractures of the proximal femur.

Patients and methods

This retrospective study of 299 patients surgically treated for proximal femur metastases, investigates implant survival (Kaplan–Meier), complications, and functional outcomes of different surgical strategies. The chi-test and Mann-Witney U test were used for analysis between groups. The subdistribution Hazard Ratio (SHR) of the role of factors affecting implant survival was calculated using competing risk analysis.

Results

Reconstruction methods comprised osteosynthesis (n = 59), hemiarthroplasty (n = 72), total hip replacement (THA) (n = 43), and endoprosthetic replacement (EPR) either with or without acetabular component (n = 125). The precise location and size of the metastases was evaluated. The mean implant survival was 17 months (SD 21.2). Complications occurred in 33 patients, 20 required revision surgery. In prosthesis patients, infections and dislocations were the main complications, while mechanical failure predominated in the osteosynthesis group. Mean implant failure time was 11 months, shortest in THA and osteosynthesis. Functional outcomes in 38 patients showed a mean Oxford Hip Score (OHS) of 33, with no significant differences across methods.

Interpretation

Patient survival is a critical factor in selecting the appropriate reconstruction method for trochanteric metastatic lesions. Osteosynthesis is suitable for patients with a limited life expectancy. In cases of metastases involving the head-neck anatomical region, arthroplasty with acetabular reconstruction offers no advantage over hemiarthroplasty. With our data there was no statistical difference in functional outcome between different surgical methods.
背景:股骨近端骨转移相关的病理性骨折重建方法,根据病变的大小和位置,从骨融合术到髋臼重建的肿瘤假体不等。本回顾性研究纳入299例手术治疗股骨近端转移的患者,调查了治疗病理性股骨近端骨折的各种手术策略的植入物存活、并发症和功能结果。患者和方法本研究对299例股骨近端转移手术患者进行回顾性研究,调查不同手术策略的植入物存活(Kaplan-Meier)、并发症和功能结果。组间分析采用chi检验和Mann-Witney U检验。采用竞争风险分析计算影响种植体存活因素作用的亚分布风险比(SHR)。结果重建方法包括骨融合术(n = 59),半关节置换术(n = 72),全髋关节置换术(n = 43)和假体内置换术(n = 125),有或无髋臼假体(n = 125)。评估转移的精确位置和大小。种植体平均存活17个月(SD 21.2)。33例出现并发症,20例需要翻修手术。在假体患者中,感染和脱位是主要的并发症,而骨融合术组以机械故障为主。平均植入失败时间为11个月,THA和骨融合术最短。38例患者的功能结果显示牛津髋关节评分(OHS)平均为33,不同方法间无显著差异。解释:在选择合适的粗隆转移性病变重建方法时,患者的生存是一个关键因素。骨融合术适用于寿命有限的患者。在涉及头颈解剖区域的转移病例中,髋臼重建的关节置换术与半关节置换术相比没有优势。根据我们的数据,不同手术方式在功能结局上没有统计学差异。
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引用次数: 0
RGS1 stabilized by METTL3-mediated m6A modification promotes the tumorigenicity and macrophage M2 polarization in osteosarcoma 经mettl3介导的m6A修饰稳定的RGS1促进骨肉瘤的致瘤性和巨噬细胞M2极化
IF 3.5 2区 医学 Q2 Medicine Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI: 10.1016/j.jbo.2025.100705
Zhizhong Liang , Yuxia Shi , Mao Wang , Liqiang Zhang

Background

Regulators of G-protein signaling 1 (RGS1) has been reported to be involved in immune cell regulation in many cancer types. However, the specific role and mechanism in osteosarcoma (OS) progression and macrophage activation remain unclear.

Methods

Levels of mRNA and protein were examined using qRT-PCR and western blotting. Transwell assay, wound healing assay, EdU assay and flow cytometry were used to investigate OS cell invasion, migration, proliferation and apoptosis. Xenografts in mice were established for in vivo assay. Macrophage M2 polarization was evaluated by detecting CD206 + macrophages by flow cytometry. ELISA analysis detected IL-6 and TGF-β1 levels. Methylated RNA immunoprecipitation assay was applied to explore the specific binding of RGS1 and METTL3 (methyltransferase-like 3).

Results

RGS1 was highly expressed in OS tissues and cells. The silencing of RGS1 suppressed OS cell invasion, migration, growth and impaired immune response by inhibiting macrophage M2 polarization and M2 macrophage-mediated release of IL-10 and TGF-β1. Mechanistically, METTL3 promoted RGS1 m6A modification and stabilized its expression. METTL3 deficiency also inhibited OS cell invasion, migration, growth and macrophage M2 polarization, while these effects could be abolished by RGS1 overexpression. Besides that, IL–10 elevation induced by M2 macrophages promoted OS cell oncogenic phenotypes.

Conclusion

METTL3 stabilized RGS1 mRNA in an m6A-dependent manner to promote the tumorigenicity and macrophage M2 polarization in osteosarcoma, suggesting a novel insight into the therapy of osteosarcoma.
据报道,g蛋白信号1 (RGS1)的调节因子参与许多癌症类型的免疫细胞调节。然而,在骨肉瘤(OS)进展和巨噬细胞活化中的具体作用和机制尚不清楚。方法采用qRT-PCR和western blotting检测mRNA和蛋白水平。采用Transwell法、创面愈合法、EdU法和流式细胞术观察骨肉瘤细胞的侵袭、迁移、增殖和凋亡情况。建立小鼠异种移植物进行体内实验。流式细胞术检测CD206 +巨噬细胞,评价巨噬细胞M2极化。ELISA法检测IL-6、TGF-β1水平。采用甲基化RNA免疫沉淀法研究RGS1与甲基转移酶样3 (methyltransferase-like 3)的特异性结合。结果rgs1在骨肉瘤组织和细胞中高表达。RGS1的沉默通过抑制巨噬细胞M2极化和M2巨噬细胞介导的IL-10和TGF-β1的释放来抑制OS细胞的侵袭、迁移、生长和免疫应答受损。机制上,METTL3促进了RGS1 m6A的修饰并稳定了其表达。METTL3缺乏还能抑制OS细胞的侵袭、迁移、生长和巨噬细胞M2极化,而这些作用可通过RGS1过表达而消除。此外,M2巨噬细胞诱导IL-10升高可促进OS细胞的致癌表型。结论mettl3以m6a依赖的方式稳定RGS1 mRNA,促进骨肉瘤的致瘤性和巨噬细胞M2极化,为骨肉瘤的治疗提供了新的思路。
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引用次数: 0
Osteofibrous dysplasia, osteofibrous Dysplasia-Like adamantinoma, and adamantinoma: A Single-center retrospective analysis 骨纤维结构不良、骨纤维结构不良样金刚素瘤和金刚素瘤:单中心回顾性分析
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-23 DOI: 10.1016/j.jbo.2025.100700
Wei Chen , Qinglin Jin , Shaohua Du , Shuangwu Dai , Changhe Hou , Zixiong Lei , Lin Zhong , Qingzhu Wei , Haomiao Li

Objective

This study aimed to comprehensively investigate and contrast the imaging manifestations, pathological features, surgical interventions, and prognostic outcomes of Osteofibrous Dysplasia(OFD), Osteofibrous Dysplasia-Like Adamantinoma(OFD-AD), and Adamantinoma(AD). By synthesizing disease profiles and exploring their evolutionary relationships, we sought to identify more effective diagnostic and therapeutic strategies for these conditions.

Methods

A retrospective analysis was conducted on patients diagnosed with OFD, OFD-AD, or AD at our institution between 2015 and 2022. The analysis included a detailed comparison of clinical presentations, imaging findings, and pathological characteristics. We also evaluated the impact of different diagnostic and treatment modalities on patient prognosis and explored potential disease evolution and transformation patterns.

Results

Fifty patients were included in this study: 16 with OFD, 27 with OFD-AD, and 7 with AD. The median age of onset was 14 years for OFD, 6 years for OFD-AD, and 33 years for AD. All diagnoses were confirmed through a combination of clinical evaluation, imaging (X-rays and MRI), and pathological examination. Among the patients, 2 (both with OFD-AD) were managed with observation only. Thirty-seven patients underwent intralesional resection (16 OFD, 20 OFD-AD, and 1 AD), and 11 patients had complete resection (5 OFD-AD and 6 AD). After a minimum follow-up of 24 months (range: 24–––90 months, median: 56 months), 12 patients experienced tumor recurrence (OFD: 2/16, 12.5 %; OFD-AD: 9/25, 36 %; AD: 1/6, 17 %). One patient had concurrent OFD-AD in the fibula and AD in the tibia. In another case, an OFD-AD recurrence 4 years after surgery was later diagnosed as OFD, and an OFD recurrence 2 years after surgery was reclassified as OFD-AD. No distant metastases were observed in any patient.

Conclusion

OFD, OFD-AD, and AD exhibit similarities in clinical and imaging presentations, and their pathological features may represent different stages of a common lesion’s evolution. These diseases have distinct age − related onset patterns and variable recurrence risks. Thus, accurate diagnosis and personalized treatment strategies based on patient characteristics are crucial for effective disease management.
目的全面探讨骨纤维结构不良(OFD)、骨纤维结构不良样Adamantinoma(OFD-AD)和Adamantinoma(AD)的影像学表现、病理特征、手术干预及预后。通过综合疾病概况和探索它们的进化关系,我们试图为这些疾病确定更有效的诊断和治疗策略。方法回顾性分析我院2015 - 2022年诊断为OFD、OFD-AD或AD的患者。分析包括临床表现、影像学表现和病理特征的详细比较。我们还评估了不同的诊断和治疗方式对患者预后的影响,并探讨了潜在的疾病演变和转化模式。结果本研究纳入50例患者:16例OFD, 27例OFD-AD, 7例AD。OFD的中位发病年龄为14岁,OFD-AD为6岁,AD为33岁。所有诊断均通过临床评估、影像学(x线和MRI)和病理检查相结合得到证实。其中2例(均为OFD-AD)仅进行观察。37例患者行病灶内切除(16例OFD, 20例OFD-AD和1例AD), 11例患者行完全切除(5例OFD-AD和6例AD)。最小随访24个月(24 - 90个月,中位56个月)后,12例患者出现肿瘤复发(OFD: 2/16, 12.5%;Ofd-ad: 9/25, 36%;广告:1/6,17%)。1例患者腓骨并发OFD-AD,胫骨并发AD。另一例术后4年复发的OFD- ad被诊断为OFD,术后2年复发的OFD被重新分类为OFD- ad。所有患者均未观察到远处转移。结论ofd、OFD-AD和AD在临床和影像学表现上具有相似性,其病理特征可能代表一种共同病变发展的不同阶段。这些疾病具有明显的年龄相关发病模式和不同的复发风险。因此,基于患者特征的准确诊断和个性化治疗策略对于有效的疾病管理至关重要。
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引用次数: 0
Impact of treatment delay of multiple myeloma bone disease on later myeloma-related skeletal events and outcome 多发性骨髓瘤骨病治疗延迟对后期骨髓瘤相关骨骼事件和结果的影响
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-07 DOI: 10.1016/j.jbo.2025.100693
Eskelinen Veera , Niemi Pauli , Partanen Anu , Kangas Jaakko , E.L.Kuusisto Milla
Limited data exists on the effect of treatment delay of multiple myeloma (MM) bone disease on the disease course. In this real-world analysis of 625 patients with newly diagnosed MM (NDMM) we aimed to investigate the impact of delay in starting bone disease treatment on later skeletal events and outcome.
Altogether 480 (76.8 %) patients had bone disease at the diagnosis, 282 (45.1 %) patients had a fracture at diagnosis, and 181 (29.1 %) patients had a later fracture during the follow-up. A delay in the initiation of treatment of bone disease was experienced by 221 (35.4 %) patients and tooth extraction was a main reason for the delay. Patients with a delay seemed to experience earlier and more frequent later fractures. Also, a fracture (p = 0.003) or bone disease (p < 0.001) at diagnosis predicted earlier incidence of later fractures. As a bone targeted treatment, altogether 363 (58.1 %) patients received zoledronic acid, 81 (13.0 %) denosumab and 134 (21.4 %) other bone-targeted treatment. Patients treated with denosumab had poorer overall survival (OS) (p < 0.001) and experienced earlier later fractures (p = 0.003). Multivariate analysis showed that bone disease at diagnosis (p = 0.043) and given bone disease treatment (p = 0.023) significantly impacted on the time to next fracture. Regarding OS, delay in osteoprotective treatment (p = 0.004) and time of the diagnosis (p < 0.001) were significant factors in multivariate analysis.
To conclude, this study suggests that early initiation of bone disease treatment seemed to prevent later fractures. These findings highlight the importance of patients’ rapid access to a dentist and the start of bone targeted treatment without delay after a myeloma diagnosis.
关于多发性骨髓瘤(MM)骨病治疗延迟对病程影响的资料有限。在这项对625名新诊断MM (NDMM)患者的现实分析中,我们旨在研究延迟开始骨病治疗对后来骨骼事件和结果的影响。共有480例(76.8%)患者在诊断时患有骨病,282例(45.1%)患者在诊断时发生骨折,181例(29.1%)患者在随访期间发生骨折。221例(35.4%)骨病患者延迟开始治疗,拔牙是延迟的主要原因。延迟的患者似乎经历了更早和更频繁的骨折。此外,骨折(p = 0.003)或骨病(p <;0.001),可预测较早的骨折发生率。作为骨靶向治疗,363例(58.1%)患者接受了唑来膦酸治疗,81例(13.0%)接受了地诺单抗治疗,134例(21.4%)接受了其他骨靶向治疗。接受denosumab治疗的患者总生存期(OS)较差(p <;0.001),且骨折时间较早,骨折时间较晚(p = 0.003)。多因素分析显示,诊断时骨病(p = 0.043)和给予骨病治疗(p = 0.023)对下一次骨折时间有显著影响。对于OS,保骨治疗延迟(p = 0.004)和诊断时间(p <;0.001)是多变量分析的显著因素。总之,这项研究表明,尽早开始骨病治疗似乎可以预防后来的骨折。这些发现强调了患者在骨髓瘤诊断后迅速就医和立即开始骨靶向治疗的重要性。
{"title":"Impact of treatment delay of multiple myeloma bone disease on later myeloma-related skeletal events and outcome","authors":"Eskelinen Veera ,&nbsp;Niemi Pauli ,&nbsp;Partanen Anu ,&nbsp;Kangas Jaakko ,&nbsp;E.L.Kuusisto Milla","doi":"10.1016/j.jbo.2025.100693","DOIUrl":"10.1016/j.jbo.2025.100693","url":null,"abstract":"<div><div>Limited data exists on the effect of treatment delay of multiple myeloma (MM) bone disease on the disease course. In this real-world analysis of 625 patients with newly diagnosed MM (NDMM) we aimed to investigate the impact of delay in starting bone disease treatment on later skeletal events and outcome.</div><div>Altogether 480 (76.8 %) patients had bone disease at the diagnosis, 282 (45.1 %) patients had a fracture at diagnosis, and 181 (29.1 %) patients had a later fracture during the follow-up. A delay in the initiation of treatment of bone disease was experienced by 221 (35.4 %) patients and tooth extraction was a main reason for the delay. Patients with a delay seemed to experience earlier and more frequent later fractures. Also, a fracture (p = 0.003) or bone disease (p &lt; 0.001) at diagnosis predicted earlier incidence of later fractures. As a bone targeted treatment, altogether 363 (58.1 %) patients received zoledronic acid, 81 (13.0 %) denosumab and 134 (21.4 %) other bone-targeted treatment. Patients treated with denosumab had poorer overall survival (OS) (p &lt; 0.001) and experienced earlier later fractures (p = 0.003). Multivariate analysis showed that bone disease at diagnosis (p = 0.043) and given bone disease treatment (p = 0.023) significantly impacted on the time to next fracture. Regarding OS, delay in osteoprotective treatment (p = 0.004) and time of the diagnosis (p &lt; 0.001) were significant factors in multivariate analysis.</div><div>To conclude, this study suggests that early initiation of bone disease treatment seemed to prevent later fractures. These findings highlight the importance of patients’ rapid access to a dentist and the start of bone targeted treatment without delay after a myeloma diagnosis.</div></div>","PeriodicalId":48806,"journal":{"name":"Journal of Bone Oncology","volume":"53 ","pages":"Article 100693"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glutathione peroxidase 7 knockdown inhibits growth, invasion, and migration while enhancing oxidative stress and ferroptosis in osteosarcoma cells 谷胱甘肽过氧化物酶7敲低抑制骨肉瘤细胞的生长、侵袭和迁移,同时增强氧化应激和铁下垂
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-05-31 DOI: 10.1016/j.jbo.2025.100692
Runze He , Xiao Xiao , Xinwen Tang , Chen Lv

Background

Glutathione peroxidase 7 (GPX7) possesses antioxidant functions and plays a crucial role in regulating cancer progression. However, relevant evidence in osteosarcoma is scarce. The current study aimed to explore the effect of GPX7 on osteosarcoma progression, oxidative stress, and ferroptosis.

Methods

Human osteosarcoma cells (U2OS, MG-63, and SaOS-2) were transfected with GPX7 small interfering RNA (siGPX7). Proliferation, apoptosis, invasion, migration, oxidative stress markers, Fe2+ levels, and ferroptosis markers were detected in human osteosarcoma cells.

Results

GPX7 knockdown inhibited human osteosarcoma cell proliferation, as evidenced by reduced relative cell viability and 5-Ethynyl-2′-deoxyuridine positive cells. GPX7 knockdown also showed a certain ability to promote human osteosarcoma cell apoptosis, as evidenced by increased terminal-deoxynucleotidyl transferase-mediated nick end labeling (TUNEL) positive rate and cleaved-caspase3. GPX7 knockdown decreased invasive and migration rates of human osteosarcoma cells. GPX7 knockdown increased reactive oxygen species and malondialdehyde but decreased mitochondrial membrane potential, suggesting that GPX7 knockdown enhanced oxidative stress in human osteosarcoma cells. Regarding ferroptosis markers, GPX7 knockdown increased acyl-CoA synthetase long-chain family member 4 and reduced solute carrier family 7 member 11; moreover, GPX7 knockdown increased Fe2+ levels; the above findings indicated that GPX7 knockdown promoted ferroptosis in human osteosarcoma cells.

Conclusion

GPX7 knockdown inhibits osteosarcoma cell growth, invasion, and migration while facilitating oxidative stress and ferroptosis.
谷胱甘肽过氧化物酶7 (gtathione peroxidase 7, GPX7)具有抗氧化功能,并在调节癌症进展中发挥重要作用。然而,骨肉瘤的相关证据很少。本研究旨在探讨GPX7对骨肉瘤进展、氧化应激和铁下垂的影响。方法用GPX7小干扰RNA (siGPX7)转染人骨肉瘤细胞(U2OS、MG-63、SaOS-2)。检测了人骨肉瘤细胞的增殖、凋亡、侵袭、迁移、氧化应激标志物、Fe2+水平和铁下垂标志物。结果gpx7基因敲低可抑制人骨肉瘤细胞的增殖,降低细胞的相对活力和5-乙基-2 ' -脱氧尿苷阳性细胞。GPX7敲低也显示出一定的促进人骨肉瘤细胞凋亡的能力,这可以通过增加终端脱氧核苷酸转移酶介导的nick end labeling (TUNEL)阳性率和cleaved-caspase3来证明。GPX7敲低可降低人骨肉瘤细胞的侵袭和迁移率。GPX7敲低增加了活性氧和丙二醛,但降低了线粒体膜电位,表明GPX7敲低增强了人骨肉瘤细胞的氧化应激。在铁下垂标志物方面,GPX7敲低增加了酰基辅酶a合成酶长链家族成员4,降低了溶质载体家族7成员11;GPX7敲低使Fe2+水平升高;上述结果表明,敲低GPX7可促进人骨肉瘤细胞铁下垂。结论px7基因敲低抑制骨肉瘤细胞生长、侵袭和迁移,促进氧化应激和铁下垂。
{"title":"Glutathione peroxidase 7 knockdown inhibits growth, invasion, and migration while enhancing oxidative stress and ferroptosis in osteosarcoma cells","authors":"Runze He ,&nbsp;Xiao Xiao ,&nbsp;Xinwen Tang ,&nbsp;Chen Lv","doi":"10.1016/j.jbo.2025.100692","DOIUrl":"10.1016/j.jbo.2025.100692","url":null,"abstract":"<div><h3>Background</h3><div>Glutathione peroxidase 7 (GPX7) possesses antioxidant functions and plays a crucial role in regulating cancer progression. However, relevant evidence in osteosarcoma is scarce. The current study aimed to explore the effect of GPX7 on osteosarcoma progression, oxidative stress, and ferroptosis.</div></div><div><h3>Methods</h3><div>Human osteosarcoma cells (U2OS, MG-63, and SaOS-2) were transfected with GPX7 small interfering RNA (siGPX7). Proliferation, apoptosis, invasion, migration, oxidative stress markers, Fe<sup>2+</sup> levels, and ferroptosis markers were detected in human osteosarcoma cells.</div></div><div><h3>Results</h3><div>GPX7 knockdown inhibited human osteosarcoma cell proliferation, as evidenced by reduced relative cell viability and 5-Ethynyl-2′-deoxyuridine positive cells. GPX7 knockdown also showed a certain ability to promote human osteosarcoma cell apoptosis, as evidenced by increased terminal-deoxynucleotidyl transferase-mediated nick end labeling (TUNEL) positive rate and cleaved-caspase3. GPX7 knockdown decreased invasive and migration rates of human osteosarcoma cells. GPX7 knockdown increased reactive oxygen species and malondialdehyde but decreased mitochondrial membrane potential, suggesting that GPX7 knockdown enhanced oxidative stress in human osteosarcoma cells. Regarding ferroptosis markers, GPX7 knockdown increased acyl-CoA synthetase long-chain family member 4 and reduced solute carrier family 7 member 11; moreover, GPX7 knockdown increased Fe<sup>2+</sup> levels; the above findings indicated that GPX7 knockdown promoted ferroptosis in human osteosarcoma cells.</div></div><div><h3>Conclusion</h3><div>GPX7 knockdown inhibits osteosarcoma cell growth, invasion, and migration while facilitating oxidative stress and ferroptosis.</div></div>","PeriodicalId":48806,"journal":{"name":"Journal of Bone Oncology","volume":"53 ","pages":"Article 100692"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of aromatase inhibitor-associated bone loss (AIBL) in women with hormone-sensitive breast cancer: An updated joint position statement of the IOF, CABS, ECTS, IEG, ESCEO, IMS, and SIOG 激素敏感性乳腺癌女性芳香化酶抑制剂相关性骨质流失(AIBL)的管理:IOF、CABS、ECTS、IEG、ESCEO、IMS和SIOG的最新联合立场声明
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-11 DOI: 10.1016/j.jbo.2025.100694
Peyman Hadji , Matty Aapro , Nasser Al-Dagri , Majed Alokail , Emmanuel Biver , Jean-Jacques Body , Maria Luisa Brandi , Janet Brown , Cyrille Confavreux , Bernard Cortet , Matthew Drake , Peter Ebeling , Erik Fink Eriksen , Ghada El-Hajj Fuleihan , Theresa A. Guise , Nick C. Harvey , Andreas Kurth , Bente Langdahl , Willem Lems , Radmila Matijevic , Robert Coleman

Background

Women with hormone-responsive breast cancer who receive adjuvant endocrine treatment with aromatase inhibitors (AI) are known to be at higher fracture risk due to a marked increase in bone resorption. In 2017, several interdisciplinary cancer and bone societies involved in the management of women with AI-associated bone loss (AIBL) published a joint position statement comprising evidence-based recommendations and a practical management algorithm for the assessment of fracture risk and optimal treatment of this patient population.

Patients and methods

In order to provide updated recommendations that reflect recent advances in the assessment and management of AIBL since publication of the 2017 joint position statement, a systematic literature review was undertaken to identify relevant studies for analysis, including systematic reviews and meta-analyses. Individual trials identified were assessed for their level of evidence based on design, size, follow-up, and evaluation of safety, as well as the impact of bone directed treatments on breast cancer outcomes.

Results

New evidence was combined with the existing recommendations to provide an updated joint position statement regarding fracture risk assessment and implementation of bone-directed therapy.

Conclusion

Current published literature, including recent clinical trial reports, systematic reviews and meta-analyses, continue to affirm the high risk of fractures in women with breast cancer who are receiving adjuvant AI treatment, a risk which has been observed to increase with the commonly used approach of extended duration AI therapy (>5 years). Risk factors for fracture and risk assessment in this patient population as well as the most suitable treatment modalities have been updated. Finally, the influence of bone protective treatments on breast cancer outcomes such as incidence of bone metastasis and breast cancer related overall survival have been included.
研究背景:患有激素反应性乳腺癌的女性接受芳香酶抑制剂(AI)辅助内分泌治疗后,由于骨吸收显著增加,骨折风险更高。2017年,参与人工智能相关性骨质流失(AIBL)女性管理的几个跨学科癌症和骨骼学会发表了一份联合立场声明,其中包括基于证据的建议和实用的管理算法,用于评估该患者群体的骨折风险和最佳治疗。自2017年联合立场声明发布以来,为了提供反映AIBL评估和管理最新进展的最新建议,我们进行了系统的文献综述,以确定相关研究进行分析,包括系统综述和荟萃分析。根据设计、规模、随访、安全性评估以及骨导向治疗对乳腺癌预后的影响,对已确定的单个试验的证据水平进行了评估。结果新的证据与现有的建议相结合,为骨折风险评估和骨导向治疗的实施提供了一个更新的关节位置声明。目前已发表的文献,包括近期的临床试验报告、系统综述和荟萃分析,都继续证实接受辅助人工智能治疗的乳腺癌女性骨折风险较高,并且随着常用的人工智能治疗时间延长(5年),骨折风险增加。骨折的危险因素和该患者人群的风险评估以及最合适的治疗方式已经更新。最后,骨保护治疗对乳腺癌预后的影响,如骨转移发生率和乳腺癌相关总生存期。
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引用次数: 0
COPB2 as a key regulator of cell growth in human osteosarcoma cells: Potential therapeutic target and prognostic indicator COPB2作为人骨肉瘤细胞生长的关键调节因子:潜在的治疗靶点和预后指标
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-07-12 DOI: 10.1016/j.jbo.2025.100702
Yunpeng Cui , Xuedong Shi , Qiwei Wang , Wence Wu , Yuanxing Pan , Bing Wang , Mingxing Lei

Purpose

Coatomer protein complex subunit beta 2 (COPB2) is a crucial component of the coatomer protein complex I, responsible for vesicle transport. Previous studies have indicated that COPB2 is highly expressed in malignant tumors and is involved in cell proliferation and apoptosis. However, the role of COPB2 in osteosarcoma and its underlying mechanisms remain unclear. This study aimed to investigate the impact of COPB2 on proliferation, apoptosis, and colony formation in human osteosarcoma cells, as well as to explore potential mechanisms.

Methods

Kaplan-Meier survival analysis was conducted to assess the association between COPB2 expression and the prognosis of osteosarcoma patients using data extracted from the Cancer Genome Atlas (TCGA) database. Additionally, COPB2 expression was examined in osteosarcoma tissue samples and four osteosarcoma cell lines using immunohistochemistry and quantitative real-time PCR (qRT-PCR). COPB2 expression was downregulated using siRNA in U2OS and SAOS-2 human osteosarcoma cells. Cell proliferation and colony formation were assessed using Cellomics/Celigo and Giemsa staining, respectively. Flow cytometry was used to evaluate cell cycle distribution and apoptosis. Tumor growth was evaluated in vivo model. Furthermore, the regulation mechanism of COPB2 on osteosarcoma cells was investigated using the Human Phospho-Kinase Array Kit.

Results

Patients with high COPB2 expression exhibited shorter overall survival and disease-free survival compared to those with low COPB2 expression. COPB2 was found to be highly expressed in osteosarcoma tissue samples and cell lines. Silencing of COPB2 significantly inhibited cell proliferation and colony formation. Additionally, COPB2 silencing altered the cell cycle distribution, leading to cell cycle arrest in the G2 phase, and promoted cell apoptosis in osteosarcoma cells. Further investigations revealed that COPB2 silencing inhibited tumor growth and lung metastases of osteosarcoma cells in vivo, and its effects on cell proliferation and apoptosis may be mediated through the regulation of kinase phosphorylation levels.

Conclusions

COPB2 expression is increased in osteosarcoma cells and plays a crucial role in cell growth regulation. Silencing of COPB2 inhibits cell proliferation, colony formation, and promotes cell apoptosis. Furthermore, COPB2 silencing inhibits tumor growth in vivo, suggesting its potential as an important therapeutic target in treating osteosarcoma.
cocoatomer protein complex subunit beta 2 (COPB2)是cocoatomer protein complex I的重要组成部分,负责囊泡运输。既往研究表明,COPB2在恶性肿瘤中高表达,参与细胞增殖和凋亡。然而,COPB2在骨肉瘤中的作用及其潜在机制尚不清楚。本研究旨在探讨COPB2对人骨肉瘤细胞增殖、凋亡和集落形成的影响,并探讨其可能的机制。方法利用癌症基因组图谱(TCGA)数据库的数据进行kaplan - meier生存分析,评估COPB2表达与骨肉瘤患者预后的关系。此外,利用免疫组织化学和定量实时PCR (qRT-PCR)检测COPB2在骨肉瘤组织样本和四种骨肉瘤细胞系中的表达。在U2OS和SAOS-2人骨肉瘤细胞中,利用siRNA下调COPB2的表达。细胞组学/Celigo和Giemsa染色分别评估细胞增殖和集落形成。流式细胞术检测细胞周期分布及凋亡情况。在体内模型中评估肿瘤生长情况。此外,利用Human Phospho-Kinase Array Kit研究COPB2对骨肉瘤细胞的调控机制。结果COPB2高表达患者的总生存期和无病生存期均短于COPB2低表达患者。发现COPB2在骨肉瘤组织样本和细胞系中高度表达。沉默COPB2可显著抑制细胞增殖和集落形成。此外,COPB2沉默改变了细胞周期分布,导致细胞周期阻滞在G2期,促进骨肉瘤细胞凋亡。进一步研究发现,COPB2沉默在体内抑制骨肉瘤细胞的肿瘤生长和肺转移,其对细胞增殖和凋亡的影响可能是通过调节激酶磷酸化水平介导的。结论scopb2在骨肉瘤细胞中表达升高,在骨肉瘤细胞生长调控中起重要作用。沉默COPB2可抑制细胞增殖、集落形成并促进细胞凋亡。此外,COPB2沉默在体内抑制肿瘤生长,这表明它有可能成为治疗骨肉瘤的重要治疗靶点。
{"title":"COPB2 as a key regulator of cell growth in human osteosarcoma cells: Potential therapeutic target and prognostic indicator","authors":"Yunpeng Cui ,&nbsp;Xuedong Shi ,&nbsp;Qiwei Wang ,&nbsp;Wence Wu ,&nbsp;Yuanxing Pan ,&nbsp;Bing Wang ,&nbsp;Mingxing Lei","doi":"10.1016/j.jbo.2025.100702","DOIUrl":"10.1016/j.jbo.2025.100702","url":null,"abstract":"<div><h3>Purpose</h3><div>Coatomer protein complex subunit beta 2 (COPB2) is a crucial component of the coatomer protein complex I, responsible for vesicle transport. Previous studies have indicated that COPB2 is highly expressed in malignant tumors and is involved in cell proliferation and apoptosis. However, the role of COPB2 in osteosarcoma and its underlying mechanisms remain unclear. This study aimed to investigate the impact of COPB2 on proliferation, apoptosis, and colony formation in human osteosarcoma cells, as well as to explore potential mechanisms.</div></div><div><h3>Methods</h3><div>Kaplan-Meier survival analysis was conducted to assess the association between COPB2 expression and the prognosis of osteosarcoma patients using data extracted from the Cancer Genome Atlas (TCGA) database. Additionally, COPB2 expression was examined in osteosarcoma tissue samples and four osteosarcoma cell lines using immunohistochemistry and quantitative real-time PCR (qRT-PCR). COPB2 expression was downregulated using siRNA in U2OS and SAOS-2 human osteosarcoma cells. Cell proliferation and colony formation were assessed using Cellomics/Celigo and Giemsa staining, respectively. Flow cytometry was used to evaluate cell cycle distribution and apoptosis. Tumor growth was evaluated in vivo model. Furthermore, the regulation mechanism of COPB2 on osteosarcoma cells was investigated using the Human Phospho-Kinase Array Kit.</div></div><div><h3>Results</h3><div>Patients with high COPB2 expression exhibited shorter overall survival and disease-free survival compared to those with low COPB2 expression. COPB2 was found to be highly expressed in osteosarcoma tissue samples and cell lines. Silencing of COPB2 significantly inhibited cell proliferation and colony formation. Additionally, COPB2 silencing altered the cell cycle distribution, leading to cell cycle arrest in the G2 phase, and promoted cell apoptosis in osteosarcoma cells. Further investigations revealed that COPB2 silencing inhibited tumor growth and lung metastases of osteosarcoma cells in vivo, and its effects on cell proliferation and apoptosis may be mediated through the regulation of kinase phosphorylation levels.</div></div><div><h3>Conclusions</h3><div>COPB2 expression is increased in osteosarcoma cells and plays a crucial role in cell growth regulation. Silencing of COPB2 inhibits cell proliferation, colony formation, and promotes cell apoptosis. Furthermore, COPB2 silencing inhibits tumor growth in vivo, suggesting its potential as an important therapeutic target in treating osteosarcoma.</div></div>","PeriodicalId":48806,"journal":{"name":"Journal of Bone Oncology","volume":"53 ","pages":"Article 100702"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Yin Yang 1 protein-activated N-acetyltransferase 10 drives cell malignant progression of osteosarcoma through ac4C acetylation of integrin β3 阴阳1蛋白激活的n-乙酰转移酶10通过整合素β3的ac4C乙酰化驱动骨肉瘤细胞恶性进展
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-07-12 DOI: 10.1016/j.jbo.2025.100701
Fan Yang, Mao Wang

Background

N-acetyltransferase 10 (NAT10) acts as the “writer” of N4-acetylcytidine (ac4C) modification in tumor progression, including osteosarcoma (OS). Its molecular mechanism in OS remains not fully clear. This study endeavored to disclose the upstream and downstream mechanism of NAT10 related to Yin Yang 1 protein (YY1) and integrin β3 (ITGB3) in OS.

Methods

Gene mRNA and protein levels were assayed via real-time quantitative PCR and Western blotting. Cell counting kit-8, EdU assay, flow cytometry/TUNEL staining assay, transwell assay, and scratch assay were conducted to assess cell viability, proliferation, apoptosis, invasion, and migration. Interaction analysis was completed through ac4C RNA immunoprecipitation (ac4c RIP), RIP, chromatin IP and dual-luciferase reporter assay. In vivo assay was carried out using xenograft models in mice.

Results

OS tissues and cells showed the high expression of NAT10. Cell proliferation, invasion, and migration were suppressed but apoptosis was enhanced in NAT10-silenced OS cells. GSE237541 dataset has predicted the inhibition of ITGB3 after NAT10 knockdown, and PACES website predicted ac4C site in ITGB3. Furthermore, it was found that NAT10 could up-regulate ITGB3 expression by mediating ac4C acetylation. ITGB3 overexpression recused OS cell progression inhibition caused by NAT10 knockdown. Jaspar predicted the binding between YY1 and NAT10 promoter. YY1 could activate the transcriptional regulation of NAT10 to increase NAT10 expression, and YY1 depletion blocked cell malignant behaviors via reducing NAT10 expression. More importantly, YY1 interacted with NAT10 to up-regulate ITGB3 expression. In vivo, NAT10/ITGB3 axis also promoted OS tumor growth in mice.

Conclusion

YY1 was firstly affirmed to regulate transcription of NAT10, and NAT10 was firstly indicated to mediate ac4C modification of ITGB3. YY1-activated NAT10 could affect ITGB3 and then modulated the malignant development of OS.
n -乙酰基转移酶10 (NAT10)在包括骨肉瘤(OS)在内的肿瘤进展中起着n4 -乙酰胞苷(ac4C)修饰的“作者”作用。其在OS中的分子机制尚不完全清楚。本研究旨在揭示在OS中与阴阳1蛋白(YY1)和整合素β3 (ITGB3)相关的NAT10的上下游机制。方法采用实时定量PCR和Western blotting检测各组小鼠基因mRNA和蛋白表达水平。采用细胞计数试剂盒-8、EdU法、流式细胞术/TUNEL染色法、transwell法和划痕法评估细胞活力、增殖、凋亡、侵袭和迁移。通过ac4C RNA免疫沉淀(ac4C RIP)、RIP、染色质IP和双荧光素酶报告基因测定完成相互作用分析。采用小鼠异种移植物模型进行体内实验。结果6个组织和细胞均高表达NAT10。在nat10沉默的OS细胞中,细胞增殖、侵袭和迁移受到抑制,但细胞凋亡增强。GSE237541数据集预测了NAT10敲低后ITGB3的抑制作用,PACES网站预测了ITGB3中的ac4C位点。进一步发现NAT10可以通过介导ac4C乙酰化上调ITGB3的表达。ITGB3过表达可避免NAT10敲低引起的OS细胞进展抑制。Jaspar预测了YY1与NAT10启动子之间的结合。YY1可以激活NAT10的转录调控,增加NAT10的表达,YY1缺失通过降低NAT10的表达来阻断细胞的恶性行为。更重要的是,YY1与NAT10相互作用,上调ITGB3的表达。在体内,NAT10/ITGB3轴也促进了小鼠OS肿瘤的生长。结论yy1首次被证实调控NAT10的转录,NAT10首次被证实介导ITGB3的ac4C修饰。yy1激活的NAT10可影响ITGB3,进而调控OS的恶性发展。
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引用次数: 0
Effectiveness of rehabilitation treatment for bone metastasis patients without surgical intervention: A propensity score matching analysis 骨转移患者无手术干预的康复治疗效果:倾向评分匹配分析
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-07-19 DOI: 10.1016/j.jbo.2025.100703
Ryo Yoshikawa , Yasumitsu Fujii , Ryoga Kashima , Wataru Saho , Risa Harada , Daisuke Makiura , Katsuya Fujiwara , Junichiro Inoue , Yoshiki Takeoka , Ryoko Sawada , Naomasa Fukase , Keisuke Oe , Hitomi Hara , Kenichiro Kakutani , Toshihiro Akisue , Yoshitada Sakai
Evidence regarding the effectiveness of rehabilitation treatments in patients with bone metastases remains limited. This study evaluated the implementation and effectiveness of rehabilitation in patients with bone metastases who did not undergo surgery. This retrospective study included 200 patients with nonsurgically treated bone metastases at our institution. The patients were categorized into a rehabilitation group (R group, n = 61) and a non-rehabilitation group (N group, n = 139). Over the course of one month, we compared activities of daily living (ADL), assessed using the Barthel Index (BI), quality of life (QOL), measured using the EuroQoL-5 Dimension (EQ-5D), and demographic and clinical characteristics. Propensity score matching was conducted to minimize selection bias. After matching, 31 patients in each group were included in the analysis. No statistically significant differences were observed in baseline BI and EQ-5D scores between the two groups. In the R group, BI improved significantly from 80 (interquartile range [IQR]: 60–100) to 90 (IQR: 70–100), and EQ-5D improved from 0.444 (IQR: 0.282–0.608) to 0.608 (IQR: 0.533–0.768). In contrast, no improvements were observed in either score in the N group. Chemotherapy was identified as a significant factor associated with improvements in BI (odds ratio 4.03) and EQ-5D (odds ratio 5.29). Rehabilitation may be a valuable treatment option for nonsurgically treated patients with bone metastases, warranting further validation in prospective studies.
关于骨转移患者康复治疗有效性的证据仍然有限。本研究评估了未接受手术的骨转移患者康复治疗的实施和效果。本回顾性研究纳入我院200例非手术治疗的骨转移患者。将患者分为康复组(R组,n = 61)和非康复组(n组,n = 139)。在一个月的过程中,我们比较了日常生活活动(ADL),使用Barthel指数(BI)评估,生活质量(QOL),使用EuroQoL-5维度(EQ-5D)测量,以及人口统计学和临床特征。进行倾向评分匹配以尽量减少选择偏差。匹配后,每组31例纳入分析。两组基线BI和EQ-5D评分无统计学差异。在R组,BI从80(四分位间距[IQR]: 60-100)显著改善到90 (IQR: 70-100), EQ-5D从0.444 (IQR: 0.282-0.608)改善到0.608 (IQR: 0.533-0.768)。相比之下,N组的两项评分均未见改善。化疗被认为是与BI(优势比4.03)和EQ-5D(优势比5.29)改善相关的重要因素。康复治疗对于非手术治疗的骨转移患者可能是一种有价值的治疗选择,需要在前瞻性研究中进一步验证。
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引用次数: 0
Exploring bone-tumor interactions through 3D in vitro models: Implications for primary and metastatic cancers 通过体外3D模型探索骨肿瘤相互作用:对原发性和转移性癌症的影响
IF 3.4 2区 医学 Q2 Medicine Pub Date : 2025-08-01 Epub Date: 2025-06-17 DOI: 10.1016/j.jbo.2025.100698
Nicolas Cristini , Mohamadreza Tavakoli , Mehdi Sanati , Saber Amin Yavari
Bone tissue serves as a perfect hosting site where metastatic cancer cells of the most prevalent cancer types, such as prostate and breast cancers, as well as the native bone sarcomas, can further proliferate, advancing the disease stage with the consequential decline of the patient’s prognosis. Understanding how the bone niche interacts with tumor cells and the mechanisms leading to drug resistance is a crucial step for enabling the identification of effective cancer therapies. Nevertheless, bone tumor research and the development of new effective anticancer drugs have been hampered for a long time due to the limitations of preclinical models. Traditional 2D cultures and animal models have failed to accurately replicate the human bone cancer microenvironment, driving researchers to develop 3D in vitro bone models using tissue-engineered bone constructs and advanced technologies like microfluidics and additive manufacturing. While a complete reproduction of the bone tumor microenvironment (TME), including all relevant cell types, stromal elements, and biophysical cues, remains elusive, targeted inclusion of key components has advanced the physiological relevance of these models. The following review evaluates the biomimetic approaches that have been used to recapitulate the bone TME through 3D in vitro models, with particular attention to recent studies aimed at more accurately mimicking the complexity of bone TME, highlighting future directions and the advancements required to overcome present limitations.
骨组织是最常见的癌症类型(如前列腺癌和乳腺癌)的转移性癌细胞以及天然骨肉瘤的完美宿主,可以进一步增殖,推进疾病阶段,从而导致患者预后下降。了解骨生态位如何与肿瘤细胞相互作用以及导致耐药性的机制是确定有效癌症治疗方法的关键一步。然而,由于临床前模型的限制,骨肿瘤的研究和新的有效抗癌药物的开发长期受到阻碍。传统的2D培养和动物模型无法准确地复制人类骨癌微环境,这促使研究人员使用组织工程骨结构和微流体和增材制造等先进技术开发3D体外骨模型。尽管包括所有相关细胞类型、基质成分和生物物理线索在内的骨肿瘤微环境(TME)的完整再现仍然难以捉摸,但有针对性地包含关键成分已经提高了这些模型的生理相关性。以下综述评估了通过体外3D模型再现骨TME的仿生方法,特别关注最近旨在更准确地模拟骨TME复杂性的研究,强调了未来的方向和克服当前局限性所需的进步。
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引用次数: 0
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Journal of Bone Oncology
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