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Prepublished online as a Blood First Edition Paper on August 8, 2002; DOI 10.1182/blood-2002-04-1121.

Submitted April 19, 2002
Accepted July 22, 2002
Human myeloma cells stimulate the receptor activator of NF-KB ligand (RANKL) in T lymphocytes: a potential role in multiple myeloma bone disease
Nicola Giuliani*, Simona Colla, Roberto Sala, Matteo Moroni, Mirca Lazzaretti, Silvia La Monica, Sabrina Bonomini, Magda Hojden, Gabriella Sammarelli, Sophie Barille, Regis Bataille, and Vittorio Rizzoli
Department of Internal Medicine and Biomedical Science, University of Parma, Parma, Italy
Department of Experimental Medicine, University of Parma, Parma, Italy
Department of Pathology and Laboratory Medicine, University of Parma, Parma, Italy
Institut de Biologie, INSERM Unite 463, Nantes, France
* Corresponding author; email: n_giuliani{at}yahoo.com.
The biological mechanisms involved in the pathogenesis of multiple myeloma (MM) bone disease are not completely understood. Recent evidence suggests that T cells may regulate bone resorption through the cross-talk between the critical osteoclastogenetic factor RANKL and IFN- that strongly suppresses osteoclastogenesis. Using a co-culture transwell system we found that human myeloma cell lines (HMCL) increased the expression and secretion of RANKL in activated T lymphocytes and similarly purified MM cells stimulated RANKL production in autologous T lymphocytes. In addition, either anti IL-6 or anti IL-7 antibody inhibited HMCL-induced RANKL over-expression. Consistently, we demonstrated that HMCL and fresh MM cells express IL-7 mRNA and secrete IL-7 in presence of IL-6 and that bone marrow (BM) IL-7 levels were significantly higher in MM patients. Moreover we found that the release of IFN- by T lymphocytes was reduced in presence of both HMCL and purified MM cells. Furthermore, in a stromal cells free system, osteoclastogenesis was stimulated by conditioned medium of T cells co-cultured with HMCL and inhibited by recombinant human osteoprotegerin (OPG) (100ng/ml-1µg/ml). Finally, RANKL mRNA was up-regulated in BM T lymphocytes of MM patients with severe osteolytic lesions suggesting that T cells could be involved at least in part in MM-induced osteolysis through the RANKL over-expression.

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