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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1303-1309.
Prepublished online as a Blood First Edition Paper on October 7, 2004; DOI 10.1182/blood-2004-06-2141.
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Submitted June 8, 2004
Accepted September 23, 2004
Heparanase promotes the spontaneous metastasis of myeloma cells to bone
Yang Yang, Veronica MacLeod, Manali Bendre, Yan Huang, Allison M Theus, Hua-Quan Miao, Paul Kussie, Shmuel Yaccoby, Joshua Epstein, Larry J Suva, Thomas Kelly, and Ralph D Sanderson*
Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Center for Orthopaedic Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
ImClone Systems Incorporated, New York, New York, USA
Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Center for Orthopaedic Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
* Corresponding author; email: RDSanderson{at}uams.edu.
Although widespread skeletal dissemination is a critical step in the progression of myeloma, little is known regarding mechanisms that control metastasis of this cancer. Heparanase-1 (heparanase), an enzyme that cleaves heparan sulfate chains, is expressed at high levels in some myeloma patients, and promotes metastasis of some tumor types (e.g., breast, lymphoma). Using a SCID mouse model, we demonstrate that enhanced expression of heparanase by myeloma cells dramatically upregulates their spontaneous metastasis to bone. This occurs from primary tumors growing subcutaneously and also from primary tumors established in bone. Interestingly, tumors formed by subcutaneous injection of cells metastasize not only to bone, but to other sites including spleen, liver and lung. In contrast, tumors formed by injection of cells directly into bone exhibit a restricted pattern of metastasis that includes dissemination of tumor to other bones but not to extramedullary sites. In addition, expression of heparanase by myeloma cells: (i) accelerates the initial growth of the primary tumor, (ii) increases whole body tumor burden as compared to controls and (iii) enhances both the number and size of microvessels within the primary tumor. These studies describe a novel experimental animal model for examining the spontaneous metastasis of bone-homing tumors and indicate that heparanase is a critical determinant of myeloma dissemination and growth in vivo.

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