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Blood, 1 October 2005, Vol. 106, No. 7, pp. 2472-2483.
Prepublished online as a Blood First Edition Paper on June 2, 2005; DOI 10.1182/blood-2004-12-4986.


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Submitted January 4, 2005
Accepted May 23, 2005

Myeloma cells block RUNX2/CBFA1 activity in human bone marrow osteoblast progenitors and inhibit osteoblast formation and differentiation

Nicola Giuliani*, Simona Colla, Francesca Morandi, Mirca Lazzaretti, Roberto Sala, Sabrina Bonomini, Maria Grano, Silvia Colucci, Mirija Svaldi, and Vittorio Rizzoli

Laboratory of Hematology, Chair of Hematology and BMT Center, Department of Internal Medicine and Biomedical Science, University of Parma, Parma, Italy
Pathology, University of Parma, Parma, Italy
Department of Experimental Medicine, University of Parma, Parma, Italy
Department of Human Anatomy and Histology, University of Bari, Bari, Italy
Ematologia, Bolzano, Italy

* Corresponding author; email: n_giuliani{at}yahoo.com.

The decreased bone formation contributes to the development of bone lesions in multiple myeloma (MM) patients. In this study we have investigated the effects of myeloma cells on the osteoblast formation and differentiation and the potential role of the critical osteoblast transcription factor Runx2/Cbfa1 in the inhibition of osteoblastogenesis in MM. We found that human myeloma cells suppress the formation of human osteoblast progenitors in bone marrow (BM) cultures. Moreover an inhibitory effect on osteocalcin, alkaline phosphatase and collagen I mRNA and protein expression and on Runx2/Cbfa1 activity by human pre-osteoblastic cells was observed in co-cultures with myeloma cells. The inhibitory effect was more pronounced in the cell-to-cell contact conditions as compared to those without the contact and involved VLA-4 integrin system. Among the soluble osteoblast inhibitors screened we show the potential contribute of IL-7 in the inhibitory effect on osteoblast formation and Runx2/Cbfa1 activity by human myeloma cells in co-culture. Finally, our in vitro results were supported in vivo by the finding of a significant reduction in the number of Runx2/Cbfa1 positive cells in the BM biopsies of MM patients with osteolytic lesions as compared to those without bone lesions suggesting the critical involvement of Runx2/Cbfa1 in the decreased bone formation in MM.


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