Bone marrow niches in the regulation of bone metastasis

Br J Cancer. 2021 Jun;124(12):1912-1920. doi: 10.1038/s41416-021-01329-6. Epub 2021 Mar 23.

Abstract

The bone marrow has been widely recognised to host a unique microenvironment that facilitates tumour colonisation. Bone metastasis frequently occurs in the late stages of malignant diseases such as breast, prostate and lung cancers. The biology of bone metastasis is determined by tumour-cell-intrinsic traits as well as their interaction with the microenvironment. The bone marrow is a dynamic organ in which various stages of haematopoiesis, osteogenesis, osteolysis and different kinds of immune response are precisely regulated. These different cellular components constitute specialised tissue microenvironments-niches-that play critical roles in controlling tumour cell colonisation, including initial seeding, dormancy and outgrowth. In this review, we will dissect the dynamic nature of the interactions between tumour cells and bone niches. By targeting certain steps of tumour progression and crosstalk with the bone niches, the development of potential therapeutic approaches for the clinical treatment of bone metastasis might be feasible.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Bone Marrow / pathology*
  • Bone Neoplasms / pathology
  • Bone Neoplasms / secondary*
  • Breast Neoplasms / pathology
  • Female
  • Humans
  • Lung Neoplasms / pathology
  • Male
  • Neoplastic Stem Cells / physiology*
  • Osteogenesis / physiology
  • Prostatic Neoplasms / pathology
  • Stem Cell Niche / physiology*
  • Tumor Microenvironment / physiology