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Endocrine Research Unit, Department of Internal Medicine and the Department of Biochemistry and Molecular Biology, Mayo Clinic and Mayo Foundation, Rochester Minnesota 55905
Address all correspondence and requests for reprints to: Lorraine A. Fitzpatrick, M.D., 5164 West Joseph, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905.
The extensive mortality and morbidity associated with prostate cancer
is caused by the high prevalence of metastatic disease at the time of
diagnosis. The area most frequently involved in metastatic prostate
cancer is the skeleton. Unlike other cancers, which metastasize to bone
and destroy the bone matrix, prostate cancer is unique in that it is
osteogenic, resulting in the formation of dense, sclerotic bone with
high levels of osteoblastic activity. We proposed that factors produced
by bone cells may be responsible for the development of prostate
carcinoma metastasis. We studied the effects of these growth factors on
prostate cell proliferation by [3H]thymidine
incorporation and chemotaxis by the double-filter chamber method. Three
prostate carcinoma cell lines were studied, LNCaP (androgen responsive)
and PC-3 and DU-145 (androgen unresponsive). The bone-associated growth
factors tested were: insulin-like growth factors I and II (IGF-I,
IGF-II), transforming growth factor ß, interleukin (IL)-1ß, IL-6,
and tumor necrosis factor
(TNF-
). IGF-I and IGF-II significantly
increased proliferation in all three cell lines, whereas IL-6, TNF-
,
and IL-1ß significantly decreased proliferation. Transforming growth
factor ß induced a biphasic response in proliferation in DU-145 and
PC-3 cells and produced no response on LNCaP cells. Increased cell
chemotaxis occurred in the presence of IGF-I and IGF-II, and decreased
cell chemotaxis occurred with the addition of TNF-
and IL-1ß.
These data indicate that growth factors produced by bone cells alter
prostate carcinoma cell proliferation and chemotaxis and suggest that
modulations of the production of these factors may be a potential
therapeutic intervention in deterring the metastasis of prostate
carcinoma to bone.
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