seminario 4: Three-dimensional in vitro modeling of malignant bone disease recapitulates experimentally accessible mechanisms of osteoinhibition (14/12/2018 - 14/12/2018)
Malignant bone disease (MBD) occurs when tumors establish in bone, causing catastrophic tissue damage as a result
of accelerated bone destruction and inhibition of repair. The resultant so-called osteolytic lesions (OL) take the form of
tumor-filled cavities in bone that cause pain, fractures, and associated morbidity. Furthermore, the OL
microenvironment can support survival of tumor cells and resistance to chemotherapy. Therefore, a deeper
understanding of OL formation and MBD progression is imperative for the development of future therapeutic
strategies. Herein, we describe a novel in vitro platform to study bone–tumor interactions based on three-dimensional
co-culture of osteogenically enhanced human mesenchymal stem cells (OEhMSCs) in a rotating wall vessel bioreactor
(RWV) while attached to micro-carrier beads coated with extracellular matrix (ECM) composed of factors found in
anabolic bone tissue. Osteoinhibition was recapitulated in this model by co-culturing the OEhMSCs with a
bone–tumor cell line (MOSJ-Dkk1) that secretes the canonical Wnt (cWnt) inhibitor Dkk-1, a tumor-borne
osteoinhibitory factor widely associated with several forms of MBD, or intact tumor fragments from Dkk-1 positive
patient-derived xenografts (PDX). Using the model, we observed that depending on the conditions of growth, tumor
cells can biochemically inhibit osteogenesis by disrupting cWnt activity in OEhMSCs, while simultaneously coengrafting
with OEhMSCs, displacing them from the niche, perturbing their activity, and promoting cell death. In the
absence of detectable co-engraftment with OEhMSCs, Dkk-1 positive PDX fragments had the capacity to enhance
OEhMSC proliferation while inhibiting their osteogenic differentiation. The model described has the capacity to
provide new and quantifiable insights into the multiple pathological mechanisms of MBD that are not readily
measured using monolayer culture or animal models.