By Belinda S. Parker, Bedrich L. Eckhardt (auth.), Gurmit Singh, William Orr (eds.)
Patients with complex breast or prostate cancers often improve bone metastases. The primary issues as a result of metastatic bone illness are discomfort, spinal wire compression, pathologic fractures and bone marrow suppression. enhancing the administration of bone metastases is essential to caliber of lifestyles for sufferers with breast and prostate melanoma.
Advances in realizing of the molecular mechanisms underlying the pathophysiology of bone metastasis are riding the advance of latest healing concepts.
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Additional resources for Bone Metastasis and Molecular Mechanisms: Pathophysiology
Teste AM, Sharp JA, Dhanesuan N, Waltham M, Thompson EW. Correlation between extent of osteolytic damagc and metastatic burden of human breast cancer metastasis in nude mice: real-time PCR quantitation. Clin Exp Metastasis, 19: 377-383,2002. Yoneda T, Williams PJ, Hiraga T, Niewolna M, Nishimura RA bonc-seeking c10nc exhibits different biological properties from the MDA-MB-231 parental human breast cancer cells and a brain-seeking clone in vivo and in vitro. J Bone Miner Res, 16: 14861495,2001.
2004 Kluwer Academic Publishers. (1, 4, 5). In prostate cancer, the presence of tumor cells in the bone often changes osteoblastic activity, resulting in reduced formation of normal lamellar bone, increased formation of abnormal woven bone, and net bone overproduction (6). To some extent there is almost always bone formation on a microscopic level in osteolytic bone metastasis, even if it can not be detected by standard imaging modalities (1). There are quantitative differences in osteoclastic bone resorption between breast carcinoma and the other types of metastatic carcinoma, such as renal and sqamous cell carcinoma (7,8).
Nemeth et al. (27) described the scm (severe combined immunodeficient)-human model of prostate cancer metastasis, in which a variety of human and mouse organ environments were implanted into SCID mice to serve as a target for human prostate cancer cells. They found that a variety of human prostate cancer cell types preferred to form tumors in the human bone environment than in other human or mouse organ environments. They also demonstrated a bone response ranging from mostly osteolytic to mostly osteoblastic, depending on the type of prostate cancer cells introduced into the bone.