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@PHDTHESIS{Bergmann:59440,
      author       = {Bergmann, Markus},
      othercontributors = {Lorenzen, Johann},
      title        = {{O}steolyse beim {M}ultiplen {M}yelom : {U}ntersuchungen am
                      {Z}ellmodell},
      address      = {Aachen},
      publisher    = {Publikationsserver der RWTH Aachen University},
      reportid     = {RWTH-CONV-121225},
      pages        = {IX, 73 S. : Ill., graph. Darst.},
      year         = {2005},
      note         = {Aachen, Techn. Hochsch., Diss., 2005},
      abstract     = {Myeloma is characterized by bone disease leading to severe
                      bone pain and pathologic fractures. Only over the last few
                      years the biochemistry of osteolysis in multiple myeloma has
                      become clearer. A basic cytokine network responsible for
                      balancing ostgenesis and osteolysis has been described
                      consisting of a receptor called receptor activator of NF-?B
                      (RANK), its ligand (RANKL) and the soluble decoy receptor
                      osteoprotegerin (OPG). Binding of RANKL to RANK leads to
                      osteoclastogenesis and osteolysis whereas binding to OPG
                      inactivates RANKL. Myeloma cells seem to disturb bone marrow
                      microenvironment in a manner tipping the balance towards
                      osteolysis. On one hand syndecan 1 (SDC1), a transmembrane
                      heparan sulfate proteoglycan on myeloma cells, is able to
                      sequester OPG and to mediate internalization and degradation
                      of OPG in myeloma cells. On the other hand, myeloma cells
                      are thought to imbalance the OPG/RANKL system by influencing
                      bone marrow stromal cells, the major source of OPG and RANKL
                      in bone marrow microenvironment. This thesis presents a
                      sufficient procedure for investigating expression of OPG,
                      RANKL and SDC1 on the mRNA level based on semiquantitative
                      realtime RT-PCR. Using this method we show that treatment of
                      human foreskin fibroblasts with myeloma cell contitioned
                      media and fibroblast/myeloma cell coculture both lead to a
                      significant decrease in expression of OPG mRNA in
                      fibroblasts. These data indicate that myeloma cells
                      influence OPG expression in fibroblasts as a model for bone
                      marrow stromal cells and, thus, disrupt RANKL/OPG cytokine
                      axis to trigger bone destruction. In contrast to the
                      published literature, this happens through a soluble factor
                      as demonstrated by the conditioned media experiments.
                      Moreover fibroblasts and U-266 both are negative for RANKL
                      even if grown in coculture. The levels of SDC1 mRNA in
                      myeloma cell lines U-266 and IM-9 are not affected by
                      enhancing the autocrine IL-6 loop or by enhancing or
                      interrupting the autocrine IL-15 loop. Furthermore treatment
                      of U-266 with fibroblast conditioned media or myeloma
                      cell/fibroblast coculture does not alter expression of SDC1
                      mRNA significantly. A polarized expression of SDC1 protein
                      on U-266 cell surface can be confirmed by immune
                      fluorescence staining. Cytokine and contactmediated
                      interactions between myeloma cells and mesenchymal cells
                      shift the balance towards osteolysis within the
                      microenvironment of myeloma infiltrates. Disruption of the
                      OPG/RANKL cytokine axis seems to be of major importance.
                      Expression of SDC1 by myeloma cells is not affected by
                      mesenchymal cells and is independent of IL-6 or IL-15
                      autocrine loop.},
      cin          = {510000-1},
      ddc          = {610},
      cid          = {$I:(DE-82)510000-1_20140620$},
      typ          = {PUB:(DE-HGF)11},
      urn          = {urn:nbn:de:hbz:82-opus-11269},
      url          = {https://publications.rwth-aachen.de/record/59440},
}