RETRACTED ARTICLE: The hypoxic cancer secretome induces pre-metastatic bone lesions through lysyl oxidase
Open accessAbstract
Tumour metastasis is a complex process involving reciprocal interplay between cancer cells and host stroma at both primary and secondary sites, and is strongly influenced by microenvironmental factors such as hypoxia. Tumour-secreted proteins play a crucial role in these interactions and present strategic therapeutic potential. Metastasis of breast cancer to the bone affects approximately 85% of patients with advanced disease and renders them largely untreatable. Specifically, osteolytic bone lesions, where bone is destroyed, lead to debilitating skeletal complications and increased patient morbidity and mortality. The molecular interactions governing the early events of osteolytic lesion formation are currently unclear. Here we show hypoxia to be specifically associated with bone relapse in patients with oestrogen-receptor negative breast cancer. Global quantitative analysis of the hypoxic secretome identified lysyl oxidase (LOX) as significantly associated with bone-tropism and relapse. High expression of LOX in primary breast tumours or systemic delivery of LOX leads to osteolytic lesion formation whereas silencing or inhibition of LOX activity abrogates tumour-driven osteolytic lesion formation. We identify LOX as a novel regulator of NFATc1-driven osteoclastogenesis, independent of RANK ligand, which disrupts normal bone homeostasis leading to the formation of focal pre-metastatic lesions. We show that these lesions subsequently provide a platform for circulating tumour cells to colonize and form bone metastases. Our study identifies a novel mechanism of regulation of bone homeostasis and metastasis, opening up opportunities for novel therapeutic intervention with important clinical implications.
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High expression of LOX in primary tumors is associated with the formation of osteolytic bone lesions in mice.
“high expression of LOX in primary tumors was found to be associated with the formation of osteolytic bone lesions in mice”
From Hypoxic control of metastasis (2016) · cites this paper as [96]
LOX expression is clinically associated with estrogen receptor negative breast cancer metastasis to bone.
“Additionally, LOX expression is clinically associated with estrogen receptor negative (ER−) breast cancer metastasis to bone.”
From Hypoxic control of metastasis (2016) · cites this paper as [96]
Proteomic analysis of the hypoxic secretome in bone tropic MDA-231 human breast cancer cells compared to MDA-231 parental cells identified LOX as one of the most highly up-regulated secreted proteins in bone-tropic cells.
“Proteomic analysis of the hypoxic secretome in bone tropic MDA-231 human breast cancer cells compared to MDA-231 parental cells identified LOX as one of the most highly up-regulated secreted proteins in bone-tropic cells”
From Hypoxic control of metastasis (2016) · cites this paper as [96]
LOX regulates osteoclastogenesis.
“LOX regulates osteoclastogenesis”
From Hypoxic control of metastasis (2016) · cites this paper as [96]
In preclinical models, LOX expression in MDA-231 bone-tropic cells within the primary tumor is both necessary and sufficient to induce osteolytic bone lesions and cortical bone loss in immunocompromised mice even before the arrival of tumor cells.
“In preclinical models, LOX expression in MDA-231 bone-tropic cells within the primary tumor is both necessary and sufficient to induce osteolytic bone lesions and cortical bone loss in immunocompromised mice even before the arrival of tumor cells.”
From Hypoxic control of metastasis (2016) · cites this paper as [96]
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Self-citation
- Authors
- Cox, T. R., Rumney, R. M. H., Schoof, E. M., Perryman, L., Høye, A. M., Agrawal, A., Bird, D., Latif, N. A., Forrest, H., Evans, H. R., Huggins, I. D., Lang, G., Linding, R., Gartland, A., & Erler, J. T.
- Affiliations
- University of Copenhagen (DK)
- University of Sheffield (GB)
- Technical University of Denmark (DK)
- Institute of Cancer Research (GB)
- Corresponding author
- Gartland, Alison
- Erler, Janine T.
- ORCID
- Venue
- Nature
- Published
- 2015-05-27
- Volume
- 522
- Issue
- 7554
- Pages
- 106-110
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC4961239
- OpenAlex
- W1593145356
- Cited by
- 482
- References
- 34
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 15 · 2023: 27 · 2022: 38 · 2021: 54 · 2020: 64 · 2019: 62 · 2018: 57 · 2017: 59 · 2016: 61 · 2015: 29
- FWCI
- 29.99
- Type
- journal article
- Language
- en
- Status
- Retracted
- Update notices
- retraction (2023-04-17)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Cancer Research UK (A11355, C107/A10433)
- Novo Nordisk Fonden (NNF12OC1015992)
- Topics
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mechanisms of cancer metastasis
- Keywords
- lysyl oxidase, breast cancer bone metastasis, hypoxia, osteoclastogenesis, NFATc1, bone homeostasis, circulating tumor cells, estrogen receptor-negative breast cancer, metastasis biomarkers
- MeSH terms
- Animals, Bone Neoplasms, Breast Neoplasms, Cell Movement, Female, Humans, Protein-Lysine 6-Oxidase, Neoplastic Cells, Circulating, Neoplasm Metastasis, Osteoblasts, Osteoclasts, Receptors, Estrogen, Cell Hypoxia, Cell Line, Tumor, NFATC Transcription Factors, Mice
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