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The Proteasome Inhibitor Carfilzomib Suppresses Parathyroid Hormone-induced Osteoclastogenesis through a RANKL-mediated Signaling Pathway
Open accessAbstract
Parathyroid hormone (PTH) induces osteoclast formation and activity by increasing the ratio of RANKL/OPG in osteoblasts. The proteasome inhibitor carfilzomib (CFZ) has been used as an effective therapy for multiple myeloma via the inhibition of pathologic bone destruction. However, the effect of combination of PTH and CFZ on osteoclastogenesis is unknown. We now report that CFZ inhibits PTH-induced RANKL expression and secretion without affecting PTH inhibition of OPG expression, and it does so by blocking HDAC4 proteasomal degradation in osteoblasts. Furthermore, we used different types of culture systems, including co-culture, indirect co-culture, and transactivation, to assess the effect of CFZ on PTH action to induce osteoclastogenesis. Our results demonstrated that CFZ blocks PTH-induced osteoclast formation and bone resorption by its additional effect to inhibit RANKL-mediated IκB degradation and NF-κB activation in osteoclasts. This study showed for the first time that CFZ targets both osteoblasts and osteoclasts to suppress PTH-induced osteoclast differentiation and bone resorption. These findings warrant further investigation of this novel combination in animal models of osteoporosis and in patients.
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Carfilzomib activates NF-κB, which mediates TNF-α-induced tumor initiation and promotion.
“Carfilzomib (CFZ), the second FDA-approved proteasome inhibitor for MM treatment, activates NF-κB, which mediates TNF-α-induced tumor initiation and promotion [151].”
From Multiple myeloma: signaling pathways and targeted therapy (2024) · cites this paper as [151]
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Multiple myeloma: signaling pathways and targeted therapy
Lu, Q., Yang, D., Li, H., Niu, T., & Tong, A. (2024) · Molecular biomedicine · doi:10.1186/s43556-024-00188-w · Cited by 90
Metadata
- Authors
- Yang, Y., Blair, H. C., Shapiro, I. M., & Wang, B.
- Affiliations
- Center for Translational Medicine (PL)
- University of Pittsburgh (US)
- Thomas Jefferson University (US)
- Corresponding author
- Wang, Bin
- Venue
- Journal of Biological Chemistry
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 290
- Issue
- 27
- Pages
- 16918-16928
- ISSN
- 0021-9258 (ISSN-L)
- PMC
- PMC4505437
- OpenAlex
- W285492224
- Cited by
- 25
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2021: 3 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 7 · 2015: 1
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Biological Chemistry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AR062705, AR063289)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Keywords
- carfilzomib, parathyroid hormone, osteoclastogenesis, RANKL, osteoprotegerin, proteasome inhibition, HDAC4, osteoblasts, osteoclasts, bone resorption, NF-κB activation, IκB degradation, osteoporosis
- MeSH terms
- Animals, Bone Resorption, Cell Differentiation, Cells, Cultured, Humans, Mice, Inbred C57BL, Oligopeptides, Osteoblasts, Osteoclasts, Parathyroid Hormone, Signal Transduction, NF-kappa B, Mice, Osteoprotegerin, RANK Ligand, Receptor Activator of Nuclear Factor-kappa B, Proteasome Inhibitors
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