Skip to main content
Erschienen in: Medical Oncology 3/2008

01.09.2008 | Review

Bisphosphonate treatment and radiotherapy in metastatic breast cancer

verfasst von: A. Ugur Ural, Ferit Avcu, Yusuf Baran

Erschienen in: Medical Oncology | Ausgabe 3/2008

Einloggen, um Zugang zu erhalten

Abstract

Patients with advanced breast cancer frequently develop metastasis to bone. Bone metastasis results in intractable pain and high risk of pathologic fractures due to osteolysis. The treatment of breast cancer patients with bone metastases requires a multidisciplinary approach. Radiotherapy is an established treatment for metastatic bone pain. It may be delivered either as a localized low dose treatment for localized bone pain or systemically for more widespread symptoms. Bisphosphonates have been shown to reduce morbidity and bone pain from bone metastases when given to patients with metastatic bone disease. In vivo studies indicate that early bisphosphonates administration in combination with radiotherapy improves remineralization and restabilization of osteolytic bone metastases in animal tumor models. This review focused on a brief discussion about biology of bone metastases, the effects of radiotherapy and bisphosphonate therapy, and possible mechanisms of combination therapy in metastatic breast cancer patients.
Literatur
1.
Zurück zum Zitat Jemal A, et al. Cancer statistics, 2005. CA Cancer J Clin. 2005;55(1):10–30.PubMed Jemal A, et al. Cancer statistics, 2005. CA Cancer J Clin. 2005;55(1):10–30.PubMed
2.
Zurück zum Zitat Coleman RE. Metastatic bone disease: clinical features, pathophysiology and treatment strategies. Cancer Treat Rev. 2001;27(3):165–76.PubMedCrossRef Coleman RE. Metastatic bone disease: clinical features, pathophysiology and treatment strategies. Cancer Treat Rev. 2001;27(3):165–76.PubMedCrossRef
3.
Zurück zum Zitat Cicek M, Oursler MJ. Breast cancer bone metastasis and current small therapeutics. Cancer Metastasis Rev. 2006;25(4):635–44.PubMedCrossRef Cicek M, Oursler MJ. Breast cancer bone metastasis and current small therapeutics. Cancer Metastasis Rev. 2006;25(4):635–44.PubMedCrossRef
4.
Zurück zum Zitat Hsu H, et al. Tumour necrosis factor receptor family member RANK mediates osteoclast differentiation and activation induced by osteoprotegerin ligand. Proc Natl Acad Sci USA. 1999;96(7):3540–45.PubMedCrossRef Hsu H, et al. Tumour necrosis factor receptor family member RANK mediates osteoclast differentiation and activation induced by osteoprotegerin ligand. Proc Natl Acad Sci USA. 1999;96(7):3540–45.PubMedCrossRef
5.
Zurück zum Zitat Lacey DL, et al. Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell. 1998;93(2):165–76.PubMedCrossRef Lacey DL, et al. Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell. 1998;93(2):165–76.PubMedCrossRef
6.
Zurück zum Zitat Simonet WS, et al. Osteoprotegerin: a novel secreted protein involved in the regulation of bone density. Cell. 1997;89(2):309–19.PubMedCrossRef Simonet WS, et al. Osteoprotegerin: a novel secreted protein involved in the regulation of bone density. Cell. 1997;89(2):309–19.PubMedCrossRef
7.
Zurück zum Zitat Guise TA, et al. Parathyroid hormone-related protein (PTHrP)(1–139) isoform is efficiently secreted in vitro and enhances breast cancer metastasis to bone in vivo. Bone. 2002;30(5):670–6.PubMedCrossRef Guise TA, et al. Parathyroid hormone-related protein (PTHrP)(1–139) isoform is efficiently secreted in vitro and enhances breast cancer metastasis to bone in vivo. Bone. 2002;30(5):670–6.PubMedCrossRef
8.
Zurück zum Zitat Pederson L, et al. Identification of breast cancer cell line-derived paracrine factors that stimulate osteoclast activity. Cancer Res. 1999;59(22):5849–55.PubMed Pederson L, et al. Identification of breast cancer cell line-derived paracrine factors that stimulate osteoclast activity. Cancer Res. 1999;59(22):5849–55.PubMed
9.
Zurück zum Zitat Mercer RR, Miyasaka C, Mastro AM. Metastatic breast cancer cells suppress osteoblast adhesion and differentiation. Clin Exp Metastasis. 2004;21(5):427–35.PubMedCrossRef Mercer RR, Miyasaka C, Mastro AM. Metastatic breast cancer cells suppress osteoblast adhesion and differentiation. Clin Exp Metastasis. 2004;21(5):427–35.PubMedCrossRef
10.
Zurück zum Zitat Mastro AM, et al. Breast cancer cells induce osteoblast apoptosis: a possible contributor to bone degradation. J Cell Biochem. 2004;91(2):265–76.PubMedCrossRef Mastro AM, et al. Breast cancer cells induce osteoblast apoptosis: a possible contributor to bone degradation. J Cell Biochem. 2004;91(2):265–76.PubMedCrossRef
11.
Zurück zum Zitat Hoskin PJ. Bisphosphonates and radiation therapy for palliation of metastatic bone disease. Cancer Treat Rev. 2003;29(4):321–7.PubMedCrossRef Hoskin PJ. Bisphosphonates and radiation therapy for palliation of metastatic bone disease. Cancer Treat Rev. 2003;29(4):321–7.PubMedCrossRef
12.
Zurück zum Zitat Luini A, et al. The evolution of the conservative approach to breast cancer. Breast. 2007;16(2):120–9.PubMedCrossRef Luini A, et al. The evolution of the conservative approach to breast cancer. Breast. 2007;16(2):120–9.PubMedCrossRef
13.
Zurück zum Zitat Vukmirovic-Popovic S, et al. Morphological, histomorphometric, and microstructural alterations in human bone metastasis from breast carcinoma. Bone. 2002;31(4):529–35.PubMedCrossRef Vukmirovic-Popovic S, et al. Morphological, histomorphometric, and microstructural alterations in human bone metastasis from breast carcinoma. Bone. 2002;31(4):529–35.PubMedCrossRef
14.
Zurück zum Zitat Krempien R, et al. Combination of early bisphosphonate administration and irradiation leads to improved remineralization and restabilization of osteolytic bone metastases in an animal tumor model. Cancer. 2003;98(6):1318–24.PubMedCrossRef Krempien R, et al. Combination of early bisphosphonate administration and irradiation leads to improved remineralization and restabilization of osteolytic bone metastases in an animal tumor model. Cancer. 2003;98(6):1318–24.PubMedCrossRef
15.
Zurück zum Zitat Pandit-Taskar N, Batraki M, Divgi CR. Radiopharmaceutical therapy for palliation of bone pain from osseous metastases. J Nucl Med. 2004;45(8):1358–65.PubMed Pandit-Taskar N, Batraki M, Divgi CR. Radiopharmaceutical therapy for palliation of bone pain from osseous metastases. J Nucl Med. 2004;45(8):1358–65.PubMed
16.
Zurück zum Zitat Li L, Story M, Legerski RJ. Cellular responses to ionizing radiation damage. Int J Radiat Oncol Biol Phys. 2001;49(4):1157–62.PubMedCrossRef Li L, Story M, Legerski RJ. Cellular responses to ionizing radiation damage. Int J Radiat Oncol Biol Phys. 2001;49(4):1157–62.PubMedCrossRef
17.
Zurück zum Zitat Hoskin PJ, Ford HT, Harmer CL. Hemibody irradiation (HBI) for metastatic bone pain in two histologically distinct groups of patients. Clin Oncol (R Coll Radiol). 1989;1(2):67–9. Hoskin PJ, Ford HT, Harmer CL. Hemibody irradiation (HBI) for metastatic bone pain in two histologically distinct groups of patients. Clin Oncol (R Coll Radiol). 1989;1(2):67–9.
18.
Zurück zum Zitat Hoskin PJ, et al. A prospective randomised trial of 4 Gy or 8 Gy single doses in the treatment of metastatic bone pain. Radiother Oncol. 1992;23(2):74–8.PubMedCrossRef Hoskin PJ, et al. A prospective randomised trial of 4 Gy or 8 Gy single doses in the treatment of metastatic bone pain. Radiother Oncol. 1992;23(2):74–8.PubMedCrossRef
19.
Zurück zum Zitat Arcangeli G, et al. The responsiveness of bone metastases to radiotherapy: the effect of site, histology and radiation dose on pain relief. Radiother Oncol. 1989;14(2):95–101.PubMedCrossRef Arcangeli G, et al. The responsiveness of bone metastases to radiotherapy: the effect of site, histology and radiation dose on pain relief. Radiother Oncol. 1989;14(2):95–101.PubMedCrossRef
20.
Zurück zum Zitat Hoskin PJ, et al. Effect of local radiotherapy for bone pain on urinary markers of osteoclast activity. Lancet. 2000;355(9213):1428–9.PubMedCrossRef Hoskin PJ, et al. Effect of local radiotherapy for bone pain on urinary markers of osteoclast activity. Lancet. 2000;355(9213):1428–9.PubMedCrossRef
21.
Zurück zum Zitat Ural AU, Avcu F. Evolving therapeutic role of bisphosphonates in multiple myeloma. Br J Cancer. 2005;93(2):267–8.PubMedCrossRef Ural AU, Avcu F. Evolving therapeutic role of bisphosphonates in multiple myeloma. Br J Cancer. 2005;93(2):267–8.PubMedCrossRef
22.
Zurück zum Zitat Sato M, et al. Bisphosphonate action. Alendronate localization in rat bone and effects on osteoclast ultrastructure. J Clin Invest. 1991;88(6):2095–105.PubMedCrossRef Sato M, et al. Bisphosphonate action. Alendronate localization in rat bone and effects on osteoclast ultrastructure. J Clin Invest. 1991;88(6):2095–105.PubMedCrossRef
23.
Zurück zum Zitat Bukowski JF, Dascher CC, Das H. Alternative bisphosphonate targets and mechanisms of action. Biochem Biophys Res Commun. 2005;328(3):746–50.PubMedCrossRef Bukowski JF, Dascher CC, Das H. Alternative bisphosphonate targets and mechanisms of action. Biochem Biophys Res Commun. 2005;328(3):746–50.PubMedCrossRef
24.
Zurück zum Zitat Green JR. Preclinical pharmacology of zoledronic acid. Semin Oncol. 2002;29(6 Suppl 21):3–11.PubMedCrossRef Green JR. Preclinical pharmacology of zoledronic acid. Semin Oncol. 2002;29(6 Suppl 21):3–11.PubMedCrossRef
25.
Zurück zum Zitat Ural AU, Avcu F. Bisphosphonates may potentiate radiation effects: a new approach in cancer treatment? Biochem Biophys Res Commun. 2005;336(2):373–4.PubMedCrossRef Ural AU, Avcu F. Bisphosphonates may potentiate radiation effects: a new approach in cancer treatment? Biochem Biophys Res Commun. 2005;336(2):373–4.PubMedCrossRef
26.
Zurück zum Zitat Li X, et al. Inhibition of protein geranylgeranylation and RhoA/RhoA kinase pathway induces apoptosis in human endothelial cells. J Biol Chem. 2002;277(18):15309–16.PubMedCrossRef Li X, et al. Inhibition of protein geranylgeranylation and RhoA/RhoA kinase pathway induces apoptosis in human endothelial cells. J Biol Chem. 2002;277(18):15309–16.PubMedCrossRef
27.
Zurück zum Zitat Carteni G, et al. Efficacy and safety of zoledronic acid in patients with breast cancer metastatic to bone: a multicenter clinical trial. Oncologist. 2006;11(7):841–8.PubMedCrossRef Carteni G, et al. Efficacy and safety of zoledronic acid in patients with breast cancer metastatic to bone: a multicenter clinical trial. Oncologist. 2006;11(7):841–8.PubMedCrossRef
28.
Zurück zum Zitat Vinholes JJ, et al. Relationships between biochemical and symptomatic response in a double-blind randomised trial of pamidronate for metastatic bone disease. Ann Oncol. 1997;8(12):1243–50.PubMedCrossRef Vinholes JJ, et al. Relationships between biochemical and symptomatic response in a double-blind randomised trial of pamidronate for metastatic bone disease. Ann Oncol. 1997;8(12):1243–50.PubMedCrossRef
29.
Zurück zum Zitat Ural AU, et al. The bisphosphonate zoledronic acid induces cytotoxicity in human myeloma cell lines with enhancing effects of dexamethasone and thalidomide. Int J Hematol. 2003;78(5):443–9.PubMed Ural AU, et al. The bisphosphonate zoledronic acid induces cytotoxicity in human myeloma cell lines with enhancing effects of dexamethasone and thalidomide. Int J Hematol. 2003;78(5):443–9.PubMed
30.
Zurück zum Zitat Dhodapkar MV, et al. Anti-myeloma activity of pamidronate in vivo. Br J Haematol. 1998;103(2):530–2.PubMedCrossRef Dhodapkar MV, et al. Anti-myeloma activity of pamidronate in vivo. Br J Haematol. 1998;103(2):530–2.PubMedCrossRef
31.
Zurück zum Zitat Kunzmann V, et al. Stimulation of gammadelta T cells by aminobisphosphonates and induction of antiplasma cell activity in multiple myeloma. Blood. 2000;96(2):384–92.PubMed Kunzmann V, et al. Stimulation of gammadelta T cells by aminobisphosphonates and induction of antiplasma cell activity in multiple myeloma. Blood. 2000;96(2):384–92.PubMed
32.
Zurück zum Zitat Mundy GR, Yoneda T. Bisphosphonates as anticancer drugs. N Engl J Med. 1998;339(6):398–400.PubMedCrossRef Mundy GR, Yoneda T. Bisphosphonates as anticancer drugs. N Engl J Med. 1998;339(6):398–400.PubMedCrossRef
33.
Zurück zum Zitat Avcu F, et al. The bisphosphonate zoledronic acid inhibits the development of plasmacytoma induced in BALB/c mice by intraperitoneal injection of pristane. Eur J Haematol. 2005;74(6):496–500.PubMedCrossRef Avcu F, et al. The bisphosphonate zoledronic acid inhibits the development of plasmacytoma induced in BALB/c mice by intraperitoneal injection of pristane. Eur J Haematol. 2005;74(6):496–500.PubMedCrossRef
34.
Zurück zum Zitat Magnetto S, et al. Additive antitumor activities of taxoids in combination with the bisphosphonate ibandronate against invasion and adhesion of human breast carcinoma cells to bone. Int J Cancer. 1999;83(2):263–9.PubMedCrossRef Magnetto S, et al. Additive antitumor activities of taxoids in combination with the bisphosphonate ibandronate against invasion and adhesion of human breast carcinoma cells to bone. Int J Cancer. 1999;83(2):263–9.PubMedCrossRef
35.
Zurück zum Zitat van der Pluijm G, et al. Bisphosphonates inhibit the adhesion of breast cancer cells to bone matrices in vitro. J Clin Invest. 1996;98(3):698–705.PubMedCrossRef van der Pluijm G, et al. Bisphosphonates inhibit the adhesion of breast cancer cells to bone matrices in vitro. J Clin Invest. 1996;98(3):698–705.PubMedCrossRef
36.
Zurück zum Zitat Ural AU, et al. In vitro synergistic cytoreductive effects of zoledronic acid and radiation on breast cancer cells. Breast Cancer Res. 2006;8(4):R52.PubMedCrossRef Ural AU, et al. In vitro synergistic cytoreductive effects of zoledronic acid and radiation on breast cancer cells. Breast Cancer Res. 2006;8(4):R52.PubMedCrossRef
37.
Zurück zum Zitat Woodward JK, et al. Combined effects of zoledronic acid and doxorubicin on breast cancer cell invasion in vitro. Anticancer Drugs. 2005;16(8):845–54.PubMedCrossRef Woodward JK, et al. Combined effects of zoledronic acid and doxorubicin on breast cancer cell invasion in vitro. Anticancer Drugs. 2005;16(8):845–54.PubMedCrossRef
38.
Zurück zum Zitat Jagdev SP, et al. The bisphosphonate, zoledronic acid, induces apoptosis of breast cancer cells: evidence for synergy with paclitaxel. Br J Cancer. 2001;84(8):1126–34.PubMedCrossRef Jagdev SP, et al. The bisphosphonate, zoledronic acid, induces apoptosis of breast cancer cells: evidence for synergy with paclitaxel. Br J Cancer. 2001;84(8):1126–34.PubMedCrossRef
39.
Zurück zum Zitat Ural AU, Avcu F. Additive/synergistic anti-tumoral effects of the combination of docetaxel and zoledronic acid on prostate cancer cells: possible mechanisms? Acta Oncol. 2006;45(4):491–2.PubMedCrossRef Ural AU, Avcu F. Additive/synergistic anti-tumoral effects of the combination of docetaxel and zoledronic acid on prostate cancer cells: possible mechanisms? Acta Oncol. 2006;45(4):491–2.PubMedCrossRef
40.
Zurück zum Zitat Algur E, Macklis RM, Hafeli UO. Synergistic cytotoxic effects of zoledronic acid and radiation in human prostate cancer and myeloma cell lines. Int J Radiat Oncol Biol Phys. 2005;61(2):535–42.PubMed Algur E, Macklis RM, Hafeli UO. Synergistic cytotoxic effects of zoledronic acid and radiation in human prostate cancer and myeloma cell lines. Int J Radiat Oncol Biol Phys. 2005;61(2):535–42.PubMed
41.
Zurück zum Zitat Ural AU, Avcu F. Radiosensitizing effect of zoledronic acid in small cell lung cancer. Lung Cancer 2005;50(2):271–2.PubMedCrossRef Ural AU, Avcu F. Radiosensitizing effect of zoledronic acid in small cell lung cancer. Lung Cancer 2005;50(2):271–2.PubMedCrossRef
42.
Zurück zum Zitat Kurdoglu B, et al. Apoptosis as a predictor of paclitaxel-induced radiosensitization in human tumor cell lines. Clin Cancer Res. 1999;5(9):2580–7.PubMed Kurdoglu B, et al. Apoptosis as a predictor of paclitaxel-induced radiosensitization in human tumor cell lines. Clin Cancer Res. 1999;5(9):2580–7.PubMed
43.
Zurück zum Zitat McKenna WG, Muschel RJ. Targeting tumor cells by enhancing radiation sensitivity. Genes Chromosomes Cancer. 2003;38(4):330–8.PubMedCrossRef McKenna WG, Muschel RJ. Targeting tumor cells by enhancing radiation sensitivity. Genes Chromosomes Cancer. 2003;38(4):330–8.PubMedCrossRef
44.
Zurück zum Zitat Bernhard EJ, et al. The farnesyltransferase inhibitor FTI-277 radiosensitizes H-ras-transformed rat embryo fibroblasts. Cancer Res. 1996;56(8):1727–30.PubMed Bernhard EJ, et al. The farnesyltransferase inhibitor FTI-277 radiosensitizes H-ras-transformed rat embryo fibroblasts. Cancer Res. 1996;56(8):1727–30.PubMed
45.
Zurück zum Zitat Journe F, et al. Sequence- and concentration-dependent effects of acute and long-term exposure to the bisphosphonate ibandronate in combination with single and multiple fractions of ionising radiation doses in human breast cancer cell lines. Clin Exp Metastasis. 2006;23(2):135–47.PubMedCrossRef Journe F, et al. Sequence- and concentration-dependent effects of acute and long-term exposure to the bisphosphonate ibandronate in combination with single and multiple fractions of ionising radiation doses in human breast cancer cell lines. Clin Exp Metastasis. 2006;23(2):135–47.PubMedCrossRef
46.
Zurück zum Zitat Hillner BE, et al. American Society of Clinical Oncology 2003 update on the role of bisphosphonates and bone health issues in women with breast cancer. J Clin Oncol 2003.;21(21):4042–57.PubMedCrossRef Hillner BE, et al. American Society of Clinical Oncology 2003 update on the role of bisphosphonates and bone health issues in women with breast cancer. J Clin Oncol 2003.;21(21):4042–57.PubMedCrossRef
47.
Zurück zum Zitat Kouloulias V, et al. Radiotherapy in conjunction with intravenous infusion of 180 mg of disodium pamidronate in management of osteolytic metastases from breast cancer: clinical evaluation, biochemical markers, quality of life, and monitoring of recalcification using assessments of gray-level histogram in plain radiographs. Int J Radiat Oncol Biol Phys. 2003;57(1):143–57.PubMed Kouloulias V, et al. Radiotherapy in conjunction with intravenous infusion of 180 mg of disodium pamidronate in management of osteolytic metastases from breast cancer: clinical evaluation, biochemical markers, quality of life, and monitoring of recalcification using assessments of gray-level histogram in plain radiographs. Int J Radiat Oncol Biol Phys. 2003;57(1):143–57.PubMed
Metadaten
Titel
Bisphosphonate treatment and radiotherapy in metastatic breast cancer
verfasst von
A. Ugur Ural
Ferit Avcu
Yusuf Baran
Publikationsdatum
01.09.2008
Verlag
Humana Press Inc
Erschienen in
Medical Oncology / Ausgabe 3/2008
Print ISSN: 1357-0560
Elektronische ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-008-9044-4

Weitere Artikel der Ausgabe 3/2008

Medical Oncology 3/2008 Zur Ausgabe

Book Review

Prostate cancer

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.