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Article

Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis

  • Authors:
    • Toshiyuki Takemori
    • Teruya Kawamoto
    • Takeshi Ueha
    • Mitsunori Toda
    • Masayuki Morishita
    • Etsuko Kamata
    • Naomasa Fukase
    • Hitomi Hara
    • Shuichi Fujiwara
    • Takahiro Niikura
    • Ryosuke Kuroda
    • Toshihiro Akisue
  • View Affiliations / Copyright

    Affiliations: Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Chuo-ku, Kobe 650-0017, Japan, Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, Chuo-ku, Kobe 650-0017, Japan, Department of Orthopaedic Surgery, Hyogo Rehabilitation Centre, Nishi-ku, Kobe 651-2181, Japan
  • Pages: 2079-2087
    |
    Published online on: July 30, 2018
       https://doi.org/10.3892/or.2018.6608
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Abstract

Hypoxia plays a significant role in cancer progression, including metastatic bone tumors. We previously reported that transcutaneous carbon dioxide (CO2) application could decrease tumor progression through the improvement of intratumor hypoxia. Therefore, we hypothesized that decreased hypoxia using transcutaneous CO2 could suppress progressive bone destruction in cancer metastasis. In the present study, we examined the effects of transcutaneous CO2 application on metastatic bone destruction using an animal model. The human breast cancer cell line MDA-MB-231 was cultured in vitro under three different oxygen conditions, and the effect of altered oxygen conditions on the expression of osteoclast-differentiation and osteolytic factors was assessed. An in vivo bone metastatic model of human breast cancer was created by intramedullary implantation of MDA-MB-231 cells into the tibia of nude mice, and treatment with 100% CO2 or a control was performed twice weekly for two weeks. Bone volume of the treated tibia was evaluated by micro-computed tomography (µCT), and following treatment, histological evaluation was performed by hematoxylin and eosin staining and immunohistochemical staining for hypoxia-inducible factor (HIF)-1α, osteoclast-differentiation and osteolytic factors, and tartrate-resistant acid phosphatase (TRAP) staining for osteoclast activity. In vitro experiments revealed that the mRNA expression of RANKL, PTHrP and IL-8 was significantly increased under hypoxic conditions and was subsequently reduced by reoxygenation. In vivo results by µCT revealed that bone destruction was suppressed by transcutaneous CO2, and that the expression of osteoclast-differentiation and osteolytic factors, as well as HIF-1α, was decreased in CO2-treated tumor tissues. In addition, multinucleated TRAP-positive osteoclasts were significantly decreased in CO2-treated tumor tissues. Hypoxic conditions promoted bone destruction in breast cancer metastasis, and reversal of hypoxia by transcutaneous CO2 application significantly inhibited metastatic bone destruction along with decreased osteoclast activity. The findings in this study strongly indicated that transcutaneous CO2 application could be a novel therapeutic strategy for treating metastatic bone destruction.
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Copy and paste a formatted citation
Spandidos Publications style
Takemori T, Kawamoto T, Ueha T, Toda M, Morishita M, Kamata E, Fukase N, Hara H, Fujiwara S, Niikura T, Niikura T, et al: Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis. Oncol Rep 40: 2079-2087, 2018.
APA
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E. ... Akisue, T. (2018). Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis. Oncology Reports, 40, 2079-2087. https://doi.org/10.3892/or.2018.6608
MLA
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E., Fukase, N., Hara, H., Fujiwara, S., Niikura, T., Kuroda, R., Akisue, T."Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis". Oncology Reports 40.4 (2018): 2079-2087.
Chicago
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E., Fukase, N., Hara, H., Fujiwara, S., Niikura, T., Kuroda, R., Akisue, T."Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis". Oncology Reports 40, no. 4 (2018): 2079-2087. https://doi.org/10.3892/or.2018.6608
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Spandidos Publications style
Takemori T, Kawamoto T, Ueha T, Toda M, Morishita M, Kamata E, Fukase N, Hara H, Fujiwara S, Niikura T, Niikura T, et al: Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis. Oncol Rep 40: 2079-2087, 2018.
APA
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E. ... Akisue, T. (2018). Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis. Oncology Reports, 40, 2079-2087. https://doi.org/10.3892/or.2018.6608
MLA
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E., Fukase, N., Hara, H., Fujiwara, S., Niikura, T., Kuroda, R., Akisue, T."Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis". Oncology Reports 40.4 (2018): 2079-2087.
Chicago
Takemori, T., Kawamoto, T., Ueha, T., Toda, M., Morishita, M., Kamata, E., Fukase, N., Hara, H., Fujiwara, S., Niikura, T., Kuroda, R., Akisue, T."Transcutaneous carbon dioxide application suppresses bone destruction caused by breast cancer metastasis". Oncology Reports 40, no. 4 (2018): 2079-2087. https://doi.org/10.3892/or.2018.6608
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