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Translational Research in Breast Cancer pp 197–216Cite as

Key Factors in Breast Cancer Dissemination and Establishment at the Bone: Past, Present and Future Perspectives

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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1026))

Abstract

Bone metastases associated with breast cancer remain a clinical challenge due to their associated morbidity, limited therapeutic intervention and lack of prognostic markers. With a continually evolving understanding of bone biology and its dynamic microenvironment, many potential new targets have been proposed. In this chapter, we discuss the roles of well-established bone markers and how their targeting, in addition to tumour-targeted therapies, might help in the prevention and treatment of bone metastases. There are a vast number of bone markers, of which one of the best-known families is the bone morphogenetic proteins (BMPs). This chapter focuses on their role in breast cancer-associated bone metastases, associated signalling pathways and the possibilities for potential therapeutic intervention. In addition, this chapter provides an update on the role receptor activator of nuclear factor-κB (RANK), RANK ligand (RANKL) and osteoprotegerin (OPG) play on breast cancer development and their subsequent influence during the homing and establishment of breast cancer-associated bone metastases. Beyond the well-established bone molecules, this chapter also explores the role of other potential factors such as activated leukocyte cell adhesion molecule (ALCAM) and its potential impact on breast cancer cells’ affinity for the bone environment, which implies that ALCAM could be a promising therapeutic target.

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Acknowledgements

Authors would like to thank Cancer Research Wales and the Life Sciences Research Network Wales for supporting their work.

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Authors and Affiliations

  1. Cardiff University School of Medicine, CCMRC, Cardiff University, Henry Wellcome Building, Heath Park, Cardiff, CF14 4XN, UK

    Sioned Owen, Catherine Zabkiewicz, Lin Ye, Andrew J. Sanders, Chang Gong & Wen G. Jiang

  2. Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China

    Chang Gong

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  1. Sioned Owen
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  2. Catherine Zabkiewicz
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  3. Lin Ye
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  4. Andrew J. Sanders
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  5. Chang Gong
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  6. Wen G. Jiang
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Correspondence to Wen G. Jiang .

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  1. Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China

    Erwei Song

  2. Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China

    Hai Hu

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Owen, S., Zabkiewicz, C., Ye, L., Sanders, A.J., Gong, C., Jiang, W.G. (2017). Key Factors in Breast Cancer Dissemination and Establishment at the Bone: Past, Present and Future Perspectives. In: Song, E., Hu, H. (eds) Translational Research in Breast Cancer. Advances in Experimental Medicine and Biology, vol 1026. Springer, Singapore. https://doi.org/10.1007/978-981-10-6020-5_9

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