Zusammenfassung
Die Interaktion von Tumorzellen und Zellen des Knochens verstärkt den Prozess der ossären Metastasierung im Rahmen eines Circulus vitiosus. Tumorzellen sezernieren Faktoren wie RANKL und PTHrP, welche die Aktivität von Osteoklasten steigern. Dies führt zu einem verstärkten Knochenabbau und zur vermehrten Freisetzung von Wachstumsfaktoren aus der Knochenmatrix, was wiederum die Tumorprogression fördert. Dieses Kapitel beschreibt das Zusammenspiel zwischen Tumorzellen und Knochen und erläutert die zugrundeliegenden molekularen Grundlagen. Besonderer Bezug wird hierbei auf die Unterschiede zwischen osteosklerotischen und osteolytischen Metastasen genommen und auf mögliche therapeutische Ziele, die sich aus diesen Erkenntnissen ergeben.
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Rachner, T., Hofbauer, L. (2014). Interaktion von Tumorzellen und Knochen bei osteolytischen/osteosklerotischen Metastasen, Circulus vitiosus der Knochenmetastasierung. In: Stenzl, A., Fehm, T., Hofbauer, L., Jakob, F. (eds) Knochenmetastasen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43471-0_2
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