Evidence map›Paper›PMID 24971713›Full record

ArticleBone2014

Modifying the osteoblastic niche with zoledronic acid in vivo-potential implications for breast cancer bone metastasis.

Marie-Therese Haider, Ingunn Holen, T Neil Dear, Keith Hunter, Hannah K Brown

Open access · hybridAbstract read
In one paragraph

Article in Bone, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 79 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Mechanisms of breast cancer dormancy in bone metastasis.Clinical & experimental metastasis · 2026
    Review
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  12. MDA-9/Syntenin in the tumor and microenvironment defines prostate cancer bone metastasis.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Marie-Therese HaiderCR-UK/YCR Cancer Research Centre, University of Sheffield, Sheffield, UK. Electronic address: mhaider1@sheffield.ac.uk.
Ingunn HolenCR-UK/YCR Cancer Research Centre, University of Sheffield, Sheffield, UK. Electronic address: I.Holen@Sheffield.ac.uk.
T Neil DearSouth Australian Health and Medical Research Institute, Adelaide, South Australia, Australia. Electronic address: neil.dear@sahmri.com.
Keith HunterSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK. Electronic address: k.hunter@sheffield.ac.uk.
Hannah K BrownThe Mellanby Centre for Bone Research, Department of Human Metabolism, The University of Sheffield, Sheffield, S10 2RX, UK. Electronic address: hannah.brown@sheffield.ac.uk.
University of Sheffield · GBSouth Australian Health and Medical Research Institute · AUYorkshire Cancer Research · GB

Funding

Breast Cancer Now 2010NOVPHD17Cancer Research UK 11991Cancer Research UK C13324/A11991
6 · The paper itself

Abstract

introductionBone metastasis is the most common complication of advanced breast cancer. The associated cancer-induced bone disease is treated with bone-sparing agents like zoledronic acid. Clinical trials have shown that zoledronic acid also reduces breast cancer recurrence in bone; potentially by modifying the bone microenvironment surrounding disseminated tumour cells. We have characterised the early effects of zoledronic acid on key cell types of the metastatic niche in vivo, and investigated how these modify the location of breast tumour cells homing to bone.

methodsFemale mice were treated with a single, clinically achievable dose of zoledronic acid (100μg/kg) or PBS. Bone integrity, osteoclast and osteoblast activity and number/mm trabecular bone on 1, 3, 5 and 10days after treatment were assessed using μCT, ELISA (TRAP, PINP) and bone histomorphometry, respectively. The effect of zoledronic acid on osteoblasts was validated in genetically engineered mice with GFP-positive osteoblastic cells. The effects on growth plate cartilage were visualised by toluidine blue staining. For tumour studies, mice were injected i.c. with DID-labelled MDA-MB-231-NW1-luc2 breast cancer cells 5days after zoledronic acid treatment, followed by assessment of tumour cell homing to bone and soft tissues by multiphoton microscopy, flow cytometry and ex vivo cultures.

resultsAs early as 3days after treatment, animals receiving zoledronic acid had significantly increased trabecular bone volume vs. control. This rapid bone effect was reflected in a significant reduction in osteoclast and osteoblast number/mm trabecular bone and reduced bone marker serum levels (day 3-5). These results were confirmed in mice expressing GFP in osteoblastic linage cells. Pre-treatment with zoledronic acid caused accumulation of an extra-cellular matrix in the growth plate associated with a trend towards preferential [1] homing of tumour cells to osteoblast-rich areas of bone, but without affecting the total number of tumour cells. The number of circulating tumour cells was reduced in ZOL treated animals.

conclusionA single dose of zoledronic acid caused significant changes in the bone area suggested to contain the metastatic niche. Tumour cells arriving in this modified bone microenvironment appeared to preferentially locate to osteoblast-rich areas, supporting that osteoblasts may be key components of the bone metastasis niche and therefore a potential therapeutic target in breast cancer.

Indexed as

AnimalsBone and BonesBone NeoplasmsBreast NeoplasmsCell Line, TumorDiphosphonatesDisease Models, AnimalDose-Response Relationship, DrugFemaleGreen Fluorescent ProteinsHumansImidazolesImmunocompromised HostMice, Inbred BALB CMice, NudeOrgan SizeDiphosphonatesGreen Fluorescent ProteinsImidazolesZoledronic AcidBreast cancerHomingMetastatic nicheOsteoblastOsteoclast

Identifiers

PMID24971713
PMCPMC4127787
OpenAlexW1971727102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.