Volume 128, Issue 3 pp. 468-477
REVIEW ARTICLE

The dynamic microenvironment associated with metastatic bone disease: Current concepts

Rahul Bhale MD

Rahul Bhale MD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

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Paramita Ghosh PhD

Paramita Ghosh PhD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

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Raminta Theriault MD

Raminta Theriault MD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

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Steven Thorpe MD

Steven Thorpe MD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

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Gabriela Loots PhD

Gabriela Loots PhD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

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R. Lor Randall MD

Corresponding Author

R. Lor Randall MD

Department of Orthopaedic Surgery, University of California, Sacramento, California, USA

Correspondence R. Lor Randall, MD, Department of Orthopaedic Surgery, University of California, Davis 4860 Y Street #1700, Sacramento, CA 95817, USA.

Email: [email protected]

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First published: 25 May 2023

Abstract

Patients with bone metastases may experience debilitating pain, neurological conditions, increased risk of pathological fractures, and death. A deeper understanding of the bone microenvironment, the molecular biology of cancer types prone to metastasis, and how bone physiology promotes cancer growth, may help to uncover targeted treatment options. The purpose of this paper is to outline the current concepts relevant to topics including bone remodeling, angiogenesis, and immunomodulation as it relates to metastatic bone disease.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.