Abstract. Bone morphogenetic proteins (BMPs) belong to the TGF-ß superfamily, which plays important roles in foetal and postnatal development and also maintains the homeostasis of various tissues and organs. Due to the critical role played by BMPs in bone formation and bone turnover, the implication of these molecules in bone metastasis has been intensively studied over the past decade. BMPs have been implicated in the development and progression of solid tumours, particularly the disease-specific bone metastasis. In breast cancer, a tumour type which most commonly metastasizes to bones, aberrations of both BMP expression and their signalling have been recently demonstrated. These aberrations have certain correlations with the development and progression of the disease. Recent in vitro studies have also demonstrated that BMPs can regulate a range of biological functions of breast cancer cells. Targeting BMPs or BMP signalling may provide novel therapeutic approaches for breast cancer. In the current review, we discuss the present knowledge on BMP abnormalities and their implication in the development and progression of breast cancer, particularly in the disease-specific bone metastasis.
Contents1. Introduction 2. BMPs and tumour biology of breast cancer cells 3. Crosstalk between BMPs and estrogen signalling 4. The expression pattern of BMPs and BMP receptors in mammary gland and primary mammary tumours 5. BMPs and bone metastasis from breast cancer 6. Perspectives and therapeutic potential
IntroductionBone morphogenetic proteins (BMPs) are members of the TGF-ß superfamily, which participates in the development and homeostasis of diverse tissues and organs through regulating cellular differentiation, proliferation, apoptosis and motility. BMPs exert their effects through a heteromeric receptor complex, which comprises of two types of serine-threonine kinase transmembrane receptors. The Type-I receptors include Activin receptor-like kinase-1 (ALK-1), BMP receptor type IA (BMPR-IA, also known as ALK-3), BMP receptor type IB (BMPR-IB, or so-called ALK-6), ALK-4, ALK-5 and activin A receptor type I (ActRI). The Type-II receptors include BMP receptor type II (BMPR-II), activin A receptor type IIA (ActRIIA) and activin A receptor type IIB (ActRIIB). Upon binding to BMP ligands, the Type-II receptors then phosphorylate the glycine-serine (GS) domain of Type-I receptors. This leads to the recruitment of the pathway-restricted Smads (R-Smads, Smads1, 5 and 8) to the complex. The intracellular signaling complex of R-Smads is then translocated into the nucleus after binding with Smad-4, which leads to the regulation of BMP responsive genes. This pathway is known as the Smad-dependent pathway, in which Smad-6 and -7 act as inhibitory regulators to the signalling. The other pathway is known as the Smad-independent pathway, in which the mitogen-activated protein kinase (MAPK) pathway and the RAS pathway, may be involved (1).BMPs are key factors in regulating bone formation and bone turnover and have been recently shown to pla...