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               MPMCA  diminishes  osteoclast  activity:  Implications  for  osteoporosis

               therapy and suppression of osteolytic bone metastases


                                                             1,2
                                        1
               Le Huynh Hoai Thuong,  Yueh-Hsiung Kuo,  Chih-Hsin Tang*          ,1,3

               1  Chinese Medicine Research Center, China Medical University, Taichung, Taiwan
               2  Department of Chinese Pharmaceutical Sciences and Chinese Medicine Resources, China
                 Medical University, Taichung, Taiwan
               3  Department of Pharmacology, School of Medicine, China Medical University, Taichung,
                 Taiwan
               * Email: chtang@mail.cmu.edu.tw

               Abstract
                  The activity of osteoclasts is pivotal in the progression of osteoporosis and osteolytic bone
               metastases.  Presently,  pharmaceutical  treatments  for  these  disorders  predominantly  aim  to
               inhibit  osteoclast  activity.  Nonetheless,  both  antiresorptive  and  anabolic  drugs  exhibit
               considerable limitations, including both common and rare adverse effects, which constrain their
               prolonged  usage,  particularly  in  elderly  patients  and  those  with  multiple  chronic  ailments.
               During our preliminary research, we discovered a novel molecule, N-(4-methoxyphen) methyl
               caffeamide (MPMCA), which is a derivative of caffeic acid. This compound demonstrated a
               significant capacity to suppress osteoclastogenesis and promote apoptosis in mature osteoclasts
               via the MAPK and NF-κB pathways. Furthermore, MPMCA was observed to diminish cell
               migration in lung and breast cancer cell lines while preserving cell viability. MPMCA further
               reduced osteoclast development produced by the conditioned medium (CM) from lung and
               breast  cancer  cells.  Our  research  demonstrated  that  MPMCA  decreased  the  expression  of
               proteolipid  protein  2  (PLP2),  an  oncogenic  component  implicated  in  several  advanced
               malignancies. In vivo, investigations indicated that MPMCA markedly suppressed osteolytic
               bone metastases. These findings indicate the possibility of creating an innovative therapeutic
               strategy for addressing osteoporosis and osteolytic bone metastases.

               Keywords: MPMCA; Lung cancer; Breast cancer; Osteoclastogenesis; Bone metastasis
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