
JBMR Plus, Год журнала: 2024, Номер 8(10)
Опубликована: Июль 20, 2024
Bone metastases are the most severe and prevalent consequences of prostate cancer (PC), affecting more than 80% patients with advanced PC. PCBMs generate pain, pathological fractures, paralysis. As modern therapies increase survival, suffering from these catastrophic consequences. Radiographically, predominantly osteosclerotic, but mechanisms abnormal bone formation how this in density is related to fractures unclear. In study, we conducted a comprehensive analysis on cohort 76 cadaveric PCBM specimens 12 cancer-free as controls. We used micro-computed tomography determine 3D organization quantify characteristics, quantitative backscattering electron microscopy characterize mineral content details structure, nanoindentation mechanical properties, histological immunohistochemical structure composition. define 4 phenotypes: osteolytic, mixed lytic-sclerotic, 2 subgroups osteosclerotic lesions-those residual trabeculae, others without trabeculae. The lesions characterized by presence accumulated trabeculae surfaces within intertrabecular spaces. This higher lacunae density, morphology, irregular orientation. However, content, hardness, elastic modulus at micron-scale were indistinguishable between collagen matrix presents prominent III These characteristics suggest that initiate new deposition woven bone; however, lack subsequent remodeling, absence lamellar its surface, distinguish pathologic conventional bone. Although mineralized retains normal hardness stiffness fibril anisotropy compromised trabecular which may have clinical implications.
Язык: Английский