A1 Refereed original research article in a scientific journal

Targeting Sphingosine‐1‐Phosphate Signaling Attenuates Doxorubicin‐Aggravated Bone Loss in Obese Breast Cancer Mice;




AuthorsZhang, Yu; Shen, Hao; Niu, Junjie; Huang, Yingkang; Zhu, Can; Wang, Yi; Chen, Yida; Cheng, Xinyi; Yang, Huilin; Zhang, Xianrong; Chen, Hao; Zhang, Hongbo; Shi, Qin

PublisherWiley

Publication year2026

Journal: Smart Medicine

Article numbere70031

Volume5

Issue2

ISSN2751-1871

eISSN2751-1871

DOIhttps://doi.org/10.1002/smmd.70031

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Open Access publication channel

Web address https://doi.org/10.1002/smmd.70031

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/523483290

Self-archived copy's licenceCC BY

Self-archived copy's versionPublisher`s PDF


Abstract

Although chemotherapy-induced bone loss is well-recognized during breast cancer treatment, the underlying mechanism remains to be further elucidated, especially in patients with obesity. In this study, the objective was to investigate the impact of genomic silencing and pharmacological inhibition of S1P synthesis on bone loss in doxorubicin-induced obese breast cancer mice. In vitro study, upon the treatment of doxorubicin combined with palmitic acid, the S1P generated by 4T1 cells was significantly increased, resulting in an increase in osteoclastogenesis by activating the S1PR1/p-STAT3/NFATc-1 pathway in bone marrow-derived macrophages. In vivo study, pharmacological intervention with Sphingosine kinases (SPHK) antagonist SKI II or biological inhibition with SPHK1 and SPHK2 short hairpin RNA significantly reduced S1P production and rescued the obese breast cancer-bearing mice from doxorubicin-induced bone loss, manifested by the decreased osteoclastogenesis and recovered bone microarchitecture. Similarly, the administration of the S1PR1 antagonist FTY720 also alleviated bone loss in the breast cancer-bearing mice fed a high-fat diet. These studies indicate that genetic silencing and pharmacological inhibition can suppress S1P-dependent bone loss in doxorubicin-induced obese breast cancer mice. S1P shows promise as a potential drug target for preventing chemotherapy-induced bone loss in patients.



Keywords:
bone lossbreast cancerdoxorubicinobesitysphingosine-1-phosphate

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Funding information in the publication
This work was funded by grants from the National Natural Science Foundation of China (82372457), the Natural Science Foundation of Jiangsu Province (BK202517921, BK20250352), the Suzhou Basic Research Pilot Program (SSD2024048, SSD2024028, SSD2025049), the Technology Innovation on Medicine and Health of Suzhou Science and Technology Bureau (SKY2023147), the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD). Open access publishing facilitated by Abo Akademi, as part of the Wiley - FinELib agreement.


Last updated on 20/05/2026 02:21:04 PM