Osteolytic bone metastasis is a frequent problem in the treatment of cancer. Ipriflavone, a synthetic isoflavone that inhibits osteoclastic bone resorption, has been used for the treatment of osteoporosis in some countries. Some other isoflavones also exhibit an antitumor effect in vitro and in vivo. Here, we studied the effects of ipriflavone on osteolytic bone metastasis of MDA-231 human breast cancer cells injected intracardially into athymic nude mice (ICR-nu/nu Bone metastasis is a frequent complication in the treatment of carcinomas, such as those of the breast, lung and prostate. 1 It causes considerable morbidity, including bone pain, pathologic fractures, spinal cord compression and hypercalcemia. Relief from these symptoms is one of the meaningful goals in the treatment of metastatic bone diseases.Studies on the pathophysiology of bone metastasis have shown that osteoclasts play an essential role in bone destruction. Certain cancer cells secrete various growth factors, such as PTHrP, IGF and cytokines. Some of these factors directly or indirectly stimulate osteoclast differentiation, while others directly activate bone resorption by mature osteoclasts. 2,3 Bone itself is abundant in growth factors released during bone resorption. These factors, such as EGF, in turn stimulate cancer growth through activation of their receptors, forming a vicious circle in the bone microenvironment. 4 Therefore, inhibition of osteoclastic bone resorption will be a useful adjuvant therapy for the treatment of cancers with osteolytic bone metastasis.Bisphosphonates, specific inhibitors of osteoclastic bone resorption, have been used for the treatment of osteolytic bone metastases in cancer patients. 5-8 Some new bisphosphonates have been shown to be highly effective at suppressing tumor growth in vitro, 9,10 but whether they have direct antiproliferative or apoptosis-promoting actions on tumor cells in vivo remains unknown. 7,10 Ipriflavone, a synthetic phytoestrogen, has been shown to inhibit bone resorption 11-14 and stimulate osteoblast activity both in vitro [15][16][17] and in experimental animals. 18 -20 It is clinically used for the treatment of osteoporosis in some countries at the dose of 200 mg 3 times a day. 20 -23 Ipriflavone is extensively metabolized mainly in the liver, yielding 7 metabolites. 20 These metabolites and ipriflavone are distributed in the bone to inhibit both the resorptive activity of mature osteoclasts and the formation of new osteoclasts. Moreover, genistein 24 -26 and quercetin, 27 analogs of ipriflavone, and daidzein, 28 1 of the metabolites of ipriflavone, possess antitumor potential. These results raise the possibility that ipriflavone may inhibit osteolytic bone metastasis by suppressing osteoclast formation and cancer cell growth.In the present study, we investigated the effects of ipriflavone on the development and progression of osteolytic bone metastasis of MDA-231 human breast cancer cells in nude mice. In addition, we explored the mechanisms of action of ipriflavone and assesse...