Hughes Dennis P M
Children's Cancer Hospital, University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030-4009, USA.
Cancer Treat Res. 2009;152:479-96. doi: 10.1007/978-1-4419-0284-9_28.
Controlling metastasis is the key to improving outcomes for osteosarcoma patients; yet our knowledge of the mechanisms regulating the metastatic process is incomplete. Clearly Fas and Ezrin are important, but other genes must play a role in promoting tumor spread. Early developmental pathways are often recapitulated in malignant tissues, and these genes are likely to be important in regulating the primitive behaviors of tumor cells, including invasion and metastasis. The Notch pathway is a highly conserved regulatory signaling network involved in many developmental processes and several cancers, at times serving as an oncogene and at others, behaving as a tumor suppressor. In normal limb development, Notch signaling maintains the apical ectodermal ridge in the developing limb bud and regulated size of bone and muscles. Here, we examine the role of Notch signaling in promoting metastasis of osteosarcoma, and the underlying regulatory processes that control Notch pathway expression and activity in the disease. We have shown that, compared to normal human osteoblasts and non-metastatic osteosarcoma cell lines, osteosarcoma cell lines with the ability to metastasize have higher levels of Notch 1, Notch 2, the Notch ligand DLL1 and the Notch-induced gene Hes1. When invasive osteosarcoma cells are treated with small molecule inhibitors of gamma-secretase, which blocks Notch activation, invasiveness is abrogated. Direct retroviral expression has shown that Hes1 expression was necessary for osteosarcoma invasiveness and accounted for the observations. In a novel orthotopic murine xenograft model of osteosarcoma pulmonary metastasis, blockade of Hes1 expression and Notch signaling eliminated spread of disease from the tibial primary tumor. In a sample of archival human osteosarcoma tumor specimens, expression of Hes1 mRNA was inversely correlated with survival (n=16 samples, p=0.04). Expression of the microRNA 34 cluster, which is known to downregulate DLL1, Notch 1 and Notch 2, was inversely correlated with invasiveness in a small panel of osteosarcoma tumors, suggesting that this family of microRNAs may be responsible for regulating Notch expression in at least some tumors. Further, exposure to valproic acid at therapeutic concentrations induced expression of Notch genes and caused a 250-fold increase in invasiveness for non-invasive cell lines, but had no discernible effect on those lines that expressed high levels of Notch without valproic acid treatment, suggesting a role for HDAC in regulating Notch pathway expression in osteosarcoma. These findings show that the Notch pathway is important in regulating osteosarcoma metastasis and may be useful as a therapeutic target. Better understanding of Notch's role and its regulation will be essential in planning therapies with other agents, especially the use of valproic acid and other HDAC inhibitors.
控制转移是改善骨肉瘤患者预后的关键;然而,我们对调节转移过程的机制的了解并不完整。显然,Fas和埃兹蛋白很重要,但其他基因肯定在促进肿瘤扩散中发挥作用。早期发育途径常在恶性组织中重现,这些基因可能在调节肿瘤细胞的原始行为(包括侵袭和转移)中起重要作用。Notch信号通路是一个高度保守的调节信号网络,参与许多发育过程和几种癌症,有时作为癌基因,有时作为肿瘤抑制因子。在正常肢体发育中,Notch信号维持发育中肢体芽中的顶端外胚层嵴,并调节骨骼和肌肉的大小。在此,我们研究Notch信号在促进骨肉瘤转移中的作用,以及在该疾病中控制Notch通路表达和活性的潜在调节过程。我们已经表明,与正常人成骨细胞和非转移性骨肉瘤细胞系相比,具有转移能力的骨肉瘤细胞系中Notch 1、Notch 2、Notch配体DLL1和Notch诱导基因Hes1的水平更高。当侵袭性骨肉瘤细胞用阻断Notch激活的γ-分泌酶小分子抑制剂处理时,侵袭性被消除。直接逆转录病毒表达表明,Hes1表达是骨肉瘤侵袭所必需的,并解释了这些观察结果。在一种新型的骨肉瘤肺转移原位小鼠异种移植模型中,阻断Hes1表达和Notch信号消除了疾病从胫骨原发性肿瘤的扩散。在一组存档的人类骨肉瘤肿瘤标本中,Hes1 mRNA的表达与生存率呈负相关(n = 16个样本,p = 0.04)。已知下调DLL1、Notch 1和Notch 2的微小RNA 34簇的表达,在一小部分骨肉瘤肿瘤中与侵袭性呈负相关,这表明这个微小RNA家族可能至少在某些肿瘤中负责调节Notch表达。此外,在治疗浓度下暴露于丙戊酸可诱导Notch基因的表达,并使非侵袭性细胞系的侵袭性增加250倍,但对未经丙戊酸处理而表达高水平Notch 的细胞系没有明显影响,这表明组蛋白去乙酰化酶在调节骨肉瘤中Notch通路表达中起作用。这些发现表明,Notch通路在调节骨肉瘤转移中很重要,可能作为一个治疗靶点。更好地理解Notch的作用及其调节对于规划与其他药物联合的治疗,尤其是丙戊酸和其他组蛋白去乙酰化酶抑制剂的使用至关重要。