Sun Wei, Wang Wanchun, Lei Jian, Li Hui, Wu Yi
Department of Orthopedics Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
Department of Pathology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan 410013, P.R. China.
Oncol Rep. 2017 Apr;37(4):2405-2417. doi: 10.3892/or.2017.5473. Epub 2017 Feb 23.
Osteosarcoma harbors highly metastatic properties, accounting for postoperative recurrence and metastasis. Actin-like protein 6A (ACTL6A) regulates cell proliferation, migration and differentiation. However, the biologic role of ACTL6A in osteosarcoma remains unknown. In this study, the results showed that, by analysis of frozen fresh primary tumor tissues, matched non-cancerous bone tissues (NCBTs) and biopsy lung metastatic nodule tissues from 30 osteosarcoma patients after radical surgical resection, ACTL6A was overexpressed in osteosarcoma tissues compared with matched NCBTs, and its expression level was associated with osteosarcoma metastasis. Immunohistochemical analyses of osteosarcoma tissue samples from two independent cohorts of formaldehyde-fixed, paraffin-embedded osteosarcoma tissue samples from total of 186 osteosarcoma patients showed that high ACTL6A expression correlated with malignant clinicopathological features such as larger tumor size, high Ennecking grade, high histologic grade, and advanced tumor node metastasis stage. High ACTL6A expression was associated with poor prognosis for patients with osteosarcoma, and an independent and significant risk factor for disease-free survival and overall survival after radical tumor resection. Both in vitro and in vivo assays showed that ACTL6A overexpression promoted osteosarcoma cell invasion and metastasis, whereas knockdown of ACTL6A expression reduced osteosarcoma cell malignant behavior such as invasion and metastasis. Furthermore, we proved that ACTL6A promoted osteosarcoma cells of metastasis through facilitating epithelial-mesenchymal transition (EMT). In conclusion, data from the present study demonstrated that ACTL6A was associated with poor survival and promoted osteosarcoma cell metastasis through EMT, suggesting that ACTL6A may be a novel prognostic biomarker and therapeutic target for osteosarcoma.
骨肉瘤具有高度转移特性,是术后复发和转移的原因。肌动蛋白样蛋白6A(ACTL6A)调节细胞增殖、迁移和分化。然而,ACTL6A在骨肉瘤中的生物学作用尚不清楚。在本研究中,结果显示,通过对30例骨肉瘤患者根治性手术切除后的新鲜冰冻原发性肿瘤组织、配对的非癌性骨组织(NCBTs)和活检肺转移结节组织进行分析,与配对的NCBTs相比,ACTL6A在骨肉瘤组织中过表达,其表达水平与骨肉瘤转移相关。对来自两个独立队列的总共186例骨肉瘤患者的甲醛固定、石蜡包埋骨肉瘤组织样本进行免疫组织化学分析,结果显示ACTL6A高表达与较大肿瘤大小、高Enneking分级、高组织学分级和晚期肿瘤淋巴结转移分期等恶性临床病理特征相关。ACTL6A高表达与骨肉瘤患者的不良预后相关,是根治性肿瘤切除后无病生存和总生存的独立且显著的危险因素。体外和体内试验均表明,ACTL6A过表达促进骨肉瘤细胞侵袭和转移,而敲低ACTL6A表达则降低骨肉瘤细胞的侵袭和转移等恶性行为。此外,我们证明ACTL6A通过促进上皮-间质转化(EMT)促进骨肉瘤细胞转移。总之,本研究数据表明,ACTL6A与不良生存相关,并通过EMT促进骨肉瘤细胞转移,提示ACTL6A可能是骨肉瘤的一种新型预后生物标志物和治疗靶点。
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