Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650‑0017, Japan.
Division of Stem Cell Medicine, Kobe University Graduate School of Medicine, Kobe 650‑0017, Japan.
Int J Oncol. 2022 Nov;61(5). doi: 10.3892/ijo.2022.5428. Epub 2022 Sep 23.
Ewing sarcoma (ES) is an aggressive primary malignant bone tumor that predominantly affects children and young adults. Multimodal treatment approaches have markedly improved the survival of patients with localized ES. However, local recurrence and distant metastasis following curative therapies remain a main concern for patients with ES. Recent studies have suggested that slow‑cycling cells (SCCs) are associated with tumor progression, local recurrence and distant metastasis in various types of cancers. According to the results of these studies, it was hypothesized that SCCs may play a critical role in tumor progression, chemoresistance and local/distal recurrence in patients with ES. The present study applied a label‑retaining system using carboxyfluorescein diacetate succinimidyl ester (CFSE) to identify and isolate SCCs in ES cell lines. In addition, the properties of SCCs, including sphere formation ability, cell cycle distribution and chemoresistance, in comparison with non‑SCCs were investigated. RNA sequencing also revealed several upregulated genes in SCCs as compared with non‑SCCs; the identified genes not only inhibited cell cycle progression, but also promoted the malignant properties of SCCs. On the whole, the present study successfully identified SCCs in ES cells through a label‑retaining system using CFSE. Moreover, to the best of our knowledge, the present study is the first to describe the characteristic properties of SCCs in ES. The findings of this study, if confirmed, may prove to be useful in elucidating the underlying molecular mechanisms and identifying effective therapeutic targets for ES.
尤文肉瘤(ES)是一种侵袭性原发性恶性骨肿瘤,主要影响儿童和青少年。多模式治疗方法显著提高了局限性 ES 患者的生存率。然而,治愈性治疗后局部复发和远处转移仍然是 ES 患者关注的主要问题。最近的研究表明,慢周期细胞(SCC)与各种类型癌症的肿瘤进展、局部复发和远处转移有关。根据这些研究的结果,假设 SCC 可能在 ES 患者的肿瘤进展、化疗耐药性和局部/远处复发中发挥关键作用。本研究应用羧基荧光素二乙酸琥珀酰亚胺酯(CFSE)标记保留系统来鉴定和分离 ES 细胞系中的 SCC。此外,还研究了 SCC 与非 SCC 相比的球体形成能力、细胞周期分布和化疗耐药性等特性。RNA 测序还显示 SCC 中与非 SCC 相比有几个上调的基因;鉴定的基因不仅抑制细胞周期进程,而且促进 SCC 的恶性特性。总的来说,本研究通过使用 CFSE 的标记保留系统成功地在 ES 细胞中鉴定出 SCC。此外,据我们所知,本研究首次描述了 ES 中 SCC 的特征特性。如果得到证实,这些研究结果可能有助于阐明 ES 的潜在分子机制,并确定有效的治疗靶点。