Abstract

BackgroundCircRNA CNST (circ-CNST) is a newly identified biomarker for prognosis of osteosarcoma (OS). However, its role in OS progression remains to be well documented.MethodsExpression of circ-CNST, microRNA (miR)-578, lactate dehydrogenase A (LDHA), and pyruvate dehydrogenase kinase 1 (PDK1) was detected by quantitative real-time polymerase chain reaction and Western blotting. The physical interaction was confirmed by dual-luciferase reporter assay. Cell behaviors and glycolysis were measured by 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide assay, colony formation assay, flow cytometry, transwell assays, xenograft experiment, and commercial kits.ResultsCirc-CNST was upregulated in human OS tissues and cells, accompanied with downregulation of miR-578 and upregulation of LDHA and PDK1. There were negative correlations between miR-578 expression and circ-CNST or LDHA/PDK1 in OS tissues. Moreover, high circ-CNST/LDHA/PDK1 or low miR-578 might predict shorter overall survival, advanced TNM stages, and lymph node metastasis. Physically, miR-578 was targeted by circ-CNST, and miR-578 could target LDHA/PDK1. Functionally, blocking circ-CNST and restoring miR-578 enhanced apoptosis rate and suppressed cell proliferation, colony formation, migration, and invasion in 143B and U2OS cells, accompanied with decreased glucose consumption, lactate production, and adenosine triphosphate (ATP)/adenosine diphosphate (ADP) ratio. Furthermore, in vivo growth of U2OS cells was retarded by silencing circ-CNST. Depletion of miR-578 could counteract the suppressive role of circ-CNST deficiency in 143B and U2OS cells, and restoring LDHA or PDK1 partially reversed the role of miR-578 inhibition as well.ConclusionCirc-CNST knockdown could antagonize malignant behaviors and glycolysis of OS cells by regulating miR-578-LDHA/PDK1 axes.

Highlights

  • Osteosarcoma (OS), arising from transformed mesenchymal cells, is the most frequent primary bone tumor ranging from children to adolescents and young adults [1]

  • Circ-CNST was an upregulated circRNA in OS patients and cells Even though expression of circ-CNST in OS had once been identified, it was further validated in this present study

  • Chi-square test confirmed that circ-CNST level was significantly correlated with clinicopathologic features of OS patients, including TNM stage, lymph node metastasis, and tumor size (Table 1)

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Summary

Introduction

Osteosarcoma (OS), arising from transformed mesenchymal cells, is the most frequent primary bone tumor ranging from children to adolescents and young adults [1]. Metabolic reprogramming in cancer is manifested by persistent aerobic glycolysis and suppression of mitochondrial function, which is called the Warburg effect, a hallmark of many malignant tumors including OS [2]. The generation of adenosine triphosphate (ATP) is less efficient, tumor cells benefit from aerobic glycolysis in growth, metastasis, and drug resistance [3, 4]. Treatment for OS has been improved, the likelihood of survival remains low for OS patients with metastasis and recurrence. Pulmonary metastasis is observed in 30–35% of OS patients after initial treatment for 2 to 3 years [7]. It is necessary to understand the molecular mechanism of OS progression and glycolysis to identify more effective therapeutic targets. Its role in OS progression remains to be well documented

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