Abstract

Current combined surgical and neo-adjuvant chemotherapy of primary metastatic osteosarcoma (OS) is ineffective, reflected by a 5-year survival rate of affected patients of less than 20 %. Studies in experimental OS metastasis models pointed to the CXCR4/CXCL12 homing axis as a novel target for OS metastasis-suppressive treatment. The present study investigated for the first time the CXCR4-blocking principle in a spontaneously metastasizing human 143B OS cell line-derived orthotopic xenograft mouse model. The highly metastatic 143B cells, unlike the parental non-metastatic HOS cells, express functional CXCR4 receptors at the cell surface, as revealed in this study by RT/PCR of gene transcripts, by FACS analysis with the monoclonal anti CXCR4 antibody 12G5 (mAb 12G5) and by CXCL12 time- and dose-dependent stimulation of AKT and ERK phosphorylation. A significantly (p < 0.05) higher CXCL12 dose-dependent chemotactic response of 143B compared to HOS cells in a Boyden chamber trans-well migration assay suggested a crucial role of the CXCL12/CXCR4 homing axis in 143B cell lung metastasis. Repetitive treatment of mice with 143B cell-derived intratibial tumors given intravenous bolus injections of mAb12G5 indeed inhibited significantly (p < 0.01) the number of X-gal-stainable lung micrometastases of lacZ-transduced 143B cells. Antibody treatment had also a mild inhibitory effect on primary tumor growth associated with remarkably less osteolysis, but it did not affect the number of developing lung macrometastases. In conclusion, these results demonstrate considerable potential of high-affinity CXCR4-blocking agents for OS tumor cell homing suppressive treatment in metastasizing OS complementary to current (neo)-adjuvant chemotherapy.

Highlights

  • Osteosarcoma (OS) is the most common primary bone neoplasia in children and young adolescents [1]

  • The present study investigated for the first time the CXCR4-blocking principle in a spontaneously metastasizing human 143B OS cell line-derived orthotopic xenograft mouse model

  • The expression levels of mRNA encoding CXCR4 were determined by semi-quantitative RT/polymerase chain reaction (PCR) with Gapdh transcripts as a reference. cDNA was synthesized from 1 lg of total RNA with the High Capacity cDNA reverse transcription kit (Applied Biosystems Inc., Foster City, CA) and the protocol recommended by the supplier

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Summary

Introduction

Osteosarcoma (OS) is the most common primary bone neoplasia in children and young adolescents [1]. Multi-agent chemotherapy resulted in disease-free survival of 60–70 % of the patients with localized disease [3] These improvements made limb sparing surgery possible in 85–90 % of the cases without compromising the outcome compared to amputation [4]. Despite this progress for patients with localized disease, patients with metastases still have a very low mean 5-year survival rate of approximately 20 % [5,6,7]. The low survival rate of patients with metastatic disease is in part related to the fact that, until now, effective treatment

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