Abstract

Chondrosarcoma is a malignant tumor of mesenchymal origin predominantly composed of cartilage-producing cells. This type of bone cancer is extremely resistant to radiotherapy and chemotherapy. Surgical resection is the primary treatment, but is often difficult and not always practical for metastatic disease, so more effective treatments are needed. In particular, it would be helpful to identify molecular markers as targets for therapeutic intervention. Endothelin-1 (ET-1), a potent vasoconstrictor, has been shown to enhance chondrosarcoma angiogenesis and metastasis. We report that ET-1 promotes epithelial–mesenchymal transition (EMT) in human chondrosarcoma cells. EMT is a key pathological event in cancer progression, during which epithelial cells lose their junctions and apical-basal polarity and adopt an invasive phenotype. Our study verifies that ET-1 induces the EMT phenotype in chondrosarcoma cells via the AMP-activated protein kinase (AMPK) pathway. In addition, we show that ET-1 increases EMT by repressing miR-300, which plays an important role in EMT-enhanced tumor metastasis. We also show that miR-300 directly targets Twist, which in turn results in a negative regulation of EMT. We found a highly positive correlation between ET-1 and Twist expression levels as well as tumor stage in chondrosarcoma patient specimens. Therefore, ET-1 may represent a potential novel molecular therapeutic target in chondrosarcoma metastasis.

Highlights

  • Chondrosarcoma, the second most common type of bone cancer, is a heterogeneous group of malignancies that are characterized by the production of cartilage matrix

  • We show that ET-1 increases epithelial–mesenchymal transition (EMT) by repressing miR-300, which plays an important role in EMT-enhanced tumor metastasis

  • ET-1 has been implicated in the angiogenesis and metastasis of human chondrosarcoma cells [15, 16]

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Summary

Introduction

Chondrosarcoma, the second most common type of bone cancer, is a heterogeneous group of malignancies that are characterized by the production of cartilage matrix. Chondrosarcomas can be classified into three histologic grades: grade I (low-grade), grade II (intermediate grade) or grade III (high-grade). The higher the grade, the more likely the tumor is to metastasize to other areas of the body. High-grade tumors develop in approximately only 5–10% of chondrosarcoma patients, these aggressive tumors remain the major cause of death [1, 2]. Metastasis is a major obstacle that must be overcome for the successful treatment of chondrosarcoma. Exploring the molecular basis of metastasis may help to improve the early detection, prevention, intervention, and prognostic evaluation of a chondrosarcoma

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