Abstract The regulatory factors governing the initial steps of mesenchymal stem cell (MSC) commitment and differentiation are largely unknown, and the role of MSCs in the genesis of mesenchymal tumors (sarcomas) has not been fully elucidated. In recent years, several genes and pathways have been characterized as important regulators of these cells’ differentiation into adipocytes, chondrocytes and osteoblasts. Although extremely valuable, these data have been mainly generated using cell lines or mouse embryonic fibroblasts (MEFs), leaving a more reliable model, such as one based on primary multi-potent MSCs, completely unexplored. To fill this gap, we have established new conditions enabling us to manipulate in vitro primary MSCs while maintaining their stemness properties, and have taken advantage of a series of genetically engineered mouse models to unravel a new role for LRF as both a master regulator of MSC differentiation and a tumor suppressor gene in mesenchymal tumors through the repression of two major pathways: DLK1/MAPK and SOX9. Mesenchymal tumors, although rare, have an extremely high rate of mortality, due to a lack of knowledge of the molecular mechanisms responsible for their genesis and progression, and consequently a limited number of available drugs. Our recent findings, however, significantly advance our knowledge of the mechanisms underlying sarcoma pathogenesis, and identify new LRF/DLK1/MAPK and LRF/SOX9 pathways that could prove fundamental to the stratification and targeted therapy of LRF-negative sarcomas. Citation Format: Jlenia Guarnerio, Andrea Lunardi, Pier Paolo Pandolfi. Essential role of LRF in mesenchymal stem cell differentiation and tumorigenesis through Dlk1 and Sox9 repression. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 601. doi:10.1158/1538-7445.AM2014-601
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