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Loss of ATRX promotes aggressive features of osteosarcoma with increased NF-κB signaling and integrin binding
Suzanne Bartholf DeWitt, … , Ben Alman, William C. Eward
Suzanne Bartholf DeWitt, … , Ben Alman, William C. Eward
Published September 8, 2022
Citation Information: JCI Insight. 2022;7(17):e151583. https://doi.org/10.1172/jci.insight.151583.
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Research Article Oncology

Loss of ATRX promotes aggressive features of osteosarcoma with increased NF-κB signaling and integrin binding

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Abstract

Osteosarcoma (OS) is a lethal disease with few known targeted therapies. Here, we show that decreased ATRX expression is associated with more aggressive tumor cell phenotypes, including increased growth, migration, invasion, and metastasis. These phenotypic changes correspond with activation of NF-κB signaling, extracellular matrix remodeling, increased integrin αvβ3 expression, and ETS family transcription factor binding. Here, we characterize these changes in vitro, in vivo, and in a data set of human OS patients. This increased aggression substantially sensitizes ATRX-deficient OS cells to integrin signaling inhibition. Thus, ATRX plays an important tumor-suppression role in OS, and loss of function of this gene may underlie new therapeutic vulnerabilities. The relationship between ATRX expression and integrin binding, NF-κB activation, and ETS family transcription factor binding has not been described in previous studies and may impact the pathophysiology of other diseases with ATRX loss, including other cancers and the ATR-X α thalassemia intellectual disability syndrome.

Authors

Suzanne Bartholf DeWitt, Sarah Hoskinson Plumlee, Hailey E. Brighton, Dharshan Sivaraj, E.J. Martz, Maryam Zand, Vardhman Kumar, Maya U. Sheth, Warren Floyd, Jacob V. Spruance, Nathan Hawkey, Shyni Varghese, Jianhua Ruan, David G. Kirsch, Jason A. Somarelli, Ben Alman, William C. Eward

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Figure 3

Tumor migration, invasion, and rate of metastasis increase with loss of ATRX expression.

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Tumor migration, invasion, and rate of metastasis increase with loss of ...
(A) In a scratch wound assay, 143B cells with shRNA KD of ATRX showed faster wound closure than the nonsilenced (NS) control cells (1-way repeated-measures ANOVA, P < 0.0001 for both shATRX-1 and shATRX-2 compared with NS; n = 8 replicates per cell type; 2 experiments). (B) Representative images of scratch wounds at 3 time points. Scale bars: 200 μm. (C) Western blot showing effective CRISPR-Cas9 KO of ATRX expression in the MG-63 human OS cell line. (D) Similarly, in the MG-63 cell line, KO cells showed significantly faster wound closure than WT cells (1-way repeated-measures ANOVA, P < 0.0001; WT, n = 13 replicates; KO, n = 10 replicates; 2 experiments). (E and F) 143B-KO cells showed increased migration and invasion, respectively, in uncoated and Matrigel-coated transwell plates (1-tailed Student’s t test [E] and 2-tailed Student’s t test [F]; uncoated: P = 0.04, n = 8 replicates; Matrigel: P = 0.002, n = 8 replicates; 2 experiments). Scale bars: 100 μm. (G and H) MG-63–KO cells also showed increased migration and invasion, respectively, in uncoated and Matrigel-coated transwell assays (2-tailed Student’s t test; uncoated: P < 0.0001, n = 12 replicates; Matrigel: P < 0.0001, n = 12 replicates; 2 experiments). (I) After 24 hours of growth on a bed of Matrigel, WT cells remain in tight clusters, whereas KO cells form a network of connecting “tubes” or branching networks through the matrix. Scale bars: 100 μm. (J) After 96 hours of growth, the distinct differences in morphology between the 143B WT and KO cells are even more apparent. Scale bars: 200 μm. (K) Luciferase-labeled 143B WT or KO cells were injected into the subperiosteal space of the tibia of SCID-beige mice. ATRX KO correlates with an increased rate of lung metastasis at 1 week after amputation (1-tailed Student’s t test, P = 0.026; WT: n = 5 males and 10 females; KO: n = 6 males and 11 females). (L) Experimental design for orthotopic injections with LUC-labeled cells to study lung metastasis.

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