Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities

In osteosarcoma patients, metastasis of the primary cancer is the leading cause of death. At present, management options to prevent metastasis are limited and non-curative. In this study, we review the current state of knowledge on the molecular mechanisms of metastasis and discuss promising new the...

Full description

Bibliographic Details
Main Authors: Xinhui Du, Hua Wei, Boya Zhang, Bangmin Wang, Zhehuang Li, Lon Kai Pang, Ruiying Zhao, Weitao Yao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1117867/full
_version_ 1797836087241998336
author Xinhui Du
Xinhui Du
Xinhui Du
Hua Wei
Boya Zhang
Boya Zhang
Boya Zhang
Bangmin Wang
Bangmin Wang
Bangmin Wang
Zhehuang Li
Zhehuang Li
Zhehuang Li
Lon Kai Pang
Ruiying Zhao
Weitao Yao
Weitao Yao
Weitao Yao
author_facet Xinhui Du
Xinhui Du
Xinhui Du
Hua Wei
Boya Zhang
Boya Zhang
Boya Zhang
Bangmin Wang
Bangmin Wang
Bangmin Wang
Zhehuang Li
Zhehuang Li
Zhehuang Li
Lon Kai Pang
Ruiying Zhao
Weitao Yao
Weitao Yao
Weitao Yao
author_sort Xinhui Du
collection DOAJ
description In osteosarcoma patients, metastasis of the primary cancer is the leading cause of death. At present, management options to prevent metastasis are limited and non-curative. In this study, we review the current state of knowledge on the molecular mechanisms of metastasis and discuss promising new therapies to combat osteosarcoma metastasis. Genomic and epigenomic changes, metabolic reprogramming, transcription factors, dysregulation of physiologic pathways, and alterations to the tumor microenvironment are some of the changes reportedly involved in the regulation of osteosarcoma metastasis. Key factors within the tumor microenvironment include infiltrating lymphocytes, macrophages, cancer-associated fibroblasts, platelets, and extracellular components such as vesicles, proteins, and other secreted molecules. We conclude by discussing potential osteosarcoma-limiting agents and their clinical studies.
first_indexed 2024-04-09T15:04:05Z
format Article
id doaj.art-7da2dcbac4894288a8a9ccd74bb6a4f5
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-04-09T15:04:05Z
publishDate 2023-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-7da2dcbac4894288a8a9ccd74bb6a4f52023-05-01T04:27:33ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-05-011310.3389/fonc.2023.11178671117867Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunitiesXinhui Du0Xinhui Du1Xinhui Du2Hua Wei3Boya Zhang4Boya Zhang5Boya Zhang6Bangmin Wang7Bangmin Wang8Bangmin Wang9Zhehuang Li10Zhehuang Li11Zhehuang Li12Lon Kai Pang13Ruiying Zhao14Weitao Yao15Weitao Yao16Weitao Yao17Bone Soft Tissue Department, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaKey Laboratory for Digital Assessment of Spinal-Pelvic Tumor and Surgical Aid Tools Design (Zhengzhou), Zhengzhou, Henan, ChinaKey Laboratory for Perioperative Digital Assessment of Bone Tumors (Henan), Zhengzhou, Henan, ChinaDepartment of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, ChinaBone Soft Tissue Department, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaKey Laboratory for Digital Assessment of Spinal-Pelvic Tumor and Surgical Aid Tools Design (Zhengzhou), Zhengzhou, Henan, ChinaKey Laboratory for Perioperative Digital Assessment of Bone Tumors (Henan), Zhengzhou, Henan, ChinaBone Soft Tissue Department, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaKey Laboratory for Digital Assessment of Spinal-Pelvic Tumor and Surgical Aid Tools Design (Zhengzhou), Zhengzhou, Henan, ChinaKey Laboratory for Perioperative Digital Assessment of Bone Tumors (Henan), Zhengzhou, Henan, ChinaBone Soft Tissue Department, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaKey Laboratory for Digital Assessment of Spinal-Pelvic Tumor and Surgical Aid Tools Design (Zhengzhou), Zhengzhou, Henan, ChinaKey Laboratory for Perioperative Digital Assessment of Bone Tumors (Henan), Zhengzhou, Henan, ChinaBaylor College of Medicine, Houston, TX, United StatesDepartment of Integrative Biology and Pharmacology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United StatesBone Soft Tissue Department, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaKey Laboratory for Digital Assessment of Spinal-Pelvic Tumor and Surgical Aid Tools Design (Zhengzhou), Zhengzhou, Henan, ChinaKey Laboratory for Perioperative Digital Assessment of Bone Tumors (Henan), Zhengzhou, Henan, ChinaIn osteosarcoma patients, metastasis of the primary cancer is the leading cause of death. At present, management options to prevent metastasis are limited and non-curative. In this study, we review the current state of knowledge on the molecular mechanisms of metastasis and discuss promising new therapies to combat osteosarcoma metastasis. Genomic and epigenomic changes, metabolic reprogramming, transcription factors, dysregulation of physiologic pathways, and alterations to the tumor microenvironment are some of the changes reportedly involved in the regulation of osteosarcoma metastasis. Key factors within the tumor microenvironment include infiltrating lymphocytes, macrophages, cancer-associated fibroblasts, platelets, and extracellular components such as vesicles, proteins, and other secreted molecules. We conclude by discussing potential osteosarcoma-limiting agents and their clinical studies.https://www.frontiersin.org/articles/10.3389/fonc.2023.1117867/fullosteosarcomametastasisreprogrammingtumor microenvironmentmechanism
spellingShingle Xinhui Du
Xinhui Du
Xinhui Du
Hua Wei
Boya Zhang
Boya Zhang
Boya Zhang
Bangmin Wang
Bangmin Wang
Bangmin Wang
Zhehuang Li
Zhehuang Li
Zhehuang Li
Lon Kai Pang
Ruiying Zhao
Weitao Yao
Weitao Yao
Weitao Yao
Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
Frontiers in Oncology
osteosarcoma
metastasis
reprogramming
tumor microenvironment
mechanism
title Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
title_full Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
title_fullStr Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
title_full_unstemmed Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
title_short Molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
title_sort molecular mechanisms of osteosarcoma metastasis and possible treatment opportunities
topic osteosarcoma
metastasis
reprogramming
tumor microenvironment
mechanism
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1117867/full
work_keys_str_mv AT xinhuidu molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT xinhuidu molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT xinhuidu molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT huawei molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT boyazhang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT boyazhang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT boyazhang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT bangminwang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT bangminwang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT bangminwang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT zhehuangli molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT zhehuangli molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT zhehuangli molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT lonkaipang molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT ruiyingzhao molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT weitaoyao molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT weitaoyao molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities
AT weitaoyao molecularmechanismsofosteosarcomametastasisandpossibletreatmentopportunities