Background
Osteosarcoma is the most common primary bone malignancy, and it accounts for 30 to 80% of primary skeletal sarcomas [
1]. Osteosarcoma diagnoses are classified into four grades according to the histological degree of diffusion and differentiation; higher grades indicate more aggressive malignant neoplasms [
2]. High-grade osteosarcoma represents the development of metastasis, mainly in the lungs [
3]. Osteosarcoma metastasis also occurs in organs such as the bones and lymph nodes [
4]. Pulmonary metastasis can be observed in approximately 15–20% of the patients at initial diagnosis and in 40% of the patients at a later follow-up [
5]. Metastasis is one of the leading causes of poor prognosis in patients with osteosarcoma; only 20% of the patients survive for more than 5 years [
6]. An increasing number of promising cytokines and biomarkers have been identified for preventing osteosarcoma metastasis or improving therapeutic outcomes [
7]. However, the detailed pathological mechanisms and the ideal treatment method for osteosarcoma are not fully understood.
Metastasis involves cancer cell detachment, invasion, intravasation, and extravasation [
8]. Matrix metalloproteinases (MMPs), a family of zinc- and calcium-dependent proteolytic enzymes, can facilitate the extracellular matrix to dissolve and regulate the expression of other cytokines [
9]. MMPs are involved in biological processes such as inflammation, cell differentiation, proliferation, angiogenesis, apoptosis, and migration [
10]; they also participate in tumorigenesis and metastasis in numerous types of cancer cells [
11,
12]. Recently, MMP-1, MMP-2, MMP-7, MMP-12, MMP-13, and MMP-26 have been reported to be associated with lung cancer progression, invasion and metastasis [
13‐
16]. Additionally, MMP-2, MMP-9, and MMP-13 overexpression has been revealed to be a promising indicator for osteosarcoma prognosis and pulmonary metastasis [
17‐
19]. However, MMPs are complicated, and their roles in osteosarcoma development are mostly unknown.
Chemokines are categorized into four categories, namely CXC, CC, CX3C, and C, on the basis of their cysteine residues at the N-terminus [
20]. Monocyte chemoattractant protein-1 (MCP-1/CCL2), a key member of the CC chemokine family, is associated with inflammatory diseases and cancers, including ovarian [
21], colon [
22], and prostate cancers [
23] etc. MCP-1 is produced by endothelial cells, smooth muscle cells, fibroblasts, and monocytes [
24,
25] constitutively or through stimulations. In the tumor microenvironment, MCP-1 is overexpressed by both tumor and nontumor cells including stromal cells [
26]. MCP-1 regulates the receptor of intracellular adhesion molecule-1 (ICAM-1) to facilitate monocyte adhesion [
27]. In addition, MCP-1 affects macrophage infiltration and migration and angiogenesis in gastric cancer [
28]. The monocytes induced by MCP-1 can promote lung metastasis in breast cancer [
29]. Moreover, tumor cell growth, motility, invasion, and metastasis are associated with MCP-1 in different types of cancer including hepatocellular carcinoma [
30]. A previous study demonstrated that MCP-1 promotes osteosarcoma migration and proliferation through the Akt pathway [
31]. However, the mechanism through which MCP-1 stimulates metastasis remains unclear.
In the present study, we found that MCP-1 exhibit metastasis-promoting roles by increasing MMP-9 expression in osteosarcoma. MCP-1 expression level was tightly associated with migratory potential in osteosarcoma cells. Using molecular and pharmacological strategies, we found that MPC-1 enhanced MMP-9 expression and cell migration through CCR2, c-Raf, MAPK signal pathway and AP-1 transcriptional activation. Our finding here provides a novel insight into the molecular mechanisms of metastasis in osteosarcoma which could be a novel therapeutic target in the future.
Methods
Materials
All shRNA plasmids with specific targets, and control shRNA plasmid were purchased from National RNAi Core Facility (Academia Sinica, Taipei, Taiwan). Protein G beads; all secondary antibodies against rabbit or mouse (IgG-conjugated horseradish peroxidase); rabbit polyclonal antibodies against β-actin, MMP-2, MMP-3, MMP-9, MMP-12, MMP-13, c-Raf, p-MEK, MEK, p-ERK, ERK, p-JNK, JNK, p-p38, p38, p-c-Jun, c-Jun were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA). All siRNAs which target specific genes (si-c-Jun: sc-29,223; si-MMP9: sc-29,400; si-CCR2: sc-270,220; si-control: sc-44,231) were purchased from Santa Cruz Biotechnology. p-c-Raf (Ser338) was purchased from Cell Signaling (Danvers, MA, USA). U0126 and PD98059 were purchased from Calbiochem (San Diego, CA, USA).
The dominant-negative mutants specific for MEK1, ERK2, JNK and p38 were kindly gifted from Dr. W. M. Fu (National Taiwan University, Taipei, Taiwan), Dr. M. Cobb, (University of Texas Southwestern Medical Center, Dallas, TX, USA), Dr. M Karin (University of California, San Diego, CA, USA), and Dr. J. Han (University of Texas Southwestern Medical Center, Dallas, TX, USA), respectively. Recombinant human MCP-1/CCL2 was purchased from PeproTech (Rocky Hill, NJ, USA). AP-1 luciferase plasmid was purchased from Stratagene (La Jolla, CA, USA). The remaining chemicals used were purchased from Sigma–Aldrich (St. Louis, MO, USA).
Cell culture
All osteosarcoma cell lines (U2OS, HOS, and MG-63) and normal osteoblast cell line (hFOB 1.19) used in the current study were obtained from American Type Cell Culture Collection (Manassas, VA, USA). U2OS cells were maintained in McCoy’s 5A medium. MG63, HOS, and hFOB 1.19 cells were maintained in DMEM medium. To make a complete medium, the other components were added according to ATCC’s description. Furthermore, the cells were cultured in the presence of antibiotics (100 U/mL of penicillin and 100 μg/mL of streptomycin) at 37 °C and 5% CO2.
Migration assay
Transwell migration assay was conducted with Transwell plate (Costar, NY; pore size, 8 μm). Briefly, 300 μL of the serum-free medium was added in the lower chamber with different concentrations of MCP-1. Meanwhile, 100 μL of serum-free medium contained 1 × 104 cells were added in the upper chamber. The cells were incubated at 37 °C in 5% CO2 for 24 h. After 24 h later, the transwell inserts were fixed in 3.7% formaldehyde for 15 min. Then, 0.05% crystal violet dissolved in PBS was added to stain the cells for 15 min. The Transwell inserts were washed with PBS, and the cells in the upper chamber were removed using cotton swabs. The cells which migrated to the lower side of the Transwell inserts were further observed and counted using a microscope. For each experimental condition, a minimum of three experiments were conducted in triplicate.
Establishment of migration-prone subclones from osteosarcoma cell line
The MG63 (M10, M20 and M30) migration-prone subclones were established by using Transwell inserts (6 wells plate with 8 μm pore size). MG63 osteosarcoma cells (1 × 104) suspended in 100 μL of serum-free medium were seeded in the upper chamber, while 300 μL growth medium contained 10% FBS was loaded into the lower compartment. After 24 h later, the cell which migrated across the Transwell insert to the bottom of plate were detached by trypsin and cultured as MG63 (M1). The cells were cultured for 2 days for a second round of selection. The MG63 migration-prone subclone was continued migration seletion for 10, 20, 30 rounds to generate MG63 (M10), MG63 (M20) and MG63 (M30), respectively.
Wound healing migration assay
Each of the 12 wells was filled with 1 × 105 cells, and the plate was incubated for 24 h. The confluent monolayer of cultured cells was scratched using a fine pipette tip. The rate of wound closure was recorded and calculated through microscopic observation. For each experimental condition, a minimum of three experiments were conducted in triplicate.
Western immunoblot analysis
Protein expression was examined using a Thermo Scientific Pierce BCA Protein Assay Kit (Thermo Fisher Scientific Inc., Waltham, USA). Sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis was conducted to resolve proteins in cell lysate, followed by transferred to Immobilon polyvinylidene difluoride (PVDF) membranes. Next, to block the blots, PVDF membranes were incubated in 4% BSA at room temperature for 1 h. The PVDF membranes were further incubated with primary antibodies for 1 h at room temperature, then washed three times with TBST. The membranes were later incubated with HRP-conjugated secondary antibodies for another 1 h at room temperature follow by washed with TBST for three times. The membranes were then detected by chemiluminescent substrate (Amersham™ ECL™ Western Blotting Detection Reagents; GE Healthcare Life Sciences, Marlborough, MA, USA) and monitored by using a charge-coupled device camera-based detection system (UVP Inc., Upland, CA, USA). The data were quantitatized by using ImageJ software (National Institute of Health, USA).
Quantitative real-time PCR
The total RNA was extracted by using the TRIzol kit (MDBio Inc., Taipei, Taiwan) according to the manufacture’s protocol. Next, for reverse transcription into cDNA, 2 μg of total RNA was reacted with an oligo(dT) primer. TaqMan® one-step PCR Master Mix (Applied Biosystems, Foster City, CA, USA) was used for analysis by using quantitative real-time polymerase chain reaction (qPCR). After reverse transcription, the cDNA (100 ng/25 μL per-reaction) was further added with primers and TaqMan® probes for detecting specific sequences, as well as TaqMan Universal PCR Master Mix according to the manufacturer’s instructions. The polymerase activation cycle was 10 min at 95 °C, 15 s at 95 °C for 40 cycles, and finally 60 s at 60 °C. For each experimental condition, a minimum of three experiments were conducted in triplicate with a StepOnePlus sequence detection system.
Transfection and reporter gene assay
The cells with 80 % confluency were co-transfected with AP-1-luciferase vector (0.8 μg) and a β-galactosidase expression vector (0.4 μg) for 24 h by using Lipofectamine 2000 (LF2000; Invitrogen, Carlsbad, CA, USA). The plasmids and LF2000 were mixed and incubated for 20 min and subsequently added to the cells for 24 h, followed by incubated with the indicated agents for another 24 h. Before the cells were washed with cold PBS, the media were first removed. To lyse the cells, 100 μL of reporter lysis buffer (Promega, Madison, WI, USA) was added, and the supernatant was collected. In addition, luciferase substrate was added to 20 μL of lysates with 20–30 μg protein. Luminescence was recorded using a microplate luminometer. The luciferase activity was evaluated after normalizing the cells with the cotransfected β-galactosidase expression vector. For each experimental condition, a minimum of three experiments were conducted in triplicate.
Nuclear and cytoplasmic fractionation assay
The cells grown in 10-cm dishes were treated with MCP-1 for the indicated conditions and the cells were washed two times with ice-cold PBS, followed by scraped in PBS and collected cells by centrifuged for 15 mins. Subsequently, ice-cold buffer 1 was added (10 mM HEPES, pH 7.9; 10 mM KCl; 0.1 mM EDTA, pH 8; 0.1 mM EGTA, pH 8; 10 mM PMSF, 10 mM DTT, 10 mM NaF, 10 mM Na3VO4). The cells were sheared mechanically with a syringe and needle, then samples were centrifuged and the supernatant, i.e., the cytoplasmic fraction, was collected. The remaining pellet was washed 3 times with buffer 1, and then re-suspended in buffer 2 (20 mM HEPES, pH 7.9; 400 mM NaCl; 1 mM EDTA, pH 8; 1 mM EGTA, pH 8; 10 mM PMSF, 10 mM DTT, 10 mM NaF, 10 mM Na3VO4) and centrifuged; the supernatant was collected as the nuclear protein fraction.
Chromatin immunoprecipitation assay
Chromatin immunoprecipitation analysis was conducted as previously described [
32]. DNA was immunoprecipitated using anti-c-Jun mAb, and it was further purified. The DNA was extracted by adding phenol–chloroform. The purified DNA pellet was used for PCR. After the PCR reaction, products were resolved using 1.5% agarose gel electrophoresis. Next, UV light was used for visualization. The primers 5′- ATCCTGCTTCAAAGAGCCTG-3′ and 5′-GTCTGAAGGCCCTGAGTGGT-3′ were used for amplification across the human MMP-9 promoter region (− 547 to − 327).
Establishment of MCP-1 knockdown stable cell lines
The MCP-1 and control shRNA lentiviral constructs (pLKO.1) were obtained from the National RNAi Core Facility (Academia Sinica, Taipei, Taiwan). The control shRNA (sh-control: ASN0000000004, target sequence: CCTAAGGTTAAGTCGCCCTCG) and the shRNAs that targeted MCP-1 (sh-MCP-1-A: TRCN0000006279, target sequence: GATGTAAACATTATGCCTTA; sh-MCP-1-B: TRCN0000006283, target sequence: CCCAGTCACCTGCTGTTATAA; and sh-MCP-1-C: TRCN0000381382, target sequence: TCATAGCAGCCACCTTCATTC) were purchased from the National RNAi Core Facility (Taipei, Taiwan).
The HEK293T cells were used to prepare lentivirus. Briefly, the shRNA plasmid mixed with packaging vectors pCMV and pMDG were co-transfected into HEK293T cells. After 24 h and 48 h post-transfection, the cell culture supernatants were collected and stored at -80 °C. To establish knockdown stable clones, the MG63 cells were transduced with cell culture supernatants describe above in the presence of 8 μg/ml of polybrene (Sigma–Aldrich). After 48 h post-transduction, the cells which expressed shRNA vectors were selected by the culture medium contained puromycin (10 μg/ml). Finally, the shRNA expression stable clones were generated after 2 weeks of selection with puromycin. In addition, all experiments used at least 2 distinct shRNA.
All in vivo experiments were conducted according to Guidelines for Animal Care of the Institutional Animal Care and Use Committee of Shin-Kong Wu Ho-Su Memorial Hospital (Taipei, Taiwan) (Ethical approval No: Most1040002). The mice were purchased from the Lasco (Taipei, Taiwan). The 5-weeks male CB17-SCID mice were intravenous tail injected with osteosarcoma cells (2 × 106 / 100 μL). Six weeks after tumor implantation, the mice were sacrificed and lungs were collected to analyze metastatic nodules. The lung tissues were fixed by 10% formalin and then embedded in paraffin and subsquently performed with hematoxylin and eosin (HE) staining.
Immunohistochemistry
Human osteosarcoma tissue microarrays (BO244, T261, T262, T262A, T263, and OS804b) were obtained from Biomax (Rockville, MD, USA). All tissue microarray contained normal bone tissue (11 cases), stage I osteosarcoma (7 cases), stage II osteosarcoma (49 cases), and stage III osteosarcoma (7 cases). The paraffin-embedded tissues (5-μm thick) were rehydrated and incubated in 3% hydrogen peroxide to suppress endogenous peroxidase activity. Next, 3% bovine serum albumin (BSA) was prepared and used to block the samples, and it was subsequently replaced with phosphate-buffered saline (PBS) for incubation. The samples were further incubated at 4 °C with a primary mouse polyclonal antihuman antibody. After overnight incubation, the samples were washed with PBS. After three washes, the samples were incubated with a secondary antibody labeled with biotin. An ABC Kit purchased from Vector Laboratories (Burlingame, CA, USA) was used to detect the bound antibodies. Next, the samples were stained with chromogen diaminobenzidine. After another wash, the samples were stained with Delafield’s hematoxylin. Finally, the samples were dehydrated, mounted, and observed at five different degrees (0 (negative), 1 (very weak), 2 (weak), 3 (moderate), 4 (strong), and 5 (very strong)) of independent and blinded observations. The total intensity score was obtained from five immunohistochemistry (IHC) scores.
Statistics
The values are represented as means ± the standard deviation (SD). Significant differences between the experimental groups and controls were assessed using the Student’s t test. Overall survival analysis was performed through the Fisher LSD post hoc tests. The differences in overall survival of the two groups were compared using the log-rank test; p < 0.05 was considered statistically significant.
Discussion
Unlike other bone malignancies, osteosarcoma is difficult to diagnose early and effectively cure [
6]. The long-term survival rate for osteosarcoma is very low, particularly for metastasis cases [
6]. The study findings suggest that the pulmonary metastasis of osteosarcoma is highly related to MCP-1 upregulation. Here, we examined the efficacy of MCP-1 knockdown on osteosarcoma metastasis, which showed inhibition of pulmonary metastasis. This evidence provide opportunity to implicate MCP-1 as a new potential therapeutic direction in human clinical studies of osteosarcoma. In regard to biological nature of MCP-1, the major chemoattractant of macrophage, its roles in tumor microenvironment of osteosarcoma by affecting macrophages have been summarized in previous review [
50]. The bone-specific macrophages (osteoclasts) have been implicated in osteosarcoma metastasis, which is achieved by blocking the vicious cycle between osteosarcoma cells and osteoclasts in tumor microenvironemnt [
51]. Furthermore, bisphosphonates show promosing anti-tumoral effect by supressing osteosarcoma-mediated osteolysis, which is mainly caused by decreased secretion of MCP-1 in osteosarcoma cells [
52]. These evidence propose that MCP-1 secreted by osteosarcoma cells could promote metastasis by modulating macrophages function in tumor microenvironment. However, the detail mechanism should be investigated in the future.
This study revealed the downstream activator of MCP-1-regulated osteosarcoma migration. MMPs have been widely proven to be essential in the process of cancer growth, invasion, angiogenesis, and metastasis [
11]. Studies have revealed that MMPs such as MMP-2, MMP-3, and MMP-9 are involved in osteosarcoma progression and metastasis [
19,
53,
54]. Interestingly, high MMP-9 expression is associated with poor prognosis in patients with osteosarcoma in several meta-analysis reports [
55‐
57]. This evidence is in accordance with our finding in clinical specimens in osteosarcoma. Furthermore, MCP-1 only mediated MMP-9 production rather than other MMPs. We also found positive correlation between MCP-1 and MMP-9 in migration-prone subclones (Fig. S
1A) of osteosarcoma as well as in tumor tissue array of osteosarcoma patients. These evidence suggest tight correlation between MCP-1 and MMP-9. One study found that MCP-1 can induce cancer cell migration through the upregulation of MMP-9 in chondrosarcoma [
43]. Based on previous studies, MMP-9 might be an essential factor for MCP-1-induced metastasis in bone malignancies. Therefore, we hypothesized that MMP-9 are key mediators in MCP-1-induced osteosarcoma migration. Our findings implied that MMP-9 attenuation might be a new therapeutic target for osteosarcoma metastasis.
G protein-coupled receptors of MCP-1, including CCR2 and CCR4, mediate various biological functions [
58,
59]. The functions of CCR2 differ according to different cell surfaces [
39]. On antigen-presenting cells and T cells, CCR2 stimulates inflammatory effects; on T regulatory cells, CCR2 inhibits inflammation [
39]. A recent study revealed that both CCR2 and CCR4 are highly expressed and involved in patients with osteosarcoma [
40]. In this study, CCR2 instead of CCR4 was involved in osteosarcoma migration in vitro. Through the different methods of CCR2 antagonists, MCP-1-regulated MMP-9 production and metastasis were effectively reduced. This finding is consistent with that of a previous study, which demonstrated MCP-1/CCR2 axis regulation in chondrosarcoma migration [
43]. Therefore, these findings are suggestive of a crucial role of CCR2 in MCP-1-mediated migration.
Ras, MEK, and MAPK signal transduction is commonly involved in cancer progression, including angiogenesis [
60]. In addition, ERK, p38, and JNK are widely reported in osteosarcoma progression [
61]. The result found the sustained JNK activation in response to MCP-1 incubation during 15–60 min. The MAPK signal proteins are activated in parallel, however, there is a crosstalk between them and modulates their activities [
62]. Previous study has proved that JNK can switch from a transient to sustained activation state, which was regulated by ERK, p38, and AKT pathways. The switch of JNK activation state is associated with cell fates such as proliferation and apoptosis [
63]. In osteosarcoma, the JNK signaling pathway is a critical component during metastasis process and has potential to develop as therapeutic target [
64]. Our results reveal that JNK might be a key regulator in osteosarcoma metastasis in response to MCP-1 incubation.
In this study, we investigated the mechanism of MCP-1-regulated osteosarcoma migration, which remains unknown according to our review of the relevant literature. Our findings suggested that c-Raf, MAPK, and c-Jun were sequentially involved in osteosarcoma migration. This signal pathway regulated AP-1 activation and MMP-9 transcription, which further upregulated osteosarcoma migration. A previous study revealed that in chondrosarcoma, the MCP-1/CCR2 axis requires c-Raf, MEK, ERK signal pathways for MMP-9 overexpression [
43]. However, the present study suggested that AP-1 played a crucial role in MCP-1/CCR2-directed metastasis in osteosarcoma.
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