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It has been reported that the progression of osteosarcoma was closely associated with aberrant activation of canonical Wnt signaling. Wnt inhibitory factor-1 (WIF-1) is a secreted Wnt inhibitor whose role in human osteosarcoma remains unknown. In this study, WIF-1 expression in normal human osteoblast and osteosarcoma cell lines was determined by real-time RT-PCR, methylation-specific PCR (MSP), and Western blotting analysis. In addition, tissue array from patient samples was examined for WIF-1 expression by immunohistochemistry. Compared to normal human osteoblasts, WIF-1 mRNA and protein levels were significantly down-regulated in several osteosarcoma cell lines. The downregulation of WIF-1 mRNA expression is associated with its promoter hypermethylation in these tested cell lines. Importantly, WIF-1 expression was also downregulated in 76% of examined osteosarcoma cases. These results suggest that the downregulation of WIF-1 expression plays a role in osteosarcoma progression. To further study the potential tumor suppressor function of WIF-1 in osteosarcoma, we established stable 143B cell lines overexpressing WIF-1. WIF-1 overexpression significantly decreased tumor growth rate in nude mice as examined by subcutaneous injection of 143B cells stably transfected with WIF-1 and vector control. WIF-1 overexpression also markedly reduced the number of lung metastasis in vivo in an orthotopic mouse model of osteosarcoma. Together, these data suggest that WIF-1 exerts potent anti-osteosarcoma effect in vivo in mouse models. Therefore, re-expression of WIF-1 in WIF-1 deficient osteosarcoma represents a potential novel treatment and preventive strategy.
Osteosarcoma (OS) is the most common primary bone cancer with a propensity for local invasion and early distant metastasis. Aggressive treatment protocols including chemotherapy and wide surgical resection can achieve cure in approximately 60–70% of patients. Greater than 30% of patients eventually develop disease relapse, primarily in the lungs (1). The five-year event-free survival for patients with relapse is only 20% (1). Despite intensive search for new therapies, the outcome of relapsed patients has not significantly improved during the last two decades. Currently, molecular mechanisms underlying disease progression are still lacking. Therefore, there is a great need to understand the underlying mechanisms of tumor progression in order to define targets for novel therapies for OS.
Aberrant activation of Wnt signaling has been reported in a variety of bone and soft-tissue sarcomas (2–5). Haydon et al.(6) demonstrated that OS harbors an accumulation of beta-catenin either in the cytoplasm or in the nucleus, a hallmark of Wnt signaling activation. In addition, we demonstrated the Wnt co-receptor LRP5 as a candidate marker for disease progression in human OS and expression of this co-receptor in OS tissue samples correlated with metastasis and a lower rate of disease free survival in patients (7). These findings suggest an important role for aberrant Wnt activation in sarcoma disease progression.
The Wnt signaling pathway is initiated by a combination from 19 secreted Wnt ligands, 10 Frizzled receptors, and the co-receptor Lipoprotein Receptor-Related Protein 5/6 (LRP5/6). These ligand-receptor interactions then lead to activation of multiple intermediate Wnt effectors including beta-catenin, JNK, and calcium-channel regulators. The accumulation of beta-catenin in the cytoplasm and its translocation to the nucleus represent the hallmark of the canonical Wnt pathway activation. In the nucleus, beta-catenin forms a complex with lymphocyte enhancer factor/T cell factor family of transcription factors (LEF/TCF) to activate many oncogenes, such as c-Myc, cyclin D1, metalloproteinases, c-Met, etc. We reported that OS cell lines expressed many Wnt ligands and receptors, whereas secreted Wnt antagonists including secreted frizzled-related protein (sFRP) and Dickkopf (Dkk) families are commonly absent in OS cells (7). These results suggest that a complex autocrine/paracrine growth mechanism exist in OS. Therefore, inhibition of this mechanism by re-introduction of secreted Wnt antagonists in OS may lead to downregulation of Wnt signaling which provides a novel therapeutic approach for OS.
Secreted Wnt antagonists are divided into two classes according to their mechanisms of action. One class directly binds to Wnt ligands to cause inhibition and includes the sFRP family, Wnt inhibitory factor-1 (WIF-1), and Cerberus (8). The second class including the Dkk family exerts inhibition by endocytosis of co-receptors LRP5/6 (8). We and others recently reported that several Wnt antagonists, including Frzb/sFRP3 and Dkk-3, function as tumor suppressors (9–11). WIF-1 is a unique Wnt antagonist, structurally distinct from sFRP and Dkk families, which contains a WIF domain for Wnt binding activity and epidermal growth factor (EGF) repeats (12). The WIF domain has also been found in the Ryk orphan tyrosine kinase receptor (13). WIF-1 has been implicated to play a role in normal retinal development, being highly expressed during rod photoreceptor morphogenesis and inhibiting rod production, thereby, playing a key role in homeostasis during development (14). WIF-1 silencing by hypermethylation and consequent Wnt signaling activation has been demonstrated in numerous cancers such as nasopharyngeal cancer (3), lung cancer (15), mesothelioma (16), breast cancer (17), and gastric cancer (18). However, its role in OS is largely unknown, but with its potential as a future target for novel therapies, it is clear that WIF-1 needs to be further explored.
Here, we show that WIF-1 is down-regulated in a majority of OS cell lines and tumor tissues and that WIF-1 re-expression markedly reduced both tumor growth rate and lung metastasis in mouse models of OS.
SaOS-LM7 was a gift from Dr. Eugenie Kleinerman (MD Anderson Cancer Center, Houston, TX). OS160 was a gift from Dr. Richard Gorlick (Albert Einstein College of Medicine, Bronx, NY). Normal Human Osteoblasts (NHOst) were obtained from Cambrex Bio Science and maintained in Osteoblast Growth Media (Lonza). Human OS cell lines 143B, 143.89.2, SaOS-2, MNNG/HOS and U2OS (American Type Culture Collection), SaOS-LM7, and OS160 were maintained in MEMα medium supplemented with 10% fetal bovine serum (FBS). All cells were cultured at 37°C in a humidified incubator with 5% CO2. PCDNA3.1 Directional TOPO Expression vector was obtained from Invitrogen. An Ultimate ORF WIF-1 clone (ID: IOH11153) was obtained from Invitrogen and subcloned into the PCDNA3.1 TOPO vector.
143B cells were plated at 1.6 × 105 per100-mm dish. At 60% confluency, cultures were transfected with PCDNA3.1 or WIF-1 using FuGENE6 (Roche) according to manufacturer’s instruction. After transfection, stable clones were selected with G418 (800μg/ml) starting at 48 h after transfection and assayed for expression of the transgene by Western blotting and real-time RT-PCR. Pooled transfectants (to avoid cloning artifacts) are propagated and maintained in MEMα containing 10% FBS and 500μg/mL G418.
143B cells were plated in a 6-well plate at a density of 1.6 × 105 per well and incubated overnight. The cells were transiently co-transfected with 2 μg of TOPFLASH luciferase reporter plasmid (Upstate Biotechnology) and 0.4 μg of β-galactosidase (Invitrogen) into WIF-1 transfectant and vector control stable cell lines, to assay TCF/LEF activation. Transfection was performed using the Lipofectamine Plus reagent according to the manufacturer’s protocol (Invitrogen). After 48 h, cells were harvested and luciferase and s-galactosidase activities were measured using Bright-Glo luciferase assay system and s-galactosidase enzyme assay system (Promega). The relative luciferase unit for each transfection was adjusted by s-galactosidase activity in the same sample.
Total RNA was isolated using TRIzol reagent (Invitrogen) according to the manufacturer’s instructions. Real-time RT-PCR was performed as previously described (9). The sequences of the primers are as below: WIF-1, forward: 5′-CACTGCCTACGAGAGGAAGG-3′; reverse: 5′-TTGGGGTACTCGCTATCCAC-3′. MMP-14, forward: 5′-ACAACCCTGTCGAAATGGAG-3′; reverse: 5′-GTGTCTTCCATGCCAACCTT-3′. PCR condition was as follows: 45 cycles of 30 seconds at 95°C, 30 seconds at 58°C, 60 seconds at 72°C. Relative fold change in mRNA expression compared to control was calculated using the comparative Ct method (19). Ct is the cycle number at which fluorescence intensity first exceeds the threshold level. Δ Ct is Ct (target gene) − Ct (actin). Gene-specific primer sequences are available upon request. Specificity of amplification products were verified by agarose gel electrophoresis and melting curve analysis.
Twenty to 80μg of protein lysate was separated electrophoretically on denaturing SDS-polyacrylamide gel, transferred to nitrocellulose membranes, and probed with goat polyclonal IgG antibodies against WIF-1 (N-20) (Santa Cruz Biotechnology). Blots were exposed to secondary antibodies and visualized using the SuperSignal West Pico Chemiluminescent Substrate (Pierce). For loading control, the membrane used in initial western-blot was placed in Restore Western blotting Stripping Buffer (Thermo Scientific) for 15 min to remove the antibody (primary and secondary antibody). Then water wash for 5 min, 5% milk block for 1 hour, and probe with β-actin antibody (Santa Cruz Biotechnology)
To determine proenzyme and active form of MMP-2, zymogram assay was performed as previously described (21). In brief, the condition medium was collected from WIF-1 transfected 143B cells and control cells, and concentrated 20× using centricon (Millipore). 15uL concentrated condition medium was separated by electrophoresis in 0.1% gelatin-impregnated gel (Bio-Rad). After re-natured at room temperature for one hour in zymgram re-nature buffer, the gel was incubated overnight at 37°C in zymogram development buffer (Bio-Rad). Gel was then stained with Coomassie Blue and destained according to the manufacturer’s protocols (Bio-Rad). Gelatinolytic activity was visualized as clear bands on the gel.
Soft agar colony formation assay was performed using six-well plates. Each well contained 2 mL of 0.8% agar in complete medium as the bottom layer, 1 mL of 0.35% agar in complete medium and 6000 cells as the feeder layer, and 1 mL complete medium as the top layer. Cultures were maintained under standard culture conditions. The number of colonies was determined with an inverted phase-contrast microscope at ×100 magnification. A group of >10 cells was counted as a colony. The data are shown as mean number of colonies ± SE of four independent wells at 14 days after the start of cell seeding.
Motility was assessed with a scratch assay to measure two-dimensional cellular movement. Stable WIF-1 and control-transfected cells were cultured to confluence in 24-well plates. A scratch was madeon the monolayer using a sterile pipette tip. The monolayer was washed with migration assay buffer (MAB) consisting of serum-free medium plus 0.1% BSA. At the initiation of the experiment, a digital image of the scratch wound was taken at 10X magnification. At 12 h, the same region was imaged again. The width of the scratch wounds was measured in Photoshop7.0 (Adobe). The relative fold change of the scratch wound width (%) at 12 hour after introduction of the scratch wound compared to the control was calculated as the average of 5 fields (40X magnification).
Genomic DNA was obtained from multiple OS cell lines including 143B, 143.98.2, SaOS-2, SaOS-LM7, OS160, MNNG-HOS, and U2OS as well as from NHOst cells using Blood & cell culture DNA mini kit (Qiagen). In order to quantify DNA methylation, the EZ DNA Methylation-Gold Kit (Zymo Research) was used. Briefly, 20μl (2ug) of genomic DNA was diluted in C to T conversion reagent (bisulfite). The DNA was denatured and converted at 98°C for 10 minutes and 64°C for 2.5 hours. Bisulfite-treated DNA was then cleaned and desulphonated using the M-binding buffer, followed by wash buffer, and desulphonation buffer. The bisulfite modified DNA was amplified by PCR using a pair of methylation specific primers (MSP, forward: 5′-GGGCGTTTTATTGGGCGTAT-3′; reverse: 5′-AAACCAACAATCAACGAAC-3′) and un-methylation specific primers (UMSP, forward: 5′GGGTGTTTTATTGGGTGTAT-3′; reverse: 5′-AAACCAACAATCAACAAAAC-3).
Osteosarcoma cell lines SaOS-2, SaOS-LM7, MNNG-HOS, 143B, 143.98.2, U2-OS, OS-160 and normal osteoblast were treated with demethylating agent 5-Aza-2′-deoxycytidine (5-Aza-dC; 5μmol/L) for 2–5 days. Total RNA was isolated and reverse transcription and real time PCR were performed to detect the mRNA level of WIF-1 as described previously (10).
A tissue array consisted of 50 paraffin-embedded OS tissue specimens was procured from the Cooperative Human Tissue Network after approval was obtained from the Children’s Oncology Group (COG) and the Institutional Review Board. Tumor tissue slides were de-paraffinized and dehydrated using Slide Brite (Sasco Chemical Group, Inc.). Antigen was retrieved using 0.05M Glycine-HCL buffer, pH 3.5, containing 0.01% (w/v) EDTA, at 95°C for 20 min and stained with an antibody against human WIF-1 (N-20, Santa Cruz Biotechnology). Staining was visualized with diaminobenzadine using the Cell and Tissue Staining kit (R&D Systems). The immunostaining was scored as positive or negative for WIF-1 by a pathologist experienced in immunohistochemistry of human tissue sections.
Male nu/nu nude mice (Taconic), 4-week old on arrival, were housed in pathogen-free conditions. The animal protocol was approved by the Institutional Animal Care Utilization Committee (IACUC). WIF-1 transfected and vector control transfected 143B cells were grown to near confluence, resuspended in 0.1 ml of PBS and injected subcutaneously into the flank of nude mice at 1 × 106 cells/0.1 ml. Tumor size was measured every 2 days using a caliper. The tumor volume was calculated by the formula 1/6 π ab2 (π =3.14, a = long axis and b = short axis of the tumor). Growth curves were plotted from the mean tumor volume ± SE from 10 animals in each group. Eighteen days after injection, the animals were sacrificed and tumors were harvested, measured, weighed, and fixed in 10% formalin. Wet tumor weight of each animal was calculated as mean weight ± SD from 10 animals in each group.
Male nu/nu nude mice (Taconic), 4-week old on arrival, were housed in pathogen-free conditions. WIF-1 and vector control transfected 143B stable cell lines were grown to near confluence. 0.03 ml of cell suspension (1 × 107 cells/ml PBS) was injected percutaneously into the tibia of anesthetized nude mice. Each group contains 10 mice. Three weeks later, the animals were sacrificed according to an IACUC-approved protocol. Lungs were harvested, fixed in Bouin’s solution, and the number of surface lung metastatic nodules was counted. Mean number of lung nodules was compared between WIF-1 and vector control-transfected groups. Microscopic lung metastases were visualized on 5-μm paraffin-embedded sections stained with H & E.
Comparisons of number of colonies, fold change in levels of mRNA, tumor weight, relative luciferase activity, and the width of the wound gaps between different transfection groups were conducted using Student’s t-test. For tumor growth experiments, repeated-measures ANOVA was used to examine the differences in tumor volume among different time points, and transfection-time interactions. Additional post-test was doneto examine the differences in tumor volume between vector control and WIF-1 transfection at each time point by the conservative Bonferroni method. All statistical tests were two sided. P <0.05 was considered statistically significant.
Endogenous levels of WIF-1 mRNA were examined in normal human osteoblasts (NHOst) and in 7 OS cell lines (SaOS-2, SaOS-LM7, MNNG-HOS, 143B, 143.98.2, U2OS, OS160) by quantitative real-time RT-PCR. WIF-1 mRNA levels were down-regulated in 6 of 7 OS cell lines as compared to NHOst (Fig. 1A). To study the potential mechanism of WIF-1 mRNA downregulation in OS cell lines, we examined methylation status of the WIF-1 promoter in these cell lines. Figure 1B showed that the relative levels of WIF-1 promoter methylation in 5 of 7 OS cell lines were significantly higher than that in NHOst. Possible contamination was ruled out by negative “no DNA” control reaction (supplementary Fig. S1A). In addition, the relative levels of WIF-1 promoter methylation were inversely related to their mRNA levels (Fig. 1A and B). After demethylation by 5-Aza-2′-deoxycytidine, WIF-1 mRNA levels were increased in 5 (Saos-2, MNNG-HOS, 143B, 143.98.2, U2-OS) out of 7 osteosarcoma cell lines with WIF-1 promoter methylation. Those cell lines with more WIF-1 promoter hypermethylation (MNNG-HOS, 143B, 143.98.2, U2-OS) have higher WIF-1 mRNA levels than those with low WIF-1 promoter methylation levels (Saos-2, Saos-LM7, NHOst) after 5-Aza-dC treatment. However, OS 160 with high methylation level did not respond to the same concentration and duration of 5-Aza-dC treatment (Fig. 1A). Western blot analysis of 5-Aza-dC treated OS cell lines (i.e. MNNG-HOS, 143B, 143.98.2, U2-OS) for different time periods did not cause an increase in the expression of WIF1 protein (supplementary Fig. S1B). These results suggest WIF-1 downregulation in the majority of OS cell lines is through WIF-1 promoter hypermethylation.
Consistently, WIF-1 protein levels in all OS cell lines were also downregulated compared to that in NHOst (Fig. 1C). To further examine WIF-1 protein expression in human OS tissue specimens, we obtained paraffin-embedded tissue microarray of 50 human OS cases from the Cooperative Human Tissue Network (with approval from the Children’s Oncology Group). Twelve of 50 cases showed positive staining while the remaining cases (76%) showed no staining. Figure 1D is a representative microphotograph of immunostained tissue sections showing positive and negative WIF-1 staining. These results suggest that WIF-1 downregulation is a common event in human OS.
Since 143B cells can grow tumors locally as well as form spontaneous pulmonary metastases (20), this cell line was selected for further analysis of WIF-1 mediated Wnt signaling blockade. We confirmed the protein expression of WIF-1 transgene tagged by V5 in stable 143B cell line by Western blotting analysis using an anti-V5 antibody (Invitrogen) (Fig. 2A insert). Furthermore, to examine the inhibition of canonical Wnt activity by WIF-1, LEF-1/TCF4 transcriptional activity was assessed by TOPFLASH luciferase reporter assay in vector and WIF-1 transfected 143B cell lines. Adjustment of transfection efficiency was performed by co-transfection of a β-galactosidase expression vector. Compared to controls, WIF-1 reduced LEF-1/TCF4 transcriptional activity by 62.5% (Fig. 2A, Student’s t test; P < 0.05). These results indicate WIF-1 expression inhibits canonical Wnt activity in 143B cells.
Anchorage-independent growth and the ability to resist anoikis are hallmarks of metastatic cancer cells. When anchorage-independent growth was examined in soft agar, WIF-1 transfected 143B cells formed 76% less colonies than vector control cells (Fig. 2B, P < 0.01). We next assessed cellular motility of 143B cells stably transfected with control vector or WIF-1 using a wound healing assay. Figures 2C and D showed that WIF-1 transfected 143B cells exhibited less migration into the wounded area when compared with control transfected cells (P < 0.01). The knock-down of WIF-1 mRNA of more than 90% in 143B was confirmed by real time PCR (Supplementary Fig S2). We did not observe any significant changes in cellular proliferation and colony formation after WIF-1 knock-down in 143B cells (data not shown). We are aware that endogenous WIF-1 level in 143B cells is low (Fig 1A).
To examine the in vivo anti-tumor growth effects of WIF-1 in OS, 143B cell lines overexpressing WIF-1 or vector control were subcutaneously injected into nude mice and tumor growth was evaluated. Figure 3A showed that 143B cells expressing WIF-1 exhibited a significantly slower growth rate than that of vector control cells (P <0.05). In addition, Figure 3B showed that the average wet weight of WIF-1 expressing tumors was about 70% less than that of vector control tumors (Student’s t test; P=0.001).
To evaluate the in vivo anti-metastasis effect of WIF-1, we established a clinically relevant intra-tibial injection model of OS that can lead to lung metastasis formation in nude mice. Figure 4A, B showed that the WIF-1-transfected 143B cell line formed 91% fewer lung nodules than control transfected cells (Student’s t test; P=0.034). In addition, the size of nodules formed by WIF-1 transfected cells was smaller by histological examination than those from control transfected cells (Fig. 4C). This result demonstrated the marked anti-metastasis effects of WIF-1 expression in a clinically relevant mouse model.
Since accumulated evidence suggest that Wnt signaling may play an important role in tumor metastasis by regulating the expression of MMPs in tumors (9, 21–23), we examined the effects of WIF-1 overexpression on MMP-2, 9, and 14. Figure 4D showed that the WIF-1 transfected 143B cell line exhibited reduced protein levels of MMP-9 and MMP-14. No detectable changes in MMP-2 protein levels were found between WIF-1 and vector control transfected 143B cell lines by western blot assay (data not shown). MMP-14 is a membrane type MMP that functions to activate MMP-2. Therefore, MMP-2 activity was determined by a zymogram assay. Supplementary Fig. S3 A, B showed that the cleaved band (lower band, 62 kDa) of MMP-2 in the WIF-1 transfected 143B cell line was significantly reduced, compared to the control vector transfected 143B cell line, which indicated a reduced MMP-2 activity in the WIF-1 transfected 143B cell line. This result suggested that WIF down-regulated MMP-14 expression, leading to reduction of MMP-2 activity. These results further suggest the regulatory role of Wnt signaling in MMP expression and tumor metastasis.
Aberrant Wnt signaling plays a major role in multiple cancers, including OS (7, 24, 25). Therefore, inhibition of Wnt effects in OS may represent major therapeutic potentials. At present, little is known about the functional role of naturally occurring, secreted Wnt antagonists, including WIF-1 in sarcoma. In this study, we showed that the expression of WIF-1 was commonly down-regulated in OS cell lines and human tumor tissues. By re-expressing WIF-1 in OS cell line 143B, we demonstrated inhibition of anchorage independent growth and cellular motility. Furthermore, the marked inhibitory effect of WIF-1 on both tumor growth and metastasis was demonstrated in animal models. These findings strongly suggest a tumor suppressive role for WIF-1 in human OS.
In this study, WIF-1 promoter was found to be hypermethylated in multiple OS cell lines, which closely related to the down-regulation of WIF-1 mRNA expression in these cell lines when compared to normal osteoblasts. In addition, immunohistochemical staining of 50 paraffin-embedded OS patient tissue samples with a WIF-1 antibody showed reduced WIF-1 expression in the majority (76%) of the samples. These results suggest WIF-1 may function as a common tumor suppressor in OS. However, our study has been restricted to a small sample size of paraffin embedded tissues obtained through the Cooperative Human Tissue Network and the Children’s Oncology Group. To determine whether WIF-1 expression has prognostic value for clinical OS, we have obtained IRB approval for collecting surgical specimens and clinicopathologic data to establish an OS patient follow-up cohort. In addition, the exact mechanism by which WIF-1 is hypermethylated in OS cell lines is not very clear at this moment. Further studies are also ongoing to examine the mechanisms of WIF-1 inactivation by promoter hypermethylation in OS.
WIF-1 silencing due to promoter hypermethylation has also been shown in many other cancers including colorectal, prostate, bladder, melanoma, lung cancers, etc. (26–30). Restoring WIF-1 expression in these cancer cells to study its biological function has been done by several groups (26–30). The commonly described effect of WIF-1 on these cancer cells is the inhibition of cell growth (26–30). In this study, we showed the inhibitory effect of WIF-1 expression in OS on cell motility, anchorage-independent growth in soft agar, and in vivo tumor growth in nude mice of 143B cells. These results are consistent with reported findings in melanoma, esophageal adenocarcinoma, and bladder cancer (31–33). However, we are unable to show the inhibitory effect of WIF-1 on anchorage-dependent growth in cell cultures (data not shown) as reported in other cancers (31–33). During our investigation, a publication by Kansara et al. (34) showed that recombinant WIF-1 protein can significantly decrease 143B cell proliferation at concentrations up to 2μg/ml. We also recently reported that recombinant WIF-1 protein achieved similar anti-proliferative effect in bladder cancer cell lines (33). It is possible that high concentration of WIF-1 is needed to achieve its anti-proliferative effect or apoptosis and that gene transfection may not as effective as recombinant protein as a therapeutic agent. The mechanisms of cell motility and anchorage independence remain unclear for 143B cell line and likely are the result of several context dependent processes. We are currently investigating these mechanisms through detailed microarray analysis. However, difference in cell motility did not appear to involve changes in the epithelial to mesenchymal transition (EMT), given E-cadherin level did not change significantly in 143B cells after WIF-1 transfection (data not shown).
The complexity of Wnt extracellular and membrane components which consist of at least 19 Wnts, 10 Frizzled receptors, and co-receptors LRP5 and 6 suggest the existence of multiple Wnt-receptor interactions for initiation of Wnt signaling in OS. At this moment, little is known about the exact Wnt-receptor interactions for OS development and progression. It is reasonable to speculate that the difference between our results and others in the effect of WIF-1 anchorage-dependent growth of 143B cells may be due to context-dependent effect of WIF-1 on Wnt activity and cell growth inhibition. Further studies are necessary to determine which Wnt-receptor interactions are predominantly affected by WIF-1 in OS.
Patients with OS frequently present with hematogenous metastasis to the lungs (35, 36). Despite multi-modality treatment including surgery and chemotherapy, five-year survival of patients with relapsed OS remains approximately 20% (37–40). At present, there is no targeted anti-metastatic therapy available for OS. To our best knowledge, we are first to report that WIF-1 markedly inhibits tumor metastasis in an orthotopic animal model of OS. This model of intra-tibial injection of 143B cells leading to 100% lung metastasis (20) closely recapitulates the process of OS tumor metastasis in human. Therefore, our results suggest the potential for developing WIF-1 as a targeted anti-metastatic agent for clinical use in OS cases with aberrant Wnt signaling.
Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes that can degrade the ECM and facilitate cellular invasion and migration (41). High MMP-9 expression was observed in pre-treatment OS tumor samples and in a majority of metastatic lesions, leading to speculation that MMP-9 expression is associated with the micrometastatic behavior of OS (42). Membrane-type metalloproteinase (MT1-MMP), also known as MMP-14, has been shown to also play a critical role in metastasis (43). MMP-9 and 14 are transcriptional targets of Wnt signaling (23) and have been correlated with poor disease-free survival in OS (44–47). We demonstrated that WIF-1 overexpression reduced MMP-9 and MMP-14 protein expression in 143B cells. Taken together, these results suggest that WIF-1 exhibits its markedly anti-tumor metastasis effect in OS through multiple complex mechanisms. Further studies are in progress to dissect pathways modulated by WIF-1 for metastasis in OS.
Based on its significant anti-tumor and anti-metastasis effects in vivo in animal models of OS, WIF-1 represents a promising target for developing therapeutic and preventive strategies against metastatic OS with aberrant Wnt signaling. At this point, the interaction of WIF-1 with key Wnt components at the membrane and extracellular levels needs further delineation. In addition, study of WIF-1 regulated pathways for OS tumor growth and metastasis may be helpful for identification of biomarkers and targets for WIF-1 deficient OS as WIF-1 expression is commonly down-regulated in this disease.
We thank Dr. Marian Waterman for the TCF luciferase construct, Dr. Randall F. Holcombe for technical advices, Dr. Richard Gorlick for the OS160 cell line, and Dr. Eugenie Kleinerman for the SaOS-LM7 cell line.
Grant support: NIH CA-116003, Chao Family Comprehensive Cancer Center, American Cancer Society, Orthopaedic Research and Education Foundation (Dr. Bang H. Hoang). Dr. Xiaolin Zi is supported by NIH grants CA129793, CA122558, and AICR grant 41493.
Potential conflict of interest statements. There is no potential conflict of interest.