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Updated: Aug 18, 2026

LINE-1 Methylation Analysis in Mesenchymal Stem Cells Treated with Osteosarcoma-Derived Extracellular Vesicles
Published on: February 1, 2020
Methylation status of EXT1 and EXT2 promoters and two mutations of EXT2 in chondrosarcoma
Takashi Tsuchiya1, Toshihisa Osanai, Akira Ogose
1Department of Orthopaedic Surgery, Yamagata University School of Medicine, Yamagata, Japan. tsuchiya@med.id.yamagata-u.ac.jp
Abstract:
Germline mutation and functional loss of EXT1 or EXT2 are commonly found in multiple osteochondromas and predispose to the development of chondrosarcoma. Mutations of EXT1 and EXT2 have rarely been detected in sporadic secondary chondrosarcomas from osteochondroma; these frequently display loss of heterozygosity at the EXT1 and EXT2 loci, but primary chondrosarcomas typically do not. To evaluate promoter methylation (which is an epigenetic gene silencing mechanism) of EXT1 and EXT2, we performed methylation-specific polymerase chain reaction (PCR) for 20 chondrosarcoma cases (12 primary, 3 secondary to osteochondroma, 2 secondary to enchondromatosis, 2 extraskeletal ordinary, and 1 clear cell) and in five cell lines. In addition, mutation analysis of the EXT1 and EXT2 coding regions was performed using PCR-single-strand conformation polymorphism and sequencing analysis for 12 of the 20 chondrosarcoma cases (8 primary, 1 secondary to enchondromatosis, 1 secondary to osteochondroma, and 2 extraskeletal ordinary) and five cell lines. Promoter methylation of EXT1 and EXT2 was not detected in any of the cases, and both EXT1 and EXT2 were expressed in all cell lines. Two missense mutations in EXT2 (D227E and R299H) were detected among the chondrosarcoma cases. When considering tumor development in primary chondrosarcoma, we should include mutations in EXT2, along with the status of other members of the EXT gene family.
Insights
Germline mutations in EXT1/EXT2 genes are linked to osteochondromas and chondrosarcoma risk. This study found no promoter methylation in chondrosarcomas but identified EXT2 mutations, suggesting their role in primary tumor development.
Area of Science:
- Oncology
- Genetics
- Epigenetics
Background:
- Germline mutations in EXT1 or EXT2 are associated with multiple osteochondromas and chondrosarcoma development.
- Mutations in EXT1/EXT2 are rare in secondary chondrosarcomas from osteochondroma, which often show loss of heterozygosity.
- Primary chondrosarcomas typically do not exhibit loss of heterozygosity at EXT1/EXT2 loci.
Purpose of the Study:
- To investigate promoter methylation of EXT1 and EXT2 in chondrosarcomas.
- To analyze mutations in the coding regions of EXT1 and EXT2 in chondrosarcoma cases.
- To understand the role of EXT gene family members in primary chondrosarcoma development.
Main Methods:
- Methylation-specific polymerase chain reaction (PCR) was used to assess promoter methylation of EXT1 and EXT2.
- PCR-single-strand conformation polymorphism and sequencing analysis were employed for mutation detection in EXT1 and EXT2 coding regions.
- Analysis was conducted on 20 chondrosarcoma cases and five cell lines.
Main Results:
- No promoter methylation of EXT1 or EXT2 was detected in any of the analyzed chondrosarcoma cases.
- Both EXT1 and EXT2 genes were expressed in all tested cell lines.
- Two missense mutations in EXT2 (D227E and R299H) were identified in chondrosarcoma cases.
Conclusions:
- Promoter methylation is not a primary mechanism for EXT1/EXT2 silencing in chondrosarcomas.
- Mutations in EXT2 should be considered in the development of primary chondrosarcomas.
- Further investigation into the EXT gene family's role is warranted for understanding tumor development.
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