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Updated: May 25, 2026

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
Characterization of gene amplification-driven SKP2 overexpression in myxofibrosarcoma: potential implications in
Chien-Feng Li1, Ju-Ming Wang, Hong-Yo Kang
1Department of Pathology, National Institute of Cancer Research, Taiwan.
Purpose:
Myxofibrosarcoma remains obscure in molecular determinants of clinical aggressiveness, for which we elucidated implications of SKP2 amplification.
Experimental Design:
Array comparative genomic hybridization was applied on samples and cell lines (NMFH-1 to OH931) to search causal genes of tumor progression. SKP2 gene dosage was determined in 82 independent tumors for clinical correlates. Stable SKP2 knockdown was achieved in myxofibrosarcoma cells to assess its oncogenic attributes and candidate mediators in prometastatic function. Pharmacologic assays were evaluated in vitro and in vivo for the therapeutic relevance of bortezomib.
Results:
DNA gains frequently involved 5p in which three amplicons were differentially overrepresented in samples behaving unfavorably, encompassing mRNA-upregulated TRIO, SKP2, and AMACR genes. Detected in NMFH-1 cells and 38% of tumors, SKP2 amplification was associated with SKP2 immunoexpression and adverse prognosticators and independently predictive of worse outcomes. Nevertheless, SKP2-expressing OH931 cells and 14% of such tumors lacked gene amplification. Knockdown of SKP2 suppressed proliferation, anchorage-independent growth, migration, and invasion of sarcoma cells and downregulated motility-promoting genes, including ITGB2, ACTN1, IGF1, and ENAH. In vitro, bortezomib downregulated SKP2 expression at the mRNA level with p27(kip1) accumulation, induced caspase activation, and decreased cell viability in myxofibrosarcoma cells but not in fibroblasts. In vivo, bortezomib inhibited growth of NMFH-1 xenografts, the cells of which displayed decreased SKP2 expression but increased p27(kip1) and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL).
Conclusions:
As a predominant mechanism driving protein overexpression, SKP2 amplification confers tumor aggressiveness in myxofibrosarcoma. The sensitivity of myxofibrosarcoma cells to bortezomib with SKP2-repressing effect indicates the potentiality of ubiquitin-proteasome pathway as a therapeutic target.
Insights
SKP2 amplification drives aggressive myxofibrosarcoma by increasing protein overexpression. Bortezomib shows therapeutic potential by targeting the ubiquitin-proteasome pathway and reducing SKP2 levels.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Myxofibrosarcoma (MF) is a soft tissue sarcoma with poorly understood molecular drivers of clinical aggressiveness.
- Identifying key molecular determinants is crucial for improving patient outcomes and developing targeted therapies.
Purpose of the Study:
- To elucidate the role of SKP2 amplification in the molecular pathogenesis and clinical aggressiveness of myxofibrosarcoma.
- To investigate the therapeutic potential of bortezomib in targeting SKP2-driven myxofibrosarcoma.
Main Methods:
- Array comparative genomic hybridization (aCGH) was used to identify gene amplifications in myxofibrosarcoma samples and cell lines.
- SKP2 gene dosage was correlated with clinical parameters in 82 independent tumors.
- SKP2 knockdown and pharmacologic assays with bortezomib were performed in vitro and in vivo.
Main Results:
- SKP2 amplification was identified in 38% of myxofibrosarcoma tumors, associated with SKP2 overexpression and adverse prognosticators.
- SKP2 knockdown suppressed proliferation, migration, and invasion, downregulating motility-promoting genes.
- Bortezomib reduced SKP2 expression, induced apoptosis, and inhibited tumor growth in vivo, demonstrating therapeutic efficacy.
Conclusions:
- SKP2 amplification is a predominant mechanism driving tumor aggressiveness in myxofibrosarcoma.
- Myxofibrosarcoma cells are sensitive to bortezomib, highlighting the ubiquitin-proteasome pathway as a potential therapeutic target.
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