The CCN family proteins: modulators of bone development and novel targets in bone-associated tumors
Po-Chun Chen1, Hsu-Chen Cheng2, Shun-Fa Yang3
1Graduate Institute of Basic Medical Science, China Medical University, Taichung 40402, Taiwan ; Department of Medical Research, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung 40201, Taiwan.
Abstract:
The CCN family of proteins is composed of six extracellular matrix-associated proteins that play crucial roles in skeletal development, wound healing, fibrosis, and cancer. Members of the CCN family share four conserved cysteine-rich modular domains that trigger signal transduction in cell adhesion, migration, proliferation, differentiation, and survival through direct binding to specific integrin receptors and heparan sulfate proteoglycans. In the present review, we discuss the roles of the CCN family proteins in regulating resident cells of the bone microenvironment. In vertebrate development, the CCN family plays a critical role in osteo/chondrogenesis and vasculo/angiogenesis. These effects are regulated through signaling via integrins, bone morphogenetic protein, vascular endothelial growth factor, Wnt, and Notch via direct binding to CCN family proteins. Due to the important roles of CCN family proteins in skeletal development, abnormal expression of CCN proteins is related to the tumorigenesis of primary bone tumors such as osteosarcoma, Ewing sarcoma, and chondrosarcoma. Additionally, emerging studies have suggested that CCN proteins may affect progression of secondary metastatic bone tumors by moderating the bone microenvironment. CCN proteins could therefore serve as potential therapeutic targets for drug development against primary and metastatic bone tumors.
Insights
The CCN proteins are key regulators of bone development and the bone microenvironment. Dysregulation of CCN proteins contributes to bone tumor formation and progression, making them potential therapeutic targets.
Area of Science:
- Biochemistry
- Cell Biology
- Oncology
Background:
- The CCN (Cell-Cell and Nucleus) protein family comprises six secreted, matricellular proteins.
- These proteins are characterized by four conserved modular domains and play vital roles in diverse biological processes, including skeletal development, wound healing, fibrosis, and cancer.
- CCN proteins mediate cell signaling by interacting with integrins and heparan sulfate proteoglycans.
Purpose of the Study:
- To review the multifaceted roles of CCN family proteins in regulating the bone microenvironment.
- To explore the involvement of CCN proteins in skeletal development, osteogenesis, and angiogenesis.
- To discuss the implications of CCN protein dysregulation in primary and metastatic bone tumors.
Main Methods:
- This review synthesizes existing literature on CCN protein function in bone biology.
- It examines signaling pathways involving integrins, BMP, VEGF, Wnt, and Notch in relation to CCN proteins.
- The review analyzes studies linking CCN protein expression to bone tumorigenesis.
Main Results:
- CCN proteins are critical for osteo/chondrogenesis and vasculo/angiogenesis during vertebrate development.
- Abnormal CCN protein expression is associated with the tumorigenesis of primary bone cancers like osteosarcoma, Ewing sarcoma, and chondrosarcoma.
- Emerging evidence suggests CCN proteins modulate the bone microenvironment, influencing the progression of metastatic bone tumors.
Conclusions:
- CCN proteins are integral regulators of bone homeostasis and development.
- Their aberrant expression is implicated in bone cancer development and progression.
- CCN proteins represent promising therapeutic targets for treating primary and metastatic bone tumors.
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