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Updated: Apr 12, 2026

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
EWS/FLI utilizes NKX2-2 to repress mesenchymal features of Ewing sarcoma
John Fadul1, Russell Bell1, Laura M Hoffman2
1Huntsman Cancer Institute, School of Medicine, University of Utah, Salt Lake City, Utah, USA ; Department of Oncological Sciences, School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Abstract:
In Ewing sarcoma, NKX2-2 is a critical activated target of the oncogenic transcription factor EWS/FLI that is required for transformation. However, its biological function in this malignancy is unknown. Here we provide evidence that NKX2-2 mediates the EWS/FLI-controlled block of mesenchymal features. Transcriptome-wide RNA sequencing revealed that NKX2-2 represses cell adhesion and extracellular matrix organization genes. NKX2-2-depleted cells form more focal adhesions and organized actin stress fibers, and spread over a wider area-hallmarks of mesenchymally derived cells. Furthermore, NKX2-2 represses the actin-stabilizing protein zyxin, suggesting that these morphological changes are attributable to zyxin de-repression. In addition, NKX2-2-knockdown cells display marked increases in migration and substrate adhesion. However, only part of the EWS/FLI phenotype is NKX2-2-dependent; consequently, NKX2-2 is insufficient to rescue EWS/FLI repression of mesenchymalization. Strikingly, we found that EWS/FLI-and NKX22-repressed genes are activated by ZEB2, which was previously shown to block Ewing sarcoma epithelialization. Together, these data support an emerging theme wherein Ewing sarcoma cells highly express transcription factors that maintain an undifferentiated state. Importantly, co-opting epithelial and mesenchymal traits by Ewing sarcoma cells may explain how the primary tumor grows rapidly while also "passively" metastasizing, without the need for transitions toward differentiated states, as in carcinomas.
Insights
NKX2-2 blocks mesenchymal features in Ewing sarcoma by repressing cell adhesion genes. This transcription factor is crucial for maintaining the undifferentiated state of these cancer cells, impacting their growth and metastasis.
Area of Science:
- Molecular oncology
- Cancer biology
- Transcriptional regulation
Background:
- Ewing sarcoma is driven by the oncogenic transcription factor EWS/FLI.
- NKX2-2 is a critical target of EWS/FLI, but its role in Ewing sarcoma is unclear.
- Understanding NKX2-2 function is key to deciphering Ewing sarcoma pathogenesis.
Purpose of the Study:
- To investigate the biological function of NKX2-2 in Ewing sarcoma.
- To determine how NKX2-2 contributes to the EWS/FLI-driven phenotype.
- To explore the interplay between NKX2-2, EWS/FLI, and mesenchymal traits.
Main Methods:
- Transcriptome-wide RNA sequencing to identify NKX2-2-regulated genes.
- Cellular assays to assess focal adhesions, actin organization, spreading, migration, and substrate adhesion.
- Gene knockdown experiments to evaluate the functional impact of NKX2-2 depletion.
Main Results:
- NKX2-2 represses genes involved in cell adhesion and extracellular matrix organization.
- NKX2-2 depletion leads to increased focal adhesions, actin stress fibers, cell spreading, migration, and adhesion.
- NKX2-2 represses the actin-stabilizing protein zyxin, contributing to observed morphological changes.
- NKX2-2 mediates only a subset of the EWS/FLI phenotype; ZEB2 is also involved in regulating mesenchymalization.
Conclusions:
- NKX2-2 plays a significant role in blocking mesenchymal features in Ewing sarcoma.
- Ewing sarcoma cells maintain an undifferentiated state through the expression of transcription factors like NKX2-2 and ZEB2.
- The co-option of epithelial and mesenchymal traits may facilitate rapid tumor growth and metastasis in Ewing sarcoma.
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