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KLF4 functions as an oncogene in promoting cancer stem cell-like characteristics in osteosarcoma cells
Xiao-Tian Qi1, Yang-Ling Li1, Yan-Qi Zhang1,2
1Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Abstract:
Despite more effective chemotherapy combined with limb-salvage surgery for the osteosarcoma treatment, survival rates for osteosarcoma patients have stagnated over the past three decades due to the poor prognosis. Osteosarcoma cancer stem cells (OSCs) are responsible for the growth and metastasis of osteosarcoma. The existence of OSCs offers a theoretical explanation for therapeutic failures including tumor recurrence, metastasis, and drug resistance. Understanding the pathways that regulate properties of OSCs may shed light on mechanisms that lead to osteosarcoma and suggest better modes of treatment. In this study, we showed that the expression level of Kruppel-like factor 4 (KLF4) is highly associated with human osteosarcoma cancer stemness. KLF4-overexpressed osteosarcoma cells displayed characteristics of OSCs: increased sphere-forming potential, enhanced levels of stemness-associated genes, great chemoresistance to adriamycin and CDDP, as well as more metastasis potential. Inversely, KLF4 knockdown could reduce colony formation in vitro and inhibit tumorigenesis in vivo, supporting an oncogenic role for KLF4 in osteosarcoma pathogenesis. Furthermore, KLF4 was shown to activate the p38 MAPK signaling pathway to promote cancer stemness. Altogether, our studies uncover an essential role for KLF4 in regulation of OSCs and identify KLF4-p38 MAPK axis as a potential therapeutic target for osteosarcoma treatment.
Insights
Kruppel-like factor 4 (KLF4) drives osteosarcoma cancer stemness, promoting tumor growth, metastasis, and chemoresistance. Targeting the KLF4-p38 MAPK pathway offers a new therapeutic strategy for osteosarcoma.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Stem Cell Research
Background:
- Osteosarcoma survival rates have stagnated despite advancements in chemotherapy and surgery.
- Osteosarcoma cancer stem cells (OSCs) drive tumor growth, metastasis, recurrence, and drug resistance.
- Identifying regulatory pathways of OSCs is crucial for developing improved osteosarcoma treatments.
Purpose of the Study:
- To investigate the role of Kruppel-like factor 4 (KLF4) in regulating osteosarcoma cancer stemness.
- To elucidate the molecular mechanisms by which KLF4 influences osteosarcoma progression.
- To identify potential therapeutic targets for osteosarcoma based on KLF4 function.
Main Methods:
- Assessed KLF4 expression in osteosarcoma.
- Overexpressed and knocked down KLF4 in osteosarcoma cells to evaluate its effects on stemness properties.
- Examined sphere-forming potential, stemness-associated gene expression, chemoresistance, and metastasis.
- Investigated the involvement of the p38 MAPK signaling pathway.
Main Results:
- High KLF4 expression correlated with osteosarcoma cancer stemness.
- KLF4 overexpression enhanced sphere formation, stemness markers, chemoresistance, and metastasis.
- KLF4 knockdown reduced colony formation and inhibited tumorigenesis in vivo.
- KLF4 activates the p38 MAPK pathway to promote cancer stemness.
Conclusions:
- KLF4 plays a critical role in regulating osteosarcoma cancer stem cells.
- The KLF4-p38 MAPK axis is a key pathway promoting osteosarcoma stemness and progression.
- Targeting the KLF4-p38 MAPK pathway represents a promising therapeutic strategy for osteosarcoma.
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