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Updated: Jan 31, 2026

Detecting the Ligand-binding Domain Dimerization Activity of Estrogen Receptor Alpha Using the Mammalian Two-Hybrid Assay
Published on: December 19, 2018
Activation of Estrogen Receptor Alpha by Decitabine Inhibits Osteosarcoma Growth and Metastasis
Maria Angeles Lillo Osuna1, Jesus Garcia-Lopez2, Ikbale El Ayachi3
1Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, Memphis, Tennessee.
Abstract:
Osteosarcoma is a malignant tumor in the bone, which originates from normal osteoblasts or osteoblast precursors. Normal osteoblasts express estrogen receptor alpha (ERα); however, osteosarcomas do not express ERα due to promoter DNA methylation. Here we show that treatment of 143B osteosarcoma cells with decitabine (DAC, 5-Aza-2'-deoxycytidine) induces expression of ERα and leads to decreased proliferation and concurrent induction of osteoblast differentiation. DAC exposure reduced protein expression of metastasis-associated markers VIMENTIN, SLUG, ZEB1, and MMP9, with a concurrent decrease in mRNA expression of known stem cell markers SOX2, OCT4, and NANOG. Treatment with 17β-estradiol (E2) synergized with DAC to reduce proliferation. Overexpression of ERα inhibited proliferation and induced osteoblast differentiation, whereas knockout of ERα by CRISPR/Cas9 prevented the effects of DAC. In an orthotopic model of osteosarcoma, DAC inhibited tumor growth and metastasis of 143B cells injected into the tibia of NOD SCID gamma mice. Furthermore, ERα overexpression reduced tumor growth and metastasis, and ERα knockout prevented the effects of DAC in vivo. Together, these experiments provide preclinical evidence that the FDA-approved DNA methylation inhibitor DAC may be repurposed to treat patients with osteosarcoma based on its efficacy to decrease proliferation, to induce osteoblast differentiation, and to reduce metastasis to visceral organs.Significance: These findings describe the effects of DNA methyltransferase inhibition on ERα and its potential role as a tumor suppressor in osteosarcoma.See related commentary by Roberts, p. 1034 See related article by El Ayachi and colleagues; Cancer Res 79(5);982-93.
Insights
Decitabine (DAC) treatment re-induces estrogen receptor alpha (ERα) in osteosarcoma cells, decreasing proliferation and metastasis. This suggests DAC may be a potential therapy for bone cancer by reactivating a tumor suppressor pathway.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Osteosarcoma, a bone malignancy, typically lacks estrogen receptor alpha (ERα) expression due to promoter DNA methylation.
- Restoring ERα expression could potentially suppress osteosarcoma growth and metastasis.
Purpose of the Study:
- To investigate the effect of decitabine (DAC), a DNA methylation inhibitor, on ERα expression and osteosarcoma progression.
- To evaluate the therapeutic potential of DAC in preclinical osteosarcoma models.
Main Methods:
- Treatment of osteosarcoma cells (143B) with DAC in vitro and in vivo.
- Analysis of ERα expression, proliferation markers, osteoblast differentiation markers, and metastasis-associated proteins.
- Overexpression and knockout of ERα using CRISPR/Cas9.
- Orthotopic mouse models for evaluating tumor growth and metastasis.
Main Results:
- DAC treatment induced ERα expression, reduced proliferation, and promoted osteoblast differentiation in osteosarcoma cells.
- DAC decreased metastasis markers (VIMENTIN, SLUG, ZEB1, MMP9) and stem cell markers (SOX2, OCT4, NANOG).
- ERα overexpression mimicked DAC's effects, while ERα knockout abolished them; DAC inhibited tumor growth and metastasis in vivo.
Conclusions:
- DNA methylation inhibition by DAC can restore ERα expression, acting as a tumor suppressor in osteosarcoma.
- DAC demonstrates preclinical efficacy in reducing osteosarcoma proliferation, inducing differentiation, and inhibiting metastasis.
- DAC shows potential as a repurposed FDA-approved drug for osteosarcoma treatment.
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