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Updated: Jan 28, 2026

Intratibial Osteosarcoma Cell Injection to Generate Orthotopic Osteosarcoma and Lung Metastasis Mouse Models
Published on: October 28, 2021
SKA1 induces de novo MTX-resistance in osteosarcoma through inhibiting FPGS transcription
Wenxi Yu1, Daliu Min2, Feng Lin1
1Department of Oncology, Affiliated 6th People's Hospital, Shanghai Jiaotong University, China.
Abstract:
De novo methotrexate (MTX)-resistance, whose underlying mechanism remains largely unknown, usually leads to very poor prognosis in patients with osteosarcoma (OS). In this study, we established the de novo MTX-resistant OS cell line SF-86 and identified the candidate gene spindle and kinetochore associated complex subunit 1 (SKA1) as potentially related to de novo MTX-resistance. Analysis of a cohort of 95 OS patients demonstrated that SKA1 overexpression significantly correlated with de novo MTX-resistance and poor 5-year survival. Mechanistically, SKA1 overexpression lead to a downregulation of folylpoly-γ-glutamate synthetase (FPGS), a key enzyme that converts MTX into its active form, MTX-PG. We further demonstrated that SKA1 interacts with DNA-directed RNA polymerase II subunit RPB3. ChIP analysis revealed that RPB3 binds the promoter region of the FPGS gene and triggers FPGS transcription upon MTX treatment in SW1353, a MTX-sensitive OS cell line lacking endogenous SKA1 expression. On the contrary, this process is blocked in SF-86 cells due to the formation of an inhibitory SKA1-RPB3 complex. Furthermore, downregulation of SKA1 levels restores MTX sensitivity in SF-86. Collectively, our study has established the de novo MTX-resistant cell line SF-86 and identified SKA1 as a novel regulator of FPGS, playing a key role in the development of de novo MTX-resistance in OS.
Insights
Spindle and kinetochore associated complex subunit 1 (SKA1) drives de novo methotrexate resistance in osteosarcoma by downregulating folylpoly-γ-glutamate synthetase (FPGS). Reducing SKA1 restores drug sensitivity, offering a potential therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- De novo methotrexate (MTX)-resistance in osteosarcoma (OS) is a significant challenge with poor patient prognosis.
- The molecular mechanisms underlying this resistance are not well understood.
Purpose of the Study:
- To establish a de novo MTX-resistant OS cell line and identify key genes involved in resistance.
- To elucidate the mechanism by which SKA1 contributes to MTX resistance in OS.
Main Methods:
- Development of a de novo MTX-resistant OS cell line (SF-86).
- Gene expression analysis and patient cohort studies (n=95) to correlate SKA1 levels with MTX resistance and survival.
- Mechanistic studies involving protein-protein interactions (SKA1-RPB3) and chromatin immunoprecipitation (ChIP) assays to investigate FPGS regulation.
Main Results:
- SKA1 was identified as a candidate gene involved in de novo MTX-resistance.
- SKA1 overexpression in OS patients correlated significantly with MTX resistance and reduced 5-year survival.
- SKA1 overexpression downregulated FPGS, a key enzyme for MTX activation, by inhibiting RPB3-mediated transcription of the FPGS gene.
- Downregulation of SKA1 restored MTX sensitivity in resistant OS cells.
Conclusions:
- SKA1 is a novel regulator of FPGS and plays a critical role in the development of de novo MTX-resistance in osteosarcoma.
- Targeting SKA1 may represent a promising therapeutic strategy to overcome MTX resistance in OS patients.
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