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Updated: Dec 24, 2025

A Syngeneic Orthotopic Osteosarcoma Sprague Dawley Rat Model with Amputation to Control Metastasis Rate
Published on: May 3, 2021
ROCK2 mediates osteosarcoma progression and TRAIL resistance by modulating O-GlcNAc transferase degradation
Xueqiang Deng1, Xuan Yi1, Da Huang2
1Department of Orthopedics, Second Affiliated Hospital of Nanchang University Nanchang, Jiangxi Province, China.
Abstract:
Osteosarcoma is a common bone tumor, with a poor prognosis. New combinatorial therapies that sensitize anticancer drug-resistant osteosarcoma cells to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) are, therefore, required. The GTPase RhoA effector, Rho-associated coiled-coil forming protein kinase 2 (ROCK2), is well known for its roles in various types of cancer; however, its involvement osteosarcoma has not yet been scrutinized. In this study, we analyzed ROCK2 expression, clinicopathological features, and prognosis in osteosarcoma patients. Apoptosis, colony formation, and cell proliferation were analyzed using flow cytometry, colony formation assays, and CCK8 assays, respectively. Proteomics analysis was used to evaluate osteosarcoma progression. We found that adjacent tissues had lower ROCK2 expression levels than osteosarcoma tissues and the level of expression was related to osteosarcoma tumor size and prognosis. Osteosarcoma prognosis was associated with ROCK2 expression level, which served as an independent marker in multivariate analysis. ROCK2 silencing inhibited proliferation in vivo and in vitro and triggered apoptotic osteosarcoma cell death. ROCK2 inhibited the TRAIL-mediated apoptotic pathway in osteosarcoma cells and promoted activation. Mechanistically, ROCK2 affected osteosarcoma progression and TRAIL resistance by modifying O-GlcNAcylation through O-GlcNAc transferase degradation. Taken together, our results demonstrated a unique mechanism whereby ROCK2 influences osteosarcoma progression and TRAIL resistance, hence improving osteosarcoma management.
Insights
Rho-associated coiled-coil forming protein kinase 2 (ROCK2) promotes osteosarcoma progression and resistance to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL). Targeting ROCK2 may improve osteosarcoma treatment by enhancing TRAIL sensitivity and inhibiting tumor growth.
Area of Science:
- Oncology
- Molecular Biology
Background:
- Osteosarcoma is a prevalent bone tumor with a poor prognosis.
- Effective combinatorial therapies are needed to overcome drug resistance in osteosarcoma.
- The role of Rho-associated coiled-coil forming protein kinase 2 (ROCK2) in osteosarcoma remains largely unexplored.
Purpose of the Study:
- To investigate the expression, clinicopathological significance, and functional role of ROCK2 in osteosarcoma.
- To elucidate the mechanism by which ROCK2 influences osteosarcoma progression and resistance to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL).
Main Methods:
- Analysis of ROCK2 expression in patient tissues and correlation with clinicopathological features and prognosis.
- In vitro and in vivo studies involving ROCK2 silencing to assess its impact on proliferation, apoptosis, and TRAIL sensitivity.
- Proteomics and O-GlcNAcylation analysis to determine the underlying molecular mechanisms.
Main Results:
- ROCK2 expression is upregulated in osteosarcoma tissues compared to adjacent tissues and correlates with tumor size and poor prognosis.
- ROCK2 silencing inhibits osteosarcoma cell proliferation and induces apoptosis.
- ROCK2 interferes with TRAIL-mediated apoptosis and promotes TRAIL resistance in osteosarcoma cells.
- ROCK2 influences osteosarcoma progression and TRAIL resistance by modulating O-GlcNAcylation via O-GlcNAc transferase degradation.
Conclusions:
- ROCK2 is a potential independent prognostic marker for osteosarcoma.
- ROCK2 plays a critical role in osteosarcoma progression and TRAIL resistance.
- Targeting ROCK2, potentially through modulation of O-GlcNAcylation, offers a promising therapeutic strategy for osteosarcoma management.
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