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Updated: Jun 18, 2025

LINE-1 Methylation Analysis in Mesenchymal Stem Cells Treated with Osteosarcoma-Derived Extracellular Vesicles
Published on: February 1, 2020
FOXM1 mediates methotrexate resistance in osteosarcoma cells by promoting autophagy
Luoyang Wang1, Dongchang Zhai2, Lei Tang2
1Department of Immunology, School of Basic Medicine, Qingdao University, Qingdao 266071, China.
Abstract:
Osteosarcoma (OS) is a primary bone cancer mostly found in adolescents and elderly individuals. The treatment of OS is still largely dependent on traditional chemotherapy. However, the high incidence of drug resistance remains one of the greatest impediments to limiting improvements in OS treatment. Recent findings have indicated that the transcription factor FOXM1 plays an important role in various cancer-related events, especially drug resistance. However, the possible role of FOXM1 in the resistance of OS to methotrexate (MTX) remains to be explored. Here, we find that FOXM1, which confers resistance to MTX, is highly expressed in OS tissues and MTX-resistant cells. FOXM1 overexpression promotes MTX resistance by enhancing autophagy in an HMMR/ATG7-dependent manner. Importantly, silencing of FOXM1 or inhibiting autophagy reverses drug resistance. These findings demonstrate a new mechanism for FOXM1-induced MTX resistance and provide a promising target for improving OS chemotherapy outcomes.
Insights
Transcription factor FOXM1 drives methotrexate resistance in osteosarcoma by enhancing autophagy. Targeting FOXM1 or autophagy may improve chemotherapy outcomes for this bone cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Osteosarcoma (OS) is a primary bone cancer predominantly affecting adolescents and the elderly.
- Current OS treatment relies heavily on chemotherapy, but drug resistance significantly hinders therapeutic success.
- The transcription factor FOXM1 is implicated in various cancer processes, including drug resistance, but its role in methotrexate resistance in OS is unexplored.
Purpose of the Study:
- To investigate the role of FOXM1 in methotrexate (MTX) resistance in osteosarcoma.
- To elucidate the underlying molecular mechanisms of FOXM1-mediated MTX resistance.
Main Methods:
- Assessed FOXM1 expression in OS tissues and MTX-resistant cells.
- Investigated the effect of FOXM1 overexpression and silencing on MTX sensitivity.
- Examined the role of autophagy, specifically the HMMR/ATG7 pathway, in FOXM1-induced MTX resistance.
Main Results:
- FOXM1 was highly expressed in OS tissues and MTX-resistant cells, correlating with MTX resistance.
- FOXM1 overexpression promoted MTX resistance by enhancing autophagy in an HMMR/ATG7-dependent manner.
- Silencing FOXM1 or inhibiting autophagy effectively reversed MTX resistance in OS cells.
Conclusions:
- FOXM1 plays a critical role in conferring MTX resistance in osteosarcoma.
- FOXM1 enhances MTX resistance through an autophagy-dependent pathway involving HMMR/ATG7.
- Targeting FOXM1 or the autophagy pathway presents a potential therapeutic strategy to overcome MTX resistance in OS.
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