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Updated: Jul 11, 2026

A Preclinical Mouse Model of Osteosarcoma to Define the Extracellular Vesicle-mediated Communication Between Tumor and Mesenchymal Stem Cells
Published on: May 6, 2018
NGR-Modified CAF-Derived exos Targeting Tumor Vasculature to Induce Ferroptosis and Overcome Chemoresistance in
Jianxin Du1, Xiangwei Meng1, Minghao Yang2
1Center of Translational Medicine, Zibo Central Hospital Affiliated to Binzhou Medical University, Zibo, 255036, China.
Abstract:
Osteosarcoma (OS) chemoresistance presents a significant clinical challenge. This study aims to investigate the potential of using tumor vascular-targeting peptide NGR-modified cancer-associated fibroblasts (CAFs)-derived exosomes (exos) to deliver circ_0004872-encoded small peptides promoting autophagy-dependent ferroptosis to reverse chemoresistance in OS. Through combined single-cell transcriptome analysis and high-throughput sequencing, it identified circ_0004872 associated with chemoresistance. Subsequent experiments demonstrated that the small peptide encoded by this Circular RNA (circRNA) can effectively reverse chemoresistance by enhancing OS cell sensitivity to chemotherapy via the mechanism of promoting autophagy-dependent ferroptosis. Moreover, in vitro and in vivo results confirmed the efficient delivery of NGR-modified CAFs-derived exo-packaged circ_0004872-109aa to tumor cells, thereby improving targeted therapy efficacy. This study not only offers a novel strategy to overcome chemoresistance in OS but also highlights the potential application value of utilizing exos for drug delivery.
Insights
This study shows that modified exosomes carrying a specific circular RNA peptide can overcome osteosarcoma chemoresistance by promoting autophagy-dependent ferroptosis. This offers a new targeted therapy approach for osteosarcoma (OS) treatment.
Area of Science:
- Oncology
- Biotechnology
- Molecular Biology
Background:
- Chemoresistance is a major obstacle in osteosarcoma (OS) treatment.
- Novel therapeutic strategies are needed to enhance chemotherapy efficacy in OS.
Purpose of the Study:
- To investigate the use of NGR-modified cancer-associated fibroblasts (CAFs)-derived exosomes (exos) for delivering circ_0004872 to reverse chemoresistance in OS.
- To explore the mechanism of autophagy-dependent ferroptosis induced by circ_0004872-encoded small peptides.
Main Methods:
- Single-cell transcriptome analysis and high-throughput sequencing to identify chemoresistance-associated circRNAs.
- In vitro and in vivo experiments to evaluate the efficacy of NGR-modified CAFs-derived exos delivering circ_0004872.
- Assessment of autophagy-dependent ferroptosis induction.
Main Results:
- Circ_0004872 was identified as a key circular RNA associated with chemoresistance in OS.
- The small peptide encoded by circ_0004872 effectively reversed chemoresistance by promoting autophagy-dependent ferroptosis.
- NGR-modified CAFs-derived exos efficiently delivered circ_0004872 to OS cells, enhancing targeted therapy.
Conclusions:
- NGR-modified CAFs-derived exos represent a promising drug delivery system for OS.
- Targeting circ_0004872 to induce autophagy-dependent ferroptosis is a viable strategy to overcome OS chemoresistance.
- This approach holds potential for improving clinical outcomes in osteosarcoma patients.
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