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Sphingosine-1-Phosphate Promotes FOS Activation in Osteosarcoma Under Tumor Acidosis
Nicolò Bozzini1, Margherita Cortini1, Alberto Righi2
1Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Acta Physiologica (Oxford, England)
|April 27, 2026
Summary
Acidosis in osteosarcoma activates sphingosine kinase 2, increasing sphingosine-1-phosphate and FOS oncogene expression. Targeting this pathway inhibits cancer cell growth, offering therapeutic potential.
Area of Science:
- Oncology
- Cancer Biology
- Biochemistry
Background:
- Extracellular acidosis in solid tumors promotes cancer aggressiveness and metastasis.
- In osteosarcoma, acidic microenvironments correlate with poor prognosis, partly due to metabolic rewiring.
- Sphingosine-1-phosphate (S1P) is a bioactive sphingolipid implicated in histone deacetylase inhibition and gene activation.
Purpose of the Study:
- To investigate if acidosis induces nuclear S1P accumulation via sphingosine kinase 2 (SK2).
- To determine if this leads to epigenetic activation of oncogenes, such as FOS, in osteosarcoma.
- To explore the therapeutic potential of targeting the acidosis-SK2-S1P-FOS axis.
Main Methods:
- Osteosarcoma spheroids cultured in neutral vs. acidic conditions.
- Assessed histone H3 acetylation, FOS expression, and nuclear localization.
- Utilized SK2 silencing/inhibition (ABC294640) and colony formation assays.
- Analyzed patient-derived osteosarcoma tissues for correlations between acidity markers, SK2, and FOS.
Main Results:
- Acidosis increased SK2 mRNA expression, histone H3 acetylation, FOS upregulation, and nuclear FOS accumulation.
- SK2 inhibition/silencing reduced these effects and impaired osteosarcoma cell clonogenicity.
- Patient tissues showed correlations between acidosis markers, SK2 levels, and FOS expression.
Conclusions:
- Identified a novel mechanism where acidosis stimulates nuclear SK2, leading to S1P synthesis and histone H3 acetylation.
- This process epigenetically activates FOS transcription, promoting osteosarcoma aggressiveness.
- Targeting the acidosis-SK2-S1P-FOS axis reduced clonogenesis, highlighting its therapeutic potential.

