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Updated: Jun 6, 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
FTO-mediated m6A modification of protein disulfide-isomerase activates VEGFA-VEGFR2 to suppress programmed cell death
Jiashi Wang1, Yingying Hao2, Ming He1
1Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, PR China.
Abstract:
Osteosarcoma (OS) is a primary bone malignancy, and its progression can be hindered by inducing programmed cell death (PCD). Protein disulfide-isomerase (PDI) regulates cancer cell death; however, its functional role in OS remains unclear. P4HB expression was assessed in tumor tissues and cells from patients with OS using RT-qPCR. The effects of P4HB on OS cell lines were evaluated. Western blotting was used to assess the impact of P4HB on various forms of PCD (apoptosis, ferroptosis, and pyroptosis). Bioinformatics analysis identified the upstream and downstream mechanisms of P4HB in OS progression. A xenograft tumorigenesis study was performed to elucidate the role and mechanism of P4HB in OS progression. Elevated P4HB expression was observed in OS tissue samples and cell lines. Downregulation of P4HB suppressed OS cell growth, migration, and invasiveness and induced PCD. Functional enrichment analysis and experimental validation revealed that PDI upregulated vascular endothelial growth factor A (VEGFA) vascular endothelial growth factor receptor 2 (VEGFR2) signaling. Methylation analysis showed that the m6A demethylase fat mass and obesity-associated protein (FTO) decreased P4HB m6A levels and enhanced VEGFA-VEGFR2 signaling in OS cells. Moreover, FTO overexpression enhanced the proliferative, migratory, and invasive capabilities of OS cells and decreased PCD. Finally, FTO knockdown inhibited tumor growth and lung metastasis of OS by decreasing the activity of the PDI/VEGFA-VEGFR2 signaling axis. Mechanistically, FTO-mediated m6A modification of P4HB regulates PCD in OS through activation of this axis. © 2026 The Pathological Society of Great Britain and Ireland.
Insights
Protein disulfide-isomerase (PDI) promotes osteosarcoma (OS) growth by upregulating VEGFA-VEGFR2 signaling. Targeting PDI or its regulator FTO may inhibit OS progression and metastasis, offering new therapeutic strategies for this bone cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Osteosarcoma (OS) is a primary bone cancer.
- Inducing programmed cell death (PCD) can hinder OS progression.
- The role of Protein disulfide-isomerase (PDI) in OS cell death is unclear.
Purpose of the Study:
- To investigate the functional role of PDI (encoded by P4HB) in osteosarcoma progression.
- To elucidate the upstream and downstream mechanisms regulating PDI in OS.
- To explore PDI's impact on various programmed cell death pathways in OS.
Main Methods:
- Assessed P4HB expression in OS tissues and cell lines via RT-qPCR.
- Evaluated P4HB effects on OS cell lines, including migration and invasiveness.
- Utilized Western blotting to assess PDI's impact on apoptosis, ferroptosis, and pyroptosis.
- Performed bioinformatics analysis and xenograft studies to identify regulatory mechanisms.
Main Results:
- Elevated P4HB expression was found in OS tissues and cells.
- Downregulating P4HB suppressed OS cell growth, migration, invasiveness, and induced PCD.
- PDI was found to upregulate VEGFA-VEGFR2 signaling.
- The m6A demethylase FTO reduced P4HB m6A levels, enhancing VEGFA-VEGFR2 signaling and OS cell proliferation, migration, and invasion while decreasing PCD.
- FTO knockdown inhibited OS tumor growth and lung metastasis.
Conclusions:
- PDI (P4HB) promotes osteosarcoma progression by activating the VEGFA-VEGFR2 signaling axis.
- FTO-mediated m6A modification of P4HB is a key mechanism regulating PCD in OS.
- Targeting the PDI/VEGFA-VEGFR2 axis or FTO presents a potential therapeutic strategy for osteosarcoma.
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