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      The FAP α -activated prodrug Z-GP-DAVLBH inhibits the growth and pulmonary metastasis of osteosarcoma cells by suppressing the AXL pathway

      research-article
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      Acta Pharmaceutica Sinica. B
      Elsevier
      Osteosarcoma, Fibroblast activation protein alpha, Growth, Pulmonary metastasis, Vinblastine prodrug, AXL, β-Catenin, DAVLBH, desacetylvinblastine monohydrazide, EMT, epithelial–mesenchymal transition, FAPα, fibroblast activation protein alpha, siRNA, small interfering RNA, TA-MSCs, tumor-associated mesenchymal stem cells, Z-GP, N-terminal benzyloxy carbonyl-blocked (Z-blocked) GlyPro peptide, Z-GP-DAVLBH, desacetylvinblastine monohydrazide coupled to an N-terminal benzyloxy carbonyl-blocked (Z-blocked) GlyPro peptide

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          Abstract

          Osteosarcoma is a kind of bone tumor with highly proliferative and invasive properties, a high incidence of pulmonary metastasis and a poor prognosis. Chemotherapy is the mainstay of treatment for osteosarcoma. Currently, there are no molecular targeted drugs approved for osteosarcoma treatment, particularly effective drugs for osteosarcoma with pulmonary metastases. It has been reported that fibroblast activation protein alpha (FAP α) is upregulated in osteosarcoma and critically associated with osteosarcoma progression and metastasis, demonstrating that FAP α-targeted agents might be a promising therapeutic strategy for osteosarcoma. In the present study, we reported that the FAP α-activated vinblastine prodrug Z-GP-DAVLBH exhibited potent antitumor activities against FAP α-positive osteosarcoma cells in vitro and in vivo. Z-GP-DAVLBH inhibited the growth and induced the apoptosis of osteosarcoma cells. Importantly, it also decreased the migration and invasion capacities and reversed epithelial–mesenchymal transition (EMT) of osteosarcoma cells in vitro and suppressed pulmonary metastasis of osteosarcoma xenografts in vivo. Mechanistically, Z-GP-DAVLBH suppressed the AXL/AKT/GSK-3 β/ β-catenin pathway, leading to inhibition of the growth and metastatic spread of osteosarcoma cells. These findings demonstrate that Z-GP-DAVLBH is a promising agent for the treatment of FAP α-positive osteosarcoma, particularly osteosarcoma with pulmonary metastases.

          Graphical abstract

          The FAP α-activated vinblastine prodrug Z-GP-DAVLBH inhibited the activation of the AXL/AKT/GSK-3 β/ β-catenin pathway and consequently suppressed the growth, epithelial–mesenchymal transition, and pulmonary metastasis of FAP α-positive osteosarcoma cells.

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          Most cited references49

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          EMT Transition States during Tumor Progression and Metastasis

          Epithelial-mesenchymal transition (EMT) is a process in which epithelial cells acquire mesenchymal features. In cancer, EMT is associated with tumor initiation, invasion, metastasis, and resistance to therapy. Recently, it has been demonstrated that EMT is not a binary process, but occurs through distinct cellular states. Here, we review the recent studies that demonstrate the existence of these different EMT states in cancer and the mechanisms regulating their functions. We discuss the different functional characteristics, such as proliferation, propagation, plasticity, invasion, and metastasis associated with the distinct EMT states. We summarize the role of the transcriptional and epigenetic landscapes, gene regulatory network and their surrounding niche in controlling the transition through the different EMT states.
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            EMT, CSCs, and drug resistance: the mechanistic link and clinical implications

            According to the cancer stem cell (CSC) paradigm, a minor subpopulation of cancer cells with stem-cell properties predominantly underlies tumour progression, therapy resistance, and disease recurrence. Notably, epithelial-to-mesenchymal transition (EMT) is implicated in these processes, and CSCs typically show markers of EMT-programme activation. Herein, the authors outline our current understanding of the links between the EMT programme, the CSC phenotype, metastasis, and drug resistance, and discuss the potential for therapeutic targeting of these facets of tumour biology.
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              Osteosarcoma incidence and survival rates from 1973 to 2004: data from the Surveillance, Epidemiology, and End Results Program.

              Osteosarcoma, which is the most common primary bone tumor, occurs most frequently in adolescents, but there is a second incidence peak among individuals aged > 60 years. Most osteosarcoma epidemiology studies have been embedded in large analyses of all bone tumors or focused on cases occurring in adolescence. Detailed descriptions of osteosarcoma incidence and survival with direct comparisons among patients of all ages and ethnicities are not available. Frequency, incidence, and survival rates for 3482 patients with osteosarcoma from the National Cancer Institute's population-based Surveillance, Epidemiology, and End Results (SEER) Program between 1973 and 2004 were investigated by age (ages 0-24 years, 25-59 years, and 60 to > or = 85 years), race, sex, pathology subtype, stage, and anatomic site. There were large differences in incidence and survival rates by age. There was a high percentage of osteosarcoma with Paget disease and osteosarcoma as a second or later cancer among the elderly. There was a high percentage of osteosarcoma among patients with Paget disease and osteosarcoma as a second or later cancer among the elderly. Tumor site differences among age groups were noted. Survival rates varied by anatomic site and disease stage and did not improve significantly from 1984 to 2004. This comprehensive, population-based description of osteosarcoma, identified important differences in incidence, survival, pathologic subtype, and anatomic site among age groups, and quantified the impact of osteosarcoma in patients with Paget disease or as a second cancer on incidence and mortality rates. These findings may have implications in understanding osteosarcoma biology and epidemiology. (c) 2009 American Cancer Society
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                Author and article information

                Contributors
                Journal
                Acta Pharm Sin B
                Acta Pharm Sin B
                Acta Pharmaceutica Sinica. B
                Elsevier
                2211-3835
                2211-3843
                14 August 2021
                March 2022
                14 August 2021
                : 12
                : 3
                : 1288-1304
                Affiliations
                [a ]College of Pharmacy, Jinan University, Guangzhou 510632, China
                [b ]Guangdong Province Key Laboratory of Pharmacodynamic Constituents of Traditional Chinese Medicine and New Drugs Research, Jinan University, Guangzhou 510632, China
                [c ]Integrated Chinese and Western Medicine Postdoctoral Research Station, Jinan University, Guangzhou 510632, China
                [d ]Department of Musculoskeletal Oncology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
                Author notes
                []Corresponding authors. Tel.: +86 20 85222653, +86 20 85220004, +86 20 87755766. yinjunq@ 123456mail.sysu.edu.cn chywc@ 123456aliyun.com dmzhang701@ 123456jnu.edu.cn
                [†]

                These authors made equal contributions to this work.

                Article
                S2211-3835(21)00305-1
                10.1016/j.apsb.2021.08.015
                9072247
                35530139
                af0515e4-dbdc-4122-b901-44b61eaf631b
                © 2022 Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. Production and hosting by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 4 June 2021
                : 27 July 2021
                : 30 July 2021
                Categories
                Original Article

                osteosarcoma,fibroblast activation protein alpha,growth,pulmonary metastasis,vinblastine prodrug,axl,β-catenin,davlbh, desacetylvinblastine monohydrazide,emt, epithelial–mesenchymal transition,fapα, fibroblast activation protein alpha,sirna, small interfering rna,ta-mscs, tumor-associated mesenchymal stem cells,z-gp, n-terminal benzyloxy carbonyl-blocked (z-blocked) glypro peptide,z-gp-davlbh, desacetylvinblastine monohydrazide coupled to an n-terminal benzyloxy carbonyl-blocked (z-blocked) glypro peptide

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