Abstract
Inactivation of p53 and/or Rb pathways restrains osteoblasts from cell-cycle exit and terminal differentiation, which underpins osteosarcoma formation coupled with dedifferentiation. Recently, the level of p-S6K was shown to independently predict the prognosis for osteosarcomas, while the reason behind this is not understood. Here we show that in certain high-grade osteosarcomas, immature SSEA-4(+) tumor cells represent a subset of tumor-initiating cells (TICs) whose pool size is maintained by mTORC1 activity. mTORC1 supports not only SSEA-4(+) cell self-renewal through S6K but also the regeneration of SSEA-4(+) TICs by SSEA-4(-) osteosarcoma cell dedifferentiation. Mechanistically, active mTORC1 is required to prevent a likely upregulation of the cell-cycle inhibitor p27 independently of p53 or Rb activation, which otherwise effectively drives the terminal differentiation of SSEA-4(-) osteosarcoma cells at the expense of dedifferentiation. Thus, mTORC1 is shown to critically regulate the retention of tumorigenicity versus differentiation in discrete differentiation phases in SSEA-4(+) TICs and their progeny.
Publication types
-
Research Support, Non-U.S. Gov't
MeSH terms
-
Animals
-
Bone Neoplasms / drug therapy
-
Bone Neoplasms / genetics
-
Bone Neoplasms / metabolism*
-
Bone Neoplasms / mortality
-
Bone Neoplasms / pathology*
-
Cell Cycle / genetics
-
Cell Dedifferentiation
-
Cell Transformation, Neoplastic / genetics
-
Cell Transformation, Neoplastic / metabolism*
-
Disease Models, Animal
-
Disease Progression
-
Epithelial-Mesenchymal Transition / genetics
-
Female
-
Heterografts
-
Humans
-
Mechanistic Target of Rapamycin Complex 1
-
Multiprotein Complexes / genetics
-
Multiprotein Complexes / metabolism*
-
Neoplasm Grading
-
Osteosarcoma / drug therapy
-
Osteosarcoma / genetics
-
Osteosarcoma / metabolism*
-
Osteosarcoma / mortality
-
Osteosarcoma / pathology*
-
Prognosis
-
Retinoblastoma Protein / genetics
-
Retinoblastoma Protein / metabolism
-
Stage-Specific Embryonic Antigens / genetics
-
Stage-Specific Embryonic Antigens / metabolism*
-
TOR Serine-Threonine Kinases / genetics
-
TOR Serine-Threonine Kinases / metabolism*
-
Tumor Suppressor Protein p53 / genetics
-
Tumor Suppressor Protein p53 / metabolism
Substances
-
Multiprotein Complexes
-
Retinoblastoma Protein
-
Stage-Specific Embryonic Antigens
-
Tumor Suppressor Protein p53
-
stage-specific embryonic antigen-4
-
Mechanistic Target of Rapamycin Complex 1
-
TOR Serine-Threonine Kinases