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2017 ; 8
(24
): 38530-38540
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CYP genes in osteosarcoma: Their role in tumorigenesis, pulmonary metastatic
microenvironment and treatment response
#MMPMID28404946
Trujillo-Paolillo A
; Tesser-Gamba F
; Petrilli AS
; de Seixas Alves MT
; Garcia Filho RJ
; de Oliveira R
; de Toledo SRC
Oncotarget
2017[Jun]; 8
(24
): 38530-38540
PMID28404946
show ga
Osteosarcoma (OS) is the most common malignant bone tumor in children and
adolescents. The present study investigated the expression of Cytochrome P-450
(CYP) genes: CYP1A2, CYP3A4 and CYP3A5 by qRT-PCR in 135 specimens obtained from
OS patients, including biopsy (pre-chemotherapy), tumor resected in surgery
(post-chemotherapy), adjacent bone to tumor (nonmalignant tissue), pulmonary
metastasis and adjacent lung to metastasis (nonmalignant tissue). Normal bone and
normal lung tissues were used as control. We also investigated in five OS cell
lines the modulation of CYPs expression by cisplatin, doxorubicin and
methotrexate. As result, the adjacent lung specimens presented CYP1A2
overexpression compared to the normal lung (p=0.0256). Biopsy specimens presented
lower CYP3A4 expression than normal bone (p=0.0314). The overexpression of both
CYP1A2 and CYP3A4 in post-chemotherapy specimens were correlated with better
event free-survival (p=0.0244) and good response (p=0.0484), respectively.
Furthermore, in vitro assays revealed that CYP1A2 was upregulated by doxorubicin
(p=0.0034); CYP3A4 was upregulated by cisplatin, doxorubicin and methotrexate
(p=0.0004, p=0.0024, p<0.0001, respectively); and CYP3A5 was downregulated by
doxorubicin (p=0.0285) and upregulated in time-dependent manner by methotrexate
(p=0.0239). In conclusion, our findings suggest that CYP genes play an important
role in OS tumorigenesis, at primary and metastatic sites, as well in treatment
response.