The membrane-cytoskeleton linker ezrin is necessary for osteosarcoma metastasis
Abstract
Metastatic cancers, once established, are the primary cause of mortality associated with cancer. Previously, we used a genomic approach to identify metastasis-associated genes in cancer. From this genomic data, we selected ezrin for further study based on its role in physically and functionally connecting the actin cytoskeleton to the cell membrane. In a mouse model of osteosarcoma, a highly metastatic pediatric cancer, we found ezrin to be necessary for metastasis. By imaging metastatic cells in the lungs of mice, we showed that ezrin expression provided an early survival advantage for cancer cells that reached the lung. AKT and MAPK phosphorylation and activity were reduced when ezrin protein was suppressed. Ezrin-mediated early metastatic survival was partially dependent on activation of MAPK, but not AKT. To define the relevance of ezrin in the biology of metastasis, beyond the founding mouse model, we examined ezrin expression in dogs that naturally developed osteosarcoma. High ezrin expression in dog tumors was associated with early development of metastases. Consistent with this data, we found a significant association between high ezrin expression and poor outcome in pediatric osteosarcoma patients.
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The cytoskeletal linker ezrin provides a scaffold for PI3K-AKT signalling and facilitates survival through stresses that disseminated tumour cells first encounter within the lung.
“The cytoskeletal linker ezrin provides a scaffold for PI3K-AKT signalling and facilitates survival through the stresses that disseminated tumour cells first encounter within the lung 72,73,74 .”
From Osteosarcoma (2022) · cites this paper as [72]
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- Authors
- Khanna, C., Wan, X., Bose, S., Cassaday, R., Olomu, O., Mendoza, A., Yeung, C., Gorlick, R., Hewitt, S. M., & Helman, L. J.
- Affiliations
- National Institutes of Health (US)
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Khanna, Chand
- ORCID
- Venue
- Nature Medicine
- Published
- 2004-01-04
- Volume
- 10
- Issue
- 2
- Pages
- 182-186
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2162577349
- Cited by
- 705
- References
- 29
- Citations by year
- 2026: 8 · 2025: 1 · 2024: 10 · 2023: 19 · 2022: 19 · 2021: 22 · 2020: 25 · 2019: 18 · 2018: 13 · 2017: 19 · 2016: 30 · 2015: 34 · 2014: 44 · 2013: 39 · 2012: 52
- FWCI
- 35.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mechanisms of cancer metastasis
- Keywords
- ezrin, osteosarcoma, metastasis, actin cytoskeleton, MAPK signaling, Akt signaling, lung metastasis, canine osteosarcoma, pediatric osteosarcoma, prognostic factors, metastasis-associated genes
- MeSH terms
- Ezrin, Animals, Cell Membrane, Child, Cytoskeletal Proteins, Cytoskeleton, Dogs, Humans, Lung Neoplasms, Neoplasm Metastasis, Phosphoproteins, Proto-Oncogene Proteins, Osteosarcoma, Signal Transduction, Survival Rate, Protein Serine-Threonine Kinases, Mitogen-Activated Protein Kinases, Cell Line, Tumor, Proto-Oncogene Proteins c-akt, Mice
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