Translational biology of osteosarcoma
Abstract
For the past 30 years, improvements in the survival of patients with osteosarcoma have been mostly incremental. Despite evidence of genomic instability and a high frequency of chromothripsis and kataegis, osteosarcomas carry few recurrent targetable mutations, and trials of targeted agents have been generally disappointing. Bone has a highly specialized immune environment and many immune signalling pathways are important in bone homeostasis. The success of the innate immune stimulant mifamurtide in the adjuvant treatment of non-metastatic osteosarcoma suggests that newer immune-based treatments, such as immune checkpoint inhibitors, may substantially improve disease outcome.
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One proposal is that osteosarcoma begins when osteoblastic lineage cells transform malignantly at different differentiation stages, with pathways including Notch, Wnt, and RTK promoting uncontrolled proliferation.
“Osteosarcoma cells are thought to originate from the malignant transformation of cells within the osteoblastic lineage at any stage of differentiation, which is controlled by numerous cellular signalling pathways (for example, Notch, Wnt and RTK) that can initiate uncontrolled proliferation 202,203,204,205 .”
From Osteosarcoma (2022) · cites this paper as [202]
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- Authors
- Kansara, M., Teng, M. W., Smyth, M. J., & Thomas, D. M.
- Affiliations
- The University of Melbourne (AU)
- The University of Queensland (AU)
- Garvan Institute of Medical Research (AU)
- Corresponding author
- Thomas, David M.
- Venue
- Nature Reviews Cancer
- Published
- 2014-10-16
- Volume
- 14
- Issue
- 11
- Pages
- 722-735
- ISSN
- 1474-175X (ISSN-L)
- 1474-1768
- OpenAlex
- W1980088710
- Cited by
- 1,294
- References
- 208
- Citations by year
- 2026: 66 · 2025: 130 · 2024: 134 · 2023: 155 · 2022: 161 · 2021: 173 · 2020: 152 · 2019: 86 · 2018: 66 · 2017: 74 · 2016: 65 · 2015: 29 · 2014: 2
- FWCI
- 9.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- osteosarcoma, bone biology, bone homeostasis, germline predisposition, cancer genomics, chromothripsis, kataegis, genomic instability, targeted therapy, mifamurtide, immune checkpoint inhibitors, adjuvant therapy, metastatic osteosarcoma, translational research
- MeSH terms
- Animals, Antineoplastic Agents, Bone Development, Humans, Osteosarcoma, Translational Research, Biomedical
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