Advances in Osteosarcoma: Tumor Biology and Therapeutic Innovation

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cellular Pathology".

Deadline for manuscript submissions: 15 August 2026 | Viewed by 973

Editors


E-Mail Website
Guest Editor
Department of Pediatrics-Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
Interests: osteosarcoma; cell biology; cancer immunotherapy
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Pediatrics-Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
Interests: osteosarcoma; cell biology; cancer immunotherapy

Special Issue Information

Dear Colleagues,

Osteosarcoma, a rare and aggressive primary bone tumor, accounts for <1% of all new cancer diagnoses in the United States. Survival rates for patients with relapse or refractory metastatic disease have not changed for decades and remain <20%. The current standard of care, which includes high-dose multiagent chemotherapy and surgery, is often associated with substantial toxicities, such as cardiotoxicity, yet fails to improve therapeutic outcome. While immunotherapies are promising, current approaches have not provided clinical benefit. The minimal advantages of immunotherapies are primarily due to the highly immune suppressive tumor immune microenvironment that prevents immune cell infiltration and effector immune responses. This challenge is further compounded by tumor heterogeneity and genomic complexity, which together limit the feasibility of developing effective molecular targeted therapies.

This Special Issue will highlight recent advances and emerging strategies to understand, detect and overcome immune resistance in osteosarcoma. The aim is to bring together contributions spanning the full spectrum of OS research—including basic tumor biology and mechanisms of metastases, early diagnosis, immune modulation and novel translational therapeutic development. This collection will emphasize tumor immunology, immune engineering, biomarker discovery, and rational combination therapies designed to achieve durable anti-tumor responses.

Topics may include the following:

  1. Mechanisms of metastasis and tumor evolution.
  2. Novel biomarkers and circulating tumor DNA for early diagnosis.
  3. Molecular targets in osteosarcoma.
  4. Novel targets and approaches in immune-engineering to avoid immune suppression.
  5. Combinatorial immunotherapy appraoches (checkpoint blockade, oncolytic virus, chemotherapy).
  6. Translational and clinical advances toward next-generation immunotherapy for osteosarcoma.
  7. Toxicity associated with therapy (immune related adverse events and chemotherapy induced cardiotoxity).

Prof. Dr. Eugenie S. Kleinerman
Dr. Pradeep Shrestha
Guest Editors

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Keywords

  • osteosarcoma
  • immunotherapy
  • biomarker

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Published Papers (2 papers)

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Research

48 pages, 81932 KB  
Article
High-Glucose Microenvironment Promotes Canine Osteosarcoma Cell Stemness via the HBP/O-GlcNAc Signaling Axis
by Weiqian Wang, Bingsong Yang, Guangmin Zhang, Meimei Wang, Junping Sun, Siyao Li, Huijie Kang, Qingdian Hou, Pujun Li, Honggang Fan and Jichen Sha
Cells 2026, 15(15), 1359; https://doi.org/10.3390/cells15151359 - 28 Jul 2026
Viewed by 164
Abstract
Osteosarcoma (OS) is characterized by high metastatic potential and marked chemoresistance, with cancer stem cells (CSCs) serving as major drivers of malignant progression. Canine osteosarcoma (cOS) is considered an ideal comparative medicine model for human osteosarcoma (hOS). Accumulating evidence indicates that aberrant glucose [...] Read more.
Osteosarcoma (OS) is characterized by high metastatic potential and marked chemoresistance, with cancer stem cells (CSCs) serving as major drivers of malignant progression. Canine osteosarcoma (cOS) is considered an ideal comparative medicine model for human osteosarcoma (hOS). Accumulating evidence indicates that aberrant glucose metabolism and hexosamine biosynthetic pathway (HBP, hexosamine biosynthetic pathway)/O-linked N-acetylglucosamine (O-GlcNAc)ylation are involved in tumor progression; however, the precise mechanisms by which they regulate stemness in canine osteosarcoma cells remain unclear. In this study, we comprehensively employed glucose gradient culture, untargeted metabolomics, O-GlcNAc-modified proteomics, in vitro gene silencing, and a subcutaneous xenograft model in nude mice. Cellular functional assays revealed that high glucose significantly enhanced malignant phenotypes and stemness properties of canine osteosarcoma cells. Metabolomic analyses confirmed aberrant activation of the HBP in osteosarcoma cells. Further experiments demonstrated that high glucose enhances HBP flux and O-GlcNAcylation in a dose-dependent manner; silencing of glutamine-fructose-6-phosphate transaminase 1 (GFPT1), O-GlcNAc transferase (OGT), and O-GlcNAcase (OGA) verified that both the HBP pathway and O-GlcNAcylation positively regulate malignant biological behaviors and stemness maintenance. In vivo tumorigenesis assays demonstrated that OGT knockdown markedly suppressed osteosarcoma growth. O-GlcNAc-modified proteomics identified transducin-like enhancer of split 3 (TLE3), nuclear receptor corepressor 1 (NCOR1), and neurogenic locus notch homolog protein 2 (NOTCH2) as key differentially modified proteins, predominantly enriched in the Wingless/Integrated (Wnt) and Notch signaling pathways. Collectively, our findings demonstrate that high glucose activates the HBP pathway, elevates global O-GlcNAcylation levels, and modifies TLE3/NCOR1/NOTCH2, thereby promoting stemness maintenance in canine osteosarcoma stem cells. This study provides novel metabolic targets for precision therapy of osteosarcoma. Full article
(This article belongs to the Special Issue Advances in Osteosarcoma: Tumor Biology and Therapeutic Innovation)
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18 pages, 17182 KB  
Article
The DANCR/miR-145-5p/CD133 Axis Drives Osteosarcoma Stemness and Progression: Implications for Tumor Biology and Therapeutic Innovation
by Wei-Ting Cheng, Cai-Hong Yang, Jun Qi, Ya-Ping Ye, Xing Bao, Qi Mei, Jia-Chao Guo and Kai Xu
Cells 2026, 15(13), 1215; https://doi.org/10.3390/cells15131215 - 3 Jul 2026
Viewed by 385
Abstract
Characterized by its highly aggressive behavior and propensity for metastasis, osteosarcoma remains a formidable clinical challenge with restricted treatment modalities. Cancer stem-like cells (CSCs) are widely recognized as central orchestrators of oncogenic progression and therapeutic intractability; however, the precise epigenetic regulations governing these [...] Read more.
Characterized by its highly aggressive behavior and propensity for metastasis, osteosarcoma remains a formidable clinical challenge with restricted treatment modalities. Cancer stem-like cells (CSCs) are widely recognized as central orchestrators of oncogenic progression and therapeutic intractability; however, the precise epigenetic regulations governing these processes are yet to be fully elucidated. Here, we investigated the role of the long non-coding RNA DANCR in regulating osteosarcoma stemness. DANCR expression was significantly upregulated in human osteosarcoma tissues and positively correlated with the stemness markers CD133, SOX2, and CD90. Functional assays demonstrated that DANCR overexpression enhanced stem-like properties, including an enriched CD133+/CD44+ cellular fraction and enhanced spheroid-forming capacity, concurrently accelerating in vitro cellular proliferation, migration, and invasive potential. In a xenograft mouse model, DANCR upregulation promoted in vivo tumor growth and lung metastasis. Mechanistically, dual-luciferase reporter assays and RNA immunoprecipitation (RIP) revealed that DANCR acts as a competing endogenous RNA (ceRNA) by sponging miR-145-5p, thereby facilitating the de-repression of CD133 and contributing to Akt/mTOR signaling activation. In addition, DANCR/miR-145-5p modulation was associated with changes in autophagy-associated markers. Collectively, these findings identify the DANCR/miR-145-5p/CD133 axis as a regulator of osteosarcoma stemness and progression, providing new insights into tumor biology and highlighting a potential molecular target for therapeutic investigation. Full article
(This article belongs to the Special Issue Advances in Osteosarcoma: Tumor Biology and Therapeutic Innovation)
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