Academic Editor

Article Metrics

  • Fig. 1.

    View in Article
    Full Image
  • Fig. 2.

    View in Article
    Full Image
  • Fig. 3.

    View in Article
    Full Image
  • Fig. 4.

    View in Article
    Full Image
  • Information

  • Download

  • Contents

Abstract

Background: Osteosarcoma (OS) is a primary malignant bone tumor in the pediatric and adolescent populations. Long non-coding RNAs (LncRNAs), such as plasma-cytoma variant translocation 1 (PVT1), have emerged as significant regulators of OS metastasis. Recent studies have indicated that activation of signal transducer and activator of transcription 3 (STAT3) signaling, which might be controlled by PVT1, inhibits ferroptosis to promote the malignant progression of cancer. Therefore, the present study aimed to determine the role of PVT1 in OS pathogenesis and investigate whether PVT1 affects OS progression by regulating STAT3/GPX4 pathway-mediated ferroptosis. Methods: The human OS cell line MG63 were transfected with sh-PVT1 plasmid to inhibit PVT1 expression, with or without co-transfection with a STAT3 overexpression plasmid. The expression of PVT1 was determined by real-time quantitative polymerase chain reaction (RT-qPCR). The proliferation, migration, invasion, and apoptosis of MG63 cells were determined using the cell counting kit-8 (CCK8), Transwell assay, and flow cytometry. The levels of malondialdehyde (MDA), Fe2+, and glutathione (GSH) were determined by ELISA kits, whereas reactive oxygen species (ROS) level was determined by immunofluorescence. The protein expression levels of STAT3, p-STAT3, and glutathione peroxidase 4 (GPX4) were detected by western blot (WB). Results: PVT1 expression was significantly increased in MG63 cells. When knocking down PVT1 with sh-PVT1 plasmid, the proliferation, migration, and invasion of MG63 cells were markedly inhibited, while the rate of apoptosis was upregulated. Further investigation revealed that MG63 cells with PVT1 knockdown exhibited elevated levels of MDA, Fe2+, and ROS. In addition, the inhibition of PVT1 expression resulted in decreased levels of GSH and inhibited expression of p-STAT3 and GPX4. When sh-PVT1 was co-transfected with STAT3 overexpression plasmid in MG63 cells, the increased levels of MDA, Fe2+, and ROS were downregulated, and the decreased expressions of GSH, p-STAT3, and GPX4 were upregulated. Conclusion: PVT1 promotes OS metastasis by activating the STAT3/GPX4 pathway to inhibit ferroptosis. Targeting PVT1 might be a novel therapeutic strategy for OS treatment.

Graphical Abstract

1. Introduction

Osteosarcoma (OS) is the most common malignant bone tumor in children and adolescents [1]. The long bones of the extremities account for around 80% of OS cases, with the long metaphyseal region of the knee joint being the most frequently affected [2]. Approximately 15% of patients suffer from cancer metastases, the most common of which is lung or bone metastases that severely affect the quality of life and prognosis of OS patients [3]. Although neoadjuvant chemotherapy has increased patient survival rates, almost 40% of patients still experience tumor recurrence and metastasis, which frequently results in dismal prognosis [4]. Although the five-year survival rate has risen by nearly 70% owing to the enhanced adjuvant chemotherapy and surgical methods, the overall cure rate has not experienced notable changes [5]. Therefore, further investigation of novel approaches for managing OS is essential to improve the survival and prognosis of patients.

Long non-coding RNAs (lncRNAs) are a class of non-coding RNAs longer than 200 nt [6]. LncRNAs regulate gene expression at the transcriptional level and participates in pathophysiological processes in various diseases [7]. In recent years, an increasing number of studies have shown that lncRNAs play an important role in the progress of human malignant tumors and their prognostic outcomes [8]. Plasmacytoma variant Translocation 1 (PVT1), encoded by the PVT1 gene, is a lncRNA located on chromosomal 8q24.21 [9]. Available evidence suggests that PVT1 plays a wide range of roles in the activities of cancer cell, including apoptosis, growth, invasion, and chemical resistance [9, 10]. Studies have indicated that the deterioration of hepatocellular carcinoma, pancreatic ductal adenocarcinoma, gastric cancer and others are related to the abnormal expression of PVT1, which have confirmed its carcinogenic property [11, 12, 13]. It has been reported that PVT1 promotes OS growth and metastasis by regulating the miR-497/hexokinase 2 (HK2) pathway [14], stabilizing ERG, sponging miR-183-5p [15], and enhancing the expression of G1/S-specific cyclin D1 [16]. Furthermore, an additional investigation demonstrated PVT1 targets miR-152 to stimulate the C-MET/PI3K/AKT axis, thereby increasing the resistance of OS to chemotherapy [17]. These outcomes revealed that OS progression and chemical resistance are significantly promoted by PVT1, and targeting PVT1 might be a novel and promising approach for treating OS.

Ferroptosis is a novel type of regulatory cell death (RCD) driven by intracellular iron [18]. Abnormal iron metabolism, reactive oxygen species (ROS) production and lipid metabolism are the induction factors that trigger ferroptosis [19]. Studies indicated that the phosphorylation of signal transducer and activator of transcription 3 (STAT3) might activate SLC7A11/GPX4 signaling to reduce lipid peroxidation, and eventually ameliorated ferroptosis [20, 21]. Moreover, recent study found that PVT1 activates STAT3 in gastric cancer and promotes the proliferation of hepatoblastoma cells [22, 23]. Zhang et al. [24] found that activation of STAT3 promoted malignant progression of breast cancer and inhibited ferroptosis. These results further revealed the essential function of PVT1 and the regulatory mechanisms of STAT3, suggesting that there might be a potential interaction between PVT1, STAT3, and ferroptosis in the progression of cancer. However, it has not been investigated whether PVT1 inhibits ferroptosis to promote OS metastasis by activating STAT3/glutathione peroxidase 4 (GPX4) pathway. Therefore, in the present study, we aimed to investigate the mechanism underlying the PVT1/STAT3/GPX4 pathway in OS metastasis.

Here, we established PVT1 silencing OS cell line MG63, with or without co-transfection of STAT3 overexpressing plasmid, to determine the role of PVT1 mediated STAT3/GPX4 pathway in OS progression. We found that PVT1 expression significantly increased in MG63 cells. PVT1 knockdown increased apoptosis and suppressed the proliferation, migration, and invasion of MG63 cells. The Inhibition of PVT1 expression elevated malondialdehyde (MDA), Fe2+, and ROS levels, decreased glutathione (GSH), STAT3 and GPX4 expression, while these effects were abolished by STAT3 overexpression. Our results demonstrated that PVT1 induced OS metastasis might be related to the inhibition of ferroptosis via the activation of STAT3/GPX4 pathway.

2. Materials and Methods
2.1 Cell Culture

NHOst and MG63 were acquired from ATCC (Manassas, VA, USA). All cell lines were validated by STR profiling and tested negative for mycoplasma. Cells were cultured in medium containing 10% fetal bovine serum (FBS), 90% DMEM high glucose medium, and 1% penicillin-streptomycin. Cells were all cultured in a humidified incubator at 37 °C and 5% CO2. And the small hairpin PVT1 (sh-PVT1) plasmid, sh-PVT1 empty plasmid, overexpression STAT3 (OE-STAT3) plasmid, OE-STAT3 empty plasmid (Sangon Biotech, Shanghai, China) were used to transfect OS cells using LipofectamineTM 3000 (Invitrogen, Carlsbad, CA, USA). After 6 h, DMEM containing 10% FBS and antibiotics was replaced.

2.2 Real-Time Fluorescence Quantitative Polymerase Chain Reaction Analysis (RT-qPCR)

Total RNA was obtained employing the TRIzol reagent (Vazyme, Nanjing, China) pursuant to the directions supplied by the manufacturer. Using a reverse transcription kit (Vazyme) and carefully following the instructions provided, RNA was effectively converted into cDNA. To assess PVT1 expression levels, GAPDH was used as the reference gene, and the data were analyzed using the 2-ΔΔCt method. The primer sequences of PVT1 and GAPDH are listed as follows: PVT1: (Forward: 5-GCTTGGAGGCTGAGGAGTT-3, Reverse: 5-AGGTGCTTGCTGCTGAGT-3); GAPDH: (Forward: 5-GGTCTCCTCTGACTTCAACA-3, Reverse: 5-GTGAGGGTCTCTCTCTTCCT-3).

2.3 Cell Counting Kit-8 (CCK8) Assay

2000 cells in the logarithmic growth phase, including MG63 cells and transfected MG63 cells, were seeded in 96-well plates and grown for 24, 48, and 72 h. Following the respective incubation times, 10 µL of the CCK-8 solution was added to each well, resulting in a final concentration of 10%. A microplate reader (Rayto, Shenzhen, China) was used to calculate the optical density (OD) at 450 nm.

2.4 Transwell Assay
2.4.1 Migration

MG63 cells or transfected MG63 cells were suspended within serum-free medium at a density of 5 × 104 cells/mL. Subsequently, 100 µL of the cell suspension was placed in the upper chamber, and 600 µL of the medium was injected into the lower chamber. The cells were left to nurture for 72 h. Following the incubation, the upper chamber was washed with PBS and the cells were fixed for 20 min with approximately 400 µL of 4% paraformaldehyde. The fixative solution was discarded, and 800 µL of crystal violet staining solution was added to the lower chamber and incubated for 10 min. Lastly, the upper chamber was washed and air dried. The migration of cells was observed and photographed under microscope.

2.4.2 Invasion

Fifty microliters of Matrigel diluent (Corning, Shanghai, China) (VMatri-gel: VDEME = 1:4–6 volume ratio in serum-free medium) was evenly spread into Transwell chambers (8 µm model) and then placed in an incubator at 37 °C for 6 h to solidify. The subsequent steps were identical to those use for cell migration. The concentration of the treated cells was adjusted to 5 × 104 cells/mL with serum-free culture medium. Cell suspension of 100 µL was added to the upper part of the Transwell chamber, and medium of 600 µL was injected into the lower part of the Transwell chamber. After incubation, the chamber was removed, the non-invasive cells were gently wiped in the upper chamber with a cotton swab, and the cells were fixed with approximately 4% paraformaldehyde for 20 min. The fixing solution was discarded, and 800 µL of crystal violet staining solution was added and incubated for 10 min, following by discarding the dye and washing with with PBS. The cells were observed and photographed under a microscope.

2.5 Flow Cytometry

In 6-well plates, MG63 or transfected MG63 cells were planted. Following a 72-h incubation in an incubator, the cells were collected and suspended in PBS. To create a 1 × 106 cells/mL solution, 1× Annexin V Binding Solution (Beyotime, Shanghai, China) was added. A volume of 100 µL of the cell suspension was pipetted into an EP tube. Then, 5 µL of Annexin V-FITC conjugate and 5 µL of PI solution were added. After 15 min of incubation, 400 µL of 1× Annexin V Binding Solution was added to the cells. Assay carried out within 1 h.

2.6 Reactive Oxygen (ROS) Level Assay

The cells were cultured as previously described. When the cells reached 80% confluence, the culture medium was replaced with fresh medium for 24 h. The supernatant was discarded and the cells were washed twice with PBS. Prepare 50 µM dihydroethidium (DHE) red fluorescent dye (final concentration) (Solarbio, Beijing, China). The cells were incubated at room temperature for 30 min, then wash cells three times. Images within 2 h of fluorescence microscopy.

2.7 Malondialdehyde (MDA) Level Assay

The cells were nurtured in the manner indicated before. The cells were collected and lysed. The lysate was centrifuged, and the supernatant was tested. Standard substances and reaction solutions were prepared in accordance with the protocals of the MDA instructions (Beyotime, Shanghai, China). The samples were mixed with the reaction solution, heated, cooled, and centrifuged. The supernatant was transferred to a 96-well plate, and the Optical Density (OD) was calculated under 412 nm.

2.8 Glutathione (GSH) Level Assay

The cells were nurtured in the manner indicated before. The cells were digested, collected into EP tubes and centrifuged to discard the supernatant. A protein removal reagent S solution, three times the volume of the cell precipitate, was added and vortexed vigorously. The samples were then placed in a 37 °C-water bath and then quickly frozen and thawed with liquid nitrogen. The cells were kept either at 4 °C or in an ice bath for 5 min. After centrifugation at 10,000 ×g for 10 min at 4 °C, the supernatant was removed. The detection solution was prepared and mixed according to the GSH kit protocol (Beyotime, Shanghai, China). NADPH solution was added, and the mixture was allowed to sit for 25 min. The optical nm was calculated the OD.

2.9 Fe2+ Level Assay

The cells were nurtured in the manner indicated before. 0.9 mL buffer was added to each 1 × 106 cells, and cells were disrupted by ultrasound. The supernatant was collected after centrifugation. Standard and sample tubes were prepared according to the Fe2+ kit protocol (Elabscience, Wuhan, China). After the chromogenic solution was added, each tube was incubated. After centrifugation, supernatant was added to microplate wells. The OD value was determined at 412 nm.

2.10 Western Blot (WB) Analysis

The cells were nurtured in the manner indicated before. 100 µL RIPA lysis buffer was added for cell lysis. Protein quantification was performed using a BCA assay (NCM Biotech, Suzhou, China). Total proteins were added to the electrophoresis cell using precooled electrophoresis buffer. Following electrophoresis, polyvinylidene fluoride (PVDF) membranes were coated with proteins. PVDF membranes were then incubated overnight at 4 °C with the following primary antibodies: rabbit anti-STAT3 (1:2000; Proteintech Group, 10253-2-AP; Wuhan, Hubei, China), rabbit anti-p-STAT3 (1:1000; Cell Signaling Technology, #9134; Danvers, MA, USA), rabbit anti-GPX4 (1:2000; Proteintech Group, 67763-1-Ig; Wuhan, Hubei, China), and rabbit anti-GAPDH (1:20,000; Proteintech Group, 60004-1-Ig; Wuhan, Hubei, China). The cells were then washed thrice with TBST. The secondary antibody (Goat Anti-Rabbit IgG H&L/HRP, Bioss Antibodies, bs-0295G-HRP; 1:20,000; Beijing, China) was placed on the PVDF membrane for two h. Chemiluminescent reagents A and B were mixed and added to the PVDF membrane by uniform drops. The samples were imaged using a JP-K6000 chemiluminescence imaging system. ImageJ software (LOCI, University of Wisconsin, Madison, WI, USA) was used to analyze protein expression.

2.11 Data Analysis

Graphpad Prism 9 (Version 9.4.0, GraphPad Software, Inc., San Diego, CA, USA) was used for analyzing and displaying the data. All data were given as means ± Standard Deviation (SD). T-Tests or ANOVA were utilized to conduct statistical comparisons between groups. p < 0.05 was deemed to be a significant difference.

3. Results
3.1 PVT1 Enhanced the Proliferation, Migration, and Invasion of OS Cells

Various studies have shown that PVT1 contributes to a range of malignancies, including OS [14]. First, to confirm the expression of PVT1 in OS, we evaluated its differential expression in MG63 and NHOst by RT-qPCR. The morphologies of MG63 and NHOst cells are shown in Fig. 1A. Comparison with the NHOst group, the level of PVT1 in the MG63 group exhibited a significant increase, as revealed by the findings (Fig. 1B, p < 0.001). We then examined the role of lncRNA PVT1 in OS cells. For this purpose, we transferred sh-PVT1 plasmid into MG63 to knock down its expression. As shown in Fig. 1C, PVT1 expression was considerably lower in the sh-PVT1 group, suggesting the successful transfection of sh-PVT1 plasmid (p < 0.001). In contrast to the sh-Negative control (sh-NC) group, proliferation of the sh-PVT1 group exhibited a time-dependent decrease and a noticeable difference was observed after 72 h (Fig. 1D, p < 0.001). Similarly, there was notable inhibition of cell migration and invasion (Fig. 1E–H, p < 0.001). Additionally, the sh-PVT1 group showed a much higher apoptosis rate than the sh-NC group (Fig. 1I,J, p < 0.001).

Fig. 1.

Effects of PVT1 on proliferation, migration, invasion and apoptosis of MG63 cells. (A) The morphology of MG63 and NHOst cells was observed under microscope (scale bar: 50μm). (B) The expression of PVT1 in MG63 and NHOst was detected by RT-qPCR. The results showed that the expression of PVT1 in MG63 cells was significantly higher than that of NHOst (p = 0.0002). (C) The transfection efficiency of PVT1 detected by RT-qPCR. The results showed that the expression of PVT1 was significantly decreased in sh-PVT1 group (p = 0.0003). (D) The results of CCK8 assay showed that sh-PVT1 inhibited the proliferation of MG63 cells (p < 0.001). (E,F) Transwell was used to detect cell migration using crystal violet staining, and the experimental results showed that sh-PVT1 inhibited cell migration (p < 0.001) (scale bar: 100μm). (G,H) Transwell was used to detect cell invasion using crystal violet staining, and the experimental results showed that sh-PVT1 inhibited cell invasion (p = 0.0005) (scale bar: 100μm). (I,J) Flow cytometry showed that sh-PVT1 promoted cell apoptosis (p < 0.001). ***p < 0.001. n = 3. NC, negative control; PVT1, plasma-cytoma variant translocation 1; RT-qPCR, real-time quantitative PCR; CCK8, cell counting kit-8.

3.2 PVT1 Inhibited Cell Ferroptosis

Recent reports have suggested an association between ferroptosis. It is reported that ferroptosis is inhibited in OS, and that OS progression was inhibited when ferroptosis is activated [9, 14, 25]. To investigate whether PVT1 promotes the progression of OS by inhibiting ferroptosis, we examined ferroptosis-related indicators (ferroptosis inducers: ROS, MDA, and Fe2+; ferroptosis inhibitor: GSH). In accordance with our expectations, the sh-PVT1 group exhibited dramatically higher in levels of ROS, MDA, and Fe2+ than sh-NC group, but GSH levels were significantly decreased (Fig. 2A–E, p < 0.001).

Fig. 2.

PVT1 inhibited cell ferroptosis. (A,B) The ROS levels in MG63 were determined by fluorescence staining using dihydroethidium (DHE) red fluorescent dye, and the results showed that sh-PVT1 increased the ROS levels in the cells (p < 0.001) (scale bar: 50μm). (C) The MDA content was determined by MDA Assay kits, and result showed that sh-PVT1 increased the level of MDA activity in cells (p < 0.001). (D) The level of Fe2+ was measured by colorimetry, and the results showed that sh-PVT1 increased the level of Fe2+ activity in cells (p < 0.001). (E) GSH content was determined by GSH Assay kits, and results showed that sh-PVT1 reduced GSH activity in cells (p = 0.0002). ***p < 0.001. n = 3. ROS, reactive oxygen species; MDA, malondialdehyde; GSH, glutathione.

3.3 PVT1 Activated the STAT3/GPX4 Signaling Pathway

Furthermore, we investigated the effects of PVT1 on the protein expression of GPX4. Remarkably, the sh-PVT1 group demonstrated a substantial decrease in GPX4 expression compared with the sh-NC group (Fig. 3A,B, p < 0.001). These results indicate that PVT1 regulated ferroptosis in OS cells. Previous studies have demonstrated that STAT3 has the ability to directly transcribe GPX4 expression, thereby regulating ferroptosis in tumor cells [26, 27, 28], which can be activated by PVT1 to promote tumor progression [29]. To examine the role of PVT1-controlled STAT3 expression in regulating ferroptosis in OS cells, we assessed the activation status of STAT3 following PVT1 knockdown. WB analysis showed that when PVT1 was knocked down in MG63, p-STAT3 levels was significantly decreased (Fig. 3A,C,D, p < 0.01). The above results show that PVT1 regulates ferroptosis in OS cells through the STAT3/GPX4 pathway.

Fig. 3.

PVT1 activated the STAT3/GPX4 signaling pathway. (A–D) The quantity of STAT3, p-STAT3 and GPX4 was ascertained through WB. The results showed that sh-PVT1 decreased the expression of GPX4 (p < 0.001) and p-STAT3 (p = 0.0011), but had no effect on the expression of STAT3 protein (p = 0.7471). **p < 0.01, ***p < 0.001. n = 3. STAT3, signal transducer and activator of transcription 3; GPX4, glutathione peroxidase 4; WB, western blot.

3.4 Overexpression of STAT3 Reverses the Effects of sh-PVT1 on Ferroptosis and STAT3/GPX4

Finally, we evaluated whether the activity of STAT3 could be attributed to PVT1 regular ferroptosis in OS. For this purpose, we elevated STAT3 in MG63 cells co-transfected with STAT3 overexpression plasmid. The activity of p-STAT3 and GPX4 was markedly increased in the OE-STAT3 group, comparing with OE-NC group (Fig. 4A–D). And p-STAT3 and GPX4 were reduced in the sh-PVT1 group but increased in the sh-PVT1 + OE-STAT3 group (Fig. 4A–D, p < 0.01). This intriguing finding suggests that STAT3 overexpression counteracts the regulatory impact of sh-PVT1 has on GPX4. Additionally, STAT3 overexpression suppressed ROS, MDA and Fe2+ levels while increasing GSH levels (Fig. 4E–I, p < 0.01). In the sh-PVT1 group, the activities of ROS, MDA, and Fe2+ were found to be elevated, whereas the activity of GSH was decreased. However, in the sh-PVT1 + OE-STAT3 group, these changes were reversed (p < 0.01). These findings further provide evidence supporting the function of PVT1 in controlling OS cell ferroptosis through the STAT3/GPX4 pathway.

Fig. 4.

Overexpression of STAT3 reverses the effects of sh-PVT1 on ferroptosis and STAT3/GPX4. (A–D) The protein expressions of p-STAT3 and GPX4 were determined using WB experiment. Results showed that OE-STAT3 reversed the inhibition of sh-PVT1 on p-STAT3 and GPX4 cells. (C) sh-Negative control (sh-NC) vs. sh-PVT1 (p = 0.0003), OE-NC vs. OE-STAT3 (p = 0.0032), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0048). (D) sh-NC vs. sh-PVT1 (p < 0.001), OE-NC vs. OE-STAT3 (p = 0.0023), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0027). (E,F) The ROS levels in MG63 were determined by fluorescence staining. Results showed that OE-STAT3 reversed the promoting effect of sh-PVT1 on cell ROS. sh-NC vs. sh-PVT1 (p < 0.001), OE-NC vs. OE-STAT3 (p = 0.0121), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0089) (scale bar: 50μm). (G) The MDA content was determined by MDA Assay kits. Results showed that OE-STAT3 reversed the promoting effect of sh-PVT1 on MDA activity in cells. sh-NC vs. sh-PVT1 (p < 0.001), OE-NC vs. OE-STAT3 (p < 0.001), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0062). (H) The level of Fe2+ was measured by colorimetry, and the results showed that. OE-STAT3 reversed the promoting effect of sh-PVT1 on Fe2+ activity in cells. sh-NC vs. sh-PVT1 (p < 0.001), OE-NC vs. OE-STAT3 (p < 0.001), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0027). (I) GSH content was determined by GSH Assay kits. Results showed that OE-STAT3 reversed the inhibitory effect of sh-PVT1 on GSH activity. sh-NC vs. sh-PVT1 (p < 0.001), OE-NC vs. OE-STAT3 (p = 0.0021), sh-PVT1 vs. sh-PVT1 + OE-STAT3 (p = 0.0012). *p < 0.01, **p < 0.01, ***p < 0.001. n = 3.

4. Discussion

OS is one of the most prevalent primary bone tumors, with a 5-year survival rate below 20% due to the occurrence of metastases. Despite the development in medical approach such as neoadjuvant chemotherapy, OS patients still develop tumor recurrence and metastasis, particularly lung metastasis [2, 3]. Therefore, it is essential to explore innovative therapies and medications to enhance the outcome of OS patients. Over the past few years, multiple investigations have demonstrated the dysregulation of lncRNAs involving in cancer progression and associating with poor prognosis in OS patients [30, 31, 32, 33]. Given the role of lncRNAs in cancer, some studies have proposed that lncRNA PVT1 is a predictor of OS [34]. Therefore, we aimed to further explore the function of PVT1 in the progression of OS, and to reveal the underlying signaling transduction of PVT1-mediated ferroptosis in OS metastasis.

LncRNAs are a heterogeneous group of non-protein-coding transcripts with sequences higher than 200 nucleotides [35]. As oncogenes or tumor suppressors, lncRNAs may play intricate and precise regulatory functions in the development and spread of cancer, according to mounting evidence. Studies have consistently indicated a strong link between poor prognosis and high PVT1 transcript levels in the malignancies of nasopharyngeal carcinoma, colorectal cancer, and non-small cell lung cancer [9]. We discovered that osteosarcoma cells generated more PVT1. This is consistent with previous studies [14]. Subsequently, we investigated effect of PVT1 on OS metastasis. The results indicated that downregulation of PVT1 significantly attenuated the proliferation, invasion, and migration of OS cells, indicating that PVT1 is crucial to the progression of OS. Current studies have found that PVT1 controls cancer progression through multiple pathways. For example, PVT1 contributes to pancreatic cancer drug resistance via the miR-619-5p/Pygo2 and the miR-619-5p/ATG14 axes, activates the miR-214-3p/GPX4 pathway to mediate ferroptosis, and regulates the miR-143/HK2 axis in gallbladder cancer to promote tumor progression [7, 36, 37]. Considering that ferroptosis plays a critical role in the development of OS [38, 39], we determined the alterations in ferroptosis-related indicators (ROS, MDA, Fe2+, and GSH) in OS cells with reduced PVT1 expression. Interestingly, the alterations in these indicators showed that PVT1 indeed regulates ferroptosis. In normal cells, STAT3 is activated by phosphorylation, facilitating the transfer of the signal into the nucleus [40]. However, most human malignancies have hyperactivated STAT3, which is frequently associated with a poor clinical prognosis [41]. Because of its crucial involvement in tumor development, metastasis, and resistance to medication, STAT3 has been described as a suitable target for cancer therapy [42]. According to recent research, PVT1 can target and activate STAT3 to advance cancer, and active STAT3 can also directly transcribe GPX4 to control ferroptosis [22, 27]. We found that STAT3 phosphorylation and GPX4 protein levels were significantly reduced in MG63 with low PVT1 expression. These findings imply that PVT1 promotes OS metastasis via the STAT3/GPX4 pathway. Through overexpressing STAT3 in MG63 with PVT1 knockdown for rescue experiments. The results further verified that PVT1 can promote OS metastasis by regulating ferroptosis through STAT3/GPX4 pathway. Therefore, our research clarified PVT1’s possible mechanism in promoting OS metastasis and provided a scientific rationale for PVT1 as a predictor.

5. Conclusion

Our results showed that PVT1 is highly expressed in MG63 cells compared with NHOst cells. Knockdown of PVT1 can inhibit the proliferation, migration and invasion of MG63 cells, and promote cell apoptosis. sh-PVT1 also increased intracellular ROS, MDA, Fe2+ levels, and decreased intracellular GSH levels and the expression of p-STAT3 and GPX4 proteins, indicating that sh-PVT1 can promote iron death in cells. However, the effect of sh-PVT1 on MG63 cells was reversed by OE-STAT3. Therefore, we confirmed that PVT1 is involved in OS progression, and PVT1 promotes OS metastasis through activating STAT3/GPX4 pathway to inhibit ferroptosis. There are some limitations in this study, which are worth further discussion. The present study only investigated the mechanism of PVT1 at the cellular level, and further studies might be conducted at the animal level to further evaluate the function of PVT1.

Abbreviations

OS, Osteosarcoma; PVT1, Plasma-cytoma variant translocation1; STAT3, Signal transducer and activator of transcription 3; MDA, Malondialdehyde; GSH, Glutathione; ROS, Reactive oxygen species; GPX4, Glutathione peroxidase 4; HK2, Hexokinase 2; LncRNAs, Long non-coding RNAs; Cyclin D1, G1/S-specific cyclinD1; C-MET, Cellular-mesenchymal epithelial transition factor; PI3K, Phosphatidylinositol 3-kinase; AKT, Serine/threonine kinase; RCD, Regulatory cell death; OE-STAT3, Overexpression STAT3; sh-PVT1, Small hairpin PVT1; Pygo2, Pygopus family PHD finger 2; ATG14, Autophagy-related gene 14; CCK8, Cell counting kit-8; RT-qPCR, Real-time fluorescence quantitative PCR analysis; WB, Western blot.

Availability of Data and Materials

The original data involved in the present manuscript are available under reasonable requests from the corresponding author.

Author Contributions

Conceptualization and investigation: GL, JF, SH, QL; methodology and resources: GL and QL; writing and Original Draft Preparation: GL; Critical review and Editing: QL. All authors contributed to editorial changes in the manuscript. All authors have read and approved the final manuscript. All authors have participated sufficiently in the work and agreed to be accountable for all aspects of the work.

Ethics Approval and Consent to Participate

Not applicable.

Acknowledgment

Not applicable.

Funding

This research received no external funding.

Conflict of Interest

The authors declare no conflict of interest.

References

Publisher’s Note: IMR Press stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.