47Semaphorins, specifically type IV, are important regulators of axonal guidance and 48 have been increasingly implicated in poor prognoses in a number of different solid 49 cancers. In conjunction with their cognate PLXNB family receptors, type IV members have 50 been increasingly shown to mediate oncogenic functions necessary for tumor 51 development and malignant spread. In this study, we investigated the role of semaphorin 52 4C (SEMA4C) in osteosarcoma growth, progression, and metastasis. We investigated 53 the expression and localization of SEMA4C in primary osteosarcoma patient tissues and 54 its tumorigenic functions in these malignancies. We demonstrate that overexpression of 55 SEMA4C promotes properties of cellular transformation, while RNAi knockdown of 56 SEMA4C promotes adhesion and reduces cellular proliferation, colony formation, 57 migration, wound healing, tumor growth, and lung metastasis. These phenotypic changes 58 were accompanied by reductions in activated AKT signaling, G1 cell cycle delay, and 59 decreases in expression of mesenchymal marker genes SNAI1, SNAI2, and TWIST1. 60Lastly, monoclonal antibody blockade of SEMA4C in vitro mirrored that of the genetic 61 studies. Together, our results indicate a multi-dimensional oncogenic role for SEMA4C in 62 metastatic osteosarcoma and more importantly that SEMA4C has actionable clinical 63 potential. 64 65
Introduction 66Osteosarcoma is a malignant, primarily pediatric tumor, of the growing long bones 67 with peak incidence in the second decade of life [1]. Derived from mesenchymal origins 68 in the pre-osteoblastic lineage, osteosarcomas arise from the failure of osteoblasts to 69 differentiate into mature bone-building cells [2]. Osteosarcomas are commonly typified by 70 their heterogeneity, genomic instability, and frequency of systemic metastasis primarily 71 to the lungs [3, 4]. Despite advances in chemotherapy regimens and surgical resection, 72 survival rates for patients with osteosarcoma have remained stagnant for more than four 73 decades [5]. The complex nature of osteosarcoma presents unique difficulties with 74 respect to elucidating novel therapeutic targets and identifying treatment strategies that 75 may prove most effective, particularly across individual patients. Given this, it is critically 76 important to better understand not only the mechanisms specific to osteosarcoma 77 development and progression, but most importantly metastasis, in order to develop better 78 treatment options for patients with this devastating disease. 79 Semaphorins are a family of membrane-bound and soluble proteins that modulate 80 a whole host of cellular functions including differentiation, cytoskeletal rearrangement, 81 and motility [6]. Interestingly, semaphorin family members have been reported to mediate 82 many hallmarks of cancer including cellular proliferation, angiogenesis, and immune 83 escape [7-9]. Recent evidence from studies of the SEMA4-PLXNB family of axonal 84 guidance molecules in normal bone cells suggests that osteoclastic exp...