Evidence map›Paper›PMID 41174632›Full record

ArticleJournal of translational medicine2025

The integrin α2-osteoclast axis: a key driver of bone destruction and therapeutic target in osteosarcoma.

Hongxiang Wei, Kai Shi, Daoxiang Huang, Huangfeng Lin, Shenglin Wang, Xuanwei Chen, Wenming Zhang

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hongxiang Wei *Department of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Kai Shi *Department of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Daoxiang Huang *Department of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Huangfeng LinDepartment of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Shenglin WangDepartment of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China. shenglinwang0216@163.com.
Xuanwei ChenDepartment of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China. fjcxw@126.com.
Wenming ZhangDepartment of Orthopedics, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China. 1019040069@qq.com.

Funding

Fujian Province Financial Subsidy Health Special Project ( BPB-2024CXWNatural Science Foundation of Fujian Province 2022J01697
6 · The paper itself

Abstract

backgroundOsteosarcoma is an aggressive bone malignancy with elusive core driving mechanisms. Dysregulated expression of integrin α2 (ITGA2) promotes malignant progression in multiple cancers, yet its role in osteosarcoma and correlation with bone destruction remain poorly understood. This study investigated the potential role of ITGA2 in osteosarcoma progression and therapeutic targeting.

methodsIntegrating bioinformatics analysis and experimental validation, we explored ITGA2 dysregulation and its clinical significance in osteosarcoma. Public databases were analyzed to confirm ITGA2 overexpression. CCK-8 assay, colony formation, Transwell migration/invasion assays, wound healing, and cell transcriptomics were employed to assess ITGA2's impact on tumor proliferation, migration, and invasion. Xenograft mouse models evaluated ITGA2-driven tumor growth and osteolytic damage. WB analyzed ITGA2-mediated modulation of osteoclast differentiation-related molecules (RANKL, MMP9, OPN). ITGA2 knockdown and inhibitor (E7820) intervention were applied, with Western Blot (WB)/ Immunohistochemistry (IHC) validating ITGA2-MMP9 interactions.

resultsClinical cohorts and bioinformatics revealed ITGA2-specific overexpression in osteosarcoma tissues/cells (P < 0.0001), correlating with poor prognosis (HR = 3.392). Pathway analysis linked ITGA2 to bone remodeling and osteoclast differentiation. Functional assays showed that ITGA2 inhibition decreased cell proliferation and migration/invasion by 2-threefold (all P < 0.001), and reduced tumor volume and decreased osteoclast numbers (TRAP staining) in mouse models. Mechanistically, ITGA2 blockade downregulated MMP9 (pro-osteoclast) and upregulated OPN (pro-osteogenesis), indicating its role in exacerbating bone destruction via osteoclast differentiation cascades. ITGA2 emerged as an independent prognostic biomarker.

conclusionThis study uncovered that ITGA2 drives osteosarcoma progression and aggravates osteolysis via the "ITGA2-osteoclast axis", with high expression predicting poor outcomes. Mechanistically, ITGA2 promoted tumor invasion and bone metabolism imbalance by regulating osteoclastogenic signaling, while its targeted inhibition synergistically suppresses tumor growth and restores bone homeostasis, highlighting ITGA2 as a pivotal therapeutic target for osteosarcoma.

Indexed as

Bone and BonesBone NeoplasmsIntegrin alpha2Molecular Targeted TherapyOsteoclastsOsteosarcomaAnimalsCell DifferentiationCell Line, TumorCell MovementCell ProliferationGene Expression Regulation, NeoplasticHumansMiceNeoplasm InvasivenessOsteolysisIntegrin alpha2Bone destructionITGA2Osteoclast differentiationOsteosarcoma

Identifiers

PMID41174632
PMCPMC12577262

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.