Evidence map›Paper›PMID 29334376›Full record

ArticleNature medicine2018

Positively selected enhancer elements endow osteosarcoma cells with metastatic competence.

James J Morrow, Ian Bayles, Alister P W Funnell, Tyler E Miller, Alina Saiakhova, Michael M Lizardo, Cynthia F Bartels, Maaike Y Kapteijn, Stevephen Hung, Arnulfo Mendoza and 16 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 98 papers.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
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

98 citing papers in PubMed, 172 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Etoposide activates CD8Journal for immunotherapy of cancer · 2025
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  6. Article
  7. Therapeutic Targeting of BET Proteins in Sarcoma.Molecular cancer therapeutics · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Application and mechanisms of targeting BRD4 in osteosarcoma.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  13. The Dynamic Landscape of the Coagulome of Metastatic Malignant Melanoma.International journal of molecular sciences · 2025
    Article
  14. Review
  15. Article
  16. Pharmacologic Inhibition of EIF4A Blocks NRF2 Synthesis to Prevent Osteosarcoma Metastasis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Pediatric Leukemia Roadmaps Are a Guide for Positive Metastatic Bone Sarcoma Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 7 institutions in 3 countries.

James J MorrowDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio, USA.
Ian BaylesDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Alister P W FunnellAltius Institute for Biomedical Sciences, Seattle, Washington, USA.
Tyler E MillerDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio, USA.
Alina SaiakhovaDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Michael M LizardoPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Cynthia F BartelsDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Maaike Y KapteijnThrombosis and Hemostasis Division, Department of Internal Medicine, Leiden University Medical Center, Leiden, the Netherlands.
Stevephen HungDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Arnulfo MendozaPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Gursimran DhillonDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Daniel R CheeDepartment of Genome Sciences, University of Washington, Seattle, Washington, USA.
Jay T MyersDepartment of Pediatrics, Case Western Reserve University, Cleveland, Ohio, USA.
Frederick AllenDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio, USA.
Marco GambarottiLaboratory of Experimental Oncology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Alberto RighiLaboratory of Experimental Oncology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Analisa DiFeoCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA.
Brian P RubinDepartments of Anatomic Pathology and Molecular Genetics, Cleveland Clinic, Lerner Research Institute and Taussig Cancer Center, Cleveland, Ohio, USA.
Alex Y HuangDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio, USA.
Paul S MeltzerGenetics Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Lee J HelmanPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Piero PicciLaboratory of Experimental Oncology, Istituto Ortopedico Rizzoli, Bologna, Italy.
Henri H VersteegThrombosis and Hemostasis Division, Department of Internal Medicine, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-4294-175X
John A StamatoyannopoulosAltius Institute for Biomedical Sciences, Seattle, Washington, USA.
Chand KhannaPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Peter C ScacheriDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Case Western Reserve University · USNational Institutes of Health · USIstituto Ortopedico Rizzoli · ITAltius Institute for Biomedical Sciences · USLeiden University Medical Center · NLCleveland Clinic · USUniversity of Washington · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Characterization of the Osteosarcoma GenomeZIABC011328 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MELTZER, PAUL S. · 2010 to 2025
$28.0M
Functional Genomics of SarcomaZIABC010759 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MELTZER, PAUL S. · 2009 to 2025
$22.3M
The role of gene enhancer elements in colon cancerR01CA160356 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI TESAR, PAUL JOSEPH · 2012 to 2023
$3.6M
Biology of Colorectal Cancer Risk EnhancersR01CA204279 · NCI · UNIVERSITY OF VIRGINIA · PI CASEY, GRAHAM, SCACHERI, PETER CHRISTOPHER · 2016 to 2020
$3.0M
NRSA Training CoreTL1TR002549 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI HARDING, CLIFFORD V · 2018 to 2022
$2.9M
Clinical and Translational Science Collaborative of ClevelandTL1TR000441 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$2.8M
Role of enhancer elements in regulating prometastatic transcriptional programs in osteosarcomaR01CA193677 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI SCACHERI, PETER CHRISTOPHER · 2016 to 2020
$1.8M
Targeting VCAM1-a4b1 Signaling to Ameliorate Pulmonary Osteosarcoma MetastasisR21CA218790 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 2017 to 2018
$383k
Defining novel drivers and predictive signatures of metastasis in osteosarcoma thF30CA186633 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MORROW, JAMES JULIUS · 2014 to 2017
$182k
Determining the Epigenetic Mechanisms Driving Tissue Factor (F3) Upregulation and its Role in Metastatic OsteosarcomaF31CA213965 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BAYLES, IAN MATTHEW · 2017 to 2019
$123k
NCATS NIH HHS TL1 TR002549NCI NIH HHS F30 CA186633NCI NIH HHS F31 CA213965NCI NIH HHS P30 CA043703NCI NIH HHS R01 CA160356NCI NIH HHS R01 CA193677NCI NIH HHS R01 CA204279NCI NIH HHS R21 CA218790NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

Metastasis results from a complex set of traits acquired by tumor cells, distinct from those necessary for tumorigenesis. Here, we investigate the contribution of enhancer elements to the metastatic phenotype of osteosarcoma. Through epigenomic profiling, we identify substantial differences in enhancer activity between primary and metastatic human tumors and between near isogenic pairs of highly lung metastatic and nonmetastatic osteosarcoma cell lines. We term these regions metastatic variant enhancer loci (Met-VELs). Met-VELs drive coordinated waves of gene expression during metastatic colonization of the lung. Met-VELs cluster nonrandomly in the genome, indicating that activity of these enhancers and expression of their associated gene targets are positively selected. As evidence of this causal association, osteosarcoma lung metastasis is inhibited by global interruptions of Met-VEL-associated gene expression via pharmacologic BET inhibition, by knockdown of AP-1 transcription factors that occupy Met-VELs, and by knockdown or functional inhibition of individual genes activated by Met-VELs, such as that encoding coagulation factor III/tissue factor (F3). We further show that genetic deletion of a single Met-VEL at the F3 locus blocks metastatic cell outgrowth in the lung. These findings indicate that Met-VELs and the genes they regulate play a functional role in metastasis and may be suitable targets for antimetastatic therapies.

Indexed as

Bromodomain Containing ProteinsCarcinogenesisCell Line, TumorEnhancer Elements, GeneticEpigenomicsGene Expression Regulation, NeoplasticGenome, HumanHumansLung NeoplasmsNeoplasm MetastasisOsteosarcomaProteinsSelection, GeneticThromboplastinTranscription Factor AP-1Tumor Microenvironmentbromodomain and extra-terminal domain protein, humanBromodomain Containing ProteinsProteinsThromboplastinTranscription Factor AP-1

Identifiers

PMID29334376
PMCPMC5803371
OpenAlexW2783862258

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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 OpenQuestion graph.