Evidence map›Paper›PMID 40730813›Full record

ArticleCell death discovery2025

SPON2 facilitates osteosarcoma development by inducing M2 macrophage polarization through activation of the NF-κB/VEGF signaling axis.

Xinchang Lu, Xueping Zhang, Fengzhen Zhang, Wenhao Wang, Ruijie Liu, Yubao Hou, Weiye Shi, Jiazhen Li, Changliang Peng

Abstract read
In one paragraph

Article in Cell death discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  4. Review
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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

9 authors.

Xinchang Lu *Department of Orthopedic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xueping Zhang *Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fengzhen ZhangDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China.
Wenhao WangDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China.
Ruijie LiuDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China.
Yubao HouDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China.
Weiye ShiDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China.
Jiazhen LiDepartment of Orthopedic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. jzhli6411@163.com.ORCID http://orcid.org/0000-0002-6416-4296
Changliang PengDepartment of Spinal Surgery, The Second Hospital of Shandong University, Shandong University, Jinan, China. pcliang@sdu.edu.cn.ORCID http://orcid.org/0000-0002-0673-9725

Funding

Natural Science Foundation of Shandong Province (Shandong Provincial Natural Science Foundation) ZR2022MH046
6 · The paper itself

Abstract

Osteosarcoma (OS) is an aggressive bone tumor with poor prognosis, particularly in metastatic cases. Here, we identify spondin 2 (SPON2) as a key driver of OS progression. SPON2 is significantly upregulated in OS tissues and cell lines and correlates with shorter patient survival. Functional assays show that SPON2 promotes OS cell proliferation, migration, invasion, and angiogenesis by enhancing the secretion of IL10, CCL2, and CSF1, which leads to M2 macrophage polarization and an immunosuppressive tumor microenvironment. In vitro, SPON2 knockdown reduces M2 macrophage markers and attenuates EMT phenotypes, as evidenced by decreased mesenchymal markers and preserved epithelial characteristics. Mechanistically, SPON2 activates the NF-κB/VEGF signaling axis to drive both macrophage polarization and EMT, thereby promoting tumor progression. In vivo, SPON2 knockdown in OS xenografts suppresses tumor growth, lung metastasis, and M2 polarization, while increasing M1-associated markers. Lipopolysaccharide (LPS) stimulation restores cytokine secretion and EMT marker expression in SPON2-knockdown models, suggesting that SPON2 acts through inflammation-responsive pathways. Together, these findings establish SPON2 as a key regulator of both immune modulation and metastatic behavior in OS, and highlight its potential as a therapeutic target.

Identifiers

PMID40730813
PMCPMC12307574

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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.