Forkhead box C1 is targeted by microRNA-133b and promotes cell proliferation and migration in osteosarcoma.

Forkhead box C1 (FOXC1) has been demonstrated to act as an oncogene in a number of malignant tumors, though its underlying mechanism of action in osteosarcoma (OS) remains unknown. The present study evaluated the expression and regulatory role of FOXC1 in OS. Reverse transcription-quantitative polymerase chain reaction and western blot data indicated that FOXC1 was significantly upregulated in OS tissues and cell lines when compared with adjacent non-tumor tissues (P<0.001) and normal human osteoblast cells (P<0.01), respectively. Moreover, levels of FOXC1 expression were significantly higher in OS at advanced clinical stage (III-IV) when compared with that at low clinical stage (I-II; P<0.001). Knockdown of FOXC1 expression caused a significant decrease in the proliferation and migration of OS U2OS cells (P<0.01), while overexpression of FOXC1 significantly promoted U2OS cell proliferation and migration (P<0.01), relative to control U2OS cells. Furthermore, FOXC1 was identified as a direct target of microRNA (miR)-133b, a reported tumor-suppressive miR in OS. The protein expression of FOXC1 was negatively regulated by miR-133b in U2OS cells (P<0.01), and miR-133b expression was inversely correlated with FOXC1 expression in OS. In conclusion, the present study demonstrated that FOXC1, targeted by miR-133b, may promote cell proliferation and migration in OS. Thus, FOXC1 may be a potential therapeutic target in the treatment of OS.

Introduction

Osteosarcoma (OS) is a common malignant primary tumor of the bone, which primarily affects children and adolescents (1,2). The standard treatment for OS consists of surgery and intensive multi-agent chemotherapy, which has improved the 5-year survival rate of patients with OS. However, 30–40% of OS patients present with pulmonary metastasis and relapse, and have a poor prognosis (2,3). In addition, the cellular and molecular mechanisms underlying the growth and metastasis of OS remain unknown.

Forkhead box C1 (FOXC1), as a member of the FOX protein family, is a transcription factor containing a characteristic DNA-binding forkhead domain (4). Previous studies have documented that FOXC1 takes part in the regulation of embryonic and ocular development (4,5). More recently, it has been observed that the regulation of FOXC1 is perturbed in a number of human cancers, including sarcomas (6,7). In basal-like breast cancer (BLBC), FOXC1 was significantly upregulated, and its upregulation was associated with poor prognosis of patients with BLBC (8). Moreover, knockdown of FOXC1 significantly reduced the proliferation, migration and invasion of BLBC cells (8). FOXC1 may also contribute to microvascular invasion in hepatocellular carcinoma by promoting epithelial-mesenchymal transition (EMT) (9), and in synovial sarcoma, upregulation of FOXC1 has been observed (10). However, the expression and clinical significance of FOXC1, and the potential benefits of targeting FOXC1 as a putative therapeutic strategy for OS are unknown.

MicroRNAs (miRs), as a type of short non-coding RNAs, inhibit the protein expression of their target genes by binding to the 3′-untranslated region (UTR) of mRNAs, which leads to the inhibition of protein translation and RNA degradation (11). By regulating the expression of their target genes, miRs may affect cell proliferation, differentiation, apoptosis, migration and tumorigenesis (12,13). Recently, a number of miRs have been demonstrated to serve suppressive roles in different human cancers through the inhibition of FOXC1 expression (14–16). For instance, in nasopharyngeal carcinoma, miR-4792 inhibited EMT and the invasion of carcinoma cells through the repression of FOXC1 expression (15). In endometrial cancer, MiR-495 suppressed the growth and migration of cancer cells by targeting FOXC1 (16). However, there is a lack of studies into the epigenetic regulatory mechanism underlying the expression of FOXC1 in OS.

In the present study, the expression and regulatory role of FOXC1 was evaluated in human OS. In addition, the epigenetic regulatory mechanism underlying the expression of FOXC1 in human OS cells was investigated.

Materials and methods

Tissue collection

The current study was approved by the Ethics Committee of the Second Xiangya Hospital of Central South University (Changsha, China). Written informed consent was obtained from all patients in the present study. A total of 42 primary OS tissues and matched adjacent non-tumor tissues were collected at the Second Xiangya Hospital of Central South University from March 2012 to May 2014. The tissue samples were immediately snap-frozen in liquid nitrogen following surgical resection and stored at −80°C until use. The clinical characteristics of patients involved in the current study are presented in Table I. TNM I–II stage was recognized as low stage and TNM III–IV stage was recognized as high stage (17). Patients were diagnosed at the Pathology Department of the Second Xiangya Hospital of Central South University. No chemotherapy or radiotherapy was administered prior to surgical resection.

Table I.

Clinical characteristics of patients with osteosarcoma.

Variable	Osteosarcoma
Number of patients, n	42
Age range (mean, years)	16-48 (31.5±10.2)
Sex
Male	25
Female	17
Clinical stage
I	7
II	15
III	14
IV	6

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)

Total RNA was extracted from patient tissues using TRIzol® reagent (Thermo Fisher Scientific, Inc., Waltham, MA, USA) and converted into cDNA using a RevertAid Reverse Transcription kit (Thermo Fisher Scientific, Inc.), according to the manufacturer's instructions. For mRNA detection, a SYBR-Green I Real-Time PCR kit (Biomics Biotechnologies Co., Ltd., Nantong, China) was used to perform real-time qPCR. GAPDH was used as an internal control. The primer sequences used were as follows: For FOXC1 forward, 5′-GGCGAGCAGAGCTACTACC-3′ and reverse, 5′-TGCGAGTACACGCTCATGG-3′ and for GAPDH forward, 5′-ACAACTTTGGTATCGTGGAAGG-3′ and reverse, 5′-GCCATCACGCCACAGTTTC-3′. For miR detection, an All-In-One miRNA qRT-PCR Detection kit (GeneCopoeia, Inc., Rockville, MD, USA) was used to conduct real-time qPCR, according to the manufacturer's instructions. The reaction conditions for both mRNA and miRNA PCR were 95°C for 5 min, followed by 40 cycles of denaturation at 95°C for 15 sec and an annealing/elongation step at 60°C for 30 sec. Relative expression was analyzed using the ΔΔCq method (18). GAPDH was used for mRNA normalization and U6 for miR normalization. Three replicates were performed for each experiment.

Cell culture

The human OS cell lines Saos-2, MG63, U2OS and KHOS, and normal human osteoblast hFoB1.19 cells were purchased from the Cell Bank of Type Culture Collection of Chinese Academy of Sciences (Shanghai, China). The cell lines were cultured in RPMI-1640 medium (Invitrogen; Thermo Fisher Scientific, Inc.) supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin and 100 µg/ml streptomycin (all from Thermo Fisher Scientific, Inc.) at 37°C in a 5% CO2-95% air atmosphere.

Bioinformatics prediction

TargetScan software (http://www.targetscan.org) was used to predict the potential miRs that target FOXC1. ‘Human’ was selected as the species, and ‘FOXC1’ was entered. miR-133b was identified and selected as the potential target gene of FOXC1.

Cell transfection

Cells were transfected with 100 nM of FOXC1 small interfering (si)-RNA, non-specific siRNA [negative control (NC) siRNA], pcDNA3.1-FOXC1 expression plasmid, pcDNA3.1 vector, miR-133b mimic, scramble miR (miR-NC), miR-133b inhibitor or NC inhibitor (all purchased from Yearthbio, Changsha, China) using Lipofectamine® 2000 (Thermo Fisher Scientific, Inc.), according to the manufacturer's instructions.

Western blot analysis

Cells were lysed with ice-cold lysis buffer (Beyotime Institute of Biotechnology, Haimen, China) and centrifugation was performed at 12,000 × g at 4°C for 10 min. Protein concentration was determined using a bicinchoninic acid protein acid kit (Santa Cruz Biotechnology, Inc., Dallas, TX, USA). Proteins (60 µg) were separated by 10% SDS-PAGE (Beyotime Institute of Biotechnology) and transferred onto a polyvinylidene difluoride (PVDF) membrane (Thermo Fisher Scientific, Inc.). The PVDF membrane was incubated with phosphate-buffered saline (PBS) containing 5% non-fat milk (Mengniu Dairy Co., Ltd., Hong Kong, China) overnight at 4°C, followed by incubation with rabbit anti-human FOXC1 antibody (1:50, ab24067) and GAPDH antibodies (1:100, ab9485) (both from Abcam, Cambridge, MA, USA) at room temperature for 3 h. Following 3 washes with PBS with Tween-20, the membrane was incubated with horseradish peroxidase-conjugated goat anti-rabbit secondary antibodies (1:5,000, ab97051; Abcam) at room temperature for 1 h. An enhanced chemiluminescence system (Thermo Fisher Scientific, Inc.) was used to detect the immunoreactive bands. Protein expression was measured using Image-Pro Plus 6.0 software (Media Cybernetics, Inc., Rockville, MD, USA). GAPDH was used as an internal reference. Three replicates were performed.

MTT assay

Suspended U2OS cells were plated into 96-well plates (5×104 cells/well) and cultured for 0, 24, 48 or 72 h in RPMI-1640 medium with 10% FBS at 37°C. The viability of U2OS cells was determined using an MTT assay. Briefly, following cell culture, 20 µl MTT (5 mg/ml; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was added to each well and the 96-well plates were incubated at 37°C in a humidified 5% CO2 atmosphere for 4 h. The resulting formazan product was dissolved with 100 µl isopropanol and absorbance at 490 nm was measured with a SpectraMax Microplate® Spectrophotometer (Molecular Devices LLC, Sunnyvale, CA, USA).

Wound-healing assay

U2OS cells (control, FOXC1 siRNA and FOXCI groups) were cultured in a 6-well plate in RPMI-1640 medium containing 10% FBS at 37°C (initial cell density, 1×105 cells/well) into 100% confluence, and a wound was created in the cell monolayer with a plastic scriber. Cells were washed and cultured in RPMI-1640 containing 10% FBS at 37°C for 48 h. The wounds were then photographed under a Nikon microscope (Instruments, Inc., Sterling Heights, MI, USA) equipped with Zen Imaging 1.0 software (Zeiss AG, Oberkochen, Germany). The wound width was evaluated by measuring the distance between the two edges of the scratch at 5 random sites in each image.

Luciferase reporter assay

A mutant type (MT) of the FOXC1 3′UTR lacking complementarity with the miR-133b seed sequence was generated using a QuickChange Site-Directed Mutagenesis kit (Stratagene; Agilent Technologies, Inc., Santa Clara, CA, USA), according to the manufacturer's instructions. The wild type (WT) or MT FOXC1 3′UTR was cloned into a pMIR-GLO™ Luciferase vector (performed by Yearthbio) downstream of the firefly luciferase coding region. U2OS cells were co-transfected with 100 nM WT-FOXC1-3′UTR or MT-FOXC1-3′UTR plasmid and 100 nM miR-NC or miR-133b mimic using Lipofectamine 2000. Luciferase activity was detected 48 h after transfection using a Dual-Luciferase® Reporter Assay system (Promega Corporation), according to the manufacturer's instructions.

Statistical analysis

Data were expressed as the mean ± standard deviation of three independent experiments. SPSS 19.0 software (IBM Corp., Armonk, NY, USA) was used for statistical analysis. Spearman's rank correlation analysis was used to examine the relationship between miR-133b and FOXC1 expression in OS tissues. Significance differences between groups were analyzed using a Student's t-test or one-way analysis of variance with Tukey's post hoc test, and P<0.05 was considered to indicate a statistically significant difference.

Results

Upregulation of FOXC1 in OS tissues and cell lines is associated with tumor progression

In the present study, RT-qPCR and western blot analysis were conducted to assess the mRNA and protein expression of FOXC1 in OS tissues and cell lines. Adjacent non-tumor tissues and normal human osteoblast hFoB1.19 cells were used as controls, respectively. As depicted in Fig. 1A, FOXC1 mRNA was significantly upregulated in OS tissues compared with adjacent non-tumor tissues (P<0.001). In addition, the expression of FOXC1 mRNA was significantly higher in high stage OS (III–IV) when compared with that in low stage OS (I–II; P<0.001; Fig. 1B), suggesting that increased expression of FOXC1 may contribute to the malignant progression of OS. RT-qPCR and western blot data also indicted that FOXC1 expression was significantly increased in the OS cell lines Saos-2, MG63, U2OS and KHOS, when compared with that in normal human osteoblast hFoB1.19 cells (P<0.01; Fig. 1C and D). Collectively, these findings indicate that FOXC1 is upregulated in OS.

Figure 1.

Upregulation of FOXC1 in OS. (A) RT-qPCR was used to measure the levels of FOXC1 mRNA in OS tissues and adjacent non-tumor tissues. (B) RT-qPCR was used to assess the levels of FOXC1 mRNA in OS tissues at different clinical stages. (C) RT-qPCR and (D) western blot analysis were performed to measure the expression of FOXC1 at the mRNA and protein levels in OS cell lines and normal osteoblast hFoB1.19 cells. ###P<0.001 vs. adjacent tissue; &&&P<0.001 vs. I–II stage OS. **P<0.01 vs. hFoB1.19 cells. FOXC1, forkhead box C1; OS, osteosarcoma; RT-qPCR, reverse transcription-quantitative polymerase chain reaction.

FOXC1 promotes OS cell proliferation and migration

As FOXC1 was significantly upregulated in OS, U2OS cells were transfected with FOXC1 siRNA to decrease its expression. Transfection with non-specific siRNA was used as a control. As indicated in Fig. 2A and B, transfection with FOXC1 siRNA caused a significant reduction in FOXC1 at the mRNA and protein levels, relative to the control group (P<0.01). MTT and wound healing assays were subsequently performed to evaluate cell proliferation and migration. It was observed that knockdown of FOXC1 significantly decreased the proliferation and migration of U2OS cells compared with the control group (P<0.01; Fig. 2C and D). To verify these findings, U2OS cells were transfected with FOXC1 mimic to upregulate its expression. Transfection with miR-NC was used as a control. RT-qPCR and western blot data indicated that FOXC1 expression was significantly higher in the FOXC1 group compared with the control group (P<0.01; Fig. 3A and B). Moreover, overexpression of FOXC1 promoted the proliferation and migration of U2OS cells (P<0.01 vs. control; Fig. 3C and D). These data indicate that FOXC1 may promote the proliferation and migration of OS cells.

Figure 2.

Effects of FOXC1 knockdown on OS cell proliferation and migration. The OS cell line U2OS was transfected with FOXC1 siRNA or with non-specific siRNA, as a control. (A) Reverse transcription-quantitative polymerase chain reaction and (B) western blot analysis were performed to measure the expression of FOXC1 at the mRNA and protein levels. (C) MTT and (D) wound healing assays were conducted to assess the proliferation and migration of transfected cells. Magnification, ×40. **P<0.01 vs. control. FOXC1, forkhead box C1; OS, osteosarcoma; siRNA, small interfering RNA.

Figure 3.

Effects of FOXC1 overexpression on OS cell proliferation and migration. The OS cell line U2OS was transfected with a pcDNA3.1-FOXC1 expression plasmid or with a blank vector, as a control. (A) Reverse transcription-quantitative polymerase chain reaction and (B) western blot analysis were performed to measure the expression of FOXC1 at the mRNA and protein levels. (C) MTT and (D) wound healing assays were conducted to assess the proliferation and migration of transfected cells. Magnification, ×40. **P<0.01 vs. control. FOXC1, forkhead box C1; OS, osteosarcoma.

FOXC1 is a target gene of miR-133b in OS cells

The epigenetic regulatory mechanism underlying the expression of FOXC1 in OS was investigated. Targetscan software was used to analyze the potential miRs that target FOXC1. As depicted in Fig. 4A and B, FOXC1 was predicted to be a target gene of miR-133b, which is considered to be a tumor suppressor in OS (19). To verify this targeting relationship, WT or MT FOXC1 3′UTR was cloned into a pMIR-GLO™ Luciferase vector downstream of the firefly luciferase coding region, generating WT- or MT-FOXC1-3′UTR luciferase reporter plasmids, respectively (Fig. 4C and D). U2OS cells were then co-transfected with WT-FOXC1-3′UTR or MT-FOXC1-3′UTR plasmid and miR-NC or miR-133b mimic. As depicted in Fig. 4E, luciferase activity was significantly decreased in U2OS cells co-transfected with miR-133b mimic and WT-FOXC1-3′UTR plasmid (P<0.01 vs. miR-NC + WT-FOXC1-3′UTR cells). By contrast, luciferase activity was unaffected in cells co-transfected with miR-133b mimic and MT-FOXC1-3′UTR plasmid when compared with miR-NC + MT-FOXC1-3′UTR cells. These data indicate that miR-133b may directly bind to the 3′UTR of FOXC1 mRNA in U2OS cells.

Figure 4.

miR-133b targets FOXC1 in OS. (A) Targetscan software predicted that FOXC1 was a putative target gene of miR-133b, and that (B) their targeting relationship was evolutionally conserved. (C and D) WT- or MT-FOXC1 3′UTR was cloned into a pMIR-GLOTM Luciferase vector downstream of the F. luciferase coding region. (E) Luciferase activity was significantly decreased in U2OS cells co-transfected with miR-133b mimic and WT-FOXC1-3′UTR plasmid but not in cells co-transfected with miR-133b mimic and MT-FOXC1-3′UTR plasmid. **P<0.01 vs. miR-NC. FOXC1, forkhead box C1; miR, microRNA; OS, osteosarcoma; WT, wild type; MT, mutant type; 3′UTR, 3′ untranslated region; NC, negative control; SV40, simian vacuolating virus 40; R. luciferase, Renilla-glo luciferase; F. luciferase, firefly luciferase; HSV TK, herpes simplex virus thymidine kinase promoter; Sgf1, XhoI, PmeI and NotI, restriction sites.

The effect of miR-133b on the expression of FOXC1 was further evaluated in U2OS cells. U2OS cells were transfected with miR-133b mimic or miR-NC, as a control. Following transfection, levels of miR-133b were significantly increased in the miR-133b group compared with the control group (P<0.01; Fig. 5A). In turn, western blot data indicated that overexpression of miR-133b led to a significant decrease in the levels of FOXC1 protein in U2OS cells (P<0.01; Fig. 5B). To verify these findings, U2OS cells were transfected with miR-133b inhibitor or NC inhibitor, as a control. Transfection with miR-133b inhibitor caused a significant reduction in the levels of miR-133b when compared with the control group (P<0.01; Fig. 5C). In turn, knockdown of miR-133b significantly increased the expression of FOXC1 protein in U2OS cells (P<0.01; Fig. 5D). Therefore, miR-133b may negatively regulate the expression of FOXC1 protein in OS cells.

Figure 5.

Targeting of FOXC1 by miR-133b in OS. U2OS cells were transfected with miR-133b or miR-NC. (A) RT-qPCR and (B) western blot analysis were performed to measure the expression of miR-133b and FOXC1 protein, respectively. U2OS cells were also transfected with miR-133b inhibitor or NC inhibitor. (C) RT-qPCR and (D) western blot analysis were performed to measure the expression of miR-133b and FOXC1 protein, respectively. **P<0.01 vs. NC. FOXC1, forkhead box C1; miR, microRNA; OS, osteosarcoma; NC, negative control; RT-qPCR, reverse transcription-quantitative polymerase chain reaction.

miR-133b expression is inversely correlated with FOXC1 expression in OS

To verify the relationship between miR-133b and FOXC1 in OS, the expression of miR-133b was assessed in OS tissues and cell lines using RT-qPCR. It was observed that levels of miR-133b were significantly reduced in OS tissues compared with adjacent non-tumor tissues (P<0.001; Fig. 6A). Similarly, miR-133b was downregulated in OS cell lines when compared with normal osteoblast hFoB1.19 cells (P<0.01; Fig. 6B). Moreover, levels of miR-133b were inversely correlated with levels of FOXC1 in OS tissues (R=−0.64, P<0.01; Fig. 6C), suggesting that a downregulation of miR-133b may contribute to the upregulation of FOXC1 in OS.

Figure 6.

FOXC1 expression is inversely correlated with miR-133b expression in OS. (A) RT-qPCR was performed to assess the expression of miR-133b in OS tissues and adjacent non-tumor tissues. (B) RT-qPCR was performed to assess the expression of miR-133b in OS cell lines and normal osteoblast hFoB1.19 cells. (C) An inverse correlation was identified between the levels of miR-133b and FOXC1 mRNA in OS tissues. ###P<0.001 vs. adjacent tissue; **P<0.01 vs. hFoB1.19 cells. FOXC1, forkhead box C1; miR, microRNA; OS, osteosarcoma; RT-qPCR, reverse transcription-quantitative polymerase chain reaction.

Discussion

There is a lack of studies into the exact roles of FOXC1 in the growth and metastasis of OS. In the present study, it was observed that FOXC1 was significantly upregulated in OS tissues and cell lines when compared with adjacent non-tumor tissues and normal human osteoblast cells, respectively. Moreover, the expression of FOXC1 was significantly higher in advanced stage OS when compared with that at low stage OS. In addition, silencing of FOXC1 significantly decreased the proliferation and migration of U2OS cells, while overexpression of FOXC1 significantly promoted U2OS cell proliferation and migration. FOXC1 was identified as a direct target of miR-133b, as a reported tumor-suppressive miR in OS (19), and the expression of FOXC1 protein was negatively regulated by miR-133b in U2OS cells. Furthermore, miR-133b was significantly downregulated in OS tissues and cell lines, and levels of miR-133b were inversely correlated with the levels of FOXC1 mRNA in OS tissues.

FOXC1 is typically upregulated and serves an oncogenic role in a number of common cancers, including breast cancer (20), hepatocellular carcinoma (9), pancreatic ductal adenocarcinoma (21), non-small cell lung cancer (22) and gastric cancer (23). For instance, high expression of FOXC1 was significantly associated with poor prognosis of patients with pancreatic ductal adenocarcinoma (21), non-small cell lung cancer (22) and gastric cancer (23). A previous mechanistic study demonstrated that FOXC1 promoted the invasion of breast cancer cells by inducing the expression of matrix metalloproteinase-7 (20). In BLBC, FOXC1 enhanced the proliferation, migration and invasion of cancer cells through the activation of nuclear factor-κB signaling (24). However, to the best of our knowledge, the expression and potential regulatory role of FOXC1 in OS have not been previously studied. In the present study, it was observed that FOXC1 was significantly upregulated in OS tissues and cell lines. Moreover, levels of FOXC1 were higher in high stage OS than in low stage OS, suggesting that upregulation of FOXC1 may be involved in the malignant progression of OS. To further investigate the regulatory role of FOXC1 in OS, an in vitro study was conducted in U2OS cells. It was observed that FOXC1 promoted the proliferation and migration of U2OS cells, suggesting that FOXC1 may serve a promotional role in the growth and metastasis of OS. Future studies are now warranted to investigate the effects of FOXC1 in OS cell growth and lung metastasis in vivo.

Several miRs have been demonstrated to directly target FOXC1, enabling them to function as tumor suppressors in different cancers (14,25). For instance, it has been documented that miR-204 inhibited the migration and invasion of endometrial cancer cells by directly targeting FOXC1 (14), while miR-639 blocked tumor growth factor-β-induced EMT in human tongue cancer cells by inhibiting FOXC1 (25). Furthermore, miR-138-5p was downregulated in pancreatic cancer tissues and cell lines, and inhibited tumor cell growth in vivo by downregulating FOXC1 (26). In the present study, it was demonstrated that FOXC1 was a direct target of miR-133b, and miR-133b negatively regulated the expression of FOXC1 protein in OS cells. MiR-133b has previously been demonstrated to function as a tumor suppressor in OS (19). Zhang et al (19) documented that miR-133b was significantly downregulated in OS, which was associated with a high tumor grade, metastasis, recurrence and poor prognosis. Similarly, Zhao et al (27) reported that miR-133b inhibited the proliferation, migration and invasion of OS cells, and promoted their apoptosis. In the current study, it was also observed that miR-133b levels were significantly reduced in OS tissues and cell lines when compared with adjacent non-tumor tissues and normal osteoblast cells, respectively. Notably, a significant inverse correlation was identified between the expressions of miR-133b and FOXC1 in OS tissues, suggesting that decreased expression of miR-133b may contribute to the upregulation of FOXC1 in OS. Wang et al (28) recently demonstrated that miR-133 inhibited the migration and invasion of pituitary tumor cells by directly targeting FOXC1. Therefore, results of the current study provide greater insight into the miR-133b/FOXC1 axis in human cancers. Future studies should now focus on the regulatory relationship between miR-133b and FOXC1 in the growth and metastasis of OS in vivo.

In conclusion, the present results indicate that FOXC1 is directly targeted by the tumor suppressor miR-133b and serves a promotional role in the proliferation and migration of OS cells. Therefore, FOXC1 may be a novel therapeutic target in the treatment of OS. Future studies could clarify the relationship between FOXC1 and miR-133b in OS in in vivo models.