The aim of the present study was to define the role of cathepsins B, H, K,
L and S in the pathogenesis of human chondrosarcomas. For this purpose 40 t
umour samples obtained from 12 patients with the diagnosis of conventional
chondrosarcoma were systematically investigated for the expression of cathe
psin mRNAs by Northern hybridisation, and for immunohistochemical localisat
ion of the proteins. Northern analysis demonstrated the highest levels of c
athepsins B and L in a recurring grade 1 chondrosarcoma, and in a grade 3 c
hondrosarcoma and in fibrous histiocytomas. Increased expression of catheps
in K mRNA was seen in seven chondrosarcomas, as well as in control tumours;
fibrous histiocytomas, osteosarcomas, enchondromas and a giant cell tumour
of bone. Cathepsin L was immunolocalised within the large chondrocytes, wh
ile cathepsin K was predominantly localised in large multinucleated osteocl
astic cells and in some hypertrophic chondrocytes. These results suggest th
at chondrosarcoma can be included in the growing list of tumours, where cat
hepsins may well be involved in tumour progression. The simultaneous upregu
lation of cathepsins B and L, together with matrix metalloproteinase-13, an
d the association of cathepsin K with negative prognostic parameters sugges
ts that an aggressive biological behaviour of chondrosarcoma may be related
to the synthesis of cysteine proteinases and activation of other proteolyt
ic enzymes. If this turns out to be the case, cathepsin inhibitors could pr
ovide the much needed adjuvant therapy for chondrosarcomas. (C) 2001 Elsevi
er Science B.V./International Society of Matrix Biology. All rights reserve
d.