Bisphosphonate enhances TRAIL sensitivity to human osteosarcoma cells via death receptor 5 upregulation

Myung Hee Moon1, Jae Kyo Jeong, Jae Suk Seo

  • 1Center for Healthcare Technology Development ,Bio-Safety Research Institute, College of Veterinary Medicine, Chonbuk National University, Jeonju, Korea.

Insights

Bisphosphonates enhance the effectiveness of Tumor Necrosis Factor (TNF)-related apoptosis-inducing ligand (TRAIL) therapy in osteosarcoma. This combination overcomes TRAIL resistance by increasing apoptosis and DR5 receptor expression in cancer cells.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) is a promising cancer therapeutic, but osteosarcomas often exhibit resistance.
  • Bisphosphonates inhibit protein prenylation, crucial for cell survival, and are used for bone-related malignancies.

Purpose of the Study:

  • To investigate the effects of bisphosphonates on TRAIL-resistant human osteosarcoma cells (MG 63).
  • To determine if bisphosphonates can sensitize osteosarcoma cells to TRAIL-induced apoptosis.

Main Methods:

  • MG 63 cells were treated with bisphosphonates, TRAIL, or a combination.
  • Assays were performed to measure apoptosis, caspase-3 activation, DR5 receptor expression (mRNA and protein), and protein unprenylation.
  • Geranylgeraniol was used to block protein unprenylation.

Main Results:

  • Osteosarcoma cells resistant to TRAIL alone showed increased apoptosis and caspase-3 activation upon bisphosphonate pre-treatment.
  • Bisphosphonates significantly upregulated the expression of the TRAIL receptor DR5.
  • Bisphosphonates induced protein unprenylation, which was further enhanced by co-treatment with TRAIL. Blocking unprenylation attenuated these effects.

Conclusions:

  • Bisphosphonates significantly enhance TRAIL-induced apoptosis in TRAIL-resistant human osteosarcoma cells.
  • This study demonstrates a novel therapeutic strategy combining bisphosphonates with TRAIL for overcoming cancer cell resistance.