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Updated: May 22, 2026

Intratibial Osteosarcoma Cell Injection to Generate Orthotopic Osteosarcoma and Lung Metastasis Mouse Models
Published on: October 28, 2021
Cyclooxygenase-2 inhibitors induce anoikis in osteosarcoma via PI3K/Akt pathway
Bing Liu1, Liyan Qu, Zhengming Yang
1Department of Orthopedics, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, #88 Jie Fang Road, Hangzhou, 310009 Zhejiang, PR China.
Abstract:
COX-2, an inducible enzyme, is associated with inflammatory diseases and carcinogenesis. Overexpression of COX-2 occurs in many human malignancies, including osteosarcoma. In our study, we reported that Celecoxib, a cyclooxygenase-2 inhibitor, induces apoptosis in human osteosarcoma cell line MG-63 via down-regulation of PI3K/Akt. PI3K/Akt plays an essential role in the cell/extracellar matrix (ECM) and cell/cell adhesion. We hypothesize that COX-2 inhibitors induce anoikis in osteosarcoma via PI3K/Akt, resulted in lack of correct attachment and the down-regulations of β-catenin, TrkB and E-cadherin, which play an essential role in the cell/extracellar matrix (ECM) and cell/cell adhesion. Meanwhile, apoptosis also be disclosed, such as DNA fragments and apoptotic bodies, activation of caspase-8, 9 and cleavage of PARP. With wortmannin, a specific PI3K inhibitor can simulate the effect of COX-2 inhibitors. If our hypothesis is correct, COX-2 inhibitors could cut down the occurrence of metastasis and facilitate the patient who may benefit from addition of COX-2 inhibitors to standard cytotoxic therapy.
Insights
Celecoxib, a cyclooxygenase-2 (COX-2) inhibitor, triggers apoptosis in osteosarcoma cells by down-regulating PI3K/Akt. This COX-2 inhibition may reduce metastasis and benefit patients receiving standard therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Cyclooxygenase-2 (COX-2) is implicated in inflammation and cancer development, with its overexpression common in osteosarcoma.
- The PI3K/Akt pathway is crucial for cell adhesion and survival, and its dysregulation is linked to cancer progression.
Purpose of the Study:
- To investigate whether COX-2 inhibitors induce anoikis (apoptosis due to detachment) in osteosarcoma cells.
- To explore the role of the PI3K/Akt pathway in mediating the effects of COX-2 inhibition on cell adhesion and apoptosis.
Main Methods:
- Treatment of human osteosarcoma MG-63 cells with Celecoxib, a COX-2 inhibitor.
- Assessment of apoptosis markers, including DNA fragmentation, apoptotic bodies, caspase activation, and PARP cleavage.
- Investigation of the PI3K/Akt pathway and expression of β-catenin, TrkB, and E-cadherin.
- Use of wortmannin, a PI3K inhibitor, to mimic COX-2 inhibitor effects.
Main Results:
- Celecoxib induced apoptosis in MG-63 cells, evidenced by DNA fragmentation, apoptotic bodies, activated caspases (8, 9), and cleaved PARP.
- Celecoxib treatment led to the down-regulation of PI3K/Akt signaling.
- The expression of β-catenin, TrkB, and E-cadherin was reduced, suggesting impaired cell-ECM and cell-cell adhesion.
- Wortmannin mimicked the apoptotic effects of Celecoxib, supporting the role of PI3K/Akt inhibition.
Conclusions:
- COX-2 inhibitors, like Celecoxib, induce apoptosis and anoikis in osteosarcoma cells, potentially through PI3K/Akt pathway down-regulation.
- Inhibition of COX-2 may disrupt cell adhesion molecules (β-catenin, TrkB, E-cadherin), contributing to anoikis.
- These findings suggest that COX-2 inhibitors could be a valuable addition to standard therapy for osteosarcoma, potentially reducing metastasis.
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