Perifosine induces cell apoptosis in human osteosarcoma cells: new implication for osteosarcoma therapy?
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Updated: May 18, 2026

Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
Published on: March 18, 2014
Chen Yao1, Jian-jun Wei, Zu-yu Wang
1Department of Orthopedics, BenQ Medical Center, Nanjing Medical University, Nanjing, Jiangsu, China.
Abstract:
Despite the advances of adjuvant chemotherapy and significant improvement of survival, the prognosis for patients with osteosarcoma is generally poor. The search for more effective anti-osteosarcoma agents is necessary and urgent. Here we report that perifosine induces cell apoptosis and growth inhibition in cultured human osteosarcoma cells. Perifosine blocks Akt/mTOR complex 1 (mTORC1) signaling, while promoting caspase-3, c-Jun N-terminal kinases (JNK), and p53 activation. Further, perifosine inhibits survivin expression probably by disrupting its association with heat shock protein-90 (HSP-90). These signaling changes together were responsible for a marked increase of osteosarcoma cell apoptosis and growth inhibition. Finally, we found that a low dose of perifosine enhanced etoposide- or doxorubicin-induced anti-OS cells activity. The results together suggest that perifosine might be used as a novel and effective anti-osteosarcoma agent.
Insights
Perifosine effectively inhibits osteosarcoma cell growth and induces apoptosis by disrupting key signaling pathways. This agent shows potential as a novel therapeutic for osteosarcoma, even enhancing existing chemotherapy efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Osteosarcoma patients have a poor prognosis despite current adjuvant chemotherapy.
- There is an urgent need for novel and more effective anti-osteosarcoma agents.
Purpose of the Study:
- To investigate the efficacy of perifosine as an anti-osteosarcoma agent.
- To elucidate the molecular mechanisms underlying perifosine's anti-tumor activity in osteosarcoma.
Main Methods:
- Cultured human osteosarcoma cells were treated with perifosine.
- Key signaling pathways including Akt/mTORC1, caspase-3, c-Jun N-terminal kinases (JNK), and p53 were analyzed.
- Survivin expression and its association with heat shock protein-90 (HSP-90) were examined.
- The effect of perifosine in combination with etoposide or doxorubicin was evaluated.
Main Results:
- Perifosine induced significant apoptosis and growth inhibition in osteosarcoma cells.
- Perifosine blocked Akt/mTORC1 signaling and promoted caspase-3, JNK, and p53 activation.
- Perifosine disrupted the association between survivin and HSP-90, leading to decreased survivin expression.
- Low-dose perifosine enhanced the anti-cancer activity of etoposide and doxorubicin.
Conclusions:
- Perifosine demonstrates potent anti-osteosarcoma activity through multiple molecular mechanisms.
- Perifosine warrants further investigation as a novel therapeutic agent for osteosarcoma.
- Combination therapy with perifosine may improve treatment outcomes for osteosarcoma patients.
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