Prevention of multidrug resistance (MDR) in osteosarcoma by NSC23925

X Yang1, P Yang2, J Shen2

  • 11] Sarcoma Biology Laboratory, Center for Sarcoma and Connective Tissue Oncology, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Jackson 1115, Boston, MA 02114, USA [2] Department of Gynaecology and Obstetrics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.

Abstract

Insights

The novel agent NSC23925 prevents multidrug resistance (MDR) development in osteosarcoma cells. This study shows NSC23925 inhibits P-glycoprotein (Pgp) overexpression, maintaining chemotherapy sensitivity.

Area of Science:

  • Oncology
  • Pharmacology
  • Cancer Biology

Background:

  • Multidrug resistance (MDR) significantly limits osteosarcoma chemotherapy efficacy.
  • Preventing MDR emergence during treatment is a critical, yet unmet, clinical need.
  • NSC23925 is a newly identified potent MDR reversal agent, but its preventative role is unexplored.

Purpose of the Study:

  • To investigate the efficacy of NSC23925 in preventing the development of MDR in osteosarcoma.
  • To evaluate NSC23925's impact on drug sensitivity and P-glycoprotein (Pgp) expression in osteosarcoma cells.

Main Methods:

  • Human osteosarcoma cell lines (U-2OS, Saos) were treated with paclitaxel alone or with paclitaxel plus NSC23925 for six months.
  • Drug sensitivity, P-glycoprotein (Pgp) expression, and Pgp activity were assessed in selected cell sublines at various time points.

Main Results:

  • Cells treated with paclitaxel alone developed MDR and resistance to Pgp substrates.
  • Co-treatment with paclitaxel and NSC23925 prevented MDR development, maintaining sensitivity to chemotherapeutic agents.
  • Paclitaxel-resistant cells exhibited high Pgp expression and activity; NSC23925-treated cells showed no Pgp overexpression or activity.

Conclusions:

  • NSC23925 demonstrates potential in preventing MDR by inhibiting Pgp overexpression.
  • This finding suggests NSC23925 and its derivatives could improve outcomes for osteosarcoma patients with drug resistance.
  • The agent warrants further investigation for its role in overcoming chemotherapy resistance in cancer treatment.