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Updated: Apr 22, 2026

Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
Published on: March 18, 2014
Stathmin is key in reversion of doxorubicin resistance by arsenic trioxide in osteosarcoma cells
Tao Feng1, Guanglei Qiao1, Li Feng2
1Department of Oncology, Affiliated People's 6th Hospital, Shanghai Jiaotong University, Shanghai 200233, P.R. China.
Abstract:
Osteosarcoma is the most common type of malignant bone tumor in children and adolescents. Numerous patients are unable to be cured due to the development of resistance of the osteosarcoma cells to chemotherapeutic drugs. Therefore, reversion of drug resistance is urgently required for the treatment of osteosarcoma. Arsenic trioxide (As2O3) is an active ingredient in Traditional Chinese Medicine, but the therapeutic potential of As2O3 in osteosarcoma remains largely unexplored. The current study investigated the effects of As2O3 on MG63 osteosarcoma cells using a cell proliferation assay, flow cytometric analysis of the cell cycle and cell apoptosis, reverse transcription polymerase chain reaction to detect stathmin mRNA expression levels and western blot analysis to detect the stathmin protein expression levels. As2O3 and doxorubicin (ADM) combination treatment markedly inhibited cell proliferation in ADM-resistant MG63 (MG63/dox) osteosarcoma cells, clearly induced G2/M phase cell cycle arrest and increased the number of apoptotic MG63/dox cells. Furthermore, stathmin expression was found to be downregulated in MG63/dox cells and was sensitive to ADM treatment. Additional investigation revealed that the downregulation of stathmin expression in MG63/dox cells by stathmin small interfering RNA significantly enhanced the reversion of ADM resistance in MG63/dox by As2O3. The data indicated that As2O3 reversed ADM resistance in MG63/dox cells through downregulation of stathmin and may be a potential drug for the treatment of ADM-resistant osteosarcoma.
Insights
Arsenic trioxide (As2O3) can reverse chemotherapy drug resistance in osteosarcoma cells. This study shows As2O3 downregulates stathmin, a protein linked to drug resistance, offering a new treatment strategy for resistant osteosarcoma.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Osteosarcoma is a common pediatric bone cancer.
- Drug resistance limits treatment efficacy in osteosarcoma.
- Arsenic trioxide (As2O3), a component of Traditional Chinese Medicine, has unexplored therapeutic potential.
Purpose of the Study:
- To investigate the effects of As2O3 on drug-resistant osteosarcoma cells.
- To explore the role of stathmin in As2O3-mediated drug resistance reversal.
Main Methods:
- Cell proliferation assays, flow cytometry (cell cycle, apoptosis), RT-PCR, and Western blot analysis were used.
- MG63 osteosarcoma cells, including doxorubicin-resistant (MG63/dox) cells, were treated with As2O3 and doxorubicin (ADM).
- Stathmin expression was modulated using small interfering RNA (siRNA).
Main Results:
- Combination treatment with As2O3 and ADM inhibited proliferation and induced G2/M phase arrest and apoptosis in MG63/dox cells.
- Stathmin expression was downregulated in MG63/dox cells and sensitive to ADM.
- Downregulation of stathmin by siRNA enhanced As2O3's ability to reverse ADM resistance.
Conclusions:
- As2O3 reverses doxorubicin resistance in osteosarcoma cells by downregulating stathmin.
- As2O3 shows potential as a therapeutic agent for treating drug-resistant osteosarcoma.
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