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.

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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