Related Experiment Video
Updated: Apr 21, 2026

Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
Published on: April 12, 2019
Down regulation of Wnt signaling mitigates hypoxia-induced chemoresistance in human osteosarcoma cells
Donald J Scholten1, Christine M Timmer2, Jacqueline D Peacock3
1Michigan State University College of Human Medicine, Grand Rapids, Michigan, United States of America; Van Andel Research Institute, Grand Rapids, Michigan, United States of America.
Abstract:
Osteosarcoma (OS) is the most common type of solid bone cancer and remains the second leading cause of cancer-related death for children and young adults. Hypoxia is an element intrinsic to most solid-tumor microenvironments, including that of OS, and is associated with resistance to therapy, poor survival, and a malignant phenotype. Cells respond to hypoxia through alterations in gene expression, mediated most notably through the hypoxia-inducible factor (HIF) class of transcription factors. Here we investigate hypoxia-induced changes in the Wnt/β-catenin signaling pathway, a key signaling cascade involved in OS pathogenesis. We show that hypoxia results in increased expression and signaling activation of HIF proteins in human osteosarcoma cells. Wnt/β-catenin signaling is down-regulated by hypoxia in human OS cells, as demonstrated by decreased active β-catenin protein levels and axin2 mRNA expression (p<0.05). This down-regulation appears to rely on both HIF-independent and HIF-dependent mechanisms, with HIF-1α standing out as an important regulator. Finally, we show that hypoxia results in resistance of human OS cells to doxorubicin-mediated toxicity (6-13 fold increase, p<0.01). These hypoxic OS cells can be sensitized to doxorubicin treatment by further inhibition of the Wnt/β-catenin signaling pathway (p<0.05). These data support the conclusion that Wnt/β-catenin signaling is down-regulated in human OS cells under hypoxia and that this signaling alteration may represent a viable target to combat chemoresistant OS subpopulations in a hypoxic niche.
Insights
Hypoxia in osteosarcoma (OS) down-regulates Wnt/β-catenin signaling, increasing chemoresistance. Inhibiting this pathway can re-sensitize OS cells to doxorubicin, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Osteosarcoma (OS) is a common bone cancer with poor survival rates, particularly in children and young adults.
- Tumor hypoxia is linked to therapy resistance, malignancy, and poor prognosis in OS.
- Hypoxia-inducible factors (HIFs) mediate cellular responses to low oxygen, impacting cancer progression.
Purpose of the Study:
- To investigate the impact of hypoxia on the Wnt/β-catenin signaling pathway in human osteosarcoma cells.
- To determine the role of HIF proteins in hypoxia-induced Wnt/β-catenin pathway alterations.
- To explore the therapeutic potential of targeting Wnt/β-catenin signaling in chemoresistant hypoxic OS.
Main Methods:
- Cultured human osteosarcoma cells under normoxic and hypoxic conditions.
- Assessed HIF protein expression and activation.
- Measured Wnt/β-catenin pathway activity via active β-catenin and axin2 mRNA levels.
- Evaluated doxorubicin sensitivity and the effect of Wnt/β-catenin inhibition on chemoresistance.
Main Results:
- Hypoxia increased HIF protein expression and signaling in OS cells.
- Wnt/β-catenin signaling was significantly down-regulated by hypoxia, involving HIF-dependent and independent mechanisms.
- Hypoxic OS cells exhibited 6-13 fold resistance to doxorubicin.
- Inhibiting Wnt/β-catenin signaling sensitized hypoxic OS cells to doxorubicin.
Conclusions:
- Hypoxia down-regulates Wnt/β-catenin signaling in human osteosarcoma.
- HIF-1α is a key regulator in this hypoxia-induced pathway modulation.
- Targeting Wnt/β-catenin signaling offers a promising strategy to overcome doxorubicin resistance in hypoxic osteosarcoma.
Related Concept Videos
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Non-Canonical Wnt Signaling Pathways
Canonical Wnt Signaling Pathway
Regulation of Angiogenesis and Blood Supply
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...

