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Updated: Apr 2, 2026

Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
Published on: March 18, 2014
Pharmacological inhibition of Bcl-xL sensitizes osteosarcoma to doxorubicin
Zuzanna Baranski1, Yvonne de Jong2, Trayana Ilkova1
1Division of Toxicology, Leiden/Academic Center for Drug Research, Leiden University, 2300 RA Leiden, The Netherlands.
Abstract:
High-grade conventional osteosarcoma is the most common primary bone tumor. Prognosis for osteosarcoma patients is poor and resistance to chemotherapy is common. We performed an siRNA screen targeting members of the Bcl-2 family in human osteosarcoma cell lines to identify critical regulators of osteosarcoma cell survival. Silencing the anti-apoptotic family member Bcl-xL but also the pro-apoptotic member Bak using a SMARTpool of siRNAs as well as 4/4 individual siRNAs caused loss of viability. Loss of Bak impaired cell cycle progression and triggered autophagy. Instead, silencing Bcl-xL induced apoptotic cell death. Bcl-xL was expressed in clinical osteosarcoma samples but mRNA or protein levels did not significantly correlate with therapy response or survival. Nevertheless, pharmacological inhibition of a range of Bcl-2 family members showed that inhibitors targeting Bcl-xL synergistically enhanced the response to the chemotherapeutic agent, doxorubicin. Indeed, in osteosarcoma cells strongly expressing Bcl-xL, the Bcl-xL-selective BH3 mimetic, WEHI-539 potently enhanced apoptosis in the presence of low doses of doxorubicin. Our results identify Bcl-xL as a candidate drug target for sensitization to chemotherapy in patients with osteosarcoma.
Insights
This study identifies Bcl-xL as a key target for overcoming chemotherapy resistance in osteosarcoma. Inhibiting Bcl-xL enhances cancer cell death, offering a new strategy for treating this bone cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- High-grade conventional osteosarcoma, a primary bone tumor, has a poor prognosis.
- Chemotherapy resistance is a significant challenge in treating osteosarcoma patients.
Purpose of the Study:
- To identify critical regulators of osteosarcoma cell survival within the Bcl-2 family.
- To explore the potential of targeting Bcl-2 family members for overcoming chemotherapy resistance.
Main Methods:
- Conducted an siRNA screen targeting Bcl-2 family members in human osteosarcoma cell lines.
- Investigated the effects of silencing Bcl-xL and Bak on cell viability, cell cycle, and apoptosis.
- Evaluated the efficacy of pharmacological Bcl-xL inhibition in combination with doxorubicin.
Main Results:
- Silencing Bcl-xL induced apoptotic cell death, while silencing Bak impaired cell cycle progression and triggered autophagy.
- Bcl-xL was expressed in clinical osteosarcoma samples, but expression levels did not correlate with therapy response or survival.
- Pharmacological inhibition of Bcl-xL synergistically enhanced the response to doxorubicin, particularly in cells with high Bcl-xL expression.
Conclusions:
- Bcl-xL is identified as a potential drug target for sensitizing osteosarcoma to chemotherapy.
- Targeting Bcl-xL, using agents like WEHI-539, can enhance chemotherapy-induced apoptosis in osteosarcoma.
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