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Updated: Mar 30, 2026

Establishment of Cancer Stem Cell Cultures from Human Conventional Osteosarcoma
Published on: October 14, 2016
Chemotherapy induces stemness in osteosarcoma cells through activation of Wnt/β-catenin signaling
Sara R Martins-Neves1, Daniela I Paiva-Oliveira2, Pauline M Wijers-Koster3
1Pharmacology and Experimental Therapeutics, IBILI - Faculty of Medicine, University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal; Center of Investigation in Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal; Department of Pathology, Leiden University Medical Centre, Leiden, Netherlands.
Abstract:
Development of resistance represents a major drawback in osteosarcoma treatment, despite improvements in overall survival. Treatment failure and tumor progression have been attributed to pre-existing drug-resistant clones commonly assigned to a cancer stem-like phenotype. Evidence suggests that non stem-like cells, when submitted to certain microenvironmental stimuli, can acquire a stemness phenotype thereby strengthening their capacity to handle with stressful conditions. Here, using osteosarcoma cell lines and a mouse xenograft model, we show that exposure to conventional chemotherapeutics induces a phenotypic cell transition toward a stem-like phenotype. This associates with activation of Wnt/β-catenin signaling, up-regulation of pluripotency factors and detoxification systems (ABC transporters and Aldefluor activity) that ultimately leads to chemotherapy failure. Wnt/β-catenin inhibition combined with doxorubicin, in the MNNG-HOS cells, prevented the up-regulation of factors linked to transition into a stem-like state and can be envisaged as a way to overcome adaptive resistance. Finally, the analysis of the public R2 database, containing microarray data information from diverse osteosarcoma tissues, revealed a correlation between expression of stemness markers and a worse response to chemotherapy, which provides evidence for drug-induced phenotypic stem cell state transitions in osteosarcoma.
Insights
Chemotherapy can induce osteosarcoma cells to develop a stem-like, drug-resistant phenotype. Targeting Wnt/β-catenin signaling may overcome this adaptive resistance, improving treatment outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Stem Cell Research
Background:
- Drug resistance is a significant challenge in osteosarcoma treatment, often linked to cancer stem-like cells.
- Non-stem cells can acquire stemness under specific microenvironmental conditions, enhancing stress tolerance.
Purpose of the Study:
- To investigate if conventional chemotherapeutics induce a stem-like phenotype in osteosarcoma cells.
- To explore the underlying molecular mechanisms and therapeutic strategies to overcome this induced resistance.
Main Methods:
- Utilized osteosarcoma cell lines and a mouse xenograft model.
- Analyzed phenotypic cell transitions, Wnt/β-catenin signaling, pluripotency factors, and detoxification systems.
- Assessed the efficacy of combining doxorubicin with Wnt/β-catenin inhibition.
- Correlated stemness marker expression with chemotherapy response using public microarray data.
Main Results:
- Exposure to chemotherapeutics induced a stem-like cell phenotype in osteosarcoma.
- This transition was associated with Wnt/β-catenin activation, pluripotency factor upregulation, and enhanced detoxification.
- Combined doxorubicin and Wnt/β-catenin inhibition prevented stem-like state transition and factors linked to it.
- Public data analysis confirmed a correlation between stemness markers and poor chemotherapy response in osteosarcoma patients.
Conclusions:
- Conventional chemotherapy can induce an adaptive, stem-like phenotype in osteosarcoma, contributing to treatment failure.
- Inhibition of Wnt/β-catenin signaling presents a potential strategy to overcome chemotherapy-induced adaptive resistance in osteosarcoma.
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