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.

Cancer Letters
|November 19, 2015
PubMed

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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