Non-DHFR-mediated effects of methotrexate in osteosarcoma cell lines: epigenetic alterations and enhanced cell

Martin Sramek1, Jakub Neradil1, Jaroslav Sterba2

  • 1Laboratory of Tumor Biology, Department of Experimental Biology, Faculty of Science, Masaryk University, Kotlarska 2, 611 37 Brno, Czech Republic ; Department of Pediatric Oncology, University Hospital Brno and Faculty of Medicine, Masaryk University, Cernopolni 9, 613 00 Brno, Czech Republic.

Abstract

Insights

Methotrexate exhibits non-DHFR-mediated epigenetic effects in osteosarcoma, influencing cell differentiation and gene expression. Combining methotrexate with all-trans retinoic acid shows promise for osteosarcoma differentiation therapy.

Area of Science:

  • Oncology
  • Epigenetics
  • Pharmacology

Background:

  • Methotrexate (MTX) is a chemotherapy drug primarily acting as a dihydrofolate reductase (DHFR) inhibitor.
  • Emerging evidence suggests non-DHFR-mediated effects of MTX may offer new therapeutic strategies for pediatric cancers.
  • This study investigated MTX's impact on osteosarcoma cell lines, focusing on non-DHFR-mediated actions.

Purpose of the Study:

  • To analyze the effects of clinically relevant methotrexate concentrations on osteosarcoma cell proliferation.
  • To investigate methotrexate's influence on epigenetic regulation, including DNA methylation and histone acetylation.
  • To evaluate methotrexate's role in inducing cell differentiation and modulating related gene expression in osteosarcoma.

Main Methods:

  • Utilized Saos-2 and five patient-derived osteosarcoma cell lines.
  • Assessed cell proliferation via MTT assay.
  • Detected DNA methylation and histone acetylation using ELISA and Western blotting.
  • Quantified gene expression with RT-qPCR and evaluated differentiation through Alizarin Red S staining.

Main Results:

  • Methotrexate reduced proliferation only in the Saos-2 cell line, indicating DHFR-mediated sensitivity.
  • Non-DHFR-mediated effects were observed in patient-derived lines, including DNA demethylation (similar to 5-aza-2'-deoxycytidine).
  • Methotrexate increased histone H3 acetylation in one cell line and enhanced all-trans retinoic acid-induced differentiation in three lines, with associated gene expression changes.

Conclusions:

  • Non-DHFR-mediated effects of methotrexate were evident in patient-derived osteosarcoma cells.
  • Methotrexate functions as an epigenetic modifier, impacting osteosarcoma cell differentiation and gene expression.
  • Combination therapy with methotrexate and all-trans retinoic acid presents a potential differentiation strategy for osteosarcoma.

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