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Updated: Mar 17, 2026

Intratibial Osteosarcoma Cell Injection to Generate Orthotopic Osteosarcoma and Lung Metastasis Mouse Models
Published on: October 28, 2021
Emerging concepts for PI3K/mTOR inhibition as a potential treatment for osteosarcoma
Michael W Bishop1, Katherine A Janeway2
1Department of Oncology, St Jude Children's Research Hospital, Memphis, TN, USA; Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
Abstract:
Patients with metastatic and recurrent osteosarcoma fare poorly, and new therapeutic strategies are needed to improve survival. Several recent complementary genomic and pathway analyses of both murine and human osteosarcoma have revealed common aberrations of the phosphoinositide 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) pathway in osteosarcoma. Preclinical data demonstrate that inhibition of PI3K and mTOR with either a combination of single agents or dual inhibiting compounds can decrease cell proliferation and induce cell cycle arrest and apoptosis. With a lack of available clinical agents active in osteosarcoma, PI3K/mTOR inhibition represents a potential vulnerability in osteosarcoma that warrants clinical investigation.
Insights
New therapeutic strategies targeting the phosphoinositide 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) pathway show promise for osteosarcoma patients. Preclinical studies indicate PI3K/mTOR inhibition can reduce tumor cell growth and induce apoptosis, warranting clinical investigation.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Metastatic and recurrent osteosarcoma have poor prognoses, necessitating novel therapeutic approaches.
- Genomic and pathway analyses reveal frequent aberrations in the phosphoinositide 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) pathway in osteosarcoma.
- Current therapeutic options for advanced osteosarcoma are limited.
Purpose of the Study:
- To investigate the therapeutic potential of targeting the PI3K/mTOR pathway in osteosarcoma.
- To evaluate the efficacy of PI3K/mTOR inhibition as a strategy for osteosarcoma treatment.
Main Methods:
- Analysis of genomic and pathway data in murine and human osteosarcoma models.
- Preclinical evaluation of PI3K and mTOR inhibition using single agents and dual inhibitors.
- Assessment of effects on cell proliferation, cell cycle arrest, and apoptosis.
Main Results:
- Common aberrations in the PI3K/mTOR pathway were identified in osteosarcoma.
- Inhibition of PI3K/mTOR decreased osteosarcoma cell proliferation.
- PI3K/mTOR inhibition induced cell cycle arrest and apoptosis in preclinical models.
Conclusions:
- The PI3K/mTOR pathway represents a potential therapeutic vulnerability in osteosarcoma.
- Targeting PI3K/mTOR warrants further clinical investigation for osteosarcoma treatment.
- Developing novel therapeutic strategies for osteosarcoma is crucial for improving patient survival.
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