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Published on: February 1, 2020
Efflux inhibition by IWR-1-endo confers sensitivity to doxorubicin effects in osteosarcoma cells
Carl T Gustafson1, Tewodros Mamo1, Avudaiappan Maran2
1Mayo Clinic College of Medicine, Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Abstract:
Osteosarcoma is the most common bone tumor that affects children and young adults. Despite advances in the use of combination chemotherapy regimens, response to neoadjuvant chemotherapy in osteosarcoma remains a key determinant of patient outcome. Recently, highly potent small molecule inhibitors of canonical Wnt signaling through the poly(ADP-ribose) polymerase (PARP)-family enzymes, tankyrases 1 & 2 (Tnks1/2), have been considered as possible chemotherapy sensitizing agents. The goal of this study was to determine the ability of the highly specific Tnks1/2 inhibitor IWR-1-endo to sensitize chemotherapy-resistant osteosarcoma to doxorubicin. We found that IWR-1-endo significantly inhibited cellular efflux, as measured by cellular retention of Calcein AM and doxorubicin. In a model of doxorubicin resistant osteosarcoma, pre-treatment with IWR-1-endo strongly sensitized to doxorubicin. This sensitization reduced the doxorubicin IC50 in doxorubicin-resistant cells, but not in chemotherapy naïve cells and caused doxorubicin-treated cells to accumulate at the G2/M checkpoint. Further, we found that sensitization with IWR-1-endo produced increased γH2AX foci formation, indicating increased DNA damage by doxorubicin. Taken together, our findings show that IWR-1-endo increases cellular responses to doxorubicin, by blocking efflux transport in a drug-resistant model of osteosarcoma.
Insights
A novel drug, IWR-1-endo, sensitizes chemotherapy-resistant osteosarcoma to doxorubicin by blocking drug efflux. This approach enhances DNA damage and improves treatment response in resistant bone cancer models.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Osteosarcoma is a prevalent bone tumor in children and young adults.
- Chemotherapy response is critical for osteosarcoma patient outcomes.
- Wnt signaling inhibitors, like tankyrase inhibitors, are explored for chemotherapy sensitization.
Purpose of the Study:
- To evaluate if the tankyrase inhibitor IWR-1-endo can sensitize chemotherapy-resistant osteosarcoma to doxorubicin.
- To investigate the mechanisms by which IWR-1-endo affects drug response in osteosarcoma.
Main Methods:
- Utilized a doxorubicin-resistant osteosarcoma cell model.
- Measured cellular drug efflux using Calcein AM and doxorubicin retention assays.
- Assessed drug sensitivity (IC50), cell cycle progression (G2/M checkpoint), and DNA damage (γH2AX foci).
Main Results:
- IWR-1-endo significantly inhibited cellular efflux of doxorubicin.
- Pre-treatment with IWR-1-endo sensitized doxorubicin-resistant osteosarcoma cells to doxorubicin, lowering the IC50.
- Sensitization led to G2/M cell cycle arrest and increased doxorubicin-induced DNA damage (γH2AX foci).
Conclusions:
- IWR-1-endo enhances doxorubicin efficacy in resistant osteosarcoma by blocking drug efflux.
- This strategy shows potential for overcoming chemotherapy resistance in osteosarcoma.
- Targeting tankyrases may represent a viable approach to improve osteosarcoma treatment outcomes.
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