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Updated: Feb 7, 2026

Intratibial Osteosarcoma Cell Injection to Generate Orthotopic Osteosarcoma and Lung Metastasis Mouse Models
Published on: October 28, 2021
Disulfiram reduces metastatic osteosarcoma tumor burden in an immunocompetent Balb/c or-thotopic mouse model
Jared Anthony Crasto1, Mitchell Stephen Fourman1, Alejandro Morales-Restrepo1
1Musculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Introduction:
The overall survival rate of patients with osteosarcoma (OS) and pulmonary metastases has remained stagnant at 15-30% for several decades. Disulfiram (DSF) is an FDA-approved aldehyde dehydrogenase inhibitor that reduces the metastatic phenotype of OS cells in vitro. Here we evaluate its in vivo efficacy, as compared to doxorubicin chemotherapy, in a previously-validated orthotopic model of metastatic OS.
Results:
All treatment groups displayed a significantly reduced quantitative OS metastatic burden compared with controls. The metastatic burden of Lo DSF-treated animals was equivalent to the DXR group. Ninety-five percent of control animals displayed evidence of metastatic disease, which was significantly greater than all treatment groups.
Discussion:
Disulfiram treatment resulted in a reduced burden of OS metastatic disease compared with controls. This was statistically-equivalent to doxorubicin. No additive effect was observed between these two therapies.
Materials And Methods:
One-hundred twenty immunocompetent Balb/c mice received proximal tibia paraphyseal injections of 5 × 105 K7M2 murine OS cells. Therapy began three weeks after injection: saline (control), low-dose disulfiram (Lo DSF), high-dose disulfiram (Hi DSF), doxorubicin (DXR), Lo DSF + DXR, and Hi DSF + DXR. Transfemoral amputations were performed at 4 weeks. Quantitative metastatic tumor burden was measured using near-infrared indocyanine green (ICG) angiography.
Insights
Disulfiram significantly reduced osteosarcoma metastasis in mice, matching doxorubicin efficacy. Combining disulfiram with doxorubicin did not improve outcomes compared to doxorubicin alone.
Area of Science:
- Oncology
- Pharmacology
- Cancer Metastasis Research
Background:
- Osteosarcoma (OS) with pulmonary metastases has a poor survival rate (15-30%).
- Disulfiram (DSF), an aldehyde dehydrogenase inhibitor, shows in vitro efficacy against OS metastasis.
- Current treatments for metastatic OS have limited success.
Purpose of the Study:
- To evaluate the in vivo efficacy of disulfiram (DSF) in reducing osteosarcoma (OS) metastasis.
- To compare DSF's efficacy against doxorubicin (DXR) chemotherapy in a validated orthotopic OS model.
- To assess the potential additive effect of combining DSF and DXR.
Main Methods:
- 120 immunocompetent mice received K7M2 murine OS cells.
- Treatments included saline, low-dose DSF, high-dose DSF, DXR, and combinations.
- Metastatic tumor burden was quantified using near-infrared indocyanine green (ICG) angiography.
Main Results:
- All treatment groups showed significantly reduced OS metastatic burden compared to controls.
- Low-dose DSF treatment was equivalent in efficacy to doxorubicin (DXR).
- 95% of control animals had metastatic disease, significantly higher than all treatment groups.
Conclusions:
- Disulfiram treatment effectively reduced osteosarcoma metastatic burden in vivo.
- DSF demonstrated comparable efficacy to doxorubicin in this model.
- No additive therapeutic benefit was observed when combining disulfiram and doxorubicin.
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