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Updated: Feb 3, 2026

Differentiation of the SH-SY5Y Human Neuroblastoma Cell Line
Published on: February 17, 2016
Retinoic acid-induced survival effects in SH-SY5Y neuroblastoma cells
Vicki Waetzig1, Wiebke Haeusgen1, Cordula Andres1
1Institute of Experimental and Clinical Pharmacology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Abstract:
Neuroblastoma is a malignant childhood cancer arising from the embryonic sympathoadrenal lineage of the neural crest. Retinoic acid (RA) is included in the multimodal therapy of patients with high-risk neuroblastoma to eliminate minimal residual disease. However, the formation of RA-resistant cells substantially lowers 5-year overall survival rates. To examine mechanisms that lead to treatment failure, we chose human SH-SY5Y cells, which are known to tolerate incubation with RA by activating the survival kinases Akt and extracellular signal-regulated kinase 1/2. Characterization of downstream pathways showed that both kinases increased the phosphorylation of the ubiquitin ligase mouse double minute homolog 2 (Mdm2) and thereby enhanced p53 degradation. When p53 signaling was sustained by blocking complex formation with Mdm2 or enhancing c-Jun N-terminal kinase (JNK) activation, cell viability was significantly reduced. In addition, Akt-mediated phosphorylation of the cell-cycle regulator p21 stimulated complex formation with caspase-3, which also contributed to cell protection. Thus, treatment with RA augmented survival signaling and attenuated basal apoptotic pathways in SH-SY5Y cells, which increased cell viability.
Insights
Retinoic acid (RA) resistance in neuroblastoma involves survival kinases Akt and ERK1/2. These pathways promote Mdm2-mediated p53 degradation and activate p21, hindering apoptosis and increasing cell survival.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Neuroblastoma is a significant childhood cancer originating from neural crest cells.
- Retinoic acid (RA) therapy is crucial for high-risk neuroblastoma but faces challenges due to RA resistance.
- RA resistance significantly impacts patient survival rates, necessitating a deeper understanding of its mechanisms.
Purpose of the Study:
- To investigate the molecular mechanisms underlying retinoic acid (RA) resistance in neuroblastoma.
- To identify key signaling pathways and proteins involved in RA-induced cell survival in neuroblastoma cells.
Main Methods:
- Utilized human SH-SY5Y neuroblastoma cells, known for RA tolerance.
- Analyzed the activation of survival kinases Akt and extracellular signal-regulated kinase 1/2 (ERK1/2).
- Investigated downstream pathways including Mdm2, p53, c-Jun N-terminal kinase (JNK), p21, and caspase-3.
Main Results:
- RA treatment activated Akt and ERK1/2, leading to increased phosphorylation and degradation of the ubiquitin ligase Mdm2.
- Sustained p53 signaling, achieved by inhibiting Mdm2 complex formation or activating JNK, significantly reduced cell viability.
- Akt-mediated phosphorylation of p21 promoted complex formation with caspase-3, contributing to cell protection.
Conclusions:
- RA treatment in SH-SY5Y cells enhances survival signaling pathways.
- RA attenuates basal apoptotic pathways, leading to increased cell viability and contributing to RA resistance.
- Targeting these survival and apoptotic pathways could offer new strategies to overcome RA resistance in neuroblastoma.
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Published on: October 9, 2017
09:07Prediction and Validation of Gene Regulatory Elements Activated During Retinoic Acid Induced Embryonic Stem Cell Differentiation
Published on: June 21, 2016
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