Blocking the PD-1/PD-L1 axis enhanced cisplatin chemotherapy in osteosarcoma in vitro and in vivo

Xiaoqiang Liu1,2, Shaoya He3, Huaming Wu2

  • 1Department of Orthopedic Surgery, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Yuzhong district, Chongqing, 40010, China.

Abstract

Insights

Blocking the programmed cell death protein (PD-1)/programmed death-ligand 1 (PD-L1) axis enhances cisplatin chemotherapy in osteosarcoma (OS). This combination therapy reduces tumor growth and increases cancer cell death, offering a new strategy for refractory OS.

Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • The programmed cell death protein (PD-1)/programmed death-ligand 1 (PD-L1) axis plays a role in cancer immunity.
  • Limited research exists on the PD-1/PD-L1 axis in osteosarcoma (OS) chemotherapy.
  • This study investigates the combined effects of PD-1/PD-L1 axis blockade and cisplatin in OS.

Purpose of the Study:

  • To evaluate the impact of blocking the PD-1/PD-L1 axis on cisplatin chemotherapy efficacy in osteosarcoma.
  • To explore the potential of this combination therapy in both in vitro and in vivo models of OS.

Main Methods:

  • PD-L1 mRNA expression in OS tissues was quantified using reverse transcription-quantitative polymerase chain reaction (RT-qPCR).
  • Cell Counting Kit-8 (CCK-8) and flow cytometry were used to assess cell proliferation and apoptosis, respectively.
  • In vivo studies involved treating syngeneic mice with cisplatin and anti-PD-1 antibody, alone and in combination.

Main Results:

  • High PD-L1 mRNA expression was observed in osteosarcoma tissues.
  • Combined anti-PD-1 antibody and cisplatin treatment significantly reduced proliferation and increased apoptosis of K7M2 cells in vitro.
  • In vivo, this combination therapy markedly inhibited tumor growth without involving regulatory T cells.

Conclusions:

  • Blocking the PD-1/PD-L1 axis demonstrates a positive prognostic value in enhancing cisplatin chemotherapy for osteosarcoma.
  • These findings support the use of PD-1/PD-L1 blocking antibodies with cisplatin for treating refractory OS.
  • This combination therapy presents a promising strategy for improving outcomes in osteosarcoma patients.