Interleukin-22 modulates cisplatin sensitivity of osteosarcoma cells by regulating the STAT3 signaling pathway

Zhiqiang Li1, Renjie Xu1, Xiangxin Zhang1

  • 1Department of Orthopedics, Nanjing Medical University Affiliated Suzhou Hospital (Suzhou Municipal Hospital), Suzhou, Jiangsu 215002, P.R. China.

Insights

Interleukin-22 (IL-22) increases resistance to cisplatin (DDP) in osteosarcoma by activating STAT3 signaling. Reducing IL-22 enhances DDP sensitivity and promotes apoptosis in osteosarcoma cells.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Osteosarcoma is a primary bone malignancy with limited treatment options.
  • Cisplatin (DDP) is a common chemotherapy agent, but resistance is a significant clinical challenge.
  • Interleukin-22 (IL-22) is implicated in various cellular processes, including cancer progression.

Purpose of the Study:

  • To investigate the role of IL-22 in regulating cisplatin sensitivity in osteosarcoma.
  • To elucidate the molecular mechanisms underlying IL-22's effect on DDP resistance.
  • To explore potential therapeutic strategies targeting IL-22 in osteosarcoma treatment.

Main Methods:

  • Quantitative real-time PCR (RT-qPCR) and Western blotting to assess IL-22 expression.
  • MTT assay to determine half maximal inhibitory concentration (IC50) of DDP.
  • RNA interference (siRNA) and overexpression plasmids to manipulate IL-22 levels.
  • Flow cytometry to analyze apoptosis.
  • Analysis of apoptosis-related genes (Bcl-2, Bax, cleaved caspase-3) and STAT3 signaling pathway activation.

Main Results:

  • IL-22 expression was significantly upregulated in osteosarcoma tissues and cell lines, particularly in cisplatin-resistant cells (MG63/DDP).
  • IL-22 downregulation using siRNA in MG63/DDP cells decreased DDP IC50 and cell viability, while increasing apoptosis.
  • IL-22 knockdown reduced Bcl-2 expression, decreased STAT3 phosphorylation, and increased Bax and cleaved caspase-3 expression.
  • IL-22 overexpression in sensitive cells (MG63) had opposite effects, suggesting a pro-resistance role.

Conclusions:

  • IL-22 promotes cisplatin resistance in osteosarcoma by enhancing cell viability and inhibiting apoptosis.
  • The mechanism involves the regulation of STAT3 signaling pathway activation and apoptosis-associated gene expression.
  • Targeting IL-22 may represent a novel therapeutic approach to overcome cisplatin resistance in osteosarcoma.