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Updated: Dec 20, 2025

Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
Published on: March 18, 2014
The Histone Deacetylase Inhibitor Entinostat/Syndax 275 in Osteosarcoma
Simin Kiany1, Douglas Harrison2, Nancy Gordon3
1Department of Pediatrics Research, MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
The prognosis for metastatic osteosarcoma (OS) is poor and has not changed in several decades. Therapeutic paradigms that target and exploit novel molecular pathways are desperately needed. Recent preclinical data suggests that modulation of the Fas/FasL pathway may offer benefit in the treatment of refractory osteosarcoma. Fas and FasL are complimentary receptor-ligand proteins. Fas is expressed in multiple tissues, whereas FasL is restricted to privilege organs, such as the lung. Fas expression has been shown to inversely correlate with the metastatic potential of OS cells; tumor cells which express high levels of Fas have decreased metastatic potential and the ones that reach the lung undergo cell death upon interaction with constitutive FasL in the lung. Agents such as gemcitabine and the HDAC inhibitor, entinostat/Syndax 275, have been shown to upregulate Fas expression on OS cells, potentially leading to decreased OS pulmonary metastasis and improved outcome. Clinical trials are in development to evaluate this combination as a potential treatment option for patients with refractory OS.
Insights
Targeting the Fas/FasL pathway with gemcitabine and entinostat may improve outcomes for metastatic osteosarcoma (OS). This approach aims to increase Fas expression on OS cells, reducing lung metastasis and enhancing patient prognosis.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Metastatic osteosarcoma (OS) has a poor prognosis with limited therapeutic advancements.
- Novel molecular targets are crucial for improving treatment outcomes in refractory OS.
- The Fas/FasL pathway presents a potential therapeutic target for osteosarcoma.
Purpose of the Study:
- To investigate the potential of modulating the Fas/FasL pathway for treating refractory osteosarcoma.
- To evaluate the efficacy of combining gemcitabine and entinostat in upregulating Fas expression on OS cells.
Main Methods:
- Preclinical data suggests Fas expression inversely correlates with OS metastatic potential.
- FasL in the lung induces cell death in OS cells expressing Fas.
- Gemcitabine and entinostat (HDAC inhibitor) upregulate Fas expression on OS cells.
Main Results:
- Upregulation of Fas expression on osteosarcoma cells is a key mechanism.
- Targeting the Fas/FasL pathway may decrease pulmonary metastasis of OS.
- Improved outcomes are anticipated with this therapeutic strategy.
Conclusions:
- Modulating the Fas/FasL pathway offers a promising strategy for refractory osteosarcoma.
- Combination therapy with gemcitabine and entinostat is under clinical investigation.
- This approach holds potential for improving survival in patients with metastatic OS.
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