MARK2 enhances cisplatin resistance via PI3K/AKT/NF-κB signaling pathway in osteosarcoma cells

Xianfu Wei1, Liang Xu1,2, Salim Fa Jeddo1

  • 1Department of Orthopedics, Qilu Hospital, Shandong University Jinan 250012, Shandong, China.

Insights

Microtubule-affinity regulating kinase 2 (MARK2) drives cisplatin resistance in osteosarcoma, a common bone cancer. Targeting MARK2 may improve chemotherapy effectiveness and patient outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Osteosarcoma is the most common primary bone cancer in children and young adults.
  • Cisplatin resistance is a significant challenge, leading to poor prognosis and inadequate treatment outcomes.
  • Identifying novel biomarkers and mechanisms of chemoresistance is crucial for improving osteosarcoma patient survival.

Purpose of the Study:

  • To investigate the role of microtubule-affinity regulating kinase 2 (MARK2) in osteosarcoma cisplatin resistance.
  • To explore the underlying molecular mechanisms by which MARK2 influences chemoresistance.
  • To evaluate MARK2 as a potential therapeutic target and predictive biomarker for osteosarcoma.

Main Methods:

  • Analysis of Gene Expression Omnibus datasets to correlate MARK2 expression with prognosis and chemoresistance.
  • Quantitative analysis of MARK2 expression in osteosarcoma cells versus normal cells.
  • In vitro and in vivo experiments involving MARK2 overexpression and inhibition to assess effects on cisplatin resistance.

Main Results:

  • High MARK2 expression was associated with poor prognosis and positively correlated with chemoresistance in osteosarcoma.
  • MARK2 was significantly upregulated in osteosarcoma cells compared to normal cells.
  • MARK2 overexpression promoted cisplatin resistance, while inhibition suppressed it, both in vitro and in vivo.

Conclusions:

  • MARK2 overexpression enhances cisplatin resistance in osteosarcoma by increasing P-glycoprotein expression and reducing apoptosis via PI3K/AKT/NF-κB pathway activation.
  • MARK2 serves as a potential therapeutic target for overcoming cisplatin resistance.
  • MARK2 is a promising biomarker for predicting cisplatin resistance in osteosarcoma patients.

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