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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.
Abstract:
Osteosarcoma is the most common primary bone malignancy found in children and young adults. Chemotherapy resistance, especially to cisplatin, presents a major clinical challenge in the treatment and prognosis of osteosarcoma. New biomarkers and mechanisms of cisplatin resistance in osteosarcoma are urgently needed due to poor survival outcomes and currently inadequate treatments. In this study, we investigate the role and potential mechanisms of microtubule-affinity regulating kinase2 (MARK2) during osteosarcoma cisplatin resistance. Gene Expression Omnibus dataset analyses indicated that high MARK2 expression was associated with poor prognosis and may positively correlate with chemoresistance. Moreover, we showed that MARK2 was significantly upregulated in osteosarcoma cells compared with normal cells. The overexpression and inhibition of MARK2 promoted and suppressed, respectively, cisplatin resistance in osteosarcoma cells in vitro and in vivo. Mechanistically, MARK2 overexpression enhanced P-glycoprotein expression and decreased cell apoptosis through PI3K/AKT/NF-κB signaling pathway activation, resulting in cisplatin resistance. Our results suggest that high MARK2 expression can enhance cisplatin resistance in osteosarcoma cells, supporting the potential of MARK2 as a new therapeutic target and biomarker for predicting cisplatin resistance in osteosarcoma.
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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