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Establishment and Characterization of Multi-Drug Resistant p53-Negative Osteosarcoma SaOS-2 Subline
Sergei Boichuk1,2,3, Firyuza Bikinieva1, Elena Valeeva4
1Department of Pathology, Kazan State Medical University, Kazan 420012, Russia.
Diagnostics (Basel, Switzerland)
|August 26, 2023
Summary
Osteosarcoma cells developed resistance to chemotherapy through increased drug efflux and enhanced DNA repair mechanisms. This acquired multidrug resistance (MDR) complicates treatment strategies for osteosarcoma.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Osteosarcoma (OS) is a primary bone cancer with limited treatment options.
- Acquired chemoresistance significantly hinders therapeutic efficacy in OS.
- p53-negative SaOS-2 cells provide a model to study resistance mechanisms.
Purpose of the Study:
- To generate a p53-negative osteosarcoma (OS) SaOS-2 cellular subline resistant to specific chemotherapeutic agents.
- To investigate the underlying mechanisms of acquired chemoresistance in OS cells.
Main Methods:
- Stepwise doxorubicin (Dox) treatment to induce chemoresistance in SaOS-2 cells.
- Assessed drug sensitivity (IC50), cell viability, and proliferation.
- Analyzed expression of apoptotic markers, DNA repair proteins, and ABC transporters via western blotting and qPCR.
- Utilized flow cytometry to evaluate drug efflux and ABC transporter activity.
- Confirmed in vivo efficacy using xenograft models.
Main Results:
- Established a Dox-resistant OS subline with significantly increased IC50 values for Dox, vinblastine, and paclitaxel.
- Resistant cells showed reduced apoptosis and overexpression of ABCB1 (P-glycoprotein) and ABCC1 (MRP-1), leading to increased drug efflux.
- Elevated expression of DNA repair proteins (e.g., Rad51, ATM) contributed to chemoresistance.
- In vivo xenografts demonstrated Dox resistance in the generated OS subline.
Conclusions:
- Acquired chemoresistance in osteosarcoma involves multiple, simultaneously acting mechanisms at the single-cell level.
- The study highlights the complexity of secondary resistance in OS.
- Understanding these mechanisms is crucial for developing more effective cancer therapies.

