Modeling phenotypic heterogeneity towards evolutionarily inspired osteosarcoma therapy

Darcy L Welch1,2, Brooke L Fridley3, Ling Cen3

  • 1Adolescent and Young Adult Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

Scientific Reports
|November 18, 2023
PubMed

Insights

Intratumoral heterogeneity in osteosarcoma (bone cancer) impacts chemotherapy effectiveness. This study models heterogeneity to reveal how environmental changes and sequential therapies can overcome treatment resistance in patients.

Area of Science:

  • Oncology
  • Cancer Biology
  • Biotechnology

Background:

  • Osteosarcoma is the most common bone cancer in pediatric and young adult populations.
  • Chemotherapy resistance, often driven by intratumoral heterogeneity, limits treatment efficacy in approximately half of localized osteosarcoma cases.
  • Understanding cellular heterogeneity is crucial for developing more effective therapeutic strategies.

Purpose of the Study:

  • To develop and characterize an in vitro model of osteosarcoma heterogeneity based on phenotypic and genotypic variations.
  • To investigate how environmental and chemical perturbations influence the behavior of co-cultured osteosarcoma cell lines.
  • To evaluate therapeutic strategies for overcoming chemoresistance in heterogeneous osteosarcoma models.

Main Methods:

  • Genotypic and phenotypic characterization of an osteosarcoma cell line panel, focusing on co-cultures of divergent lines (143B and SAOS2).
  • Assessment of cell line competition under varying environmental conditions (e.g., pH, glutamine levels) and chemotherapy exposure.
  • Evaluation of spheroid formation and response to single-agent and sequential chemotherapy treatments in a two-cell line co-culture model.

Main Results:

  • Environmental factors (pH, glutamine) and chemotherapy significantly altered the composition and success of co-cultured osteosarcoma cell lines.
  • Under nutrient-rich conditions, 143B cells outcompeted SAOS2 cells, but SAOS2 dominance was observed in nutrient-deprived or chemotherapy-treated spheroids.
  • Sequential chemotherapy, switching from a first-strike to a second-strike agent, was the only evaluated approach effective in eliminating heterogeneous spheroids.

Conclusions:

  • The developed in vitro model effectively recapitulates osteosarcoma heterogeneity and its impact on therapeutic response.
  • Environmental conditions and cell-cell interactions within heterogeneous populations critically influence treatment outcomes.
  • Sequential therapeutic strategies are essential for overcoming chemoresistance mediated by intratumoral heterogeneity in osteosarcoma.