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Updated: Jun 14, 2025

Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
Published on: March 18, 2014
Trifluoperazine exerts anti-osteosarcoma effect by inducing mitochondria-dependent apoptosis via AKT/TXNIP signaling
Xiangchen Zeng1, Wenkai Chen1, Naichun Yu2
1School of Medicine, Xiamen University, Xiamen, China.
Abstract:
The survival rates for patients with osteosarcoma (OS) have stagnated over the past few decades. It is essential to find new therapies and drugs. A licensed antipsychotic medication called trifluoperazine (TFP) significantly reduces the growth of several cancers. However, the exact molecular pathways of TFP in OS remain to be discovered. Our research revealed that TFP greatly reduced OS cell migration and growth and caused the arrest of G0/G1 cell cycle. Combined with RNA-Seq data and further research, we confirmed that TFP promoted reactive oxygen species (ROS) production by elevating thioredoxin binding protein (TXNIP) expression to induce mitochondria-dependent apoptosis. Interestingly, we first demonstrated that AKT was an upstream regulatory target of TXNIP in OS cells. Dephosphorylation of AKT led to an increase in TXNIP expression, further elucidating the anticancer mechanism of TFP. In vivo, TFP inhibited subcutaneous OS cell proliferation and induced OS cell apoptosis without noticeable side effects. In conclusion, our findings imply that TFP is a potential treatment for OS.
Insights
Trifluoperazine (TFP), an antipsychotic, shows promise in treating osteosarcoma (OS). It inhibits OS cell growth and migration by increasing reactive oxygen species (ROS) and inducing apoptosis, offering a potential new therapy.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Osteosarcoma (OS) survival rates have not improved in decades, necessitating novel therapeutic strategies.
- Trifluoperazine (TFP), an existing antipsychotic, demonstrates anticancer properties against various tumors.
- The specific mechanisms of TFP action in osteosarcoma remain largely unelucidated.
Purpose of the Study:
- To investigate the molecular pathways and therapeutic potential of trifluoperazine (TFP) in osteosarcoma (OS).
- To determine TFP's effects on OS cell behavior, cell cycle, and apoptosis.
- To explore the relationship between TFP, reactive oxygen species (ROS), thioredoxin binding protein (TXNIP), and AKT signaling in OS.
Main Methods:
- Cell culture experiments assessing OS cell migration, proliferation, and cell cycle arrest.
- RNA-sequencing (RNA-Seq) to analyze gene expression changes induced by TFP.
- Investigation of reactive oxygen species (ROS) production and mitochondrial apoptosis pathways.
- Western blot analysis to examine protein expression and phosphorylation, particularly of AKT and TXNIP.
Main Results:
- TFP significantly inhibited OS cell migration and proliferation, inducing G0/G1 cell cycle arrest.
- TFP elevated thioredoxin binding protein (TXNIP) expression, leading to increased reactive oxygen species (ROS) production and mitochondria-dependent apoptosis.
- AKT dephosphorylation was identified as an upstream event promoting TXNIP expression, revealing a novel regulatory axis.
- In vivo studies confirmed TFP's efficacy in suppressing OS tumor growth and inducing apoptosis with minimal side effects.
Conclusions:
- Trifluoperazine (TFP) exerts anticancer effects in osteosarcoma by modulating the TXNIP/ROS/apoptosis pathway and regulating AKT signaling.
- TFP demonstrates significant potential as a therapeutic agent for osteosarcoma, warranting further clinical investigation.
- The findings provide a deeper understanding of TFP's anticancer mechanisms and its potential application in OS treatment.
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