NF-κB signaling and the tumor microenvironment in osteosarcoma: implications for immune evasion and therapeutic

Shaoyan Shi1, Xuehai Ou1, Chao Liu1

  • 1Department of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, XI'an, China.

Frontiers in Immunology
|February 14, 2025
PubMed

Insights

Nuclear factor-kappa B (NF-κB) drives osteosarcoma immune evasion and treatment resistance. Inhibiting NF-κB may improve treatment outcomes for this aggressive cancer.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Osteosarcoma is an aggressive bone cancer with poor prognosis.
  • Tumor cells evade immune responses and resist treatment.
  • The nuclear transcription factor NF-κB pathway regulates immune reactions and the tumor microenvironment.

Purpose of the Study:

  • To investigate NF-κB's role in osteosarcoma immunosuppression.
  • To explore NF-κB's influence on immune cell recruitment and polarization.
  • To understand NF-κB's impact on immune checkpoint molecule expression and treatment resistance.

Main Methods:

  • Analysis of NF-κB signaling in osteosarcoma development.
  • Examination of NF-κB's effect on tumor-associated macrophages and myeloid-derived suppressor cells.
  • Assessment of NF-κB's role in immune surveillance evasion and treatment resistance.

Main Results:

  • NF-κB promotes immunosuppression by influencing immune cell polarization.
  • NF-κB upregulates immune checkpoint molecules like PD-L1, aiding immune evasion.
  • NF-κB enhances tumor cell resistance to chemotherapy and radiotherapy via anti-apoptotic pathways.

Conclusions:

  • NF-κB is a key driver of osteosarcoma progression and treatment failure.
  • Targeting NF-κB, potentially with immune checkpoint inhibitors, offers a promising therapeutic strategy.
  • Further research into NF-κB inhibition could lead to improved osteosarcoma treatment and patient prognosis.

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