PEA15 promotes osteosarcoma progression and cisplatin resistance by modulating autophagy through the FABP3-TNF

Yuanxiang Peng1,2,3, Feng Cai2,3, Lang Liu2,3

  • 1The First Affiliated Hospita1, Jiangxi Medica1 College, Nanchang University, Nanchang 330008, China.

Iscience
|October 28, 2025
PubMed

Insights

PEA15 promotes osteosarcoma progression and cisplatin resistance by inhibiting autophagy. Silencing PEA15 restores sensitivity to chemotherapy, offering a potential therapeutic target for bone cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Osteosarcoma (OS) exhibits resistance to chemotherapy, particularly cisplatin (DDP).
  • Tumor cells utilize autophagy to survive chemotherapy, contributing to treatment failure.
  • Identifying novel therapeutic targets is crucial for improving OS patient outcomes.

Purpose of the Study:

  • To identify autophagy-related genes impacting OS prognosis.
  • To investigate the role of PEA15 in osteosarcoma progression and chemoresistance.
  • To elucidate the molecular mechanisms underlying PEA15-mediated chemoresistance.

Main Methods:

  • Weighted gene co-expression network analysis (WGCNA) for gene screening.
  • Gene knockdown and overexpression in OS cell lines and xenograft models.
  • RNA sequencing to identify downstream targets and signaling pathways.

Main Results:

  • PEA15 was identified as a key gene associated with poor prognosis in OS.
  • PEA15 promotes OS tumor progression by inhibiting autophagy and apoptosis.
  • PEA15 exerts its function by modulating the FABP3 and TNF signaling pathway.
  • Silencing PEA15 in cisplatin-resistant OS cells re-sensitizes them to DDP via autophagy activation.

Conclusions:

  • The PEA15-FABP3-TNF signaling axis is critical for regulating chemoresistance in osteosarcoma.
  • Targeting PEA15 presents a promising therapeutic strategy to overcome cisplatin resistance in OS.
  • Modulating autophagy through PEA15 inhibition could enhance the efficacy of chemotherapy for bone cancer patients.