Pulsed electromagnetic field stimulation subtly modulates doxorubicin sensitivity in a spheroid co-culture model of

Ksenia Menshikh1, Myriam Antonaci1, Valentina Radini1

  • 1Center for Translational Research on Autoimmune and Allergic Diseases- CAAD, Department of Health Sciences, Università del Piemonte Orientale, 28100, Novara, Italy.

Scientific Reports
|November 27, 2025
PubMed

Insights

Pulsed electromagnetic field (PEMF) stimulation may enhance osteosarcoma (bone cancer) sensitivity to doxorubicin. This study developed a novel co-culture model to investigate PEMF

Area of Science:

  • Oncology
  • Biophysics
  • Biomaterials

Background:

  • Osteosarcoma is an aggressive bone cancer with limited treatment options.
  • Pulsed electromagnetic field (PEMF) stimulation shows potential as a non-invasive cancer therapy.
  • Inconsistent models hinder PEMF's translation to clinical osteosarcoma treatment.

Purpose of the Study:

  • To optimize a co-culture spheroid model for osteosarcoma.
  • To investigate PEMF's effect on osteosarcoma spheroid sensitivity to doxorubicin (DOX).
  • To assess PEMF's impact on spheroid structure, mechanics, and gene expression.

Main Methods:

  • Developed and characterized a 3D co-culture spheroid model using U2OS cells and hBMSCs.
  • Applied sinusoidal PEMF (1.5 mT, 75 Hz) for 3 days (4 h/day).
  • Assessed spheroid structural integrity, mechanical properties, metabolic activity, and gene expression, with and without DOX.

Main Results:

  • Optimized co-cultures formed stable, stiff spheroids with migratory potential.
  • PEMF stimulation reduced spheroid metabolic activity, stiffness, and downregulated key genes.
  • PEMF combined with low-dose DOX showed subtle, assay-dependent increases in chemosensitivity.

Conclusions:

  • The developed co-culture model is a relevant platform for studying osteosarcoma.
  • PEMF induces biological changes suggesting potential for enhanced doxorubicin efficacy.
  • Further research is needed to optimize PEMF protocols and validate findings across assays.

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