SLC30A9-mediated mitochondrial zinc homeostasis drives osteosarcoma chemoresistance by suppressing the

Hongyu Li1, Biao Yang1, Yinliang Liu1

  • 1Department of Orthopedics, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.

Life Sciences
|June 27, 2026
PubMed
Abstract

Insights

Mitochondrial zinc homeostasis, regulated by SLC30A9, impacts osteosarcoma chemoresistance. Disrupting SLC30A9 reverses resistance by activating the cGAS-STING pathway, offering a new therapeutic strategy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Osteosarcoma exhibits chemoresistance, a major clinical challenge.
  • Mitochondrial function and metal ion homeostasis are implicated in cancer progression and drug response.

Purpose of the Study:

  • To investigate the role of mitochondrial zinc homeostasis in osteosarcoma chemoresistance.
  • To explore SLC30A9 as a potential therapeutic target for overcoming methotrexate resistance.

Main Methods:

  • Analysis of zinc levels and SLC30A9 expression in osteosarcoma cells.
  • Functional studies using SLC30A9 knockdown/overexpression cell lines.
  • Investigation of mitochondrial function, mtDNA release, and signaling pathways (cGAS-STING, NF-κB).
  • Evaluation in xenograft mouse models.

Main Results:

  • Methotrexate treatment increased mitochondrial zinc, causing dysfunction.
  • SLC30A9 knockdown reversed methotrexate resistance by restoring mitochondrial integrity and inhibiting the cGAS-STING pathway.
  • SLC30A9 mediates mitochondrial zinc efflux, and its loss triggers mtDNA release and NDRG1 transcription.

Conclusions:

  • SLC30A9 is crucial for maintaining mitochondrial integrity and suppressing chemoresistance in osteosarcoma.
  • Targeting SLC30A9 and the cGAS-STING pathway presents a novel strategy to enhance chemotherapy efficacy.