Targeting the Hippo/YAP-TAZ pathway increases X-ray sensitivity in chondrosarcoma spheroids and is associated with

Birgit Lohberger1, Dietmar Glänzer1, Heike Kaltenegger1

  • 1Department of Orthopedics and Trauma, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.

Abstract

Insights

Verteporfin (VP) combined with irradiation shows promise for treating chondrosarcoma by disrupting cell survival pathways. This approach targets Hippo signaling and induces cell death, offering a potential new therapy for this bone cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Chondrosarcomas are malignant bone tumors with limited treatment options, often resistant to chemotherapy and radiotherapy.
  • The Hippo signaling pathway is implicated in tumor progression and therapy resistance but its role in chondrosarcoma is not well understood.
  • Investigating the Hippo pathway's relevance in chondrosarcoma could reveal new therapeutic strategies, particularly for radiosensitization.

Purpose of the Study:

  • To investigate the effect of Verteporfin (VP), a Hippo pathway inhibitor, on chondrosarcoma cells.
  • To evaluate the potential radiosensitizing effect of VP in combination with X-ray irradiation on chondrosarcoma.
  • To explore the underlying mechanisms, including effects on cell viability, signaling pathways, autophagy, and DNA damage.

Main Methods:

  • Human chondrosarcoma cell lines (SW-1353, Cal78) and healthy chondrocytes were cultured as spheroids.
  • Cells were treated with VP alone or in combination with X-ray irradiation.
  • Analyses included cell viability assays, Western blotting, RT-qPCR, immunohistochemistry, and transmission electron microscopy to assess signaling, autophagy, DNA damage, and apoptosis.

Main Results:

  • VP treatment reduced chondrosarcoma cell proliferation and suppressed YAP/TAZ target genes, downregulating Hippo pathway components.
  • Combining VP with X-ray irradiation amplified these effects, indicating radiosensitizing potential.
  • VP disrupted autophagic balance, induced mitochondrial damage, and triggered cell death via autophagy, apoptosis, and DNA damage, evidenced by molecular markers.

Conclusions:

  • Verteporfin, especially with irradiation, disrupts multiple survival pathways in chondrosarcoma cells, presenting a promising therapeutic strategy.
  • Further research into the interplay between autophagy, apoptosis, and Hippo signaling is crucial for developing targeted cancer therapies.
  • This study provides a preclinical basis for exploring VP as a radiosensitizer in chondrosarcoma treatment.

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