Abstract

Conventional high-grade osteosarcoma is the most common primary bone cancer with relatively high incidence in young people. Recurrent and metastatic tumors are difficult to treat. We performed a kinase inhibitor screen in two osteosarcoma cell lines, which identified MEK1/2 inhibitors. These inhibitors were further validated in a panel of six osteosarcoma cell lines. Western blot analysis was performed to assess ERK activity and efficacy of MEK inhibition. A 3D culture system was used to validate results from 2D monolayer cultures. Gene expression analysis was performed to identify differentially expressed gene signatures in sensitive and resistant cell lines. Activation of the AKT signaling network was explored using Western blot and pharmacological inhibition. In the screen, Trametinib, AZD8330 and TAK-733 decreased cell viability by more than 50%. Validation in six osteosarcoma cell lines identified three cell lines as resistant and three as sensitive to the inhibitors. Western blot analysis of ERK activity revealed that sensitive lines had high constitutive ERK activity. Treatment with the three MEK inhibitors in a 3D culture system validated efficacy in inhibition of osteosarcoma viability. MEK1/2 inhibition represents a candidate treatment strategy for osteosarcomas displaying high MEK activity as determined by ERK phosphorylation status.

Highlights

  • Osteosarcoma is the most common primary malignant bone tumor occurring predominantly in children and adolescents, as well as in people older than 40 years of age

  • The PI3K/mTOR pathway has been implicated in osteosarcoma cell survival and proliferation in vivo [16]

  • Plk1 inhibition has been shown to cause cell death in osteosarcoma cells and its expression correlates with overall survival in osteosarcoma patients [19,20,21]

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Summary

Introduction

Osteosarcoma is the most common primary malignant bone tumor occurring predominantly in children and adolescents, as well as in people older than 40 years of age. It is thought to arise from mesenchymal stem cells that are capable of producing osteoid [1, 2]. At the moment of diagnosis, 10-20% of the patients present with metastasis. About 30-40% of the patients with localized osteosarcoma will present with relapse mainly as lung metastasis. Patients with recurrence have very poor prognosis with 23-33% 5-year overall survival [3]. New effective therapies are urgently needed to improve the prognosis of osteosarcoma patients

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