Background
To analyze the effects of the administration of febuxostat, a selective xanthine oxidase (XO) inhibitor, on both in vitro and in vivo models of the waste of skeletal muscles, due to LM8 osteosarcoma cells.
Methods
C2C12 myotubes were incubated in the conditioned medium of LM8 osteosarcoma cells. At the same time, febuxostat was added at a concentration of 3 µM and 30 µM, and reactive oxygen species(ROS) was measured using 2’,7’-dichlorofluorescein diacetate (DCF-DA) at 2 h and 24 h after exposure. Furthermore, an in vivo study was performed on male C3H mice (5 weeks old) that were subcutaneously injected with LM8 osteosarcoma cells on their backs. Febuxostat was administrated in the drinking water at a concentration of 5 µg/ml (group F5), and 25 µg/ml (group F25). In addition, tumor-bearing mice without febuxostat (group TB) and control mice (group C) were established. At 4 weeks after the inoculation of tumor cells, body weight, wet weights of the gastrocnemius muscles, XO activity, 8-hydroxy-2’-deoxyguanosine(8-OHdG), and expression of TNF-α and IL-6 were evaluated and compared among the 4 groups.
Results
ROS generation was clearly observed in C2C12 myotubes following incubation in the conditioned medium of LM8 osteosarcoma cells. ROS generation was significantly inhibited by febuxostat administration. Furthermore, LM8-bearing mice showed significant loss of body weight and wet weight of the gastrocnemius muscles, in which XO activity, 8-OHdG, and expression of IL-6 were significantly increased compared to those in mice without injections of the tumor cells. Further, febuxostat administration not only significantly improved the body weight and wet weight of the skeletal muscles, but also reduced markers of oxidative stress and expression of pro-inflammatory cytokines. Febuxostat did not show anti-tumor effects, including inhibition of lung metastasis and improved overall survival.
Conclusion
Febuxostat, which is clinically used for treatment of hyperuricemia, is effective against the waste of the skeletal muscles induced by LM8 osteosarcoma cells.