2018
DOI: 10.1186/s13046-018-0880-6
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HSP90AA1-mediated autophagy promotes drug resistance in osteosarcoma

Abstract: BackgroundOsteosarcoma is the most common primary bone tumor in children and adolescents. Unfortunately, osteosarcoma treatments often fail due to the development of chemoresistance, of which the underlying molecular mechanisms still remain unclear. In this study, we demonstrated that HSP90AA1 gene is responsible for drug resistance in osteosarcoma through an autophagy-related mechanism.MethodsshRNAs were transfected into osteosarcoma cells for knockdown of HSP90AA1 gene. Stable HSP90AA1 overexpressing osteosa… Show more

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Cited by 199 publications
(150 citation statements)
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“…Both Akt/mTOR and ERK1/2 axes mediate cell proliferation, migration, and inhibition of apoptosis in osteosarcoma [43][44][45]. As far as drug resistance is concerned, Akt/mTOR induces resistance to doxorubicin, cisplatin, and methotrexate by promoting pro-survival autophagy [46]. Consistently, Everolimus has been proposed as a second-line treatment in osteosarcoma: unluckily, it did not achieve a complete response in patient-derived doxorubicin-resistant osteosarcoma xenografts [47] or in patients with high-grade relapsed osteosarcoma [48] when used alone.…”
Section: Discussionmentioning
confidence: 99%
“…Both Akt/mTOR and ERK1/2 axes mediate cell proliferation, migration, and inhibition of apoptosis in osteosarcoma [43][44][45]. As far as drug resistance is concerned, Akt/mTOR induces resistance to doxorubicin, cisplatin, and methotrexate by promoting pro-survival autophagy [46]. Consistently, Everolimus has been proposed as a second-line treatment in osteosarcoma: unluckily, it did not achieve a complete response in patient-derived doxorubicin-resistant osteosarcoma xenografts [47] or in patients with high-grade relapsed osteosarcoma [48] when used alone.…”
Section: Discussionmentioning
confidence: 99%
“…It can be associated with cell death, leading to the activation of the pro-death signaling pathway in cancer cells [34]. In other circumstances, autophagy can be cytoprotective, promoting cell survival, resistance to anticancer treatments, and protection from apoptosis [38,39]. In this latter case, inhibition of autophagy was shown to increase cell death in various cancer cell types in response to anticancer drugs, whether synthetic or of natural origin [39,40].…”
Section: Discussionmentioning
confidence: 99%
“…In drug-resistant MCF-7 cells, autophagy inhibition was able to re-sensitise cells to treatment [94] . Finally, three common chemotherapeutics used in the treatment of osteosarcoma induced upregulation of HSP90AA1, which was shown to be a regulator of autophagy via PI3K/Akt/mTOR and apoptosis via JNK/p38 [95] . Understanding the crosstalk of these pathways in the context of drug resistance will be critical in the development of new therapies.…”
Section: Autophagy and Drug Resistancementioning
confidence: 99%