Abstract. Secreted protein acidic and rich in cysteine (SPARC) is a multi-functional protein which modulates cell-cell and cell-matrix interactions. In cancer cells, SPARC behaves as a tumor promoter in a number of tumors, but it can also act as a tumor suppressor factor. Our previous results showed that the synthetic cannabinoid WIN55,212-2 (WIN), a potent cannabinoid receptor agonist, is able to sensitize osteosarcoma MG63 cells to TNF-related apoptosis-inducing ligand (TRAIL)-induced apoptosis which is accompanied with endoplasmic reticulum (ER)-stress induction and the increase in autophagic markers. In the present investigation, we studied the role of SPARC in WIN/TRAIL-induced apoptosis demonstrating that WIN increased the level of SPARC protein and mRNA in a time-dependent manner. This event was functional to WIN/TRAIL-dependent apoptosis as demonstrated by RNA interfering analysis which indicated that SPARC-silenced cells were less sensitive to cytotoxic effects induced by the combined treatment. Our experiments also demonstrate that SPARC interacts with caspase-8 thus probably favoring its translocation to plasma membrane and the activation of extrinsic apoptotic pathway. In conclusion, to the best of our knowledge, our results are the first to show that WIN-dependent increase in the level of SPARC plays a critical role in sensitizing osteosarcoma cells to TRAIL action.
IntroductionOsteosarcoma is the most common form of primary bone malignancy, which occurs predominantly in infants and adolescents (1). It represents the prevalent cause of cancerrelated death for children with an incidence of 4-5 cases/10 8 . Patients with osteosarcoma are routinely treated by combining surgery and high-dose chemotherapy and this has significantly improved the 5-year survival rate over time. Nevertheless, osteosarcoma shows high propensity to metastasize and invade surrounding tissue, the lung being the most common site of initial metastatic disease or, less frequently, the other bones (2). Therefore, it is important to identify novel therapeutic strategies which can improve the general conditions and the overall survival rate of patients with osteosarcoma. SPARC (secreted protein acidic and rich in cysteine) also called Osteonectin or BM-40, is a non-structural matricellular glycoprotein expressed in a variety of mammalian tissues (3,4). The effects of SPARC on cell behaviour are highly tissue specific and concern modification of cell shape, migration, proliferation, differentiation and survival (5-9). SPARC is also known to modulate cell-cell and cell-matrix interactions, and to influence de-adhesive and cell growth regulatory properties (10). Moreover, its expression is related to the ability to regulate processes such as bone formation, fibrosis and tissue repair (11). SPARC is differentially expressed in various tumors including breast and colorectal cancers, melanoma or glioma (12-17). Many studies show that in cancer cells SPARC modulates proliferation, apoptosis, invasion and angiogenesis. Its overexpression can...