Sharma Aditya, Pettee Daniel, Mella Christine, Hord Catherine, Brockwell Maximilian, Hardy Samantha, Ball Hope C, Safadi Fayez F, Kuerbitz Steven J
Division of Hematology Oncology, Akron Children's Hospital, One Perkins Square, Akron, OH 44308, USA.
College of Medicine, Northeast Ohio Medical University, 4029 State Route 44, Rootstown, OH 44272, USA.
Int J Mol Sci. 2025 Apr 18;26(8):3863. doi: 10.3390/ijms26083863.
Osteosarcoma (OS) is the most common primary bone malignancy in children and adolescents. Unfortunately, drug resistance limits the efficacy of chemotherapeutic treatment and compromises therapeutic outcomes in a substantial proportion of cases. Aberrant CpG island methylation-associated transcriptional silencing contributes to chemoresistance in pediatric solid tumors. Here, using whole-genome DNA methylation screening on 16 human primary OS specimens, we identify receptor interacting protein kinase-3 (RIPK3), a molecular regulator of the necroptosis programmed cell death pathway, as a gene target of aberrant CpG methylation and demonstrate its role in human OS chemoresistance. We validated these findings via enforced expression and DsiRNA silencing, and evaluated the role of RIPK3 in cisplatin chemosensitivity and necroptosis activation through MLKL phosphorylation. We found that CpG island methylation results in RIPK3 silencing in primary human OS samples and cell lines. Enforced RIPK3 expression significantly enhanced cisplatin cytotoxicity in OS cells and DsiRNA knockdown reversed the cisplatin-sensitive phenotype. In cells with enforced RIPK3 expression, cisplatin treatment significantly increased phosphorylation of both RIPK3 and its target, MLKL, indicative of induction of necroptosis. Here, we identify RIPK3 as an important mediator of chemoresistance in OS and a potential pharmacologic target to improve chemotherapy efficacy in drug-resistant tumors.
骨肉瘤(OS)是儿童和青少年中最常见的原发性骨恶性肿瘤。不幸的是,耐药性限制了化疗的疗效,并在相当一部分病例中影响了治疗结果。异常的CpG岛甲基化相关转录沉默导致小儿实体瘤的化疗耐药。在此,我们对16个人类原发性OS标本进行全基因组DNA甲基化筛查,确定受体相互作用蛋白激酶3(RIPK3),一种坏死性凋亡程序性细胞死亡途径的分子调节因子,为异常CpG甲基化的基因靶点,并证明其在人类OS化疗耐药中的作用。我们通过强制表达和DsiRNA沉默验证了这些发现,并通过MLKL磷酸化评估了RIPK3在顺铂化疗敏感性和坏死性凋亡激活中的作用。我们发现CpG岛甲基化导致原发性人类OS样本和细胞系中RIPK3沉默。强制表达RIPK3显著增强了OS细胞对顺铂的细胞毒性,而DsiRNA敲低则逆转了顺铂敏感表型。在强制表达RIPK3的细胞中,顺铂处理显著增加了RIPK3及其靶点MLKL的磷酸化,表明诱导了坏死性凋亡。在此,我们确定RIPK3是OS化疗耐药的重要介质,也是提高耐药肿瘤化疗疗效的潜在药物靶点。
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