Osteosarcoma is the most frequent malignant primary bone tumor that develops mainly in the young, the median age of diagnosis being 18 years [1]. Despite recent improvements in chemotherapy and surgery, the problem of non-response to chemotherapy remains. Thus, current strategies for the treatment of high-grade osteosarcoma fail to improve its prognosis [2,3], mainly because of chemotherapy resistance. This poor prognosis of osteosarcoma warrants new therapeutic strategies to improve the overall rate of survival.Bisphosphonates (BPs) are stable synthetic analogues deriving from endogenous pyrophosphate
AbstractWe recently demonstrated original anti-tumor effects of zoledronic acid (Zol) on osteosarcoma cell lines independently of their p53 and Rb status. The present study investigated the potential Zol-resistance acquired by osteosarcoma cells after prolonged treatment. After 12 weeks of culture in the presence of 1 µm Zol, the effects of high doses of Zol (10-100 µm) were compared between the untreated rat (OSRGA, ROS) and human (MG63, SAOS2) osteosarcoma cells and Zol-pretreated cells in terms of cell proliferation, cell cycle analysis, migration assay and cytoskeleton organization. Long-term treatment with 1 µm Zol reduced the sensitivity of osteosarcoma cells to high concentrations of Zol. Furthermore, the Zol-resistant cells were sensitive to conventional anti-cancer agents demonstrating that this resistance process is independent of the multidrug resistance phenotype. However, as similar experiments performed in the presence of clodronate and pamidronate evidenced that this drug resistance was restricted to the nitrogen-containing bisphosphonates, we then hypothesized that this resistance could be associated with a differential expression of farnesyl diphosphate synthase (FPPS) also observed in human osteosarcoma samples. The transfection of Zol-resistant cells with FPPS siRNA strongly increased their sensitivity to Zol. This study demonstrates for the first time the induction of metabolic resistance after prolonged Zol treatment of osteosarcoma cells confirming the therapeutic potential of Zol for the treatment of bone malignant pathologies, but points out the importance of the treatment regimen may be important in terms of duration and dose to avoid the development of drug metabolic resistance.