Osteosarcoma (OS) is a malignant bone tumor predominantly affecting children and adolescents. OS has a 60% survival rate with current treatments; hence, there is a need to identify novel adjuncts to chemotherapeutic regimens. In this pilot study, we investigated the dose-response to 1a,25-dihdroxyvitamin D 3 (1,a 25(OH) 2 Keywords: osteosarcoma; vitamin D; proliferation; differentiation; apoptosis Osteosarcoma (OS) is a malignant bone tumor predominantly affecting children and adolescents.1 Current chemotherapy regimens and surgical interventions have not led to significant improvement in the present 60-70% survival rate. In addition, therapies in OS have remained relatively unchanged over the past 20 years. 2,3 There is a need to identify novel therapeutic regimens to improve survival rates for individuals over those achieved with the current treatment approaches.The active form of vitamin D, 1a,25-dihdroxyvitamin D 3 (1a,25(OH) 2 D 3 ) is increasingly recognized for its anti-cancer properties. 4,5 The main biologic function of 1a,25(OH) 2 D 3 is to maintain serum calcium levels within normal range by increasing the efficiency of intestinal absorption of dietary calcium 6,7 and mobilizing calcium stores from the bone into circulation.8-10 Extra-skeletal cells and tissues produce 1a,25(OH) 2 D 3 .7 By binding to the nuclear vitamin D receptor (VDR), 1a,25(OH) 2 D 3 regulates expression of genes responsible for cellular proliferation, differentiation, apoptosis, and angiogenesis in local tissues.
11,12Previous studies demonstrate that 1a,25(OH) 2 D 3 inhibits proliferation and enhances differentiation of OS cells. [13][14][15][16] The mechanisms by which 1a, 25(OH) 2 D 3 regulates proliferation and differentiation in OS are not completely understood. Evidence that 1a,25(OH) 2 D 3 induces apoptosis in canine OS cells comes from TUNEL studies detecting DNA fragmentation, a hallmark of apoptotic cells.17 Studies in rodent and human OS cell lines are contradictory. Those studies show that 1a,25(OH) 2 D 3 either inhibits 15,18,19 or has no effect on apoptosis.20 There are significant unknowns and contradictions in the current literature on the effects of 1a,25(OH) 2 D 3 on OS cells. The doseresponse to 1a,25(OH) 2 D 3 by different OS cells is not well-defined or characterized. The mechanisms involving inhibition of proliferation and promotion of differentiation remain unclear.The objectives of this pilot study were to determine the dose-response to 25(OH)D 3 or 1a,25(OH) 2 D 3 by OS cell lines, and thus, to identify the effects of vitamin D (25D or 1a,25(OH) 2 D 3 ) on cellular processes in human OS cell lines: SaOS-2 and 143B. The rationale for choosing the above mentioned cell lines versus other Additional supporting information may be found in the online version of this article.