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Erschienen in: Current Oncology Reports 6/2021

01.06.2021 | Orthopedic Oncology (JA Abraham, Section Editor)

Update on Osteosarcoma

verfasst von: Rebekah Belayneh, Mitchell S. Fourman, Sumail Bhogal, Kurt R. Weiss

Erschienen in: Current Oncology Reports | Ausgabe 6/2021

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Abstract

Purpose of Review

Osteosarcoma (OSA) is the most common primary tumor of bone, mainly affecting children and adolescents. Here we discuss recent advances in surgical and systemic therapies, and highlight potentially new modalities in preclinical evaluation and prognostication.

Recent Findings

The advent of neoadjuvant and adjuvant chemotherapy has markedly improved the disease-free recurrence and overall survival of OSA. However, treatment efficacy has been stagnant since the 1980s. This plateau has prompted preclinical and clinical research into in precision surgery, inhaled chemotherapy to increase pulmonary drug concentration without systemic side effects, and novel immunomodulators intended to block molecular pathways associated with OSA proliferation and metastasis.

Summary

With the advent of novel surgical techniques and new forms and vectors for chemotherapy, it is hoped that OSA treatment outcomes will exceed their currently sustained plateau in the near future.
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Zurück zum Zitat •• Gordon N, Felix K, Daw NC. Aerosolized chemotherapy for osteosarcoma. Adv Exp Med Biol. 2020;1257:67–73. Pulmonary metastasis of osteosarcoma is a major contributor to poorer prognosis and is difficult to treat. Aerosol chemotherapy has been proven to be effective in causing regression of pulmonary metastases and improving survival in mice with osteosarcoma. This chapter reviews various chemotherapeutic agents delivered via inhalation therapy and ongoing studies in patients with lung metastases with aerosolized chemotherapy.PubMed •• Gordon N, Felix K, Daw NC. Aerosolized chemotherapy for osteosarcoma. Adv Exp Med Biol. 2020;1257:67–73. Pulmonary metastasis of osteosarcoma is a major contributor to poorer prognosis and is difficult to treat. Aerosol chemotherapy has been proven to be effective in causing regression of pulmonary metastases and improving survival in mice with osteosarcoma. This chapter reviews various chemotherapeutic agents delivered via inhalation therapy and ongoing studies in patients with lung metastases with aerosolized chemotherapy.PubMed
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Zurück zum Zitat •• Regan DP, Coy JW, Chahal KK, Chow L, Kurihara JN, Guth AM, Kufareva I, Dow SW, The angiotensin receptor blocker losartan suppresses growth of pulmonary metastases via AT1R-independent inhibition of CCR2 signaling and monocyte recruitment. J Immunol. 2019;202(10):3087–102. Pazopanib, a selective multitargeted tyrosine kinase inhibitor that has been proven to be effective in the treatment of metastatic soft tissue sarcomas, was evaluated in this study in the treatment of metastatic bone sarcomas in patients who failed chemotherapy. This study demonstrated that pazopanib is a well-tolerated and effective treatment of metastatic bone sarcomas refractory to traditional chemotherapy. Given the poor prognosis associated with metastatic, chemotherapy-resistant, bone sarcomas, identification of effective treatment alternatives is of utmost importance. •• Regan DP, Coy JW, Chahal KK, Chow L, Kurihara JN, Guth AM, Kufareva I, Dow SW, The angiotensin receptor blocker losartan suppresses growth of pulmonary metastases via AT1R-independent inhibition of CCR2 signaling and monocyte recruitment. J Immunol. 2019;202(10):3087–102. Pazopanib, a selective multitargeted tyrosine kinase inhibitor that has been proven to be effective in the treatment of metastatic soft tissue sarcomas, was evaluated in this study in the treatment of metastatic bone sarcomas in patients who failed chemotherapy. This study demonstrated that pazopanib is a well-tolerated and effective treatment of metastatic bone sarcomas refractory to traditional chemotherapy. Given the poor prognosis associated with metastatic, chemotherapy-resistant, bone sarcomas, identification of effective treatment alternatives is of utmost importance.
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Zurück zum Zitat Cho H-J, Lee T-S, Park J-B, Park K-K, Choe J-Y, Sin D-I, et al. Disulfiram suppresses invasive ability of osteosarcoma cells via the inhibition of MMP-2 and MMP-9 expression. J Biochem Mol Biol. 2007;40:1069–76.PubMed Cho H-J, Lee T-S, Park J-B, Park K-K, Choe J-Y, Sin D-I, et al. Disulfiram suppresses invasive ability of osteosarcoma cells via the inhibition of MMP-2 and MMP-9 expression. J Biochem Mol Biol. 2007;40:1069–76.PubMed
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Zurück zum Zitat •• Mandell JB, Lu F, Fisch M, Beumer JH, Guo J, Watters RJ, et al. Combination therapy with disulfiram, copper, and doxorubicin for osteosarcoma: in vitro support for a novel drug repurposing strategy. Sarcoma. 2019;2019:1320201. This paper is a comprehensive investigation on copper in osteosarcoma. Beyond examining differences in endogenous copper level and copper transporter genes in murine osteosarcoma cells with differing metastatic potentials, this study also demonstrated the ability of copper chloride to augment the efficacy of disulfiram in sarcoma treatment.PubMedPubMedCentral •• Mandell JB, Lu F, Fisch M, Beumer JH, Guo J, Watters RJ, et al. Combination therapy with disulfiram, copper, and doxorubicin for osteosarcoma: in vitro support for a novel drug repurposing strategy. Sarcoma. 2019;2019:1320201. This paper is a comprehensive investigation on copper in osteosarcoma. Beyond examining differences in endogenous copper level and copper transporter genes in murine osteosarcoma cells with differing metastatic potentials, this study also demonstrated the ability of copper chloride to augment the efficacy of disulfiram in sarcoma treatment.PubMedPubMedCentral
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Zurück zum Zitat •• Wang Y, Yu W, Zhu J, Wang J, Xia K, Liang C, et al. Anti-CD166/4-1BB chimeric antigen receptor T cell therapy for the treatment of osteosarcoma. J Exp Clin Cancer Res. 2019;38:168. Considering the urgent need for new therapeutic regiments, this paper features an effective novel immunological treatment strategy in the future clinical practice for the treatment of osteosarcoma: chimeric antigen receptor (CAR)–engineered T cells.PubMedPubMedCentral •• Wang Y, Yu W, Zhu J, Wang J, Xia K, Liang C, et al. Anti-CD166/4-1BB chimeric antigen receptor T cell therapy for the treatment of osteosarcoma. J Exp Clin Cancer Res. 2019;38:168. Considering the urgent need for new therapeutic regiments, this paper features an effective novel immunological treatment strategy in the future clinical practice for the treatment of osteosarcoma: chimeric antigen receptor (CAR)–engineered T cells.PubMedPubMedCentral
Metadaten
Titel
Update on Osteosarcoma
verfasst von
Rebekah Belayneh
Mitchell S. Fourman
Sumail Bhogal
Kurt R. Weiss
Publikationsdatum
01.06.2021
Verlag
Springer US
Erschienen in
Current Oncology Reports / Ausgabe 6/2021
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-021-01053-7

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