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Table 2 Pre-clinical development for OSCs-targeting agents

From: Novel molecular insights and new therapeutic strategies in osteosarcoma

Therapeutic

Function of molecules

Study type and model

Mechanism

References

BYL719

A new specific PI3Kα inhibitor

Different murine preclinical models of osteosarcoma

Tumor development and tumor ectopic bone formation by decreasing Ki67+ cells and tumor vascularization

Gobin et al. [53]

LY294002

An inhibitor of phosphoinositide 3-kinases (PI3Ks)

Human osteosarcoma CSCs, in vitro study

Prevent phosphorylation of PKB/Akt via inhibition of PI3K phosphorylation activity, leading to G0/G1 cell cycle arrest and apoptosis

Gong et al. [108]

BRM270 as a compound from 7 seven sian medicinal plants

NF-κB inhibitor

An in vivo tumor metastasis model of nude mice for osteosarcoma

A NF-κB inhibitor via acting as a suppressor of NF-κB signaling cascade in multidrug resistance -induced stem like cancer-initiating cells

Kwon et al. [194]

parthenolide

NF-κB inhibitor and oxidative stress inducer

LM7 osteosarcoma cells, in vitro treatments

Parthenolide and ionizing radiation leads cell death in osteosarcoma cells, resulting in reduction in the viability of both the osteosarcoma cells and CD133+ CSCs

Zuch et al. [110]

MC1742 and MC2625

HDAC inhibitors

CSCs, in vitro study

Can elevate acetyl-H3 and acetyl-tubulin levels, inhibited CSC sphere growth via apoptosis induction in osteosarcoma and Ewing sarcoma

Di Pompo et al. [195]

Bufalin

–

In vitro study, and in vivo (nude mice model)

Inhibits the differentiation and proliferation of CSCs from C1OS via targeting miR-148

Downregulate proliferation marker Ki67, resulting in inhibition of sphere forming and proliferation in human OSCs derived from the MG63 cell line

Chang et al. [182, 183]

Salinomycin

Antibacterial and coccidiostat agent

Both in vitro and in vivo study (nude mice model)

Suppress the sarcosphere formation, expressions of Oct4 and Sox2. Inhibit Wnt/β-catenin pathway via degradation of β-catenin and can act as inhibitor of OSCs

Tang et al. [86]

CESPa

Nanoparticle

Both in vitro and in vivo study (mic model)

Effective inhibitor of tumor growth with promising efficacy in osteosarcoma-bearing mice, effectively target CSCs of osteosarcoma and cancer cells

Chen et al. [196]

Ap-SAL-NPb

Nanoparticle

Both in vitro and in vivo study (mic model)

Ap-SAL-NP kill CD133+ osteosarcoma CSCs

Ni et al. [197]

EGFR-SNPs

Nanoparticle

In vitro drug assessment

EGFR-SNPs decrease the osteosarcoma sphere-forming and CD133+ osteosarcoma CSCs while comparing with salinomycin and SNPs. Effectively enhance delivery of salinomycin to osteosarcoma cells

Yu et al. [198]

5-Azacytidine

DNA methyltransferase (DNMT) inhibitor

Osteosarcoma cell lines Saos-2 and MG63

Induce an increase of stemness features of OS cells in context of CD133, Sox2, OCT4 and Nanog overexpression, as well as high sarcospheres-forming efficiency

Tirino et al. [199]

  1. aSali-entrapped lipid-polymer nanoparticles conjugated with EGFR and CD133 aptamers
  2. bSalinomycin-loaded PEGylated poly nanoparticles conjugated with CD133 aptamer