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Oncology Letters logoLink to Oncology Letters
. 2017 Mar 28;13(5):3727–3733. doi: 10.3892/ol.2017.5931

Downregulation of calbindin 1, a calcium-binding protein, reduces the proliferation of osteosarcoma cells

Zhengxiang Huang 1,*, Guojun Fan 2,*, Dongliang Wang 1,✉
PMCID: PMC5431599  PMID: 28529588

Abstract

Osteosarcoma is the most common type of primary malignant bone tumor and has a high propensity to metastasize to the lungs and bones. Calbindin 1 (CALB1) is a constituent Ca2+ binding protein, which can prevent apoptotic death in several cell types induced through various pro-apoptotic signaling pathways. To investigate whether CALB1 is implicated in the tumor growth of human osteosarcoma, two different short hairpin RNAs (shRNAs) against CALB1 were used for CALB1-knockdown in osteosarcoma U2OS cells. The U2OS cells were divided into three groups: Two groups with CALB1 knockdown (CALB1-shRNA 1 and CALB1-shRNA 2) and one control group (Con-shRNA). Reverse transcription-quantitative polymerase chain reaction and western blot analysis confirmed that the CALB1-shRNA 1- and 2-infected cells exhibited significantly lower levels of CALB1 gene and protein expression compared with the Con-shRNA group. The proliferation and colony formation abilities were significantly inhibited in CALB1-deficient U2OS cells compared with the control, as measured using an MTT assay and crystal violet staining. Flow cytometry revealed that the number of CALB1-shRNA 2-injected cells was increased in the G0/G1 and G2/M phases, but decreased in the S phase, compared with the control group. The assessment of apoptosis and necrosis using Annexin V/7-aminoactinomycin D demonstrated that there was a significantly higher percentage of necrotic, early apoptotic, and late apoptotic cells, but a significantly lower percentage of viable cells in U2OS cells with CALB1-knockdown compared with the control group. In conclusion, CALB1 contributes to protecting osteosarcoma cells from apoptosis and provides a potential novel target for gene therapy to treat patients with osteosarcoma.

Keywords: osteosarcoma, calbindin 1, knockdown, proliferation, apoptosis

Introduction

Osteosarcoma originates from primitive bone-forming mesenchymal cells and has been identified as an aggressive sarcoma of the bone (1,2). The incidence rate of osteosarcoma is 0.42% in inhabitants in USA, and osteosarcoma occurs most frequently in adolescents and young adults (3,4). Furthermore, distant metastases are common in patients with osteosarcoma, with primary migration to the lungs and bones, and a poor prognosis following recurrence and metastasis (5,6).

Current treatment strategies for osteosarcoma include a presurgical window of carboplatin, macroscopic surgical resection, multi-drug chemotherapy and radiotherapy (7,8). Despite advances in the treatment of osteosarcoma, treatment efficacy and short-term survival rates have not improved in recent years (9,10). Thus, the development of a novel therapeutic strategy for cancer treatment is warranted.

Notably, gene therapy holds great promise for providing an innovative cancer treatment (11). Previous studies have identified several candidate gene targets for osteosarcoma gene therapy (12–14). For example, the proliferation inhibition of osteosarcoma U2OS cells has been associated with the repression of G1/S cell cycle transition mediated by the overexpression of connexin43 (12). Knockdown of S100 calcium binding protein A4 is correlated with the reduced proliferation and invasiveness of osteosarcoma MG-63 cells (13). Following the loss of MACC1 MET transcriptional regulator, osteosarcoma cells were demonstrated to be less proliferative and more apoptotic, and exhibited lower colony-forming and invasive abilities (14). However, there are only a few potential therapeutic targets for osteosarcoma, thus the identification of novel candidate genes is warranted to provide more viable clinical therapeutic strategies for the treatment of the disease.

Calbindin 1 (CALB1) is a member of the EF-hand helix-loop-helix intracellular Ca2+-binding protein family and is mapped to human chromosome 8q21.3-q22.1 (15,16). CALB1 is expressed normally in osteoblast cells and is involved in the formation of mineralized bone matrix (17). Margolis et al (18) demonstrated that CALB1 serves an essential role in bone remodeling, and that increased bone volume was identified in CALB1-knockout mice. It has been demonstrated that CALB1 is associated with an anti-apoptotic function in several cell types, including bone cells (19,20). For example, CALB1 inhibits apoptosis through preventing caspase-3 activity in osteoblastic cells (21). A previous study also reported that, in osteocytes and osteoblasts, CALB1 serves a protective role against glucocorticoid-induced apoptosis (20). Furthermore, osteocytes are described as terminally-differentiated osteoblasts, which are referred to as osteosarcoma progenitors (22). However, no clear association has been identified between CALB1 and osteosarcoma.

In the present study, the function of CALB1 in osteosarcoma growth and progression was investigated. A lentiviral-based system was used to functionally inhibit the expression of CALB1 in osteosarcoma cells. The cell viability of osteosarcoma cells was measured using MTT, crystal violet staining and flow cytometry assays. This investigation may provide clinicians a viable therapy for osteosarcoma in the future.

Materials and methods

Cell lines

The U2OS osteosarcoma and 293T human embryonic kidney cell lines were supplied by The Cell Bank of Type Culture Collection of Chinese Academy of Sciences (Shanghai, China). The cells were cultured in Dulbecco's modified Eagle's medium (Hyclone; GE Healthcare Life Sciences, Logan, UT, USA) supplemented with 10% fetal bovine serum (Biological Industries, Cromwell, CT, USA). The cells were incubated at 37°C in a humidified atmosphere consisting of 5% CO2.

Construction of CALB1 shRNA expression vector

The short hairpin RNA (shRNA) sequences targeting CALB1 were as follows: S1, 5′-CGAACGGATCTTGCTCTTATTCTCGAGAATAAGAGCAAGATCCGTTCGTTTTT-3′; and S2, 5′-GATTGGAGTTATCACCTGAAACTCGAGTTTCAGGTGATAACTCCAATCTTTTT-3′, which were designed based on the human CALB1 gene (National Center for Biotechnology Information accession no., 004929.2). The sequence used as a negative control was as follows: 5′-GCGGAGGGTTTGAAAGAATATCTCGAGATATTCTTTCAAACCCTCCGCTTTTTT-3′. The three oligonucleotides were inserted into pGP vectors (Shanghai Hollybio, Shanghai, China) expressing green fluorescent protein (GFP) at the EcoRI and BamHI cleavage sites.

Packaging and infection for shRNA-expressing lentivirus vectors

To package lentivirus vectors, the reconstructed vectors pGP-CALB1-shRNA 1, pGP-CALB1-shRNA 2 or pGP-Con-shRNA were transfected into 293T cells at a confluence of 90% along with two helper plasmids pVSVG-I and pCMV∆R8.92 (Shanghai Hollybio) using Lipofectamine™ 2000 (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA). The supernatant was collected at 48 h post-transfection and the lentiviral particles were harvested through ultracentrifugation at 4,000 × g for 10 min at 4°C, prior to subsequently being passed through a 45-µm filter. U2OS cells were cultured for 72 h at 37°C in 6-well plates at an inoculation density of 5×104 cells/well and infected with the lentivirus containing CALB1-shRNA 1, CALB1-shRNA 2 or Con-shRNA at a multiplicity of infection of 20. The infection efficiency was observed at 72 h post-infection using fluorescence microscopy.

Quantification of CALB1 mRNA using reverse transcription-quantitative polymerase chain reaction (RT-qPCR)

To elucidate the CALB1 mRNA-knockdown efficiency in U2OS cells, total RNA was extracted at 5 days post-infection using Trizol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) and treated with recombinant DNase I (Takara Biotechnology Co., Ltd., Dalian, China). A total of 2 µg RNA was then reversed transcribed into cDNA using the SuperScript™ II Reverse Transcriptase kit (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. The primer sequences used were as follows: CLAB1 forward, 5′-TGGCATCGGAAGAGCAGCAG-3′ and reverse, 5′-TGACGGAAGTGGTTACCTGGAAG-3′; and β-actin forward, 5′-GTGGACATCCGCAAAGAC-3′ and reverse, 5′-AAAGGGTGTAACGCAACTA-3′. The qPCR (20 µl), consisting of 10 µl 2X SYBR Premix Ex Taq™, 0.8 µl forward and reverse primers (2.5 µM), 5 µl cDNA (150 ng), and 4.2 µl double distilled (dd)H2O, was performed using the CFX Connect™ Real-Time PCR system (BioRad Laboratories, Inc., Hercules, CA, USA) with the following thermocycling conditions: Initial denaturation at 95°C for 1 min and denaturation at 95°C for 5 sec, followed by 20 sec of annealing and extension at 60°C for 40 cycles. The 2ΔΔCq method was used to calculate the CALB1 mRNA expression between different groups (23). All mRNA expression values were normalized to β-actin.

Western blot assay for CALB1 protein expression

U2OS cells were washed with ice-cold PBS at 7 days post-infection and solubilized in 2X SDS Sample Buffer [100 mM Tris-HCl (pH 6.8), 10 mM EDTA, 4% SDS and 10% glycine]. The precipitated protein was collected through centrifugation at 4°C for 10 min at 12,000 × g. The protein concentrations were then determined using the bicinchoninic BCA protein assay kit (Thermo Fisher Scientific, Inc.). Subsequently, equal amounts of total protein (30 µg/lane) were separated by 10% SDS-PAGE and transferred onto a polyvinylidene difluoride membrane. The membranes were blocked with 5% skimmed milk in Tris-buffered saline with Tween-20 [TBST; 150 nmol/l NaCl, 100 m mol/l Tris-base, 0.1% Tween-20 (pH 7.6)] for 30 min at room temperature. The membranes were then incubated with rabbit anti-CALB1 (cat. no. 14479-1-AP; 1:500 dilution) or rabbit anti-GAPDH (cat. no. 10494-1-AP; 1:100,000 dilution) primary polyclonal antibodies (both ProteinTech Group, Inc., Chicago, IL, USA) overnight at 4°C. Following washing with TBST, the blots were incubated with goat anti-rabbit immunoglobulin G horseradish peroxidase-conjugated secondary antibody (cat. no. sc-2054; 1:5,000 dilution; Santa Cruz Biotechnology, Inc., Dallas, TX, USA) at room temperature for 2 h and developed with an Amersham ECL Prime Western Blotting Detection Reagent (GE Healthcare Life Sciences, Shanghai, China).

MTT assay

The lentivirus-infected osteosarcoma U2OS cells were seeded into 96-well tissue culture plates at a density of 2×103 cells/well and incubated at 37°C for between 1 and 5 days. Each day, 20 µl MTT solution (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was added to each well. Following 4 h of incubation at 37°C, the medium was discarded and 100 µl DMSO was added to each well to dissolve the MTT crystals. Optical density was measured during growth at a wavelength of 595 nm using a microplate reader.

Colony-forming assay

To evaluate the colony formation capacity of the cells, a low number of 96 h post-infected osteosarcoma U2OS cells were plated into 6-well plates at a density of 5×102 cells/well. The cells were observed daily, and the medium was changed on the 2nd, 4th, 6th and 8th days. On day 9, the cells were washed and then fixed with 4% paraformaldehyde. Subsequently, the cells were washed twice in PBS and stained with freshly prepared crystal violet for 10 min at room temperature. Following washing with ddH2O, colonies (>50 cells/colony) were counted by eye.

Cell cycle analysis

To monitor cell cycle progression, flow cytometry was performed following staining with propidium iodide (PI). At 3 days post-infection with lentiviral vectors, the U2OS cells were seeded at a density of 7×104 cells/6-cm dish and serum starved for 72 h. The cells were harvested by centrifugation at 4°C for 5 min at 2,000 × g following digestion with pancreatin, washed 3 times in ice-cold PBS and then fixed in 70% ethanol, prior to incubation at 4°C for 25 min. The ethanol was removed through centrifugation at 4°C for 5 min at 2,000 × g and discarded, and the cell pellet was subsequently resuspended in 10 µg/ml DNAse-free RNase A and incubated for 30 min at 37°C. For flow cytometry analysis, 100 µl PI solutions were added to each sample and analyzed using a FACS Calibur II sorter and BD FACSCalibur flow cytometer and CellQuest Pro Software (BD Biosciences, Franklin Lakes, NJ, USA).

Apoptosis detection

Apoptotic cells were quantified according to the protocol of the Annexin V-APC/7-AAD Detection kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China). The cells were divided into four groups: i) Unstained cells, APC-/7-AAD-, viable; ii) cells stained with Annexin V-FITC and no 7-AAD, APC+/7-AAD-, early apoptotic; iii) cells stained with 7-AAD and no Annexin V-FITC, APC-/7-AAD+, necrotic; and iv) cells stained with Annexin V-FITC and 7-AAD, APC+/7-AAD+, late apoptotic.

Statistical analysis

Statistical analysis was performed using SPSS software package (version 13.0; SPSS, Inc., Chicago, IL, USA). All data are presented as the mean ± standard deviation following three independent experiments. Student's t-test (unpaired) was conducted for statistical comparisons. P<0.05 was considered to indicate a statistically significant difference.

Results

Lentiviral-mediated delivery of shCALB1 s results in the knockdown of CALB1 gene and protein expression in osteosarcoma U2OS cells

To identify whether the Con-shRNA and shCALB1 s were successfully infected into U2OS cells, the cellular green fluorescence was observed under a fluorescent microscope. The efficiency of infection was determined by counting the number of cells expressing GFP. The U2OS cells were successfully infected with lentivirus CALB1-shRNA 1, CALB1-shRNA 2, or Con-shRNA, all exhibiting an infection efficiency of >80% (Fig. 1A).

Figure 1.

Figure 1.

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Confirmation of CALB1-knockdown in osteosarcoma U2OS cells with CALB1-shRNA 1 and 2 infection. (A) Expression of GFP in infected U2OS cells was shown in bright-field images and by GFP. Scale bar, 10 µm. Images were captured at 72 h post-infection (magnification, ×100). (B) Quantitative polymerase chain reaction and (C) western blot analysis demonstrating that the CALB1 mRNA and protein levels were knocked down in CALB1-shRNA 1- and 2-infected cells. *P<0.05, **P<0.01. CALB1, calbindin 1; GFP, green fluorescent protein; sh, short hairpin; con, negative control.

The effect of CALB1-shRNA 1 or 2 lentiviral infection on CALB1 gene and protein expression levels was then investigated. RT-qPCR results demonstrated that the silencing shRNA-infected groups exhibited significantly lower expression of the CALB1 gene compared with the Con-shRNA group (CALB1-shRNA 1, P<0.01; CALB1-shRNA 2, P<0.05; Fig. 1B). Infection of U2OS cells with CALB1-shRNA 1 or 2 reduced CALB1 protein expression compared with that in cells infected with Con-shRNA (Fig. 1C). These results indicate that lentiviral vectors carrying CALB1-shRNA 1 or 2 can functionally depress CALB1 gene and protein expression in U2OS cells.

CALB1-knockdown results in the inhibition of proliferative and colony-forming capacity

To detect whether the proliferation of osteosarcoma U2OS cells was affected by CALB1-knockdown, an MTT viability assay was performed. U2OS cells with the CALB1-knockdown exhibited decreased cell proliferation from day 3 compared with the control (Fig. 2). Following culturing, significantly reduced proliferation of CALB1-shRNA 1-infected U2OS cells were observed on the 4th (32.6%) and 5th (36.2%) days compared with that in the Con-shRNA-infected cells (P<0.001; Fig. 2A). Additionally, the proliferation of the U2OS cells infected with CALB1-shRNA 2 was significantly decreased by the 4th (30.7%) and 5th (42.0%) days compared with that in the Con-shRNA-infected group (P<0.001; Fig. 2B).

Figure 2.

Figure 2.

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CALB1-knockdown significantly inhibits proliferation and colony formation in osteosarcoma U2OS cells. The cell proliferation activity was decreased in the (A) CALB1-shRNA 1 and (B) CALB1-shRNA 2 groups, as measured by MTT assay, compared with the control group. (C) The reduced colony-forming ability of the CALB1-shRNA 2 cells compared with the control group was observed following a crystal violet staining assay subsequent to 9 days culture. Scale bar, 25 µm. (D) The colony number of U2OS cells was significantly reduced following treatment with CALB1-shRNA 2 compared with that in the Con-shRNA-infected group. **P<0.01, ***P<0.001. CALB1, calbindin 1; sh, short hairpin; con, negative control; OD, optical density.

Since the proliferative ability of shRNA 1 and shRNA 2 were both markedly impaired in the MTT assay, only one shRNA (shRNA 2) was used in the subsequent experiments. The colony-forming ability of CALB1-shRNA 2 and Con-shRNA cells was measured using the crystal violet staining method. Following 9 days in culture, a decline in the number and size of the colonies was detected in CALB1-shRNA 2-infected U2OS cells compared with the control group (Fig. 2C). The number of colonies was calculated in the CALB1-shRNA 2 and Con-shRNA groups. Fig. 2D illustrates that CALB1-knockdown resulted in a 94.1% decrease in colony cell numbers compared with the control group (P<0.01). These results suggest that CALB1-knockdown can significantly suppress the proliferative and colony-forming abilities of osteosarcoma U2OS cells.

CALB1-knockdown significantly disrupts the cell cycle progression of U2OS cells

To investigate the potential mechanisms underlying CALB1-knockdown induced growth inhibition in U2OS cells, the cell cycle progression of Con-shRNA- and CALB1-shRNA 2-infected cells was examined using flow cytometry (Fig. 3A). The results demonstrated that 53.567±0.137, 24.603±0.420 and 21.827±0.508% of CALB1-shRNA 2 cells were in the G0/G1, S, and G2/M phases, respectively. However, 39.650±1.002, 43.840±2.105 and 16.513±1.154% of Con-shRNA cells entered the G0/G1, S, and G2/M phases. Calculations revealed that, following the knockdown of CALB1, the proportion of cells was significantly increased in the G0/G1 (35.1%) and G2/M (32.2%) stages, and significantly decreased in the S stage (43.9%) compared with the control group (all P<0.01) (Fig. 3B). These data suggest that the knockdown of CALB1 induced cell cycle arrest at the G0/G1 and G2/M stages in U2OS cells.

Figure 3.

Figure 3.

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Knockdown of CALB1 with CALB1-shRNA 2 induces cell cycle arrest at G0/G1 and G2/M phase in U2OS cells. (A) The cell cycle distribution of the U2OS cells was determined using flow cytometry following infection with CALB1-shRNA 2 and Con-shRNA. (B) An accumulation of U2OS cells in G0/G1 and G2/M phases occurred due to the downregulation of CALB1. The first grey peak is the diploid peak (G0/G1), the second peak in grey is the tetraploid peak (G2/M). The middle part in white and striped colors/patterns, represents cells that at S phase (DNA content between 2 N to 4 N). **P<0.01. CALB1, calbindin 1; sh, short hairpin; con, negative control.

Induction of necrosis and apoptosis by depletion of CALB1 in U2OS cells

To understand the mechanisms underlying the suppression of U2OS cell proliferation and colony formation following CALB1 depletion, cells were probed with Annexin V-FITC/7-AAD and apoptotic cells were quantified using flow cytometry (Fig. 4A). Following infection, 3.07±0.14% of Con-shRNA-infected cells entered the early apoptotic stage, while 5.22±0.18 and 5.17±0.35% of CALB1-shRNA 1 and 2, respectively, entered this stage (Fig. 4B). The percentage of cells that entered the late apoptotic stage were as follows: 20.43±2.2%, Con-shRNA; 33.90±0.36%, CALB1-shRNA 1; and 30.13±0.64%, CALB1-shRNA 2. The percentage of cells that entered the necrotic stage were as follows: 10.98±0.29%, Con-shRNA; 14.76±0.14%, CALB1-shRNA 1; and 12.00±0.57%, CALB1-shRNA 2. A significantly higher percentage of Con-shRNA viable cells (65.52±2.12%) were identified compared with CALB1-shRNA 1 (46.13±0.15%; P<0.01) and CALB1-shRNA 2 (52.69±0.50%; P<0.001) cells (Fig. 4B). These results indicate that CALB1-knockdown induces the apoptosis and necrosis of osteosarcoma U2OS cells.

Figure 4.

Figure 4.

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CALB1 depletion causes necrosis and apoptosis of osteosarcoma U2OS cells. (A) The apoptotic death of U2OS cells administered with three treatments, Con-shRNA, CALB1-shRNA 1 and CALB1-shRNA 2, was determined through Annexin V-APC/7-AAD double staining and analyzed using flow cytometry. (B) Deficiency of CALB1 in U2OS cells could trigger necrosis, and early and late apoptosis. APC−/7-AAD− and APC−/7-AAD+ along the horizontal axis represent viable and necrotic cells, while APC+/7-AAD− and APC+/7-AAD+ represent early and late apoptotic cells respectively. *P<0.05, **P<0.01, and ***P<0.001 vs. Con-shRNA. CALB1, calbindin 1; sh, short hairpin; con, negative control.

Discussion

Osteosarcoma is the most common type of malignant bone tumor, with a peak incidence in children and adolescents (24,25). CALB1 is a 28-kDa calcium-binding protein and functions to rescue neuronal, osteocyte, osteoblast and lymphocyte cells from apoptosis (20,21). CALB1 is commonly expressed in classic medulloblastomas, the human medulloblastoma D283 MED cell line and in lung carcinomas (26,27). The present study aimed to investigate the potential role of CALB1 in osteosarcoma tumor progression. The results revealed that the proliferation and colony formation abilities were inhibited in osteosarcoma U2OS cells following CALB1-knockdown. Notably, accelerated apoptosis of osteosarcoma U2OS cells was observed following the knockdown of CALB1.

Uncontrolled proliferation and escape of cells from apoptotic death are characteristics of cancer cells (28,29). It has been previously demonstrated that anti-growth signals prevent cell proliferation through two different mechanisms: Cells may enter the quiescent state (G0) and not participate in the active proliferative cycle; or cells may be induced to enter post-mitotic states and lose the potential to differentiate (28). Fang et al (30) reported that the upregulation of caveolin 1 resulted in G0/G1 phase arrest in endothelial cells, contributing to the suppression of their proliferation. The results of a previous study demonstrated that the mediator complex subunit 19-knockdown through lentivirus vector shRNA inhibits human osteosarcoma cell proliferation by inducing cell cycle arrest at the G0/G1 phase (31). Furthermore, a previous study observed decreased proliferation of human esophageal cancer cells following the inhibition of β-catenin expression (32). In the present study, the absence of CALB1 expression in human osteosarcoma U2OS cells may result in the activation of anti-growth signals, inducing cell cycle arrest at the G0/G1 phase and disturbance to the G1 to S phase transition.

The results of the present study also revealed that the infected U2OS cells underwent cell cycle arrest at the G2/M and G0/G1 phases. This was also demonstrated to occur in bladder cancer cells following the knockdown of survivin, which resulted in G2/M arrest and the induction of apoptosis (33). In addition, a previous study demonstrated that decreased expression of ALG2 α-1,3/1,6-mannosyltransferase in HeLa cells induced G2/M cell cycle phase accumulation, and early and late apoptosis (34). The results of the present study indicate that CALB1-knockdown may regulate mitosis genes to inhibit mitotic progression at the latter stage.

It has been typically demonstrated that apoptosis is an important component in cancer pathogenesis (35). The inhibition of apoptosis facilitates the growth of tumors (34). CALB1 is a calcium-binding protein and is responsible for maintaining low levels of intracellular calcium (36). Calbindin, by buffering calcium, functions to inhibit nerve cell apoptosis when induced by high levels of intracellular calcium (21). The present study revealed that the number of early apoptotic, late apoptotic and necrotic cells were significantly reduced in CALB1-knockdown U2OS cells. These results suggest that the knockdown of CALB1 may increase the concentrations of intracellular calcium, resulting in a promotion of apoptosis in U2OS cells, and contributing to the decrease in cell proliferation and colony formation.

CALB1 inhibits the activity of caspase-3, a downstream effector of multiple apoptotic signaling pathways, and that inhibition results in an inhibition of apoptosis in osteoblastic cells (21,37). CALB1 may also protect against apoptosis in dopaminergic neurons through activation of the phosphoinositide 3 (PI3) kinase-Akt signaling pathway (38). In the present study, the knockdown of CALB1 may have accelerated U2OS apoptosis via the activation of caspase-3 and/or by the inactivation of the PI3-kinase-Akt signaling pathway, which is dependent on the calcium binding activity of CALB1.

In conclusion, the present study demonstrated that CALB1-knockdown inhibits the proliferation and colony formation of osteosarcoma U2OS cells. The suppression of CALB1 inhibited human osteosarcoma cell growth through modulation of the cell cycle and the induction of apoptosis, and may be a potential therapeutic target for the treatment of patients with osteosarcoma.

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