Lenvatinib induces ferroptosis-related changes in osteosarcoma cells involving the p-STAT3/p53/xCT axis - Report - MDSpire

Lenvatinib induces ferroptosis-related changes in osteosarcoma cells involving the p-STAT3/p53/xCT axis

  • By

  • Chunwang Yang

  • Yulong Ma

  • Wenxiang Shen

  • Xiaozhong Ma

  • Xiang Liu

  • Shaowen Du

  • Kaishan Ye

  • May 29, 2026

  • 0 min

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Clinical Report: Lenvatinib Triggers Ferroptosis in Osteosarcoma Cells

Overview

This study demonstrates that lenvatinib induces ferroptosis-related changes in osteosarcoma cells, particularly through the modulation of the p-STAT3/p53/xCT pathway. The findings suggest a potential mechanism for lenvatinib's antitumor effects in osteosarcoma treatment.

Background

Osteosarcoma is a highly aggressive bone tumor primarily affecting adolescents, with significant challenges in treatment due to chemoresistance and metastasis. Current therapies, including multiagent chemotherapy and targeted treatments, have limitations that necessitate the exploration of new therapeutic strategies. Understanding the mechanisms of agents like lenvatinib could enhance treatment efficacy and improve patient outcomes.

Data Highlights

Cell LineIC50 ValuesEffects of Lenvatinib
143BLowerInhibited proliferation
U2OSLowerInhibited proliferation
MG63HigherWeaker inhibition
hFOB1.19N/ALimited effect

Key Findings

  • Lenvatinib inhibited proliferation of osteosarcoma cells in a concentration-dependent manner.
  • Transmission electron microscopy revealed mitochondrial alterations consistent with ferroptosis.
  • Lenvatinib treatment increased intracellular Fe2+, reactive oxygen species, and lipid peroxidation.
  • p53 expression was increased while xCT expression was reduced following lenvatinib treatment.
  • Ferrostatin-1 reversed the effects of lenvatinib on p-STAT3 and p53.

Clinical Implications

The findings indicate that lenvatinib may be a viable treatment option for osteosarcoma by inducing ferroptosis, which could enhance therapeutic outcomes. Clinicians should consider the potential of targeting ferroptosis pathways in future treatment strategies for osteosarcoma.

Conclusion

Lenvatinib's ability to induce ferroptosis through the p-STAT3/p53/xCT pathway presents a novel mechanism of action that warrants further investigation in osteosarcoma treatment.

Related Resources & Content

  1. Frontiers in Oncology, 2026 -- Lenvatinib induces ferroptosis-related changes in osteosarcoma cells involving the p-STAT3/p53/xCT axis
  2. The ASCO Post, 2021 -- Combination of Lenvatinib and Etoposide/Ifosfamide for Relapsed or Refractory Osteosarcoma
  3. Bone Cancer, Version 2.2025, NCCN Clinical Practice Guidelines In Oncology - PubMed
  4. Frontiers in Oncology — LF3 exerts anti-osteosarcoma effects through Wnt signaling inhibition-coupled ferroptosis induction via HO-1/ACSL4 axis
  5. PEGylated liposomal fluopsin C triggers cuproptosis and ferroptosis pathways and suppresses 3D tumor spheroid growth in NCI-H460 cells
  6. Frontiers in Oncology — ACSL4-driven ferroptosis susceptibility as a targetable vulnerability in monocytic acute myeloid leukemia
  7. Bone Cancer, Version 2.2025, NCCN Clinical Practice Guidelines In Oncology - PubMed
  8. Randomized Double-Blind Phase II Study of Regorafenib in Patients With Metastatic Osteosarcoma - PMC
  9. Frontiers | Lenvatinib induces ferroptosis-related changes in osteosarcoma cells involving the p-STAT3/p53/xCT axis

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