In the current work, we compared the ability of 17β-estradiol (E
2) and the
selective estrogen receptor modulators (SERMs), tamoxifen (Tam), raloxifene (Ral) and ospemifene (Osp) to promote the survival of osteoblast-derived cells against etoposide-induced apoptosis. In order to compare the roles of the two
estrogen receptor (ER) isotypes, we created a U2OS human osteosarcoma cell line stably expressing either ERalpha (ER
) or ERbeta (ERβ). Transfection with either of the ERs was able to render the U2OS cells sensitive to E
2. We show that E
2 opposed etoposide-induced apoptosis and that the effect was mediated via both ER isotypes. The ER isotype
selective agonists propyl-pyrazole-triol (PPT) and diarylpropionitrile (DPN) had the same effect in U2OS/ER
and U2OS/ERβ cells, respectively. Osp also opposed apoptosis at least in U2OS/ER
cells. Tam and Ral were not able to protect against etoposide-induced cell death. In order to evaluate the protective effects of E
2 and Osp upon etoposide challenge, we studied the expression of two E
2-regulated, osteoblast-produced cytokines, IL-6 and OPG in E
2 and SERM-treated U2OS/ER
and U2OS/ERβ cells. Etoposide strongly increased expression of IL-6 and decreased that of OPG. E
2 opposed IL-6 increase only in U2OS/ER
cells and OPG decrease primarily in ERβ cells. Osp opposed the effect of etoposide on OPG primarily in U2OS/ERβ cells but interestingly, it had little effect on IL-6 expression. E
2, PPT, DNP and Osp also inhibited etoposide-induced death and cytokine changes in SAOS-2 osteosarcoma cells expressing endogenous ER
and ERβ. Collectively, our results suggest that the osteoblast protective anti-apoptotic effects of E
2 are mediated by both ER
and ERβ but those of Osp primarily by ER
. In addition, E
2 and Osp opposed the etoposide-induced increase of IL-6 and decrease of OPG which changes would increase osteoclastic activity. These anti-resorptive effects of E
2 and Osp upon etoposide challenge differed from each other and they seemed to be differentially mediated in ER
and ERβ expressing osteoblast-derived U2OS cells.