Smad inhibitor induces CSC differentiation for effective chemosensitization in cyclin D1- and TGF-β/Smad-regulated liver cancer stem cell-like cells

Autor: Randy Yat Choi Poon, Sitian Yang, Wei Xia, Lin Chen, Tan To Cheung, Chung Mau Lo, Xiao Qi Wang, Albert C. Y. Chan, George S.W. Tsao
Rok vydání: 2016
Předmět:
Zdroj: Oncotarget
ISSN: 1949-2553
Popis: // Wei Xia 1 , Chung Mau Lo 1 , Randy Y.C. Poon 2 , Tan To Cheung 1 , Albert C.Y. Chan 1 , Lin Chen 1 , Sitian Yang 1 , George S.W. Tsao 3 and Xiao Qi Wang 1, 4 1 Department of Surgery, The University of Hong Kong, Hong Kong, China 2 Division of Life Science, Center for Cancer Research, and State Key Laboratory of Molecular Neuroscience, The Hong Kong University of Science and Technology, Hong Kong, China 3 School of Biomedical Sciences, The University of Hong Kong, Hong Kong, China 4 State Key Laboratory for Liver Research, The University of Hong Kong, Hong Kong, China Correspondence to: Xiao Qi Wang, email: xqwang@hku.hk George S.W. Tsao, email: gswtsao@hku.hk Keywords: cyclin D1, Smad2/3/Smad4, cancer stem cells, Smad inhibitor, chemosensitization Received: November 02, 2016 Accepted: March 09, 2017 Published: March 21, 2017 ABSTRACT Understanding cancer stem cell (CSC) maintenance pathways is critical for the development of CSC-targeting therapy. Here, we investigated the functional role of the cyclin D1-dependent activation of Smad2/3 and Smad4 in hepatocellular carcinoma (HCC) CSCs and in HCC primary tumors. Cyclin D1 sphere-derived xenograft tumor models were employed to evaluate the therapeutic effects of a Smad inhibitor in combination with chemotherapy. Cyclin D1 overexpression confers stemness properties by enhancing single sphere formation, enhancing the CD90+ and EpCAM+ population, increasing stemness gene expression, and increasing chemoresistance. Cyclin D1 interacts with and activates Smad2/3 and Smad4 to result in cyclin D1-Smad2/3-Smad4 signaling-regulated liver CSC self-renewal. The cyclin D1-dependent activation of Smad2/3 and Smad4 is also found in HCC patients and predicts disease progression. A Smad inhibitor impaired cyclin D1-Smad-mediated self-renewal, resulting in the chemosensitization. Thus, pretreatment with a Smad inhibitor followed by chemotherapy not only successfully suppressed tumor growth but also eliminated 57% of the tumors in a cyclin D1 sphere-derived xenograft model. Together, The cyclin D1-mediated activation of Smad2/3 and Smad4 is an important regulatory mechanism in liver CSC self-renewal and stemness. Accordingly, a Smad inhibitor induced CSC differentiation and consequently significant chemosensitization, which could be an effective strategy to target CSCs.
Databáze: OpenAIRE