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      STAT3 exacerbates survival of cancer stem-like tumorspheres in EGFR-positive colorectal cancers: RNAseq analysis and therapeutic screening

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          Abstract

          Background

          Cancer stem cells are capable of undergoing cell division after surviving cancer therapies, leading to tumor progression and recurrence. Inhibitory agents against cancer stem cells may be therapeutically used for efficiently eradicating tumors. Therefore, the aim of this study was to identify the relevant driver genes that maintain cancer stemness in epidermal growth factor receptor (EGFR)-positive colorectal cancer (CRC) cells and to discover effective therapeutic agents against these genes.

          Methods

          In this study, EGFR-positive cancer stem-like cells (CSLCs) derived from HCT116 and HT29 cells were used as study models for in vitro inductions. To identify the differential genes that maintain CSLCs, RNAseq analysis was conducted followed by bioinformatics analysis. Moreover, a panel containing 172 therapeutic agents targeting the various pathways of stem cells was used to identify effective therapeutics against CSLCs.

          Results

          RNAseq analysis revealed that 654 and 840 genes were significantly upregulated and downregulated, respectively, in the HCT116 CSLCs. Among these genes, notably, platelet-derived growth factor A (PDGFA) and signal transducer and activator of transcription 3 (STAT3) were relevant according to the cancer pathway analyzed using NetworkAnalyst. Furthermore, therapeutic screening revealed that the agents targeting STAT3 and Wnt signaling pathways were efficient in reducing the cell viabilities of both HCT116 and HT29 cells. Consequently, we discovered that STAT3 inhibition using homoharringtonine and STAT3 knockdown significantly reduced the formation and survival of HT29-derived tumorspheres. We also observed that STAT3 phosphorylation was regulated by epidermal growth factor (EGF) to induce PDGFA and Wnt signaling cascades.

          Conclusions

          We identified the potential genes involved in tumorsphere formation and survival in selective EGFR-positive CRCs. The results reveal that the EGF-STAT3 signaling pathway promotes and maintains CRC stemness. In addition, a crosstalk between STAT3 and Wnt activates the Wnt/β-catenin signaling pathway, which is also responsible for cancer stemness. Thus, STAT3 is a putative therapeutic target for CRC treatment.

          Electronic supplementary material

          The online version of this article (10.1186/s12929-018-0456-y) contains supplementary material, which is available to authorized users.

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          Most cited references38

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          The beta-catenin/TCF-4 complex imposes a crypt progenitor phenotype on colorectal cancer cells.

          The transactivation of TCF target genes induced by Wnt pathway mutations constitutes the primary transforming event in colorectal cancer (CRC). We show that disruption of beta-catenin/TCF-4 activity in CRC cells induces a rapid G1 arrest and blocks a genetic program that is physiologically active in the proliferative compartment of colon crypts. Coincidently, an intestinal differentiation program is induced. The TCF-4 target gene c-MYC plays a central role in this switch by direct repression of the p21(CIP1/WAF1) promoter. Following disruption of beta-catenin/TCF-4 activity, the decreased expression of c-MYC releases p21(CIP1/WAF1) transcription, which in turn mediates G1 arrest and differentiation. Thus, the beta-catenin/TCF-4 complex constitutes the master switch that controls proliferation versus differentiation in healthy and malignant intestinal epithelial cells.
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            EGFR and NF-κB: partners in cancer.

            Oncogenic proteins cooperate to promote tumor development and progression by sustaining cell proliferation, survival and invasiveness. Constitutive epidermal growth factor receptor (EGFR) and nuclear factor κb (NF-κB) activities are seen in multiple solid tumors and combine to provide oncogenic signals to cancer cells. Understanding how these oncogenic pathways are connected is crucial, given their role in intrinsic or acquired resistance to targeted anticancer therapies. We review molecular mechanisms by which both EGFR- and NF-κB-dependent pathways establish positive loops to increase their oncogenic potential. We also describe how NF-κB promotes resistance to EGFR inhibitors.
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              Circulating tumour cells from patients with colorectal cancer have cancer stem cell hallmarks in ex vivo culture

              Objective Although counting of circulating tumour cells (CTC) has attracted a broad interest as potential markers of tumour progression and treatment response, the lack of functional characterisation of these cells had become a bottleneck in taking these observations to the clinic. Our objective was to culture these cells in order to understand them and exploit their therapeutic potential to the full. Design Here, hypothesising that some CTC potentially have cancer stem cell (CSC) phenotype, we generated several CTC lines from the blood of patients with advanced metastatic colorectal cancer (CRC) based on their self-renewal abilities. Multiple standard tests were then employed to characterise these cells. Results Our CTC lines self-renew, express CSC markers and have multilineage differentiation ability, both in vitro and in vivo. Patient-derived CTC lines are tumorigenic in subcutaneous xenografts and are also able to colonise the liver after intrasplenic injection. RNA sequencing analyses strikingly demonstrate that drug metabolising pathways represent the most upregulated feature among CTC lines in comparison with primary CRC cells grown under similar conditions. This result is corroborated by the high resistance of the CTC lines to conventional cytotoxic compounds. Conclusions Taken together, our results directly demonstrate the existence of patient-derived colorectal CTCs that bear all the functional attributes of CSCs. The CTC culture model described here is simple and takes <1 month from blood collection to drug testing, therefore, routine clinical application could facilitate access to personalised medicine. Clinical Trial Registration ClinicalTrial.gov NCT01577511.
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                Author and article information

                Contributors
                cccheng.biocompare@gmail.com
                liberty.6359@ms1.mmh.org.tw
                aisheng49@gmail.com
                limkenhong@gmail.com
                js.chang@tmu.edu.tw
                yingwensu@gmail.com
                se8401@gmail.com
                csmeow38@gmail.com
                hcanduh@yahoo.com.tw
                886-2-27372181 , chunchao@tmu.edu.tw
                +886 935 903535 , changyifang@gmail.com
                Journal
                J Biomed Sci
                J. Biomed. Sci
                Journal of Biomedical Science
                BioMed Central (London )
                1021-7770
                1423-0127
                2 August 2018
                2 August 2018
                2018
                : 25
                : 60
                Affiliations
                [1 ]ISNI 0000 0004 0573 007X, GRID grid.413593.9, Division of Hematology and Oncology, Department of Internal Medicine, , Mackay Memorial Hospital, ; Taipei, Taiwan
                [2 ]ISNI 0000 0004 0573 007X, GRID grid.413593.9, Laboratory of Good Clinical Research Center, Department of Medical Research, , Mackay Memorial Hospital, ; Tamsui District, New Taipei City, Taiwan
                [3 ]ISNI 0000 0004 0572 7890, GRID grid.413846.c, Division of Gastroenterology, , Cheng Hsin General Hospital, ; Taipei, Taiwan
                [4 ]ISNI 0000 0000 9337 0481, GRID grid.412896.0, Graduate Institute of Medical Sciences, School of Medicine, College of Medicine, , Taipei Medical University, ; Taipei, Taiwan
                [5 ]ISNI 0000 0004 0639 0994, GRID grid.412897.1, Division of Gastroenterology and Hepatology, Department of Internal Medicine, , Taipei Medical University Hospital, ; Taipei, Taiwan
                [6 ]ISNI 0000 0000 9337 0481, GRID grid.412896.0, Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, College of Medicine, , Taipei Medical University, ; Taipei, Taiwan
                [7 ]ISNI 0000 0004 1762 5613, GRID grid.452449.a, Department of Medicine, , MacKay Medical College, ; New Taipei City, Taiwan
                Article
                456
                10.1186/s12929-018-0456-y
                6090986
                30068339
                dafbb6c9-0c28-43d6-bd75-b58cf69d1d40
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 6 February 2018
                : 26 June 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004663, Ministry of Science and Technology, Taiwan;
                Award ID: MOST 106-2320-B195-003
                Award ID: MOST 106-2320-B-038 -048
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Molecular medicine
                cancer stem cell,egfr,lgr5,pdgfa,stat3,wnt
                Molecular medicine
                cancer stem cell, egfr, lgr5, pdgfa, stat3, wnt

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