Abstract

BackgroundThe existence of cancer stem cells (CSCs) or cancer stem-like cells in a tumor mass is believed to be responsible for tumor recurrence because of their intrinsic and extrinsic drug-resistance characteristics. Therefore, targeted killing of CSCs would be a newer strategy for the prevention of tumor recurrence and/or treatment by overcoming drug-resistance. We have developed a novel synthetic compound-CDF, which showed greater bioavailability in animal tissues such as pancreas, and also induced cell growth inhibition and apoptosis, which was mediated by inactivation of NF-κB, COX-2, and VEGF in pancreatic cancer (PC) cells.Methodology/Principal FindingsIn the current study we showed, for the first time, that CDF could significantly inhibit the sphere-forming ability (pancreatospheres) of PC cells consistent with increased disintegration of pancreatospheres, which was associated with attenuation of CSC markers (CD44 and EpCAM), especially in gemcitabine-resistant (MIAPaCa-2) PC cells containing high proportion of CSCs consistent with increased miR-21 and decreased miR-200. In a xenograft mouse model of human PC, CDF treatment significantly inhibited tumor growth, which was associated with decreased NF-κB DNA binding activity, COX-2, and miR-21 expression, and increased PTEN and miR-200 expression in tumor remnants.Conclusions/SignificanceThese results strongly suggest that the anti-tumor activity of CDF is associated with inhibition of CSC function via down-regulation of CSC-associated signaling pathways. Therefore, CDF could be useful for the prevention of tumor recurrence and/or treatment of PC with better treatment outcome in the future.

Highlights

  • Pancreatic cancer (PC) is one of the most lethal malignant diseases with worst prognosis, which is ranked as the fourth leading cause of cancer-related deaths in the United States [1]

  • We have demonstrated that a synthetic analogue of curcumin, CDF, is significantly more effective compared to curcumin in the killing of gemcitabine-resistant pancreatic cancer (PC) cells that consists high proportion of cells with cancer stem cells (CSCs) or cancer stem-like cells characteristics

  • The inhibition of cell growth could in part be due to better cellular uptake, retention and reduced metabolic inactivation of CDF by PC cells, which is consistent with our published findings on cellular and animal pharmacokinetics data [10,11]

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Summary

Introduction

Pancreatic cancer (PC) is one of the most lethal malignant diseases with worst prognosis, which is ranked as the fourth leading cause of cancer-related deaths in the United States [1]. Over the past two decades, numerous efforts have been made in improving treatment and survival PC patients but the outcome has been disappointing This disappointing outcome is due to many factors among which de novo resistance (intrinsic) and acquired (extrinsic) resistance to conventional therapeutics (chemotherapy and radiation therapy) including gemcitabine alone or in-combination with other cytotoxic or targeted agents. The failure to eliminate these special cells is considered to be one of the underlying causes of poor treatment outcome with conventional therapeutics, suggesting that newer and novel therapeutic strategies must be developed for the targeted killing of drug resistant CSCs in order to eradicate the risk of tumor recurrence for improving the survival of patients diagnosed with PC. The existence of cancer stem cells (CSCs) or cancer stem-like cells in a tumor mass is believed to be responsible for tumor recurrence because of their intrinsic and extrinsic drug-resistance characteristics. We have developed a novel synthetic compound-CDF, which showed greater bioavailability in animal tissues such as pancreas, and induced cell growth inhibition and apoptosis, which was mediated by inactivation of NF-kB, COX-2, and VEGF in pancreatic cancer (PC) cells

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