Abstract

Colorectal cancer stem cells (CSCs) have the potential for self-renewal, proliferation, and differentiation. And LGR5 is a stem cell marker gene of colorectal cancer. Curcumin can suppress oncogenicity of many cancer cells, yet the effect and mechanism of curcumin in LGR5(+) colorectal cancer stem cells (CSCs) have not been studied. In this study, we studied the effect of curcumin on LGR5(+) colorectal CSCs using the experiments of tumorsphere formation, cell viability and cell apoptosis. Then autophagy analysis, RNA-Seq, and real-time PCR were used to identify the mechanism responsible for the inhibition of LGR5(+) colorectal CSCs. Our results showed that curcumin inhibited tumorsphere formation, decreased cell viability in a dose-dependent manner, and also promoted apoptosis of LGR5(+) colorectal CSCs. Next, we found curcumin induced autophagy of LGR5(+) colorectal CSCs. When LGR5(+) colorectal CSCs were co-treated with curcumin and the autophagy inhibitor (hydroxychloroquine), curcumin-induced cell proliferation inhibition decreased. In addition, we also found that curcumin inhibited the extracellular matrix (ECM)-receptor interaction pathway via the downregulation of the following genes: GP1BB, COL9A3, COMP, AGRN, ITGB4, LAMA5, COL2A1, ITGB6, ITGA1, and TNC. Further, these genes were transcriptionally regulated by TFAP2A, and the high expression of TFAP2A was associated with poor prognosis in colorectal cancer. In conclusion, curcumin suppressed LGR5(+) colorectal CSCs, potentially by inducing autophagy and repressing the oncogenic TFAP2A-mediated ECM pathway.Graphic abstract

Highlights

  • Materials and methodsColorectal cancer (CRC) is the world’s fourth most deadly cancer, and the second and third most common cancer diagnosed in women and men, respectively [1]

  • Colorectal cancer (CRC) is the world’s fourth most deadly cancer, and evidence shows that rare cancer stem cells (CSCs) have the potential for self-renewal, proliferation, and differentiation in CRC [26]

  • LGR5 was originally isolated from colon cancer cells, where 56% LGR5(+) cells were observed in colorectal CSCs [27]

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Summary

Materials and methods

Colorectal cancer (CRC) is the world’s fourth most deadly cancer, and the second and third most common cancer diagnosed in women and men, respectively [1]. After treated with curcumin (5 μM) for 24 h, the LGR5(+) colorectal CSCs were suspended in 100 μL binding buffer, and stained with 5 μL APC-conjugated Annexin V and 5 μL propidium iodide for 15 min at room temperature in the dark. The LGR5(+) colorectal CSCs were transfected with AdmCherry-GFP-LC3B (2.51 × ­1010 PFU/mL), and treated with different concentrations of curcumin (1 μM and 5 μM) or rapamycin (100 nM) for 48 h. To confirm the effect of curcumininduced autophagy on curcumin-mediated cell inhibition of LGR5(+) colorectal CSCs, cells were co-treated and incubated with curcumin (5 μM) and HCQ (10 μM); sphere formation and cell viability were analyzed. Total RNA of the LGR5(+) colorectal CSCs treated with and without curcumin (5 μM), were extracted using TRIzol® Reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s instructions. The following values were considered statistically significant: *p < 0.05, **p < 0.01, ***p < 0.001

Results
Discussion
Compliance with ethical standards
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